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2024 PEDIATRIC'S HESI COMP BOOK EXAM WITH ANSWERS
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2024 PEDIATRIC'S HESI COMP BOOK EXAM WITH ANSWERS
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2024 PEDIATRIC'S HESI COMPBOOK EXAM WITH ANSWERS
A 2-month-old infant is scheduled to receive the first DPT immunization.
What is the preferred injection site to administer this immunization?
a. Dorsal gluteal
b. Vastus lateralis
c. Ventral gluteal
d. Deltoid - CORRECT ANSWERS-b. Vastus lateralis
Rationale:
The preferred intramuscular site for children younger than 2 years of age is
the vastus lateralis.
These are Pediatric Practice Questions from my HESI NCLEX-PN/ HESI EXIT
Prep book that I bought from Evolve. Wanted to put this out there so you
guys had the opportunity as well to practice them for the HESI. :) - CORRECT
ANSWERS-none
To minimize separation anxiety in a hospitalized 2 year old, which nursing
intervention is best for the practical nurse to implement?
a. Provide for privacy.
b. Encourage parents to room-in.
c. Explain procedures and routines.
d. Encourage contact with children of the same age. - CORRECT ANSWERS-b.
Encourage parents to room-in.
Rationale:
Separation anxiety is especially threatening for toddlers, so encouraging
parents to room-in helps the toddler cope with this threat.
A child has been treated in the emergency department for a fractured distal
radius. The nurse has reinforced instructions for care of the cast at home.
The nurse realizes additional instruction is needed if the caregiver makes
which comments? (Select all that apply.)
a. "It is normal for the child to not be able to move the fingers very well after
the cast is applied."
b. "If my child is itching under the cast, I can use sterile cotton tipped
applicators under the cast to scratch it."
c. "If my child's arm is hurting so badly, and pain meds have not worked, I
should bring the child back to the emergency department."
d. "If my child's fingers begin to be cold or blue, I should try to wrap up his
fingers in some warm cloths."
,e. "I will need to make sure the child does not get the cast wet, I can use
plastic wrap around the cast for bathing." - CORRECT ANSWERS-a. "It is
normal for the child to not be able to move the fingers very well after the
cast is applied."
b. "If my child is itching under the cast, I can use sterile cotton tipped
applicators under the cast to scratch it."
d. "If my child's fingers begin to be cold or blue, I should try to wrap up his
fingers in some warm cloths."
Rationale:
The parents should be educated that not being able to move the fingers after
cast application indicates possible compartment syndrome and potential
damage to nerves and vessels of the arm. Extreme pain not relieved by
analgesics, or cold, blue fingers also indicate possible compartment
syndrome. If compartment syndrome is suspected, the nurse should contact
the health care provider immediately. The child should not insert any object
under the cast because this can cause an infection in the irritated skin area.
Parents should be instructed to keep the cast dry while bathing.
What is the most important information for the practical nurse (PN) to review
with a 12 year old who is receiving long-term and rescue medications for
routine management of asthma?
a. Drink a large amount of cold fluids after exercising to restore hydration.
b. Avoid swimming, which increases the need for oxygen while underwater.
c. Before swimming, use albuterol for prevention of exercise-induced
bronchospasm.
d. Keep a prescription for a premeasured dose of epinephrine available. -
CORRECT ANSWERS-c. Before swimming, use albuterol for prevention of
exercise-induced bronchospasm.
Rationale:
When used before exercise, the beta-adrenergic agonist albuterol can
prevent an asthma attack.
The teacher reports that a 7-year-old child frequently daydreams in school,
experiences abrupt interruptions in conversations, and stares into space.
Which action should the practical nurse take? - CORRECT ANSWERS-b.
Observe the child's behavior in the classroom.
Rationale:
Absence (petit mal) seizures are often manifested as daydreaming
behaviors. The child should be observed to confirm what the teacher is
describing because this child might be experiencing petit mal seizures.
The nurse is assisting with data collection for a 2-week-old infant who has
been diagnosed with pyloric stenosis. The nurse recognizes which is a sign or
symptom associated with pyloric stenosis?
a. Occasional burping episodes after swallowing air.
b. Vomiting which appears to contain brownish colored bile.
, c. Mass in the upper right abdominal quadrant, shaped like an olive.
d. Emesis which looks and smells as if it had feces backed up into it. -
CORRECT ANSWERS-c. Mass in the upper right abdominal quadrant, shaped
like an olive.
Rationale:
An infant with pyloric stenosis will have an olive-shaped mass in the upper
right abdominal quadrant. The child will frequently have projectile vomiting,
and is hungry, loses weight and may quickly dehydrate. Pyloric stenosis is
not associated with occasional burping or bile-colored emesis. Emesis that
looks and smells like feces is associated with bowel obstruction
The practical nurse (PN) is assessing a child with asthma for retractions
during respirations. When should the PN recognize the absence or presence
of intercostal retractions?
a. Inspiration
b. Coughing
c. Apneic episodes
d. Expiration - CORRECT ANSWERS-a. Inspiration
The practical nurse (PN) is orienting a new nurse employee as they care for a
toddler who is admitted for cleft palate repair. The nurse realizes the new
employee understands the plan of care if the new employee gathers which
type of restraint to apply in the postoperative period?
a. Wrist
b. Mummy
c. Elbow
d. Jacket - CORRECT ANSWERS-c. Elbow
Rationale:
Elbow restraints prevent children from bending their arms and bringing their
hands to the oral surgical site.
A mother phones the clinic because her 6-year-old child has been taking
prescribed antibiotics for 7 of the previous 10 days and continues to cough.
She also reports that the cough is worsening and is nonproductive. What
information should the practical nurse (PN) provide to this mother?
a. Watch the child a few more days and see if the cough begins to produce
sputum.
b. Complete the full 10-day course of antibiotics and reevaluate the cough
then.
c. Give the child plenty of fluids and an over-the-counter cough suppressant.
d. Bring the child to the clinic today for an examination related to the cough.
- CORRECT ANSWERS-d. Bring the child to the clinic today for an examination
related to the cough.
Rationale:
The child should be evaluated as soon as possible for pneumonia. Antibiotics
usually improve symptoms during the first few days of treatment but should
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