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2024 PEDIATRIC HESI PRACTICE EXAM QUESTIONS WITH 100% CORRECT ANSWERS
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2024 PEDIATRIC HESI PRACTICE EXAM QUESTIONS WITH 100% CORRECT ANSWERS
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2024 PEDIATRIC HESI PRACTICEEXAM QUESTIONS WITH 100%
CORRECT ANSWERS
When planning the care for a child who has had a cleft lip repair the nurse
knows that crying should be minimized because it
A. Increases salivation.
B. Increases the respiratory rate.
C. Stresses the suture line.
D. Leads to vomiting. - CORRECT ANSWERS-C. Stresses the suture line.
The nurse assigning care for a 5-year-old child with otitis media is concerned
about the child's increasing temperature over the past 24 hours. Which
statement is accurate and should be considered when planning care for the
remainder of the shift?
A. An RN should be assigned to take temperatures frequently.
B. Tympanic and oral temperatures are equally accurate.
C. The PN should take rectal temperatures on this child.
D. The pediatrician should decide how to assess the temperature. - CORRECT
ANSWERS-B. Tympanic and oral temperatures are equally accurate.
A child is diagnosed with acquired aplastic anemia. The nurse knows that this
child has the best prognosis with which treatment regimen?
A. Immunosuppressive therapy.
B. Chemotherapy.
C. Bone marrow transplantation.
D. Blood transfusions. - CORRECT ANSWERS-C. Bone marrow transplantation.
The nurse asks the parent to stay during the examination of a male toddler's
genital area. Which intervention should the nurse implement?
A. Examine the genitalia as the last part of the total exam.
B. Use soothing statements to facilitate cooperation.
C. Allow the child to keep underpants on to examine genitalia.
D. Work slowly and methodically so not to stress the child. - CORRECT
ANSWERS-A. Examine the genitalia as the last part of the total exam.
An 18-year-old female client is seen at the health department for treatment
of condylomata acuminate (perineal warts) caused by the human
papillomavirus (HPV). Which intervention should the nurse implement?
,A. Tell the client that the vaccine for HPV is not indicated.
B. Inform the client that warts do not return following cryotherapy.
C. Recommend the use of latex condoms to prevent HPV transmission
D. Reinforce the importance of annual papanicolaou (Pap) smears. -
CORRECT ANSWERS-D. Reinforce the importance of annual papanicolaou
(Pap) smears.
The nurse is conducting intake interviews of children at a city clinic. Which
child is most susceptible to contracting lead poisoning?
A. An adolescent who works part time in a paint factory.
B. A 10-year-old who is an insulin-dependent diabetic (Type 1).
C. An 8-year-old who lives in a housing project.
D. A 2-year-old who plays on aging outdoor playground equipment. -
CORRECT ANSWERS-D. A 2-year-old who plays on aging outdoor playground
equipment.
In determining the one minute Apgar score of a male infant, the nurse
assesses a heart rate of 120 beats per minute and 44 respirations per
minute. He has flaccid muscle tone with slight flexion and slight resistance to
straightening. He has a loud cry with stimulation, and his color is
acrocyanotic. What is the correct Apgar score for this infant?
A. 7.
B. 8.
C. 9.
D. 10. - CORRECT ANSWERS-B. 8.
The mother of a 4-year-old child asks the nurse what she can do to help her
other children cope with their sibling's repeated hospitalizations. Which is the
best response that the nurse should offer?
A. Inform the parent that the child is too young to visit the hospital.
B. Suggest that the child visit a grandmother until the sibling returns home.
C. Ask the mother if the child asks when the sibling will be discharged.
D. Encourage the mother to have the children visit the hospitalized sibling. -
CORRECT ANSWERS-D. Encourage the mother to have the children visit the
hospitalized sibling.
A 2-year-old child with gastro-esophageal reflux has developed a fear of
eating. What instruction should the nurse include in the parents' teaching
plan?
A. Invite other children home to share meals
B. Accept that he will eat when he is hungry.
C. Reward the child with a nap after eating.
D. Consistently follow a set mealtime routine. - CORRECT ANSWERS-D.
Consistently follow a set mealtime routine.
, What preoperative nursing intervention should be included in the plan of
care for an infant with pyloric stenosis?
A. Monitor for signs of metabolic acidosis.
B. Estimate the quantity of diarrhea stools.
C. Place in a supine position after feeding.
D. Observe for projectile vomiting. - CORRECT ANSWERS-D. Observe for
projectile vomiting.
The nurse is assessing a 2-year-old. What behavior indicates that the child's
language development is within normal limits?
A. Is able to name four colors.
B. Half of child's speech is understandable.
C. Can count five blocks.
D. Is capable of making a three word sentence. - CORRECT ANSWERS-B. Half
of child's speech is understandable.
The nurse receives a lab report stating a child with asthma has a
theophylline level of 15 mcg/dl. What action will the nurse take?
A. Pass the information on in the report.
B. Notify the healthcare provider because the value is high.
C. Repeat the lab study because the value is too high.
D. Hold the next dose of theophylline. - CORRECT ANSWERS-A. Pass the
information on in the report.
A 4- year- old girl continues to interrupt her mother during a routine clinic
visit. The mother appears irritated with the child and asks the nurse, "Is this
normal behavior for a child this age?" The nurse's response should be based
on which information?
A. Role conflict is a common problem of children this age. She is just
wondering where she fits into society.
B. Children need to retain a sense of initiative without impinging on the
rights and privileges of others.
C. Negative feelings of doubt and shame are characteristic of 4-year-old
children.
D. At this age children compete and like to produce and carry through with
tasks. She is just competing with her mother. - CORRECT ANSWERS-B.
Children need to retain a sense of initiative without impinging on the rights
and privileges of others.
A 6-month-old infant with congestive heart failure (CHF) is receiving digoxin
elixir. Which observation by the nurse warrants immediate intervention?
A. Sweating across the forehead.
B. Doesn't suck well.
C. Apical heart rate of 60.
D. Respiratory rate of 30 breaths per minute. - CORRECT ANSWERS-C. Apical
heart rate of 60.
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