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GREEN BOOK PEDS HESI EXAM WITH CORRECT ANSWERS
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GREEN BOOK PEDS HESI EXAM WITH CORRECT ANSWERS
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GREEN BOOK PEDS HESI EXAMWITH CORRECT ANSWERS
A newborn is suspected of having an imperforate anus. What is most
important for the nurse to include in the child's plan of care?
A. No rectal temperatures
B. Take temperature every 2 hours.
C. Report a temperature of 100°F/37.7°C.
D. Show the mom how to take her child's temperature. - CORRECT
ANSWERS-A. No rectal temperatures
Rationale :An imperforate anus means that the anus did not form properly
and there may be a membrane over the anal opening. No objects should be
placed in the anal opening if this condition is suspected. There is no apparent
infection in this case to increase the frequency of taking the newborn's
temperature. A temperature of 100°F/37.7°C is a low-grade fever and is not
related to this condition. While it is important to show mom how to take a
temperature, it is not as important as the potential trauma of a probe in an
imperforate anus.
Which foods will the nurse include in the meal plan for iron deficiency
anemia? (Select all that apply.)
A. Dried fruits
B. Nuts
C. Cheese
D. Spinach salad
E. Cod
F. Red meat - CORRECT ANSWERS-A. Dried fruits
B. Nuts
D. Spinach salad
F. Red meat
Rationale: Cheese and cod fish are not high sources. The remaining
selections are iron-rich food selections along with egg yolks, kidney beans,
legumes, liver, prune juice, seeds, shellfish, tofu, and whole grains.
The nurse is performing discharge teaching to the parents after the birth of
their child with a cleft palate. When planning for the timing of the cleft palate
repair, what developmental milestones will the infant exhibit? (Select all that
apply.)
A. Sitting up with props
B. Walks holding onto furniture
,C. Rolling over from front to back
D. Knows familiar faces
E. Finds hidden objects - CORRECT ANSWERS-A. Sitting up with props
C. Rolling over from front to back
D. Knows familiar faces
The nurse is performing a newborn assessment. A clicking sensation is noted
when abducting the child's thigh and placing gentle pressure over the
greater trochanter. How will the nurse document this finding?
A. Positive Barlow's test
B. Positive Ortolani maneuver
C. Positive Homan's sign
D. Positive Galeazzi's sign - CORRECT ANSWERS-B. Positive Ortolani
maneuver
Rationale: This movement describes the Ortolani maneuver to assess for
instability of the hip. Barlow's test performs a similar maneuver only
pressure is applied down and back with the examiner's thumbs. Homan's
sign tests for the possibility of a blood clot in the leg. Galeazzi's sign reveals
a shortening of the limb on the affected side.
The nurse should teach the parents of a child with a cyanotic heart defect to
perform which action when a hypercyanotic spell occurs?
A. Place the child's head flat, with the knees on pillows above the level of the
heart.
B. Have the child lie on the right side, with the head elevated on one pillow.
C. Allow the child to assume a knee-chest position, with the head and chest
slightly elevated.
D. Encourage the child to sit up at a 45-degree angle, drink cold water, and
take deep breaths. - CORRECT ANSWERS-D. Encourage the child to sit up at
a 45-degree angle, drink cold water, and take deep breaths.
Rationale: Assuming a knee-chest position with the head and chest slightly
elevated will help restore hemodynamic equilibrium. Options A and B are
incorrect positions and may hinder the child's condition. Option D may cause
chest pain or a vasovagal response, with resulting hypotension.
The nurse is preparing to administer eardrops to a 2-year-old. What is the
proper procedure for administering this medication?
A. Pull the pinna up and back.
B. Pull the pinna down and back.
C. Pull the pinna up and forward.
D. Pull the pinna down and forward. - CORRECT ANSWERS-B. Pull the pinna
down and back.
Rationale: Up until a child is 3-year-old, the proper procedure for
administering eardrops is by pulling the pinna down and back to straighten
the ear canal.
,The nurse is assessing a 3-year-old presenting to the emergency department
with agitation, a cherry red and edematous epiglottis, and a high fever. What
focuses assessments will the nurse include in this child's plan of care?
