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HESI
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, HESI PEDIATRICS PROCTORED EXAM
VERSION 1
1) Which is the rationale for why young children are more prone to otitis media
that the nurse should include in the teaching session with a parent?
1. The eustachian tube is shorter, wider, and horizontal in younger children.
2. The eustachian tube is shorter, more narrow, and horizontal in younger
children.
3. The eustachian tube is longer, wider, and vertical in younger children.
4. The eustachian tube is longer, more narrow, and vertical in younger
children.
2) Which neonate requires a close nursing assessment for the development of
retinopathy of prematurity (ROP)?
1. 28-weeks’-gestation infant who has been on long-term oxygen and weighed 1400
g
2. 32-weeks’-gestation infant of African heritage with a congenital heart defect
who
needed no oxygen and weighed 1850 g
3. 28-weeks’-gestHESIon female infant who was on short-term oxygen,
weighed 1420 g, and was treated with phototherapy
4. 36-weeks’-gestHESIon, small-for-gestational-age infant who was in an
oxyhood for 12 hours and weighed 1800 g
3) Which is the priority nursing assessment for a pediatric client who is
postoperative for tonsillectomy?
1. Arrhythmias
2. Dehydration
3. Increased blood sugar
4. Increased urinary output
4) A neonate is diagnosed with a herpes simplex viral infection of the eye.
Which medication should the nurse prepare to administer?
1. Oral erythromycin
2. Fluoroquinolone eyedrops or ointment
5) A nurse is caring for a visually impaired 20-month-old client who has not
begun to walk. Which nursing diagnosis would be appropriate for this child?
1. Self-care Deficit
2. Impaired Physical Mobility
3. Impaired Home Maintenance
4. Delayed Development
6) A nurse is caring for a visually impaired school-age child. Which is the
priority nursing intervention during the admission process to the hospital?
1. Explaining playroom policies
2. Orienting the child to where furniture is placed in the room
3. Taking the child on a tour of the unit
4. Letting the child touch equipment that will be used during the child’s
hospitalization
7) Which should the nurse include in the discharge instructions for the parents of
an infant who is diagnosed with acute otitis media?
1. Keep the baby in a flat position during sleep.
2. Administer a decongestant.
3. Place the baby to sleep with a pacifier.
4. Administer acetaminophen (Tylenol) to relieve discomfort.
8) Which parental statements indicate correct understanding of the care that is
needed for a pediatric client after the insertion of tympanostomy tubes? Select
all that apply.
1. “It is important to limit my child’s diet after surgery and only allow soft, bland
foods.”
2. “I should restrict my child to quiet activities after surgery.”
3. “I should plan to administer a decongestant to my child for 1 to 2 weeks
following surgery.”
4. “It is important for my child to drink plenty of fluids after the procedure.”
5. “I will remind my child to use ear plugs prior to showering and swimming.”
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, 9) Which nursing action is appropriate when providing care to a child with a
mild hearing loss who reads lips to enhance adaptation during hospitalization?
1. Touching the child lightly before speaking
2. Using a picture board as the main means of communication
3. Speaking in a loud voice while facing the child
4. Speaking directly to the parents for communication
10) Which is an appropriate nursing intervention for a child who experiences
epistaxis?
1. Laying the child down and applying a warm pack.
2. Tilting the child’s head back, squeezing the bridge of the nose, and applying a
warm moist pack to the nose.
3. Tilting the child’s head forward, squeezing the nares below the nasal bone, and
applying ice to the nose.
4. Immediately packing the nares with a cotton ball soaked with phenylephrine
(Neo- Synephrine).
11) Which parental statement indicates correct understanding of discharge instructions
for a pediatric client after a tonsillectomy?
1. “We will call the healthcare provider for any indication of ear pain.”
2. “We will be sure to give our child adequate amounts of citrus juices.”
3. “We will plan on administering acetaminophen (Tylenol) for pain.”
4. “We will keep our child on bed rest for 10 days after the surgery.”
12) Which information should the nurse include in a teaching session regarding
treatment for the common cold in the pediatric population?
1. Aspirin should be taken for alleviation of fever if the common cold is contracted.
2. Antibiotics will eliminate the nasopharyngitis virus.
3. Vaccinations can prevent contraction of a nasopharyngitis virus.
4. Proper hand washing can prevent the spread of the common cold.
13) Which assessment finding is considered normal for a school-age client?
1. Tonsils are large and seem to fill the throat.
2. Child is complaining of sore throat and drooling
3. White patches are observed on the tonsils.
4. Throat appears red, and child has a low-grade fever
14) Which topics should the nurse include in a teaching session to the parents of a 10-
month-old infant who experiences frequent ear infections? Select all that apply.
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