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2024 PEDIATRICS HESI – COMBINED EXAM WITH CORRECT ANSWERS
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2024 PEDIATRICS HESI – COMBINED EXAM WITH CORRECT ANSWERS
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2024 PEDIATRICS HESI –COMBINED EXAM WITH CORRECT
ANSWERS
What sign of malignant hyperthermia should the nurse assess for during the
perioperative period in a child receiving general anesthesia?
Apnea.
Tachypnea.
Bradycardia.
Decreased blood pressure. - CORRECT ANSWERS-Tachypnea.
A 4-month-old breastfeeding infant is at the 10th percentile for weight and
the 75th percentile for height. How should the nurse interpret this finding?
Milk allergy.
Failure to thrive.
Inadequate milk supply in mother.
Normal growth curve of a breast-fed infant. - CORRECT ANSWERS-Normal
growth curve of a breast-fed infant.
When assessing a preschooler, which finding warrants further assessment by
the nurse?
Able to ride a tricycle.
Talks about an imaginary friend.
Dresses independently.
Gains 2 pounds (0.9kg) in 12 months. - CORRECT ANSWERS-Gains 2 pounds
(0.9kg) in 12 months.
The nurse is examining a neonate at age 10 minutes. Which site should the
nurse expect to see nonpathologic cyanosis?
,Feet and hands.
Bridge of nose.
Circumoral area.
Mucus membranes - CORRECT ANSWERS-Feet and hands.
What is a priority nursing diagnosis for a child in the subacute stage of
Kawasaki disease?
Alterations in skin integrity.
High risk for altered tissue perfusion, cardiopulmonary.
Risk for imbalanced body temperature, hyperthermia.
High risk for fluid volume deficit. - CORRECT ANSWERS-High risk for altered
tissue perfusion, cardiopulmonary.
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?
Encourage the parents to participate in a planned program of play with the
infant.
Refer the parents for psychological counseling to identify parental
detachment.
Demonstrate feeding strategies and infant cues that indicate hunger and
satiation.
Provide instructions about formula preparation and feeding schedules. -
CORRECT ANSWERS-Demonstrate feeding strategies and infant cues that
indicate hunger and satiation.
The nurse is triaging a child with a fever brought to the emergency
department by the parents. Which finding requires the nurse's immediate
intervention?
Prolonged exhalations.
Thick yellow rhinorrhea.
,Frequent nonproductive cough.
Oxygen saturation is 95% by pulse oximeter. - CORRECT ANSWERS-
Prolonged exhalations.
The nurse is assessing the coping behaviors of the parents whose child has
been recently diagnosed with a chronic illness. What reaction by the parents
is a positive step in the ability to cope with this new situation?
Endowing the illness with meaning.
Refusing to believe the child is ill.
Entertaining an unrealistic future plan for the child.
Placing complete faith in religion to the point of relinquishing own
responsibility. - CORRECT ANSWERS-Endowing the illness with meaning.
A 15-year-old girl tells the school nurse that she wants to have a baby. How
should the nurse respond?
"Will you be able to support the baby?"
"Do you have plans to continue school?"
"Have you talked with your parents about this?"
"Can you tell me how your life will be if you have an infant?" - CORRECT
ANSWERS-"Can you tell me how your life will be if you have an infant?"
The nurse is caring for a premature infant who needs an IV access restarted.
What action should the nurse take when using adhesive tape?
Remove adhesives with water, mineral oil, or petrolatum.
Avoid using tape and adhesives until skin is more mature.
Use scissors carefully to remove tape instead of pulling tape off.
Employ solvents to remove adhesives instead of pulling on skin. - CORRECT
ANSWERS-Remove adhesives with water, mineral oil, or petrolatum.
The nurse calculates a 4 ml dose of prescribed digoxin a 9-month-old infant.
What action should the nurse implement?
, Mix dose with juice to disguise its taste.
Suspect dosage error and do not give dose.
Check heart rate and administer dose by placing it to the back and side of
mouth.
Check heart rate and administer dose by letting the infant suck it through a
nipple. - CORRECT ANSWERS-Suspect dosage error and do not give dose.
The parents of a toddler brought to the clinic for a well-child visit tell the
nurse that their child becomes upset if even the smallest things change in
the environment. What information should the nurse provide the parents?
A child is insecure because trust is not fostered and developed during
infancy.
A toddler should be exposed to different routines to promote adapting to new
experiences.
Children of this age are comfortable with ritualism and display global
thinking.
Objects should be frequently moved in the environment to teach the child to
acclimate to change. - CORRECT ANSWERS-Children of this age are
comfortable with ritualism and display global thinking.
How should the nurse measure the length of a 14-month-old child ?
Standing height.
Prone recumbent position.
Supine recumbent position.
Side-lying position. - CORRECT ANSWERS-Supine recumbent position.
A 5-year-old child who is one day postoperative has bilateral eye patches in
place and should be out of bed. What nursing intervention should be
implemented first before leaving the bedside?
Speak to the child when entering the room.
Allow the child to assist in feeding himself.
Orient the child to the immediate surroundings.
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