2020 HESI RN PEDIATRIC EXAM V1 ALL 52 QUESTIONS AND
CORRECT VERIFIED ANSWERS GRADED A+
1. A mother brings her 8 mo. old baby boy to clinic because he has been vomiting and had diarrhea for last 3
days. Which assessment is most important for nurse to make?
a. Assess infant abdomen for tenderness
b. Determine if the infant was exposed to a virus
c. Measure the infant’s pulse
d. Evaluate the infant’s cry
2. While obtaining the vital signs of a 10-year-old who had a tonsillectomy this morning, the nurse observes
the child swallowing every 2-3 minutes. Which assessment should the nurse implement?
a. Inspect the posterior oropharynx
b. Assess for teeth clenching or grinding
c. Touch the tonsillar pillars to stimulate the gag reflex
d. Ask the child to speak to evaluate change in voice tone
3. The parents of a 3-year old boy who has Duchenne muscular dystrophy ask, “How can our son have this
disease? We are wondering if we should have any more children.” What information should the nurse
provide to parents?
a. This is an inherited X-linked recessive disorder, which primarily affects male children in the
family
b. The striated muscle groups of males can be impacted by a lack of the protein dystrophin in their
mothers
c. The male infant had a viral infection that went unnoticed and untreated so muscle damage was
incurred
d. Birth trauma with a breech vaginal birth causes damage to the spinal cord, thus weakening the
muscles
4. A 2-week-old female infant is hospitalized for the surgical repair of an umbilical hernia. After returning to
the postoperative neonatal unit, her RR and HR have increased during the last hour. Which intervention
should the nurse implement?
a. Notify the HCP of these findings
b. Administer a PRN analgesic prescription
c. Record the findings in the child’s record
d. Wrap the infant tightly and rock in rocking chair
, P age |2
5. A 2-year-old girl is brought to the clinic by her 17-year-old mother. When the nurse observes that the child
is drinking sweetened soda from her bottle, what information should the nurse discuss with this mother?
a. A 2-year old should be speaking in 2-word phrases
b. Dental caries is associated with drinking soda
c. Drinking soda is related to childhood obesity
d. Toddlers should be sleeping 10 hours a night
e. Toddlers should be drinking from a cup by age 2
6. A mother brings her 3-month-old infant to the clinic because the baby does not sleep through the night.
Which finding is most significant in planning care for this family?
a. The mother is a single parent and lives with her parents
b. The mother states the baby is irritable during feedings
c. The infant’s formula has been changed twice
d. The diaper area shows severe skin breakdown
7. The nurse determines that an infant admitted for surgical repair of an inguinal hernia voids a urinary stream
from the ventral surface of the penis. What action should the nurse take?
a. Document the finding
b. Palpate scrotum for testicular descent
c. Assess for bladder distension
d. Auscultate bowel sounds
8. A 16-year-old with acute myelocytic leukemia is receiving chemotherapy (CT) via an implanted
medication port at the out-patient oncology clinic. What action should the nurse implement when the
infusion is complete?
a. Administer Zofran
b. Obtain blood samples for RBCs, WBCs, and platelets
c. Flush mediport w/ saline and heparin solution
d. Initiate an infusion of normal saline
9. A mother brings her 3-week old infant to the clinic because the baby vomits after eating and always seems
hungry. Further assessment indicates that the infant’s vomiting is projectile, and the child seems listless.
Which additional assessment finding indicates the possibility of a life-threatening complication? a.
Irregular palpable pulse
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