Exit Hesi Pediatrics Evolve Exam with
correct Answers
The nurse is reviewing the primary health care provider's documentation in the record of
a child admitted with a diagnosis of intussusception. The nurse expects to note that the
primary health care provider has documented which manifestation?
1.Scleral jaundice 2.Projectile vomiting 3.Currant jelly-like stools 4.Pale-colored and
hard stools - Answer -3.Currant jelly-like stools
A child who is 4 years old is seen for a well-child checkup. He has been regularly
receiving immunizations. Which immunizations should the child receive at this visit?
Select all that apply.
1.Varicella vaccine 2.Rotavirus vaccine 3.Inactivated polio vaccine 4.Meningococcal
conjugate vaccine 5.Haemophilus influenzae type B vaccine 6.Measles, mumps, and
rubella (MMR) vaccine - Answer -1, 3, 6
A child is seen in the health care clinic, and the nurse suspects the presence of
pinworm infection (enterobiasis). The nurse instructs the mother as to how to obtain a
cellophane tape rectal specimen. Which statement by the mother indicates an
understanding of the correct procedure to obtain the specimen?
1."I need to collect the specimen after I give my child a bath." 2."I need to collect the
first bowel movement of the day and place it in a sealed container." 3."I need to place a
piece of transparent cellophane tape lightly over the anal area as soon as my child
awakens and bring it to the clinic for examination." 4."I need to place a piece of
transparent cellophane tape lightly over the anal area after my child has a bowel
movement and bring it to the clinic for examination." - Answer -3."I need to place a
piece of transparent cellophane tape lightly over the anal area as soon as my child
awakens and bring it to the clinic for examination."
In caring for a child diagnosed with Hodgkin's disease, which oncologic emergency
should the nurse be most concerned about?
1.Hyperleukocytosis 2.Spinal cord compression 3.Superior vena cava syndrome
4.Disseminated intavascular coagulation - Answer -3.Superior vena cava syndrome
A child seen in the clinic is found to have rubeola (measles), and the mother asks the
nurse how to care for the child. The nurse should tell the mother to implement which
action?
1.Keep the child in a room with dim lights. 2.Give the child warm baths to help prevent
itching. 3.Allow the child to play outdoors because sunlight will help the rash. 4.Take the
, child's temperature every 4 hours and administer 1 baby aspirin for fever. - Answer -
1.Keep the child in a room with dim lights.
The nurse is collecting data on a child with a diagnosis of rheumatic fever. Which
question should the nurse initially ask the mother of the child?
1."Has the child been vomiting?" 2."Has the child had any diarrhea?" 3."Does the child
complain of chest pain and numbness in the right arm?" 4."Has the child complained of
a sore throat within the past few months?" - Answer -4."Has the child complained of a
sore throat within the past few months?"
Which interventions should the nurse include when creating a care plan for a child with
hepatitis? Select all that apply.
1.Providing a low-fat, well-balanced diet. 2.Teaching the child effective hand-washing
techniques. 3.Scheduling playtime in the playroom with other children. 4.Notifying the
primary health care provider (PHCP) if jaundice is present. 5.Instructing the parents to
avoid administering medications unless prescribed. 6.Arranging for indefinite home
schooling because the child will not be able to return to school. - Answer -1, 2, 5
The nurse caring for a child who sustained a burn injury plans care based on which
pediatric considerations associated with this injury? Select all that apply.
1.Scarring is less severe in a child than in an adult. 2.A delay in growth may occur after
a burn injury. 3.An immature immune system presents an increased risk of infection for
infants and young children. 4.Fluid resuscitation is unnecessary unless the burned area
is more than 25% of the total body surface area. 5.The lower proportion of body fluid to
body mass in a child increases the risk of cardiovascular problems. 6.Infants and young
children are at increased risk for protein and calorie deficiency because they have
smaller muscle mass and less body fat than adults. - Answer -2, 3, 6
The nurse is caring for an infant with gastroenteritis who is being treated for
dehydration. The nurse reviews the health record and notes that the primary health care
provider has documented that the infant is mildly dehydrated. Which assessment finding
should the nurse expect to note in mild dehydration?
1.Anuria 2.Pale skin color 3.Sunken fontanels 4.Dry mucous membranes - Answer -
2.Pale skin color
Parents bring their 2-week-old infant to a clinic for treatment after a diagnosis of clubfoot
made at birth. Which statement by the parents indicates a need for further teaching
regarding this disorder?
1."Treatment needs to be started as soon as possible." 2."I realize my infant will require
follow-up care until fully grown." 3."I need to bring my infant back to the clinic in 1 month
for a new cast." 4."I need to come to the clinic every week with my infant for the casting.
- Answer -3."I need to bring my infant back to the clinic in 1 month for a new cast."
The nurse is preparing to care for a child after a tonsillectomy. The nurse documents on
the plan of care to place the child in which position?
