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2024 PEDIATRIC HESI PRACTICE EXAM WITH CORRECT ANSWERS
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2024 PEDIATRIC HESI PRACTICE EXAM WITH CORRECT ANSWERS
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2024 PEDIATRIC HESI PRACTICEEXAM WITH CORRECT ANSWERS
The nurse is assessing an infant with diarrhea and lethargy. Which finding
should the nurse identify that is consistent with early dehydration?
A. Tachycardia.
B. Bradycardia.
C. Dry mucous membranes.
D. Increased skin turgor. - CORRECT ANSWERS-A. Tachycardia.
A newborn who is breastfeeding is diagnosed with galactosemia. What action
should the nurse implement?
A. Stop the infant breastfeeding.
B. Add amino acids to breast milk.
C. Give galactokinase with breast milk.
D. Substitute a lactose-containing formula. - CORRECT ANSWERS-A. Stop the
infant breastfeeding.
The parents of a child with Asperger's disorder asks the nurse to explain the
differences between Asperger's and autism. Which information should the
nurse share with the parents about Asperger's disorder that is not
characteristic in autism?
A. Obsession with moving objects.
B. Repetitive patterns of behavior.
C. Age-appropriate language development.
D. Stereotypic movements and speech patterns. - CORRECT ANSWERS-C.
Age-appropriate language development.
The nurse notices that the hem of a skirt on a pre-adolescent girl is uneven
when she comes to the clinic. What procedure should the nurse follow to
examine the girl for scoliosis? (Arrange the examination process from first on
top to last on the bottom.)
1. Ask the girl to remove her shirt but leave on her bra or swimsuit top.
2. Instruct the girl to bend at the waist so back is parallel to the floor.
3. Look for asymmetry in the hip area.
4. Examine for scapular prominence. - CORRECT ANSWERS-1. Ask the girl to
remove her shirt but leave on her bra or swimsuit top.
2. Look for asymmetry in the hip area.
3. Instruct the girl to bend at the waist so back is parallel to the floor.
4. Examine for scapular prominence.
,A 3-year-old boy is brought to the emergency room because of a possible
diazepam (Valium) overdose. He is lethargic and confused, and his vital signs
are: pulse rate 100 beats/minute, respiratory rate 20 breaths/minute, and
blood pressure 70/30. Which nursing intervention has the highest priority?
A. Insert an orogastric tube for gastric lavage.
B. Prepare a set-up for an endotracheal intubation.
C. Draw blood for stat chemistries and blood gases.
D. Insert a Foley catheter to monitor renal functioning. - CORRECT ANSWERS-
B. Prepare a set-up for an endotracheal intubation.
While assessing the apical pulse of a 13-year-old, the nurse determines that
the rate is 88 beats/minute, and the rhythm is irregular. The heart rate is
phasic with respirations, increasing during inspiration and decreasing with
expiration. What action should the nurse take?
A. Continue the cardiac examination.
B. Inquire about daily caffeine intake.
C. Re-assess the apical pulse in 15 minutes.
D. Schedule a consultation with a cardiologist. - CORRECT ANSWERS-A.
Continue the cardiac examination.
An 8-year-old boy who is recently diagnosed with diabetes mellitus is
admitted to the intensive care unit with diabetic ketoacidosis (DKA). Which
nursing action has the highest priority?
A. Place on cardiac monitor.
B. Initiate an intravenous infusion.
C. Collect specimen for serum electrolytes.
D. Obtain fingerstick glucose. - CORRECT ANSWERS-B. Initiate an intravenous
infusion.
A mother tells the nurse that her children are asking questions about
divorce, but one male child tells her that he is sorry that he caused the
divorce of the parents. Which age group is most likely to experience feelings
of punishment or responsibity for the divorce of parents?
A. 1 year.
B. 4 years.
C. 8 years.
D. 13 years. - CORRECT ANSWERS-B. 4 years.
A 14-year-old returns to the pediatric unit after corrective surgery for
scoliosis. In the immediate postoperative period, the nurse should include
which action(s) in this client's plan of care? (Select all that apply.)
Select all that apply
A. Record intake and output every 8 hours.
B. Elevate the head of the bed 30 degrees.
C. Assess bowel sounds every 4 hours.
, D. Initiate a logrolling schedule every 2 hours.
E. Ambulate for 5 minutes 12 hours postoperative.
F. Give morphine sulfate 2 mg IV every 4 hours PRN.
Rationale - CORRECT ANSWERS-A. Record intake and output every 8 hours.
C. Assess bowel sounds every 4 hours.
D. Initiate a logrolling schedule every 2 hours.
F. Give morphine sulfate 2 mg IV every 4 hours PRN.
Rationale
A seven-month old infant is admitted with nonorganic failure to thrive
(NFTT). To aid the child's growth and development, which intervention is
most important for the nurse to implement?
A. Encourage the parents to participate in a planned program of play with
the infant.
B. Refer the parents for psychological counseling to identify parental
detachment.
C. Demonstrate feeding strategies and infant cues that indicate hunger and
satiation.
D. Provide instructions about formula preparation and feeding schedules. -
CORRECT ANSWERS-C. Demonstrate feeding strategies and infant cues that
indicate hunger and satiation.
The nurse is caring for a premature infant who needs an IV access restarted.
What action should the nurse take when using adhesive tape?
A. Remove adhesives with water, mineral oil, or petrolatum.
B. Avoid using tape and adhesives until skin is more mature.
C. Use scissors carefully to remove tape instead of pulling tape off.
D. Employ solvents to remove adhesives instead of pulling on skin. -
CORRECT ANSWERS-A. Remove adhesives with water, mineral oil, or
petrolatum.
The nurse is collecting a blood sample from a newborn for a screening test
for phenylketonuria (PKU). When should the nurse obtain the blood sample?
A. At birth from cord blood.
B. Fourteen days after birth.
C. Before oral feedings are initiated.
D. After ingestion of a source of protein. - CORRECT ANSWERS-D. After
ingestion of a source of protein.
A mother brings her 6-month-old infant to the clinic for a well-baby routine
exam. Which vaccine(s) should the nurse verify the infant has received?
(Select all that apply.)
Select all that apply
A. Meningococcal polysaccharide vaccine (MPSV4).
B. Haemophilus influenzae type b conjugate vaccine (Hib).
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