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HESI RN PEDIATRICS EXAM QUESTIONS WITH COMPLETE
SOLUTIONS GUARANTEED PASS BRAND NEW 2025
The nurse is assessing a 9-year-old boy who has been admitted to the hospital with possible acute post-streptococcal glomerulonephritis (APSGN). In obtaining his history, what information is most significant? - ANSWER - >-a sore throat last week The nurse is measuring the frontal occipital circumference (FOC) of a 3-months old infant, and notes that the FOC has increased 5 inches since birth and the child's head appears large in relation to body size. Which action is most important for the nurse to take next? - ANSWER - >-palpate the anterior fontanel for tension and bulging a female infant recently admitted with vomiting and diarrhea now weighs 10kg. Her weight at a previous well-baby visit was 11kg. What is the percentage of body weight loss for this infant? - 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. Based on this reading, which action should the nurse take? - ANSWER - >-tell him to eat a sandwich and fruit before beginning the game
A 7-year-old child is admitted to the hospital with a diagnosis of acute rheumatic fever. In obtaining a health history from the child's mother, the recent occurrence of which illness is most significant? - ANSWER - >-sore throat A mother brings her 2 month old son to the clinic for a well baby exam. During the assessment the nurse finds that the right testicle is not descended into the scrotum but the left is palpable. Which action should the nurse take? - ANSWER - >- ask if the right tests has been seen in the scrotum before. The nurse is assessing a 6-month old infant. Which response requires further evaluation by the nurse? - ANSWER - >- demonstrate startle reflex A 4 year old girl returns to the pediatricians office for a post op visit following hospitalization for minor surgery. When observing the child in the waiting area, which behavior should the nurse consider normal for this age child? - ANSWER - >- "talks" to an imaginary friend A preschool aged child is experiencing respiratory distress is brought ti the er by the parents. The child is anxious, has a temp of 102.8 and is drooling from the mouth while leaning forward while sitting. Which action should the nurse prepare for the child next? - ANSWER - >-obtain bedside trays for intubation or tracheostomy by the healthcare provider.
Email child is being prepared for a CT scan when he begins to have a tonic clonic seizure. His mother is hysterical. I'm trying to hold a child down. What actions should the nurse take? - ANSWER - >-Play pillows inside the side rails
- Ask the mother to release the child
- Monitor the child's airway and tongue A child diagnosed with Kawasaki disease is brought to the clinic. The mother reports her child is irritable, refuses to eat, it has skin peeling on both hands and feet. Which intervention should the nurse instruct the mother to implement first? - ANSWER -
-Play the child in a quiet environment The nurse is caring for a school-age child who has lab results that reveal the presence of anti-Gliadin and anti-endomysial immunoglobulin G and immunoglobulin A antibodies. The nurse should identify with the parent and child which food to avoid after discharge home? - ANSWER - >-Wheat bread The nurse is giving an im injection of antibiotic to a 16 month old toddler with pneumonia. Toddler does not have any known allergies and has been walking without assistance for one month. Which technique should the nurse select for administration? - ANSWER - >-administer the injection into the middle of the lateral aspect of the thigh Well, administering the final dose of oral amoxicillin to a preschool age. Boy, he tells the nurse said his throat hurts.
Which intervention is most important for the nurse to implement? - ANSWER - >-Inspect the child oropharynx The mother of a 14 month old child tells the nurse that she feeds her child nothing but prepared food and feels they provide the best nutrition for her child, but is concerned about the cost. How should the nurse respond? - ANSWER - >- Reassure the mother that beginning to replace prepared foods, wood table food can provide the needed nutrients Which nursing intervention is most important to assist in detecting, hypo, pituitary, ism, and hyperpituitarism in children? - ANSWER - >-Carefully recording the height and weight of children to detect inappropriate growth rates The nurse is communicating with a 12-year-old who is hearing impaired. Which action is best for the nurse to use when attempting to communicate with this child? - ANSWER - >- Emphasize emotions with facial expressions during the physical exam of an 11-year-old girl, the nurse observes, budding breast and scant pubic hair. Which Tanger stage should the nurse choose when documenting these findings? - ANSWER - >-III A nine-year-old with leukemia is admitted with a ruptured appendix. An NG tube is inserted and attached to low intermittent section. Which finding is most important for the
report to the healthcare provider immediately? - ANSWER - >- Jaundice An adolescent with seasonal, allergies, asthma, and eczema. Is it obtaining a physical in medical clearance for an overnight week-long summer camp. Which action should the nurse prioritize? - ANSWER - >-remind a pack a rescue inhaler with adequate doses of medication An infant is admitted for surgery who has wilms tumor. Which nursing intervention should the nurse implement during a preop period? - ANSWER - >-careful bathing in handling that avoids abdominal manipulation One week after removing a tick, a student arrives at the school nurses office with reports of flu like symptoms. Which intervention should the school nurse implement first? - ANSWER - >-Observe for a rash around the tick bite site A one month old male infant is brought to the clinic for his mother, who states that her son has been vomiting forcefully after each meal for the last three days. The infant is a febrile, dehydrated, and pyloric stenosis is suspected. What other findings should the nurse identify that are consistent with pyloric stenosis? - ANSWER - >-In olive shaped mass in the abdominal area The school nurse is assessing a child who reports having an itchy scalp. The nurse has sent home instructions for
pediculosis capitis for several children in the school. Which assessment should the nurse implement to 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 -
-prior to helping the child remove his/her clothing, use a paper doll to demonstrate removal of clothing During a well-baby clinic visit, the mother of a 6 month old infant asks the nurse if she can have prescription for Poly Vi Sol with fluoride. Thought he 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 supplemental 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 autistic spectrum disorder? - 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 to the mother? - ANSWER - >-giving pain meds around the clock helps control the pain
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 tray? - ANSWER - >-crackers The nurse is preparing a 10-year-old with a lacerated forehead for suturing. Both parents and 12-year-old sibling are at the child's bedside. Which instruction best supports 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 nurse's station to seek assistance. Which intervention should the nurse implement first? - ANSWER - >- cover the infants 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 made 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 palivizumab us correct? - ANSWER - >-it is recommended for infants who meet established high risk criteria
A 10 year old girl is diagnosed with inflammatory bowel disease. Her mother is concerned that she will experience delays as the result of this disorder. How should the nurse respond? - ANSWER - >-growth failure is a concern, but development delays are not likely to occur The nurse is caring for a 3-year old child who is 2 hours postop from a cardiac catheterization via the right femoral artery. Which assessment finding is an indication of arterial obstruction? - ANSWER - >-right foot is cool to touch and appears pale and blanched An infant with tetralogy of Fallot becomes acutely cyanotic and hyper apneic. Which action should the nurse implement first? - ANSWER - >-Place the infant in a knee-chest position A child admitted with diabetic ketoacidosis is demonstrating kussmaul respirations. The nurse determines that the increased respiratory rate is a compensatory mechanism for which acid based alteration? - ANSWER - >-metabolic acidosis Patient with diarrhea for 3 days- what does this cause? - ANSWER - >-metabolic alkalosis What drink choice on a hot day indicates to the nurse that a teenager with sickle cell anemia understands dietary considerations related to the disease? - ANSWER - >-lemonade
