HESI RN PEDIATRICS ACTUAL EXAM 2024
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1. The nurse is assessing a 9 year old bow who has been A
admitted to the hospital with possible acute post-
streptoccocal glomerulonephritis (APSGN). In obtain-
ing his history, what info is MOST significant?
A - a sore throat last week
B - hx of HTN
C - diuresis during the night
D - back pain for a few days
2. The nurse is measuring the frontal occipital circum- D
ference (FOC) of a 3-month-old infant, and notes that
the FOC has increased 5 inches (12.7cm) 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?
A - plot the measurement on the infant's growth chart
B - observe the infant for sunset eyes
C - measure the infant's head-to-heel length
D - palpate the anterior fontanel for tension and
bulging
3. A female infant recently admitted with vomiting and B
diarrhea now weighs 10 kg. Her weigh at a previous
well-baby visit was 11 kg. What is the percentage of
body weight loss for this infant?
A - 4%
B - 9%
C - 10%
D - 5%
4. A male high school student with Type 1 diabetes tests A
his blood glucose level before playing a game of
soccer and he obtains a reading of 180 mg/dL (10
mmol/L). Based on the reading, which action should
the nurse take?
A - tell him to eat a sandwich and fruit before begin-
ning the game
B - Check his urine for ketones
, HESI RN PEDIATRICS ACTUAL EXAM 2024
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C -give him permission to go ahead and play soccer
D- call the healthcare provider
5. A 7-year-old child is admitted to the hospital with a di- A
agnosis of acute rheumatic fever. In obtaining a health
hx from the child's mother, the recent occurrence of
which illness is MOST significant?
A - sore throat
B - chickenpox
C - mumps
D - influenza
6. A mother brings her 2-month-old son to the clinic for C
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?
A- prepare to obtain a catheterized urine specimen for
culture
B - address possible concerns about the child's future
fertility
C - ask if the right teste has been seen in the scrotum
before
D - schedule an IV pyelogram to validate presence of
testeicle
7. The nurse is assessing a 6-month-old infant. Which D
response requires further evaluation by the nurse?
A - has doubled birth weight
B - turns head to locate sound
C - plays "peek-a-boo"
D- demonstrates startle reflex
8. A 4-year-old girl returns to the pediatrician's office C
for a postoperative visit following hospitalization for
minor surgery. When observing the child in the wait-
ing area, which behavior should the nurse consider
normal for this age child?
A - ignores other children in the play area
B - draws picture of self with facial features
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