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2024 PEDIATRICS HESI PRACTICE EXAM QUESTIONS WITH CORRECT ANSWERS
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2024 PEDIATRICS HESI PRACTICE EXAM QUESTIONS WITH CORRECT ANSWERS
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2024 PEDIATRICS HESI PRACTICEEXAM QUESTIONS WITH CORRECT
ANSWERS
The parents ask the nurse why the physician ordered Mannitol for a closed
head injury. The nurse should reply, "Mannitol will
(A) "Help hold fluid in the vascular bed, to prevent shock"
(B) "Help decrease fluid, to decrease swelling in the brain"
(C) "Increase calorie intake, to aid wound healing"
(D) "Fight off bacteria, to prevent infections" - CORRECT ANSWERS-(B)
A child who is bleeding heavily is in hypovolemic shock. The nurse
determines the child is currently compensating for the loss of blood when the
nurse notes which of the following?
(A) Hypotension
(B) Cyanosis
(C) Tachycardia
(D) Bradypnea - CORRECT ANSWERS-(C)
Hypotension, cyanosis, and bradypnea would be late signs and show
decompensation.
A 9-month-old child is seen in the well clinic. Which of the following
behaviors would the nurse expect to see? SATA
(A) Plays peek-a-boo
(B) Walks independently
(C) Feeds self with a spoon
(D) Stacks 2 blocks together
(E) Transfers objects from hand to hand - CORRECT ANSWERS-A, E
-walks independently at 15 months
-feeds self with spoon at 18 months
-stacks 2 blocks together at 18 months
The nurse would suggest genetic counseling for each of the following except:
(A) Sickle cell anemia
(B) B-thalassemia
(C) Hemophilia A
(D) Henoch-Schonlein purpura - CORRECT ANSWERS-(D) This is an
inflammation of the small blood vessels of the skin, joints, bowels, and
kidneys and is common in children. However, it is not genetic
, What priority assessment should the nurse perform before administering the
IV solution 5% dextrose and 0.9% NS with 20 mEq KLC / liter in a child with
hypotonic dehydration?
(A) Weight
(B) Temperature
(C) Blood pressure
(D) Urine output - CORRECT ANSWERS-(D) Potassium should never be
administered in the presence of oliguria or anuria or if the urine output is
less than 1-2 mL/kg per hour
An 11-month-old is admitted to the hospital with severe diarrhea. The nurse
explains to the infant's mother that diarrhea is best defined on the basis of
which?
(A) Odor of the stool
(B) Amount of the stool
(C) Frequency of the stool
(D) Consistency of stool - CORRECT ANSWERS-(D) Loose or watery stool
indicates diarrhea
A child with nephrotic syndrome is receiving corticosteroids. Which of the
following statements by the parent would cause the nurse to reinforce the
instructions? SATA
(A) "My child's blood pressure is good because of the steroids"
(B) "Steroids reduce inflammation"
(C) "Steroids are making my child's urine have solid particles"
(D) "Steroids prevent my child from getting an infection"
(E) "Steroids make the kidneys work better" - CORRECT ANSWERS-A, C, D
The desired effect of corticosteroids in treating a child with nephrotic
syndrome is to reduce inflammation and cause fluid to be removed from the
body. It may increase blood pressure or make the child more prone to
infections, but it is not a desired outcome. An increase of protein in the urine
would suggest that the child is worse and not improving from treatment
The mother of a six-year-old child arrives at the clinic because the child has
been experiencing red and swollen eyes. The nurse notes a discharge from
the eyes and sends a culture to the lab. Chlamydia conjunctivitis is
diagnosed. On the basis of this diagnosis, the nurse determines that which
requires further investigation?
(A) Possible trauma to the eye
(B) Possible sexual abuse
(C) Presence of an allergy
(D) Presence of a respiratory infection - CORRECT ANSWERS-(B) Possible
sexual abuse
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