HESI PN PEDIATRICS PROCTORED EXAM
- (12 DIFFERENT VERSIONS)-
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HESI PN PEDIATRICS PROCTORED EXAM
2021
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1
, HESI PN PEDIATRICS PROCTORED EXAM
VERSION 1
1. A nurse is providing teaching to the parents of a school aged child who has ADHD. Which
of the following instructions should the nurse include?
a. Place the childs daily activities on an organizational chart
2. A nurse is caring for a child who has sickle cell anemia. Which of the following findings is
a priority for the nurse to report to the provider?
a. Facial twitching
3. A nurse in the PACU is caring for a school aged child immediately after a tonsillectomy.
Which of the following actions should the nurse take?
a. Place the child in a side lying position
4. A nurse in the ER is caring for an adolescent who was requesting testing for STIs. Which of
the following actions is appropriate for the nurse to take?
a. Obtain the written consent from the client
5. A nurse is providing teaching about medication administration to the parents of the toddler
who has a new prescription for liquid ferrous sulfate. Which of the following instructions
should the nurse include?
a. Dilute the drops of water prior to administration
6. A nurse is providing dietary teaching to a parent of a 10-month-old infant who has
phenylketonuria. Which of the following responses by the parent indicates an understanding
of the teaching?
a. I will steam carrots and will cut them into small pieces for her
7. a nurse is caring for a child who s 2 days post-op following an appendectomy due to the
rupture of the appendix the childs NG tube is set to low intermittent suction. Which of the
following indicates that the childs GI function has returned?
a. The nurse auscultates bowel sounds
8. A nurse is providing teaching to the parent of an infant who has a diaper rash. Which of the
following statements by the parents indicate an understanding of the teaching?
a. I will use superabsorbent disposable diapers
9. a nurse is administering an opioid to an adolescent who is in a sickle cell crisis. Which
statement is true regarding opioid pain management?
a. Oral opioid does should be larger than parenteral doses
10. A nurse is providing discharge to the parents of a school aged child following placement of
a ventriculoperitoneal shunt. The nurse should determine the teaching was effective when
the parents identify which of the following as an indicator that the shunt has been
displaced?
a. Elevated temperature
11. A nurse is reviewing laboratory results of a school aged child. Which of the following
findings to the nurse reports the provider?
a. Platelets 110,000
12. A nurse is planning care for a child immediately following the insertion of a chest tube for
continuous suction with a closed drainage system. Which of the following interventions
should the nurse include in the plan of care?
Ensure continuous bubbling is present in the suction control chamber
A nurses caring for an infant who has heart failure and is receiving digoxin. Which of the
following findings indicates a positive response to the medication?
2
, a. Urine output 2 mL/kg/hr
13. A nurse is assessing a six month old infant who has respiratory syncytial virus. The nurse
should immediately report which of the following findings to the provider?
a. Tachypnea
14. A nurse is reviewing the results of the newborn screening of a newborn who is one week
old. Results include total T4 0.8mcg/dl phenylalanine 0.7 and negative galactosemia.
Which of the following nursing include in the plan of care?
a. Instruct the newborns parent about how to administer levothyroxine
15. A nurse is caring for a newly admitted toddler who has acute diarrhea. Which of the
following actions should the nurse take first.
a. Initiate contact precautions
16. A nurse is caring for toddler who post operative following cleft palate repair. Which of the
following actions should the nurse take?
a. Administer opioids for mouth pain
17. A nurse is assessing a child who has measles. Which of the following areas should the nurse
inspect for koplik spots?
a. Inside the mouth
18. A nurse is assessing an infant who has acute otitis media which of the following findings
should the nurse expect? Select all that apply.
a. Crying
b. Fever
c. Restlessness
19. A nurse is assessing a child who has measles which of the fallowing areas should the nurse
expect for kolpik spots?
A. The picture that shows inside of the mouth
20. A nurse in the emergency department is assessing an adolescent who reports inhalation of
gasoline. Which of the fallowing should the nurse expect?
a. Ataxia
21. A nurse caring for a 4 year old child who has moderate dehydration. Which of the fallowing
should the nurse expect?
a. Orthostatic hypertension
22. A nurse is planning to teach an adolescent who is lactose intolerant about dietary
guidelines. Which of the fallowing instructions should the nurse include in the teaching?
a. You can replace milk with non dairy source of calcium
23. A nurse is caring for a school age child who is in 90/90 skeletal traction. Which of the
fallowing actions should the nurse take?
a. Place the child on an alternating pressure mattress
24. A nurse is providing teaching to the parents of the child who is receiving radiation therapy.
Which of the fallowing instructions should the nurse include in the teaching? (select all that
apply)
a. Avoid giving your child lengthy baths
b. Encourage mild activity daily
c. Dress your child in loose fitting clothing
25. A nurse is assessing a school age child who has type 1 diabetes mellitus. The nurse notes
that the child is diaphoretic. Which of the following actions should the nurse take?
a. Obtain blood glucose level
3
, 26. A nurse is providing teaching to a parent of a child who has cystic fibrosis and a new
prescription for dornase alfa. Which of the following instructions should the nurse include
in the teaching?
a. Store the medication in the refrigerator
27. A nurse is caring for a child who is to receive first dose IV gentamycin which of the
following actions should the nurse take?
a. Maintain strict I/O
28. A nurse is preparing to administer immunizations to a 5 year old child who is up to date
with the current immunization schedule. Which of the following immunizations should the
nurse plan to administer?
a. Varicella
29. A nurse is providing teaching to the parents of an infant who is to under go pilocarpine
iontophoresis testing for cystic fibrosis. Which of the following statements should the nurse
include in the teaching?
a. Test will measure the amount of chloride in the babys sweat
30. A nurse is caring for a child who is terminally ill. The parents tell the nurse that the child
will be fine because they know another child who survived the same illness. Which of the
following responses should the nurse make?
a. Tell me what you know about your childs illness
31. A nurse is providing teaching to the parents of a child who has impetigo. Which of the
following instructions should the nurse include in the teaching?
a. Apply bacterial ointment to lesions
32. A nurse is caring for a child who has bacterial meningitis, which of the following criteria
should indicates the nurse should remove the child from droplet precautions?
a. Antibiotics initiated 24 hour ago
33. A nurse is prioritizing care for four clients which of the following clients should the nurse
assess first?
a. An adolescent who has sickle cell anemia and slurred speech
34. A nurse is assessing a toddler who has cystic fibrosis. Which of the following findings
should the nurse expect?
a. Steatorrhea
35. A nurses in a family practice clinic is assessing a preschool aged child who recently
experienced the death of a sibling. Which of the following reactions is an age appropriate
response to death?
a. The child eels responsible to the childs death
36. A nurse in a providing office is assessing the vital signs of a 1 year old toddler which of the
following findings should the nursed report to the provider?
a. Respiratory rate 54
37. A nurse is preparing to assess a 4 year old child visual acuity. Which of the following
actions should the nurse prepare to take?
a. Test the child without glasses before testing with
38. A nurse is caring for a child who is 2 hours post-op. which of the following actions should
the nurse take first.
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39. A nurse is providing teaching to a parent of a child who has HIV. Which of the following
statement by the parent indicates an understanding of the teaching?
a. My child will need to repeat the childhood immunization once hes in remission
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