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Pediatric HESI Practice Exam 2024/2025 Questions With Verified & Completed Solutions.
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Pediatric HESI Practice Exam 2024/2025 Questions With Verified & Completed Solutions.
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Pediatric HESI Practice QuestionsA 10-month-old is choking. The nurse observes a rescue or administer back blows, but the
infant continues to choke. The rescuer prepares to administer chest thrusts as seen in the
picture. What instructions should the nurse provide?
A. Use the heel of the hand rather than fingers.
B. Move the fingers to the middle of the breast bone.
C. Keep the head supported in an upward position.
D. Begin five upward thrusts immediately. - ANS - B. Move the fingers to the middle of the
breast bone.
A 12 year old client who had an appendectomy two days ago is receiving 0.9% normal saline at
50 ml/hour. The client's urine specific gravity is 1.035. What action should the nurse implement?
A. Evaluate postural blood pressure measurements.
B. Obtain specimen for uranalysis.
C. Encourage popsicles and fluids of choice.
D. Assess bowel sounds in all quadrants. - ANS - C. Encourage popsicles and fluids of choice.
A 13-year-old client with non-union of a comminuted fracture of the tibia is admitted with
osteomyelitis. The healthcare provider collects bone aspirate specimens for culture and
sensitivity and applies a cast to the adolescent's lower leg. What action should the nurse
implement next?
A. Administer antiemetic agents.
D. Bivalve the cast for distal compromise.
C. Provide high- calorie, high-protein diet.
D. Begin parenteral antibiotic therapy. - ANS - D. Begin parenteral antibiotic therapy.
A 15-year-old male is attending an after school, adolescent group session because he
frequently loses his temper, argues with his teachers, and refuses to comply with classroom
rules. During the group session, the adolescent repeatedly blames others regardless of the
situation. To help modify the adolescent's behavior, what action should the nurse implement.
A. Encourage the client to ventilate his feelings of anger.
B. Describe the consequences of his behavior in concrete terms.
C. Ignore blaming behavior and praise the client's appropriate behavior.
D. Explain that blaming others limits his psychological growth. - ANS - B. Describe the
consequences of his behavior in concrete terms.
A 16 month old child diagnosed with Kawasaki Disease (KD) is very irritable,refuses to eat, and
exhibits peeling skin on the hands and feet. Which of the following would the nurse interpret as
the priority?
A. Applying lotions to the hands and feet
B. Offering foods the toddler likes
,C. Placing the toddler in a quiet environment
D. Encouraging the parents to get some rest - ANS - C. Placing the toddler in a quiet
environment
A 16-year-old adolescent with meningococcal meningitis is receiving a continuous IV infusion of
penicillin G, which is prescribed as 20 million units in a total volume of 2 liters of normal saline
every 24 hours. The pharmacy delivers 10 million units/ liter of normal saline. How many ml/hr
should the nurse program the infusion pump? (Enter numeric value only. If rounding is required,
round to the nearest whole number.) - ANS - 83 ml/hr
A 16-year-old is brought to the Emergency Center with a crushed leg after falling off a horse.
The adolescent's last tetanus toxoid booster was received eight years ago. What action should
the nurse take?
A. Dispense a tetanus antitoxin.
B. Prepare human tetanus immune globulin.
C. Administer tetanus toxoid booster.
D. Delay the tetanus toxoid booster until due. - ANS - C. Administer tetanus toxoid booster.
A 2-year-old child with gastro-esophageal reflux has developed a fear of eating. What
instruction should the nurse include in the parents' teaching plan?
A. Invite other children home to share meals
B. Accept that he will eat when he is hungry.
C. Reward the child with a nap after eating.
D. Consistently follow a set mealtime routine. - ANS - D. Consistently follow a set mealtime
routine.
A 2-year-old child with trisomy 21 (Down syndrome) is brought to the clinic for a routine
evaluation. What assessment finding suggests the presence of a common complication often
experienced by those with Down syndrome?
A. Presence of a systolic murmur
B. New onset of patchy alopecia
C. Complaints of long bone pain
D. Recent projectile vomiting - ANS - A. Presence of a systolic murmur
A 3-month-old infant returns from surgery with elbow restraints and a Logan's bow over a cleft
lip suture line. Which intervention should the nurse implement to maintain suture line integrity
during the initial postoperative period?
A. Place the infant upright in an infant seat position.
B. Provide mittens with the use of elbow restraints.
C. Use soft rubber catheters for nasal suctioning.
D. Apply water-soluble lubricant to the suture line. - ANS - A. Place the infant upright in an infant
seat position.
, A 3-month-old infant weighing 10 lb 15 oz has an axillary temperature of 98.9° F. What caloric
amount does this child need?
A. 400 calories/day
B. 500 calories/day
C. 600 calories/day
D. 700 calories/day - ANS - C. 600 calories/day
A 3-year-old boy is brought to the emergency department after the mother found the child in the
back yard holding a piece of a toy in his hand and in respiratory distress. The child is dusky with
a loud, inspiratory stridor and weak attempts to cough. Which actions should the nurse
implement?
A. Obtain a pulse oximetry reading and arterial blood gases.
B. Auscultate all pulmonary lung fields and attempt a Heimlich maneuver.
C. Request a stat chest x-ray and prepare medications for an asthmatic episode.
D. Determine if the child ingested a toxic substance and if vomiting occurred. - ANS - B.
Auscultate all pulmonary lung fields and attempt a Heimlich maneuver.
A 3-year-old boy was successfully toilet trained prior to his admission to the hospital for injuries
sustained from a fall. His parents are very concerned about this regression in toileting. Which
information should the nurse provide the parents?
A. A retraining program will need to be initiated when the child returns home.
B. Diapering will be provided since hospitalization is stressful to preschoolers.
C. Children usually resume their toileting behaviors when they leave the hospital.
D. A potty chair will be brought from home so he can maintain his toileting skills. - ANS - C.
Children usually resume their toileting behaviors when they leave the hospital.
A 4- year- old girl continues to interrupt her mother during a routine clinic visit. The mother
appears irritated with the child and asks the nurse, "Is this normal behavior for a child this age?"
The nurse's response should be based on which information?
A. Role conflict is a common problem of children this age. She is just wondering where she fits
into society.
B. Children need to retain a sense of initiative without impinging on the rights and privileges of
others.
C. Negative feelings of doubt and shame are characteristic of 4-year-old children.
D. At this age children compete and like to produce and carry through with tasks. She is just
competing with her mother. - ANS - B. Children need to retain a sense of initiative without
impinging on the rights and privileges of others.
A 4-year-old has cystic fibrosis. Which stage of Erikson's theory of psychosocial development is
the nurse addressing when teaching inhalation therapy?
A. Autonomy vs. Shame and Doubt
B. Industry vs. Inferiority
C. Trust vs. Mistrust
D. Initiative vs. Guilt - ANS - D. Initiative vs. Guilt
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