Exam (elaborations)
PEDS HESI PRACTICE TEST QUESTIONS WITH CORRECT ANSWERS
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PEDIATRICS HESI
PEDS HESI PRACTICE TEST QUESTIONS WITH CORRECT ANSWERS
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November 1, 2024
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PEDIATRICS HESI
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PEDIATRICS HESI
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PEDIATRICS HESI PRACTICE
QUESTIONS WITH CORRECT ANSWERS
A69-month-
old6child6is6seen6in6the6well6clinic.6Which6of6the6following6behaviors6would6the6nurse6exp
ect6to6see?6SATA6
(A)6Plays6peek-a-boo
(B)6Walks6independently6
(C)6Feeds6self6with6a6spoon6
(D)6Stacks626blocks6together6
(E)6Transfers6objects6from6hand6to6hand6-6ans--A,6E6
-walks6independently6at6156months6
-feeds6self6with6spoon6at6186months6
-stacks626blocks6together6at6186months
The6mother6of6a6six-year-
old6child6arrives6at6the6clinic6because6the6child6has6been6experiencing6red6and6swollen6e
yes.6The6nurse6notes6a6discharge6from6the6eyes6and6sends6a6culture6to6the6lab.6Chlamy
dia6conjunctivitis6is6diagnosed.6On6the6basis6of6this6diagnosis,6the6nurse6determines6that6
which6requires6further6investigation?6
(A)6Possible6trauma6to6the6eye6
(B)6Possible6sexual6abuse6
(C)6Presence6of6an6allergy6
(D)6Presence6of6a6respiratory6infection6-6ans--(B)6Possible6sexual6abuse6
-
Chlamydia6is6sexual6transmitted6disease.6The6diagnosis6of6chlamydia6in6a6child6not6sexu
ally6active6should6signal6the6health6care6provider6to6assess6the6signs6of6possible6sexual6
abuse
The6school6nurse6determines6a6group6of6young6women6are6in6early6adolescents6based6o
n6the6following6observation.6All6of6the6women:6
(A)6Have6decided6on6their6career6path6
(B)6Are6dressed6in6the6same-style6clothes6and6have6the6same6hair6style6
(C)6Broke6curfew6by6staying6out6late6at6a6party6they6went6to6
(D)6Brag6about6drinking6beer6when6their6parents6were6at6work6-6ans--
(B)6Peer6identity6is6important6at6this6age
The6nurse6is6watching6two6siblings,6ages676and696years6of6age,6verbally6arguing6over6a6t
oy.6The6nurse6has6counseled6the6parents6before6about6how6to6handle6the6situation.6The6
, nurse6should6judge6that6the6teaching6has6been6effective6when6the6parent6takes6which6ac
tion?6
(A)6Tell6the6siblings6to6stop6arguing6and6shake6hands6
(B)6Ignores6the6arguing6and6continues6what6she6is6doing6
(C)6Tells6the6children6they6will6be6punished6when6they6go6home6
(D)6Says6they6will6not6go6out6to6lunch6now6since6they6have6argued6-6ans--
(B)6The6best6approach6by6the6mother6is6not6to6interfere.6The6children6need6to6learn6how6t
o6solve6disagreements6on6their6own.6If6the6parents6always6intervenes,6when6the6children
6do6not6learn6how6to6do6this
The6nurse6is6caring6for6a6newborn6with6a6suspected6diagnosis6of6imperforated6anus.6Whi
ch6clinical6manifestation6is6associated6with6this6defect?6
(A)6Bile-stained6fecal6emesis6
(B)6The6passage6of6current6jelly6stools6
(C)6Failure6to6pass6meconium6stool6in6the6first6246hours6after6birth6
(D)6Sausage-shaped6mass6in6the6upper6right6quadrant6-6ans--
(C)6This6is6a6defect6where6incomplete6development6or6absence6of6the6anus
Which6drug6may6be6given6to6newborns6to6close6the6patent6ductus6arteriosus6(PDA)?6-
6ans--Indomethacin6(prostaglandin6inhibitor)
Which6drug6may6be6given6to6newborns6to6keep6the6ductus6arteriosus6(PDA)6open6until6s
urgery6can6be6performed?6-6ans--Prostaglandin6E
After6receiving6change6of6shift6report,6which6patient6should6you6assess6first?6
(A)6An618-month-old6with6coarcation6of6the6aorta6who6has6decreased6pedal6pulses6
(B)6A63-year-old6with6rheumatic6fever6who6reports6severe6knee6pain6
(C)6A65-year-old6with6endocarditis6who6has6crackles6throughout6both6lungs6
(D)6An68-year-old6with6Kawasaki's6disease6who6has6a6fever6of6102.26-6ans--
(C)6Crackles6through6the6lungs6indicate6the6child6has6left6ventricular6failure6as6a6complic
ation6of6endocarditis.6Hypoxemia6is6likely,6so6the6child6needs6a6rapid6respiratory6assess
ment,6possible6administration6of6oxygen.6The6other6children6should6be6assessed6as6quic
kly6as6possible,6but6are6not6experiencing6life-threatening6complications
An6infant6is6born6with6ventricular6septal6defect6(VSD)6and6surgery6is6planned6to6correct6t
he6defect.6The6nurse6recognizes6that6surgical6correction6is6designed6to6achieve6which6o
utcome?6
(A)6Stop6the6flow6of6deoxygenated6blood6into6systemic6circulation6
(B)6Increase6the6flow6of6deoxygenated6blood6to6the6lungs6
(C)6Prevent6the6return6of6oxygenated6blood6to6the6lungs6
(D)6Reduce6peripheral6tissue6hypoxia6and6nail6bed6clubbing6-6ans--(C)
The6nurse6would6suggest6genetic6counseling6for6each6of6the6following6except:6
(A)6Sickle6cell6anemia6
(B)6B-thalassemia6
(C)6Hemophilia6A6