HESI PEDs V2 EXAM QUESTIONS AND ANSWERS
The nurse is assessing a 9 year old boy who has been admitted to the hospital with
possible acute poststreplococcal glomerulonephritis. In obtaining his history, what
information is most significant? - answer- A sore throat last week
The nurse is measuring the frontal occipital circumference of a 3 month old infant, and
notes that the FOC has increased 5 inches since birth and the child's head appears
large in related to body size. Which action is most important for the nurse too to take? -
answer- Palpate the anterior fontanel for tension and bulging.
What is the percentage of body weight loss? - answer- 9%
A male high school student with Type 1 diabetes tests his blood glucose level before
playing a game of soccer, and he obtains a reading of 180. Bases on this reading,
which action should the nurse take? - answer- Tell him to eat a sandwich and fruit
before beginning the game
The school nurse is assessing a child who reports an itchy scalp. The nurse has sent
home care instructions for pediculosis capitis for several children in the school. Which
assessment should the nurse implement for this child? - answer- Inspect hair follicle
shafts for adherence of nits
The nurse plans to conduct a physical assessment of a toddler. Which protocol is best
for the nurse to implement? - answer- Have the parent remove the child's outer clothing
and remove the diaper or training pants when necessary
During a well baby clinic visit, the mother of a 6 month old infant asks the nurse if she
can have a prescription for Poly Vi Sol with fluoride. Though the infant is still breast
feeding, the mother provides the child with supplemental formula feedings. Which
assessment is most important for the nurse to obtain? - answer- Water source used with
supplement feedings
The nurse is performing a routine assessment of a 3 year old at a community health
center. Which behavior by the child should alert the nurse to request a follow up for a
possible ASD? - answer- Performs odd repetitive behaviors
The mother of an 11 year old boy who has juvenile idiopathic arthritis tells the nurse, "I
really don't want my son to become dependent on pain medication, so I only allow him
to take it when he is really hurting." Which information is most important for the nurse to
provide this mother? - answer- Giving pain medications around the clock helps control
the pain
The mother of three young children calls the clinic concerned about the recent exposure
of her oldest child to chickenpox. The nurse should provide the mother with information
, about the contagious period for chickenpox. What is the contagious period? - answer-
Two days prior to the onset of the rash, until all lesions are crusted.
A 3 year old child with HIV infection is staying with a foster family who is caring for three
other foster children in their home. When one of the children acquires pertussis, the
foster parent calls the clinic and ask the nurse what they should do. Which action should
the nurse take first? - answer- Review immunization records of the child with an HIV
infection
A 6 month girl diagnosed with short bowel syndrome, began enteral feedings yesterday.
To maintain normal growth and development of the child during this period, what action
should the nurse include in the infants plan of care? - answer- Give the infant a pacifier
during feedings
The parents of a 3 year old boy who has Duchenne muscular dystrophy (DMD) ask,
"how can our son have this disease? We are wondering if we should have any more
children." Which information should the nurse provide to these parents? - answer- This
is an inherited X-linked recessive disorder, which primarily affects male children in the
family
A 9 year old with celiac disease is admitted to the pediatric unit following an
appendectomy. Which food should the nurse remove from this child's meal tray? -
answer- Crackers
The nurse is preparing a 10 year old child for suturing of a lacerated forehead. Both
parents and a 12 year old sibling are at the child's bedside. Which instruction best
supports this family? - answer- Please decide who will stay when the healthcare
provider begins suturing
A male infant is admitted to the pediatric unit with pertussis and is exhibiting a
"whooping-like cough." The mother brings the infant to the nurses' station to seek
assistance. Which intervention should the nurse implement first? - answer- Cover the
infant's mouth and assist the mother to take the infant back to the room.
The caregiver of a preschooler learns about long-term endocrine dysfunctions resulting
from their child's craniospinal radiation. Which statement by the caregiver should the
nurse recognize as needing additional education? - answer- make plans for growth
hormone injections to enhance growth
A nurse is teaching a class for mothers of premature infants, and is asked about "a shot
for respiratory virus." What information about plaibizumab (synagis) is correct? -
answer- It is recommended for infants who meet high-risk criteria
A 10 year old girl is diagnosed with IBD. Her mother is concerned that she will
experience developmental delays as the result of this disorder. How should the nurse
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