HESI RN PEDIATRICS PROCTORED EXAM
- (12 DIFFERENT VERSIONS)-
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HESI RN PEDIATRICS PROCTORED EXAM
2021
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1
, HESI RN PEDIATRICS PROCTORED EXAM
VERSION 1
1. A nurse is preparing to assess a 4-year old child’s visual acuity. Which of the following
actions should the nurse plan first?
Use a tumbling E chart for the assessment
Position the child 4.6 meters (15 feet) from the chart
Assess both eyes together first, then each eye separately
Test the child without glasses before testing with glasses
2. A nurse is providing discharge teaching to a parent of a child who has juvenile idiopathic
arthritis and a new prescription of prednisone/etarnecept. Which of the following statement
should the nurse include in the teaching?
“Discontinue this medication if gastrointestinal upset occurs.”
“Expect that this medication will stimulate a growth spurt.”
“Limit your child’s intake of potassium-rich foods.”
“Monitor your child for indications of infection.”
3. A nurse on a pediatric unit is caring for four children. The nurse should use droplet
precautions for which of the following children?
An adolescent who has hepatitis A
A toddler who has seasonal influenza
A preschool-age child who has pediculosis capitis
A school-age child who has viral conjunctivitis
4. A nurse is providing teaching to an adolescent who has vulvovaginitis. Which of the
following statements should the nurse include in the teaching?
“Apply a warm, moist compress three times per day.”
“Apply scented baby powder to absorb residual moisture.”
“Wear a feminine deodorant pad for vaginal drainage.”
“Wear nylon underwear at night.”
5. A nurse is creating a plan of care for a school-age child who has nephrotic syndrome.
Which of the following interventions should the nurse include? (Select all that apply)
Provide a low-sodium diet
Encourage increased fluid intake
Assess for protein in the urine
Initiate contact precautions
Obtain a daily weight
6. A nurse in a pediatric unit is caring for a school-age child following a cardiac
catheterization. Which of the following interventions would the nurse take?
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, Maintain NPO status for 24 hrs. following the procedure
Administer meperidine for pain every 4 hrs.
Perform a sterile dressing change 8 hrs. after the procedure
Keep the affected extremity straight for 6 hrs.
7. A nurse is teaching a parent of a toddler about administering digoxin. Which of the
following statements by the parent indicates understanding of the teaching?
“I should mix the medication with 4 ounces of my child’s favorite juice.”
“I should give my child water after giving the medication.”
“I should give my child another dose if he vomits right after taking the medication.”
“I should give the medication with foods that are high in fiber.”
8. A nurse is caring for a 9-year-old child who has major burns to her face and upper torso.
Which of the following actions should the nurse take first?
Administer a tetanus vaccine
Give pain medication
Begin enteral feedings
Initiate a crystalloid IV bolus
9. A nurse is planning care for a toddler who has developed oral ulcers in response to
chemotherapy. Which of the following should the nurse include in the plan of care?
Schedule routine oral care every 8 hrs.
Administer oral viscous lidocaine
Moisten the mucous with lemon glycerin swabs
Cleanse the gums with saline soaked gauze
10. A nurse in a community health clinic is assessing the needs of a single parent who has three
young children and works full time. Which of the following resources should the nurse
recommend?
12-step support group
Respite child care
Child home health care
Counseling for depression
11. A nurse is caring for a child who has a prescription for fluticasone and has developed white
patches and sores in his mouth. Which of the following is an appropriate action for the
nurse to take?
Encourage the use of a spacer
Withhold the medication until the lesions heal
Obtain a prescription for oral prednisone
Collect a culture from the lesions
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, 12. A nurse is providing teaching to the parents of a child who has impetigo. Which of the
following instructions should the nurse include in the teaching?
Seal soft toys in a plastic bag for 14 days
Apply bactericidal ointment to lesions
Administer acyclovir PO two times per day
Soak hairbrushes in boiling water for 10 min.
13. A nurse in an emergency department is caring for a child who has epiglottis. Which of the
following actions should the nurse take?
Provide nebulizer aerosol therapy
Administer IV antibiotics
Inspect the tonsils using a tongue depressor
Collect a throat culture
14. A nurse is planning care for a child who is placed in skin traction. Which of the following is
the priority action for the nurse to take?
Increase fluid intake
Maintain proper body alignment
Use an alternate pressure mattress
Monitor pedal pulses
15. A nurse is preparing to administer ondansetron 0.15 mg/kg IV to a child who is receiving
chemotherapy and weighs 29.4 kg. Available is ondansetron 4 mg/2 mL solution. How
many mL should the nurse administer? (Round the answer to the nearest tenth. Use a
leading zero if it applies. Do not use a trailing zero)
Answer: 2.2 mL
16. A nurse is performing a physical assessment of a school-age child who has acute
glomerulonephritis. Which of the following findings should the nurse expect?
Hypotension
Increased urinary output
Flushed skin
Facial edema
17. A nurse in an emergency department is assessing an adolescent who reports inhalation of
gasoline. Which of the following findings should the nurse expect?
Hypothermia
Pinpoint pupils
Hyperactive reflexes
Ataxia
18. A nurse in the emergency department is assessing a toddler who has hyperpyrexia, severe
dyspnea, and is drooling. Which of the following actions should the nurse take first?
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