1.Supine 2.Side-lying 3.High-Fowler's 4.Trendelenburg's - Answer -2.Side-lying
correct Answers
The nurse is reviewing the primary health care provider's documentation in the record of
a child admitted with a diagnosis of intussusception. The nurse expects to note that the
primary health care provider has documented which manifestation?
1.Scleral jaundice 2.Projectile vomiting 3.Currant jelly-like stools 4.Pale-colored and
hard stools - Answer -3.Currant jelly-like stools
A child who is 4 years old is seen for a well-child checkup. He has been regularly
receiving immunizations. Which immunizations should the child receive at this visit?
Select all that apply.
1.Varicella vaccine 2.Rotavirus vaccine 3.Inactivated polio vaccine 4.Meningococcal
conjugate vaccine 5.Haemophilus influenzae type B vaccine 6.Measles, mumps, and
rubella (MMR) vaccine - Answer -1, 3, 6
A child is seen in the health care clinic, and the nurse suspects the presence of
pinworm infection (enterobiasis). The nurse instructs the mother as to how to obtain a
cellophane tape rectal specimen. Which statement by the mother indicates an
understanding of the correct procedure to obtain the specimen?
1."I need to collect the specimen after I give my child a bath." 2."I need to collect the
first bowel movement of the day and place it in a sealed container." 3."I need to place a
piece of transparent cellophane tape lightly over the anal area as soon as my child
awakens and bring it to the clinic for examination." 4."I need to place a piece of
transparent cellophane tape lightly over the anal area after my child has a bowel
movement and bring it to the clinic for examination." - Answer -3."I need to place a
piece of transparent cellophane tape lightly over the anal area as soon as my child
awakens and bring it to the clinic for examination."
In caring for a child diagnosed with Hodgkin's disease, which oncologic emergency
should the nurse be most concerned about?
1.Hyperleukocytosis 2.Spinal cord compression 3.Superior vena cava syndrome
4.Disseminated intavascular coagulation - Answer -3.Superior vena cava syndrome
A child seen in the clinic is found to have rubeola (measles), and the mother asks the
nurse how to care for the child. The nurse should tell the mother to implement which
action?
1.Keep the child in a room with dim lights. 2.Give the child warm baths to help prevent
itching. 3.Allow the child to play outdoors because sunlight will help the rash. 4.Take the
, child's temperature every 4 hours and administer 1 baby aspirin for fever. - Answer -
1.Keep the child in a room with dim lights.
The nurse is collecting data on a child with a diagnosis of rheumatic fever. Which
question should the nurse initially ask the mother of the child?
1."Has the child been vomiting?" 2."Has the child had any diarrhea?" 3."Does the child
complain of chest pain and numbness in the right arm?" 4."Has the child complained of
a sore throat within the past few months?" - Answer -4."Has the child complained of a
sore throat within the past few months?"
Which interventions should the nurse include when creating a care plan for a child with
hepatitis? Select all that apply.
1.Providing a low-fat, well-balanced diet. 2.Teaching the child effective hand-washing
techniques. 3.Scheduling playtime in the playroom with other children. 4.Notifying the
primary health care provider (PHCP) if jaundice is present. 5.Instructing the parents to
avoid administering medications unless prescribed. 6.Arranging for indefinite home
schooling because the child will not be able to return to school. - Answer -1, 2, 5
The nurse caring for a child who sustained a burn injury plans care based on which
pediatric considerations associated with this injury? Select all that apply.
1.Scarring is less severe in a child than in an adult. 2.A delay in growth may occur after
a burn injury. 3.An immature immune system presents an increased risk of infection for
infants and young children. 4.Fluid resuscitation is unnecessary unless the burned area
is more than 25% of the total body surface area. 5.The lower proportion of body fluid to
body mass in a child increases the risk of cardiovascular problems. 6.Infants and young
children are at increased risk for protein and calorie deficiency because they have
smaller muscle mass and less body fat than adults. - Answer -2, 3, 6
The nurse is caring for an infant with gastroenteritis who is being treated for
dehydration. The nurse reviews the health record and notes that the primary health care
provider has documented that the infant is mildly dehydrated. Which assessment finding
should the nurse expect to note in mild dehydration?
1.Anuria 2.Pale skin color 3.Sunken fontanels 4.Dry mucous membranes - Answer -
2.Pale skin color
Parents bring their 2-week-old infant to a clinic for treatment after a diagnosis of clubfoot
made at birth. Which statement by the parents indicates a need for further teaching
regarding this disorder?
1."Treatment needs to be started as soon as possible." 2."I realize my infant will require
follow-up care until fully grown." 3."I need to bring my infant back to the clinic in 1 month
for a new cast." 4."I need to come to the clinic every week with my infant for the casting.
- Answer -3."I need to bring my infant back to the clinic in 1 month for a new cast."
The nurse is preparing to care for a child after a tonsillectomy. The nurse documents on
the plan of care to place the child in which position?
1.Supine 2.Side-lying 3.High-Fowler's 4.Trendelenburg's - Answer -2.Side-lying
