Pediatric's HESI Comp Book 100% Correct
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. :) none
To minimize separation anxiety in a ...
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. :) 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. 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.
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.
, Pediatric's HESI Comp Book 100% Correct
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. 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 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?
, Pediatric's HESI Comp Book 100% Correct
a. Wrist
b. Mummy
c. Elbow
d. Jacket 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. d. Bring the
child to the clinic today for an examination related to the cough.
Rationale:
, Pediatric's HESI Comp Book 100% Correct
The child should be evaluated as soon as possible for pneumonia. Antibiotics usually improve
symptoms during the first few days of treatment but should be continued for the full prescribed
course. A continued cough after 7 days of antibiotic treatment may indicate an infectious process
in the lower lungs, which could cause a nonproductive cough. Children with pneumonia can
deteriorate unexpectedly and rapidly and can become seriously ill with no sputum production.
A 2-year-old child developed a fever of 103.4° F (39.7° C) and was rushed to the emergency
department when the child developed febrile seizures. After the child was stabilized, the health
care provider diagnosed otitis media in the child. The concerned caregivers ask the nurse how
this can be prevented from happening again. The nurse should reinforce which instructions?
a. Contact the child's health care provider if the child starts pulling at the ear.
b. If the child develops an elevated temperature, bathe the child in cold water.
c. Give the child a bottle to take while in the supine position to relieve the pain.
d. Use children's chewable baby aspirin if the child's temperature is over 102° F (38.9° C).
a. Contact the child's health care provider if the child starts pulling at the ear.
The parents should be taught to contact the health care provider if the child begins to pull at the
ears, an early sign of otitis media. Treating otitis media early can reduce the risk of a high
temperature and a resulting febrile seizure. If the child develops an elevated temperature, the
child should be bathed in tepid water, not cold water or rubbing alcohol. Taking a bottle in the
supine position is not recommended because this increases the risk of developing otitis media.
Children should be given acetaminophen as prescribed for pain and fever. Aspirin is not
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