2021 hesi rn pediatric exam guide the questions in blue also appeared on the 2020 pediatric hesi 1 which of the following groups are at the highest risk for scoliosis • girls ages 10 14 2 a pat
Guide
2021 HESI RN Pediatric Exam
Guide
The questions in blue also appeared on the 2020
Pediatric HESI
,1) Which of the following groups are at the highest risk for scoliosis?
• Girls ages 10-14
2) A patient with Glomerulonephritis has edema and hypertension,
which fruits should be given? • Orange,
• Watermelon (natural diuretic?)
• Apple
• Strawberry
3) 16 year old with Seizures is having a grand mal seizure, what should the nurse do?
• Observe carefully
4) At 5 years old, which developmental milestone is expected? (Select one response)
• Using scissors
• Tying shoelaces
• Buttoning a shirt
5) A 3 year old with HIV infection is staying with a foster family who is caring for 3
other foster children in their home. When one of the children acquires
pertussis, the foster mother calls the clinic and asks the nurse what she
should do. Which action should the nurse take first?
• Review the immunization documentation of the child who has HIV
6) A child with pain in the knee joint has ______
• Arthralgia
7) A child has a mild fever, which additional symptom is most concerning
and requires further evaluation? • Difficulty swallowing
8) A child has Celiac’s disease. Which dietary selection would indicate
that teaching was successful? • Rice cake instead of wheat
9) A child who has meningitis can also be expected to have which of the
following additional symptoms? • Earache
10) 11) 12)There are 3 simple med math questions, use these answers as a
comparison for the responses you obtain but note that they may have
changed the numbers. These are not multiple choice questions, you have to
enter the numeric value
i. For medication digoxin, answer 1.2
ii. 10 mL
iii. 4 mL
11) Child with intussusception
• Notify physician of brown stool
12) A child with asthma symptoms should receive which medication?
• Bronchodilator
13) Care of a child with pertussis would include?(select all that apply)
• Sleep apnea monitor
• Advise the family not to kiss the child
• EKG
• cardiac enzymes blood work
• Vaccinate the child and family
14) Child with acyanotic heart condition who is now cyanotic,
what is the priority action? - • check O2 saturation
15) Lice- what implementation?
1
, • wash sheets with hot water
16) Lyme disease- wear long sleeves and pants
17) A child with Hodgkin’s lymphoma is receiving IV chemotherapy, he
develops a reaching, which action is appropriate?
• Stop the chemotherapy
18) Discipline the child- Sense of security
19) Sickle cell anemia- Lemonade
20) A 9-week-old male was going to have cleft palate repair. Which of the
following should the nurse report to the surgeon?
• Low neutrophils (400)
21) 6 month old male- stranger anxiety
22) A child has a throat infection and is drooling, what is the best action?
• Notify HCP
23) A babysitter calls in regarding the child she is caring for who is a diabetic.
Currently he is diaphoretic, weak, what instructions should be provided?
• Give the milk before bringing in (hypoglycemia)
24) Which symptom is suggestive of pyloric stenosis?
• Forceful vomiting
25) Congenital heart disease, pulse decreased, which symptom should alarm the
nurse
• Low BP 70/40
26) A child has a VP shunt. The mother inquiries on what happens when the child
is older. Which is the appropriate response.
• Don’t worry, as the child grows it will be replaced
27) A child has rheumatic fever and a history of previous infection, which is the
complication of the condition? • Inflammation and scarring occurs in the heart
valves and cause cardiac problems
28) A child has a broken femur and is in a cast, what is a priority nursing action?
• Check pulse and sensation
29) Which indicates arterial obstruction?
• Right foot is pale and blanched
30) Infant has seborrheic dermatitis-
• Use a soft brush to scrub area
31) Which is an abnormal finding-
• Diminished Moro reflex in a 3.5 month old infant
32) What teaching is important for a mother who has a 4 month old with
congenital hypothyroidism? • Thyroid hormone replacement medication
should be administered daily
33) What intervention is important in detecting hypo and hypopituitarism in
children?
• Monitor and record height and weight
34) A mother calls the clinic stating that the back of her infant’s head has a flat
appearance, which response should the nurse provide?
• Place the infant in a prone position while awake and supervised
35) Patient with RSV is going home, what teaching should be provided?
• Frequent hand hygiene for all family members?
36) What is the function of the Denver developmental screening test for a
2
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