HESI PEDIATRIC EXAM 2024 NEWEST
ACTUAL EXAM COMPLETE 355 QUESTIONS
AND CORRECT ANSWERS WITH
RATIONALES RATED A | BRAND NEW!!!
A 7-year-old Caucasian male child presents to the clinic for a
nosebleed. After examination, it is concluded that anterior
epistaxis is present. The PN has knowledge that it is usually
caused by:
a. Localized nasal mucosa trauma.
b. A foreign body.
c. Hypertension.
d. Bleeding disorders.
Localized nasal mucosa trauma.
This condition is usually the result of localized nasal mucosa
dryness and trauma and is rarely a result of other causes. It
can be easily managed with simple pressure. If this action is
not effective, nasal packing and cautery may be necessary.
,A 17-year-old female patient is in the office and is to undergo
radioactive iodine treatment for Graves disease. The PN is
counseling her and understands that the mechanism of action
of this treatment therapy is:
a. Alter the thyroid metabolic rate.
b. Relieve distress caused by increased thyroid size.
c. Destroy the overactive thyroid tissue.
d. Reduce production of TSH.
Destroy the overactive thyroid tissue.
Graves disease is the most common form of thyrotoxicosis.
Radioactive iodine is used for thyroid ablation to destroy the
overactive thyroid tissue that causes the thyroid hormone
dysfunction.
A young couple is in the clinic with their newborn and have
questions concerning general infant care. The PN understands
all of the following to be good advice except for:
,a. Provide the infant with a soft fluffy pillow for neck support.
b. Read books to the infant and sing or play music to comfort
the infant.
c. Establish a bedtime routine and discourage night awakening.
d. Provide baby with comfort objects so that he/she can self-
console at bedtime.
Provide the infant with a soft fluffy pillow for neck support.
The infant should be placed in a crib or bed with a firm
mattress and no large stuffed animals or pillows. Excess items
in the bed and pillows could result in smothering.
A 17-year-old female is in the clinic with abdominal pain and
admits to recent unprotected sex. On examination, the PN
discovers cervical motion tenderness and vaginal discharge.
Cultures are obtained and sent to the laboratory. The following
would also be necessary:
a. Ceftriaxone (Rocephin) 125 mg IM and azithromycin
(Zithromax) 400 mg PO bid x 7 days.
b. Penicillin G 2.4 million units IM.
c. Metronidazole (Flagyl) 500 mg PO bid x 7 days.
, d. Acyclovir (Zovirax) 400 mg PO bid x 7 days.
Ceftriaxone (Rocephin) 125 mg IM and azithromycin
(Zithromax) 400 mg PO bid x 7 days.
This patient may have pelvic inflammatory disease. These
infections are usually caused by gonococcal infections (which
would be treated by ceftriaxone) and accompanied by
Chlamydia (which would be treated by azithromycin).
Penicillin IM treats syphilis, metronidazole treats bacterial
vaginosis, and acyclovir can be used to control herpes. The
other choices are inappropriate for this patient.
A father is concerned that his child will develop a dependency
on the opioid medications administered after surgery. How
would you educate him?
a. There is nothing to worry about.
b. The pain needs to be treated effectively.
c. Children rarely develop dependency.
d. There are other options for pain management.
Children rarely develop dependency.
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