(Select all that apply.)
A. Respiratory rate
B. Use of accessory muscles when breathing
C. Babinski reflex
D. Bowel sounds
E. Breath sounds - CORRECT ANSWERS-A. Respiratory rate
B. Use of accessory muscles when breathing
E. Breath sounds
Rationale: This child is presenting with signs of epiglottitis. The hallmark sign
is the cherry red and edematous epiglottis. This can lead to a severely
restricted or occluded airway. The focused assessment is of the respiratory
system. The Babinski reflex is a neurologic sign. Bowel sounds are a
gastrointestinal sign. The remaining assessments are included in a focused
respiratory assessment.
How will the nurse plan to position a child with left sided pneumonia?
A. On the child's right side
B. On the child's left side
C. Head of the bed up at a 90 degrees angle
D. Prone, with pillows placed bilaterally - CORRECT ANSWERS-B. On the
child's left side
Rationale: Placing the child on the affected side decreases discomfort in the
pleural area.
nurse include when teaching the parents about immediate post-procedure
care?
A. Teach the parents how to ambulate the child in the room safely.
B. Show the parents how to hold the child with the extremity extended.
C. Restrain the child's lower extremities for a minimum of 4 hours.
D. Place the child in a prone position to apply pressure to the site. - CORRECT
ANSWERS-B. Show the parents how to hold the child with the extremity
extended.
Rationale: The extremity should be extended to prevent trauma to the
femoral catheterization site. Options A and D increase the risk for
complications and are contraindicated. Option C is not necessary. Only the
extremity that was catheterized requires immobilization.
Which statement by the older school-age child indicates to the nurse the
teaching was effective for seizure precautions? (Select all that apply.)
A. "I will wear my helmet with my wrist and shin guards when I ride my bike."
B. "I can never ride my skateboard again or watch my friends skateboard."
C. "I will wear my medical ID bracelet only when I am outside of the house."
, D. "I will always swim with a friend or family member; I will never swim
alone."
E. "I will make sure I take my seizure medication when I brush my teeth at
night." - CORRECT ANSWERS-A. "I will wear my helmet with my wrist and
shin guards when I ride my bike."
D. "I will always swim with a friend or family member; I will never swim
alone."
E. "I will make sure I take my seizure medication when I brush my teeth at
night."
Rationale: Skateboarding is permissible with the appropriate protection. The
medical alert ID should be worn at all times. Taking it on and off increases
the likelihood of forgetting to wear it. Biking, skateboarding, and in-line
skating are allowable with the appropriate protection and in controlled
settings. A seizure unattended in the water could be life threatening.
Associate taking medication with other daily routines to increase compliance.
The nurse is conducting an initial admission assessment of a 12-month-old
child in celiac crisis. Which action is most important for the nurse to take
first?
A. Assess the child's mucous membranes and skin turgor.
B. Contact food services about needed menu restrictions.
C. Determine the child's food likes and dislikes.
D. Ask the parents about the child's recent dietary intake. - CORRECT
ANSWERS-A. Assess the child's mucous membranes and skin turgor.
Rationale: An infant having a celiac crisis has severe diarrhea and is at high
risk for fluid volume deficit. The nurse should first assess for indications of
fluid volume deficit and then implement options B, C, and D.
A child presents to the school nurse with a bloody nose, which occurred
spontaneously. What actions will the nurse take for this child? (Select all that
apply.)
A. Assist the child to a lying position on a school cot.
B. Have the child pinch the nose closed tightly.
C. Prepare a warm compress to apply to the nose.
D. Set the timer for 10 minutes.
E. Locate the water-soluble jelly in the clinic. - CORRECT ANSWERS-B. Have
the child pinch the nose closed tightly.
D. Set the timer for 10 minutes.
E. Locate the water-soluble jelly in the clinic.
Rationale: The child must be in an upright position to prevent aspiration.
Cool compresses or ice packs can help constrict the area and decrease the
flow of blood. The remaining steps re appropriate for a bloody nose. The
nurse must remain calm. If the child senses the nurse is agitated, then the
child might become agitated and then become uncooperative.
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