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2024 PEDI HESI EXAM WITH CORRECT ANSWERS
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2024 PEDI HESI EXAM WITH CORRECT ANSWERS
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2024 PEDI HESI EXAM WITHCORRECT ANSWERS
The nurse should instruct the parents of an 8-year-old child who has sickle
cell anemia to be alert for which complaint from the child:
A. "I am shorter than everyone else"
B. "I am really hot and thirsty."
C. "I don't want to eat any vegetables."
D. "I have to urinate every few hours." - CORRECT-ANSWERSB. "I am really
hot and thirsty."
Which nursing intervention is most important to include in the plan of care
for a child
with acute glomerulonephritis
A. encourage fluid intake
b. promote complete bed rest
c. weight the child daily
d. administer vitamin supplements - CORRECT-ANSWERSc. weight the child
daily
During a well baby visit the parents explain that a soft bulge appears in the
groin of their
4 month old son when he cries or strain stooling. The infant is schedule for
surgical
repair of the inguinal; hernia in two weeks. The parent should be instructed
to take
which measure if the hernia becomes incarcerated prior to the surgery?
a. Use rectal thermometer for straining on stool
b. Gently manipulate the hernia for reduction
c. Offer oral electrolyte fluids for comfort
d. Give acetaminophen or aspirin for crying - CORRECT-ANSWERSb. Gently
manipulate the hernia for reduction
A 16 year old male client who has been treated in the past for a seizure
disorder is
admitted to the hospital. Immediately after admission he begins to have a
grand mal
seizure. Which action should the nurse take?
a. Obtain assistance in holding him to prevent injury
b. Observe him carefully
,c. Call a CODE
d. Place a padded tongue blade between the teeth - CORRECT-ANSWERSb.
Observe him carefully
The mother of a 9 month old who was diagnosed with respiratory syncytial
virus
yesterday calls the clinic to inquire if it will be all right to take her infant to
the first b-day
party of a friend's child the following day. What response should the nurse
provide this
mother?
a. The child will no longer be contagious, no need to take any further
precaution
b. Make sure there are not children under the age of 6 months around the
infected child
c. The child can be around other children but should wear mask at all times
d. Do not expose other children to RSV. It is very contagious even without
direct
contact - CORRECT-ANSWERSd. Do not expose other children to RSV. It is
very contagious even without direct
contact
When screening a 5 year old for strabismus, what action should the nurse
take
A. Have the child identify colored patterns on polychromatic cards
B. Direct the child through the six cardinal position of glaze
C. Inspect the child for the setting sun sign
D. Observe the child for blank, sunken eyes - CORRECT-ANSWERSB. Direct
the child through the six cardinal position of glaze
The nurse is preparing to catheterize an 8 year old child. Before starting the
procedure, which action should the nurse take first.
A. Obtain the parent's cooperation before initiating the procedure
B. Explain to the child and the parents that the procedure needs to be done
C. After talking with the parents about the procedure, ask them to leave the
room
D. Provide the child with privacy by conducting the procedure in the
treatment room - CORRECT-ANSWERSB. Explain to the child and the parents
that the procedure needs to be done
Which neurological test should the nurse implement to assess cerebellar
function in a 5 year old with symptoms of hyperactivity?
A. finger to nose
B. quadriceps reflex
, C. two point discrimination
D. ability to follow directions - CORRECT-ANSWERSA. finger to nose
An infant with developmental dysplasia of the hip is placed in a Pavlik
harness. What instructions should the nurse include in a teaching plan for
the parents?
A. apply lotion or powder to minimize skin irritation
B. put clothing over harness for maximum effectiveness
C. check for red areas under the straps 3 times a day
D. use a thin absorbent disposable diaper over the harness - CORRECT-
ANSWERSC. check for red areas under the straps 3 times a day
Which research finding provides evidence based practice for an infants risk
for SIDS
A. breastfeeding reduces the risk for and the incidence of SIDS
B. infants should be positioned supine or supported laterally to sleep
C. the prone position should ben used when an infant sleeps after feeding
D. the peak incidence occurs between the ages of 1 and 2 months -
CORRECT-ANSWERSB. infants should be positioned supine or supported
laterally to sleep
A hospitalized child stiffens and starts to seize as the nurse enters the room.
What actions should the nurse take? Select all that apply.
A. Instruct the parents to leave the room.
B. Pad side rails with available pillows and blankets.
C. Notify the emergency response team.
D. Monitor duration and progress of the seizure.
E. Turn client to the side if possible - CORRECT-ANSWERSB. Pad side rails
with available pillows and blankets.
D. Monitor duration and progress of the seizure.
E. Turn client to the side if possible
The nurse is assessing an 8-month-old who has a cough, axillary temperature
of 100°F, and rhinorrhea. What information is most important for the nurse
to obtain from this child's mother?
A. Living conditions
B. Labor and delivery history of the infant.
C. Immunization status of the infant
D. Alcohol and drug intake of the mother - CORRECT-ANSWERSC.
Immunization status of the infant
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