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Pediatric HESI Practice Questions and answers rated A+ 2024/2025
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Pediatric HESI Practice Questions and answers rated A+ 2024/2025
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Pediatric HESI Practice QuestionsThe nurse is getting ready a infant with an intussusception for a prescribed barium enema.
What is the principle purpose of engaging in this process previous to surgical intervention?
A.Evacuate the bowel of impacted feces.
B.Reduce the invaginated bowel phase.
C.Locate the presence of diverticula.
D.Identify the place of esophageal atresia. - ANSANS: B
Intussusception, an invagination or telescoping of 1 part of the intestine into another,
reasons intestinal obstruction in children (normally takes place among three months and 5
years of age). Nonsurgical remedy is attempted with hydrostatic strain created by way of
barium instillation, which regularly reduces the area of bowel intussusception (B), thereby
negating the want for surgical intervention. A barium enema is in all likelihood to purpose
(A). A barium enema will be used to come across (C), however this isn't the cause for its use
with intussusception. (D) isn't always a use for a barium enema.
The nurse is teaching a teenager lady with scoliosis approximately a Milwaukee brace that
her fitness care issuer has prescribed. Which coaching ought to the nurse offer to this
customer?
A.Remove the brace 1 hour each day for bathing handiest.
B.Remove the brace most effective for again range-of-motion sporting events.
C.Wear the brace towards the naked pores and skin to make certain an amazing healthy.
D.Wearing the brace will remedy the spinal curvature. - ANSANS: A
The Milwaukee brace is designed to sluggish the development in spinal curvature while the
adolescent is developing. The brace must be worn 23 hours an afternoon and removed a
complete of one hour a day for hygiene (A). There are not any unique sporting activities for
growing the range of motion in the back that have to be performed (B). A T blouse need to
be worn subsequent to the body and the brace put on over the T shirt to defend the skin (C).
The brace will no longer treatment the spinal curvature (D) however need to slow the
development of the scoliosis.
The nurse have to teach the dad and mom of a infant with a cyanotic heart illness to perform
which movement whilst a hypercyanotic spell takes place?
A.Place the child's head flat, with the knees on pillows above the extent of the heart.
,B.Have the kid lie at the proper facet, with the top extended on one pillow.
C.Allow the child to assume a knee-chest role, with the head and chest slightly multiplied.
D.Encourage the child to sit up at a forty five-diploma perspective, drink bloodless water, and
take deep breaths. - ANSANS: C
Assuming a knee-chest position with the top and chest slightly expanded (C) will help repair
hemodynamic equilibrium. (A and B) are wrong positions and might restrict the child's
condition. (D) may additionally motive chest ache or a vasovagal response, with resulting
hypotension.
During recurring screening at a school clinic, an otoscope examination of a child's ear
reveals a tympanic membrane this is pearly gray, barely bulging, and not movable. Based on
these findings, what motion have to the nurse take?
A.No movement is needed, because this is an anticipated locating for a college-elderly child.
B.Ask if the kid has had a cold, runny nose, or any ear pain recently.
C.Send a word home advising parents to have the kid evaluated by means of a fitness care
issuer.
D.Call the mother and father and feature them take the child home from school for the rest of
the day. - ANSANS: B
More statistics is needed to interpret those findings (B). The tympanic membrane is
commonly pearly grey, now not bulging, and movements whilst a client blows in opposition to
resistance or while a small puff of air is blown into the ear canal. Because these findings
aren't absolutely ordinary, in addition assessment of records and associated signs and signs
and symptoms are needed to interpret the findings as it should be. Based on the statistics
acquired from the otoscope examination, (A, C, and D) aren't indicated.
A new child female whose mom is HIV-wonderful is scheduled for the first observe-up
evaluation with the nurse. If the child is HIV-high quality, which initial symptom is she
maximum possibly to show off?
A.Shortness of breath
B.Joint ache
C.Persistent bloodless
D.Organomegaly - ANSANS: C
Respiratory tract infections commonly occur inside the pediatric population, however the
baby with AIDS has a decreased capacity to protect the body in opposition to those common
, infections. Thus, the maximum typical supplying symptom of a baby who reduced in size
AIDS thru vertical transmission (i.E., from the mother at some point of delivery) is a
persistent bloodless or respiration infection (C). (A, B, and D) are signs and symptoms of
AIDS complications that could occur later as the ailment progresses.
A child breaks out with varicella infection (chickenpox) at the same time as hospitalized for a
minor surgical operation. Which intervention should the nurse put into effect first?
A.Place a masks on the child earlier than transporting the kid outside the room.
B.Immunize uncovered circle of relatives contributors with the varicella vaccine.
C.Place the kid in strict isolation to prevent a scourge at the unit.
D.Determine which body of workers have had varicella before making assignments. -
ANSANS: C
The duration of communicability of varicella is 2 days before the rash seems until all lesions
are crusted; varicella is unfold via direct or indirect touch of saliva or vesicles. Strict isolation
(C) is indicated to prevent further exposure to group of workers and others. Staff who've had
varicella or the vaccine aren't prone to contracting or spreading the virus and must be the
best employees assigned to care for this patron (D). (A) is not enough to prevent publicity to
others. (B) must be performed previous to publicity.
When placing a nasogastric tube into the belly of a 3-month-vintage toddler, which nursing
intervention is most essential to put into effect?
A.Use a blanket as a mummy restraint.
B.Monitor the infant's heart fee.
C.Lubricate the catheter with saline.
D.Explain the technique to the mother and father. - ANSANS: B
When inserting a nasogastric tube into the belly of a three-month-antique infant, which
nursing intervention is most essential to put into effect?Rationale:
All interventions can be carried out in the course of nasogastric tube insertion, however the
most critical nursing motion is to monitor the little one's coronary heart fee (B), which may
additionally decrease due to vagal nerve stimulation and might arise while the tube is
inserted. (A, C, and D) are of lower precedence than (B).
A burned infant is added to the emergency branch, and the nurse uses a modified rule of
nines to estimate the proportion of the frame burned. When calculating the percentage of
burn, which parts of the child's body is proportionally larger than an adult's?
A.Head and neck
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