HESI RN PEDIATRICS EXAM 55 ANSWERS 100% PASS
1. b.Right foot is
cool to the touch
and appears pale
and blanched.
2. C. Set of cloth
and hand pup-
pets.
3. C. Place the
infant in a
knee-chest posi-
tion.
4. D. Metabolic aci-
dosis.
5.
1. The nurse is caring for a 3-year old child who ...
1. b.Right foot is 1. The nurse is caring for a 3-year old child who is 2
cool to the touch hours postop from a cardiac catheterization via the right
and appears pale femoral artery. Which assessment finding is an indication
and blanched. of arterial obstruction?
a. Blood pressure trend is downward and pulse is rapid and
irregular.
b. Right foot is cool to the touch and appears pale and
blanched.
c. Pulse distal to the femoral artery is weaker on the left
foot than right foot.
d. The pressure dressing at right femoral area is moist and
oozing blood.
2. C. Set of cloth 2. Following a motor vehicle collision, a 3-year old girl has
and hand pup- a spica cast applied. Which toy is best for the nurse for this
pets. 3-year-old child?
A. Duckthatsqueaks.
B. Fashiondollandclothes.
C. Set of cloth and hand puppets.
D. Hand held video game.
3. C. Place the 3. An infant with tetralogy of Fallot becomes acutely cyan-
infant in a otic and hyperpneic. Which action should the nurse imple-
knee-chest posi- ment first?
tion. A. Administer morphine sulphate.
B. Start IV fluids.
C. Place the infant in a knee-chest position.
D. Provide 100% oxygen by face mask.
4. D. Metabolic aci- 4. A child admitted with diabetic ketoacidosis is demon-
dosis. strating Kussmaul respirations. The nurse determines that
the increased respiratory rate is a compensatory mecha-
nism for which acid base alteration?
A. Metabolicalkalosis.
B. Respiratory acidosis.
C. Respiratoryalkalosis.
D. Metabolic acidosis.
5.
, HESI RN PEDIATRICS EXAM 55 ANSWERS 100% PASS
C. Serum potas- 5. 7 years old is admitted to the hospital with persistent
sium of 3.0 vomiting, and a nasogastric tube attached to low intermit-
mg/dL. tent suction is applied. Which finding is most important for
the nurse to report to the healthcare provider?
A. Gastric output of 100 mL in the last 8 hours.
B. Shift intake of 640 mL IV fluids plus 30 mL PO ice chips.
C. Serum potassium of 3.0 mg/dL.
D. Serum pH of 7.45.
6. A. Creamed corn. 6. The nurse is evaluating diet teaching for a client who has
nontropical sprue (celiac disease). Choosing which food
indicates that the teaching has been effective?
A. Creamed corn.
B. Pancakes.
C. Rye crackers.
D. Cooked oatmeal.
7. D. Object perma- 7. During a well-baby check, the nurse hides a block under
nence. the baby's blanket, and the baby looks for the block. Which
normal growth and development milestone is the baby
developing?
A. Separation anxiety.
B. Associativeplay.
C. Object prehension.
D. Object permanence.
8. B. Palpate the 8. The nurse is measuring the frontal occipital circumfer-
anterior fontanel ence (FOC) of a 3-months old infant, and notes that the
for tension and FOC has increased 5 inches since birth and the child's
bulging. head appears large in relation to body size. Which action
is most important for the nurse to take next?
A. Measuretheinfant'shead-to-toelength.
B. Palpate the anterior fontanel for tension and bulging.
C. Observe the infant for sunken eyes.
D. Plot the measurement on the infant's growth chart.
9. D. Please decide 9. The nurse is preparing a 10-year-old with a lacerated
who will stay forehead for suturing. Both parents and 12-year-old sibling
when the health- are at the child's bedside. Which instruction best supports
family?
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