HESI RN Pediatrics A Exam Practice

HESI RN Pediatrics A PRACTICE TEST 1. To take the vital signs of a 4­month­old child, which order provides 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. 2. A 16­year­old is brought to the Emergency Center with a crushed leg after falling off a horse. The adolescent's last tetanus toxoid booster was received eight years ago. What action should the nurse take? A. Dispense a tetanus antitoxin. B. Prepare human tetanus immune globulin. C. Administer tetanus toxoid booster. D. Delay the tetanus toxoid booster until due. 3. The mother of a 6­month­old asks the nurse when her baby will get the first measles, mumps, and rubella (MMR) vaccine. Based on the recommended childhood immunization schedule published by the Centers for Disease Control, which response is accurate? A. 3 to 6 months. B. 12 to 15 months. C. 18 to 24 months. D. 4 to 6 years. 4. A 2­year­old child with Down syndrome is brought to the clinic for his regular physical examination. The nurse knows which problem is frequently associated with Down syndrome? A. Congenital heart disease. B. Fragile X chromosome. C. Trisomy 13. D. Pyloric stenosis. 5. A 14­year­old female client tells the nurse that she is concerned about the acne she has recently developed. Which recommendation should the nurse provide? A. Remove all blackheads and follow with an alcohol scrub. B. Use medicated cosmetics only to help hide the blemishes. C. Wash the hair and skin frequently with soap and hot water. D. Encourage her to see a dermatologist as soon as possible. 6. The nurse is caring for a 12­year­old with Syndrome of Inappropriate Antidiuretic Hormone (SIADH). This child should be carefully assessed for which complication? A. Poor skin turgor resulting from dehydration. B. Changes in level of consciousness. C. Premature aging as the disease progresses. D. Severe edema from an excess of water and sodium.