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PEDIATRICS HESI PRACTICE QUESTIONS AND ANSWERS
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PEDIATRICS HESI PRACTICE QUESTIONS AND ANSWERS
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PEDIATRICS HESI PRACTICE QUESTIONS ANDANSWERS
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 - answer- A, E
-walks independently at 15 months
-feeds self with spoon at 18 months
-stacks 2 blocks together at 18 months
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 - answer- (B) Possible sexual abuse
-Chlamydia is sexual transmitted disease. The diagnosis of chlamydia in a child not
sexually active should signal the health care provider to assess the signs of possible
sexual abuse
The school nurse determines a group of young women are in early adolescents based
on the following observation. All of the women:
(A) Have decided on their career path
(B) Are dressed in the same-style clothes and have the same hair style
(C) Broke curfew by staying out late at a party they went to
(D) Brag about drinking beer when their parents were at work - answer- (B) Peer identity
is important at this age
The nurse is watching two siblings, ages 7 and 9 years of age, verbally arguing over a
toy. The nurse has counseled the parents before about how to handle the situation. The
nurse should judge that the teaching has been effective when the parent takes which
action?
(A) Tell the siblings to stop arguing and shake hands
(B) Ignores the arguing and continues what she is doing
(C) Tells the children they will be punished when they go home
(D) Says they will not go out to lunch now since they have argued - answer- (B) The
best approach by the mother is not to interfere. The children need to learn how to solve
disagreements on their own. If the parents always intervenes, when the children do not
learn how to do this
, The nurse is caring for a newborn with a suspected diagnosis of imperforated anus.
Which clinical manifestation is associated with this defect?
(A) Bile-stained fecal emesis
(B) The passage of current jelly stools
(C) Failure to pass meconium stool in the first 24 hours after birth
(D) Sausage-shaped mass in the upper right quadrant - answer- (C) This is a defect
where incomplete development or absence of the anus
Which drug may be given to newborns to close the patent ductus arteriosus (PDA)? -
answer- Indomethacin (prostaglandin inhibitor)
Which drug may be given to newborns to keep the ductus arteriosus (PDA) open until
surgery can be performed? - answer- Prostaglandin E
After receiving change of shift report, which patient should you assess first?
(A) An 18-month-old with coarcation of the aorta who has decreased pedal pulses
(B) A 3-year-old with rheumatic fever who reports severe knee pain
(C) A 5-year-old with endocarditis who has crackles throughout both lungs
(D) An 8-year-old with Kawasaki's disease who has a fever of 102.2 - answer- (C)
Crackles through the lungs indicate the child has left ventricular failure as a
complication of endocarditis. Hypoxemia is likely, so the child needs a rapid respiratory
assessment, possible administration of oxygen. The other children should be assessed
as quickly as possible, but are not experiencing life-threatening complications
You are the charge nurse on a pediatric unit and the physician wants to admit a child
with measles. Which factor is of most concern to you in determining whether to admit
this child to the unit?
(A) The unit is staffed with fewer RNs than usual
(B) No negative airflow rooms are available
(C) The infection control liason nurse is not available today
(D) There are several children receiving chemotherapy - answer- (B) Patients with
measles require the implementation of airborne precautions, which include placement in
a negative-airflow room. If no rooms are available, the child cannot be admitted to the
floor
The mother asks a nurse why it is necessary to have her baby immunized if she
disinfects her house daily. The nurse's best response is:
(A) It is a state law that your child receives immunizations
(B) You don't have to immunize your child if you are sure you disinfect everything in
your house
(C) Why don't you discuss your concerns with the baby's doctor
(D) Even if you clean every day your baby is susceptible to infections because a baby's
immune system is immature - answer- (D)
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