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2024 PEDS HESI PRACTICE TEST EXAM WITH CORRECT ANSWERS
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2024 PEDS HESI PRACTICE TEST EXAM WITH CORRECT ANSWERS
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2024 PEDS HESI PRACTICE TESTEXAM WITH CORRECT ANSWERS
To take the vital signs of a 4-month-old child, which order will give the most
accurate results?
A. Respiratory rate, heart rate, then rectal temperature.
B. Heart rate, rectal temperature, then respiratory rate.
C. Rectal temperature, heart rate, then respiratory rate.
D. Rectal temperature, respiratory rate, then heart rate. - CORRECT-
ANSWERSA. Respiratory rate, heart rate, then rectal temperature.
A nurse provides the parents with information on health maintenance for
their child with sickle cell disease. Which information reflected by the
parents indicates understanding of the child's care?
A. Daily iron supplements should be given.
B. Plenty of fluids should be consumed daily.
C. Immunizations should be delayed for a few years.
D. Protective equipment should be worn for contact sports. - CORRECT-
ANSWERSB. Plenty of fluids should be consumed daily.
The nurse reviews the latest laboratory results for a child who received
chemotherapy last week and identifies a reduced neutrophil count. Which
nursing diagnosis has the highest priority for this child?
A. Risk for infection.
B. Risk for hemorrhage.
C. Altered skin integrity.
D. Disturbance in body image. - CORRECT-ANSWERSA. Risk for infection.
During administration of a blood transfusion, a child complains of chills,
headache, and nausea. Which action should the nurse implement?
A. Start another IV of dextrose solution and stay with the child.
B. Continue the transfusion and monitor the child's vital signs.
C. Stop the infusion immediately and notify the healthcare provider.
D. Slow the transfusion and assess for cessation of symptoms. - CORRECT-
ANSWERSC. Stop the infusion immediately and notify the healthcare
provider.
The nurse is teaching the parents of a 5-year-old with cystic fibrosis about
respiratory treatments. Which statement indicates to the nurse that the
parents understand?
A. "Perform postural drainage before starting the aerosol therapy."
,B. "Give respiratory treatments when the child is coughing a lot."
C. "Administer aerosol therapy followed by postural drainage before meals."
D. "Ensure respiratory therapy is done daily during any respiratory infection."
- CORRECT-ANSWERSC. "Administer aerosol therapy followed by postural
drainage before meals."
The nurse is assessing the neurovascular status of a child in Russell's
traction. Which finding should the nurse report to the healthcare provider?
A. Pale bluish coloration of the toes.
B. Skin is warm and dry to the touch.
C. Toes are wiggled upon command.
D. Capillary refill less than 3 seconds. - CORRECT-ANSWERSA. Pale bluish
coloration of the toes.
A child is rescued from a burning house and brought to the emergency room
with partial-thickness burns on the face and chest. Which action should the
nurse implemented first?
A. Insert an indwelling urinary catheter.
B. Administer IV pain medication.
C. Collect blood specimen for laboratory studies.
D. Assess the child's respiratory status. - CORRECT-ANSWERSD. Assess the
child's respiratory status.
The mother of a 4-year-old child asks the nurse what she can do to help her
other children cope with their sibling's repeated hospitalizations. Which is the
best response that the nurse should offer?
A. Inform the parent that the child is too young to visit the hospital.
B. Suggest that the child visit a grandmother until the sibling returns home.
C. Ask the mother if the child asks when the sibling will be discharged.
D. Encourage the mother to have the children visit the hospitalized sibling. -
CORRECT-ANSWERSD. Encourage the mother to have the children visit the
hospitalized sibling.
Which finding in a 19-year-old female client should trigger further
assessment by the nurse?
A. Menstruation has not occurred.
B. Reports no tetanus immunization since childhood.
C. Denies having any wisdom teeth.
D. History of painful, inward growth on bottom of foot. - CORRECT-
ANSWERSA. Menstruation has not occurred.
A 15-year-old girl tells the school nurse that all of her friends have started
their periods and she feels abnormal because she has not. Which response is
best for the nurse provide?
A. Refer the adolescent to the healthcare provider for a pregnancy screen.
B. Schedule a conference with her parents to recommend hormone therapy.
, C. Explain that menarche varies and occurs between the ages of 12 and 18
years.
D. Suggest that she use diversions to help her not worry about delayed
menarche. - CORRECT-ANSWERSC. Explain that menarche varies and occurs
between the ages of 12 and 18 years.
Which measurements should be used to accurately calculate a pediatric
medication dosage? (Select all that apply.)
A. Child's height and weight.
B. Adult dosage of medication.
C. Body surface area of child.
D. Average adult's body surface area.
E. Average pediatric dosage of medication.
F. Nomogram determined mathematical constant. - CORRECT-ANSWERSA.
Child's height and weight.
C. Body surface area of child.
F. Nomogram determined mathematical constant.
The nurse is giving preoperative instructions to a 14-year-old female client
who is scheduled for surgery to correct a spinal curvature. Which statement
by the client best demonstrates that learning has taken place?
A. "I will read all the literature you gave me before surgery."
B. "I have had surgery before when I broke my wrist in a bike accident, so I
know what to expect."
C. "All the things people have told me will help me take care of my back."
D. "I understand that I will be in a body cast and I will show you how you
taught me to turn." - CORRECT-ANSWERSD. "I understand that I will be in a
body cast and I will show you how you taught me to turn."
During routine screening at a school clinic, an otoscope examination of a
child's ear reveals a tympanic membrane that is pearly gray, slightly bulging,
and not movable. What action should the nurse take next?
A. No action required, as this is an expected finding for a school-aged child.
B. Ask the child if he/she has had a cold, runny nose, or any ear pain lately.
C. Send a note home advising the parents to have the child evaluated by a
healthcare provider as soon as possible.
D. Call the parents and have them take the child home from school for the
rest of the day. - CORRECT-ANSWERSB. Ask the child if he/she has had a
cold, runny nose, or any ear pain lately.
Which restraint should be used for a toddler after a cleft palate repair?
A. Clove hitch.
B. Mummy.
C. Elbow.
D. Jacket. - CORRECT-ANSWERSC. Elbow.
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