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PEDIATRICS PRACTICE HESI QUESTIONS WITH CORRECT ANSWERS
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PEDIATRICS PRACTICE HESI QUESTIONS WITH CORRECT ANSWERS
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PEDS HESI PRACTICE QUESTIONS"A6mother6tells6the6nurse6that6her6child6does6not6want6anything6to6do6with6toilet6training6a
nd6yells6"NO!"6consistently6when6she6tries6to6toilet6train.6The6child6is626years6old.6Accordi
ng6to6Erikson,6the6nurse6interprets6that6the6child6is6experiencing6which6psychosocial6crisi
s?"
a.6autonomy6vs6shame6and6doubt
b.6initiative6vs6guilt
c.6industry6vs6inferiority
d.6trust6vs6mistrust6-6ans--Autonomy6vs6shame6and6doubt
A62-year-
old6child6is6admitted6to6the6hospital6with6juvenile6rheumatoid6arthritis6(JRA).6During6the6fo
cused6assessment,6the6nurse6makes6it6a6priority6to6note6the6presence6of6which6of6the6foll
owing?"
a.6increased6irritability6and6the6child's6insistence6to6be6carried6out
b.6complaints6of6joint6stiffness
c.6history6of6daily6temperature6elevations
d.6description6of6how6difficult6it6is6to6move6around6after6periods6of6inactivity6-6ans--
increased6irritability6and6the6child's6insistence6to6be6carried6out
A6mother6of6a6toddler6who6is6hospitalized6with6mild6dehydration6must6leave6her6child6to6g
o6to6work.6Which6behavior6would6the6nurse6expect6to6observe6in6the6toddler6immediately6
after6the6mother's6departure?
a.6silently6curled6in6bed6with6a6blanket
b.6loudly6crying6and6kicking6both6legs
c.6playing6quietly6with6a6favorite6toy
d.6sucking6thumb6and6rocking6back6and6forth6-6ans--loudly6crying6and6kicking6both6legs
"A6newborn6infant6is6diagnosed6with6hypospadias,6and6the6mother6asks6the6nurse6about6
the6disorder.6The6nurse6bases6the6response6on6which6of6the6following?"
a.6it6is6a6congenital6anomaly6in6which6the6actual6opening6of6the6urethra6meatus6is6below6t
he6normal6placement6on6the6glans6penis
b.6it6occurs6when6one6or6both6testes6fail6to6descend6through6the6inguinal6canal6into6the6s
crotal6sac
c.6it6is6a6congenital6anomaly6in6which6the6actual6opening6of6the6urethral6meatus6is6dorsal6
to6the6urethral6opening
d.6it6is6a6congential6anomaly6characterized6by6the6extrusion6of6the6urinary6bladder6to6the6
outside6of6the6body6-6ans--
it6is6a6congenital6anomaly6in6which6the6actual6opening6of6the6urethra6meatus6is6below6the
6normal6placement6on6the6glans6penis
,A6home6care6nurse6is6providing6instructions6to6a6child6with6cystic6fibrosis6about6how6to6p
erform6the6"huff"6maneuver;6the6child6asks6the6nurse6about6the6purpose6of6this6type6of6br
eathing.6The6nurse6makes6which6response6to6the6child?
a.6"this6type6of6breathing6is6used6to6mobilize6secretions6so6that6they6can6be6easily6cough
ed6out"
b.6"this6type6of6breathing6prolongs6inspiration6time"
c.6"this6type6of6breathing6moves6air6out6of6the6lower6lungs"
d.6"this6type6of6breathing6moves6air6through6the6lungs"6-
6ans--"this6type6of6breathing6is6used6to6mobilize6secretions6so6that6they6can6be6easily6co
ughed6out"
A6home6care6nurse6is6instructing6the6mother6of6a6child6with6cystic6fibrosis6(CF)6about6the6
appropriate6dietary6measures.6The6nurse6tells6the6mother6that6the6child6needs6to6consu
me6a:
a.6low6calorie,6low6fat6diet
b.6high6calorie,6high6protein6diet
c.6low6calorie,6low6protein6diet
d.6high6calorie,6restricted6fat6-6ans--high6calorie,6high6protein6diet
Breathing6exercises6and6postural6drainage6is6prescribed6for6a6child6with6cystic6fibrosis.6A
6nurse6implements6these6procedures6by6telling6the6child6to:
a.6perform6the6postural6drainage,6then6the6breathing6exercises
b.6perform6the6breathing6exercises,6then6the6postural6drainage
c.6schedule6the6procedures6so6they6are646hours6apart
d.6perform6postural6drainage6in6the6morning6and6breathing6exercises6in6the6evening6-
6ans--perform6the6postural6drainage,6then6the6breathing6exercises
A6nurse6is6reviewing6the6results6of6a6sweat6test6performed6on6a6child6with6cystic6fibrosis6(
CF).6The6nurse6would6expect6to6note6which6finding?
a.6a6sweat6sodium6concentration6less6than6406mEq/L
b.6a6sweat6potassium6concentration6less6than6406mEq/L
c.6a6sweat6potassium6concentration6greater6than6406mEq/L
d.6a6sweat6sodium6concentration6greater6than6606mEq/L6-6ans--
a6sweat6sodium6concentration6greater6than6606mEq/L
Methylphenidate6(Ritalin)6is6prescribed6for6a6child6with6a6diagnosis6of6attention6deficit6hy
peractivity6disorder6(ADHD).6The6nurse6provides6instructions6to6the6mother6regarding6the
6administration6of6the6medication6and6tells6the6mother6to6administer6the6medication:
a.6before6dinner6and6at6bedtime
b.6before6breakfast6and6before6the6noontime6meal
c.6in6the6morning6after6breakfast6and6at6bedtime
d.6at6the6noontime6and6evening6meals6-6ans--
before6breakfast6and6before6the6noontime6meal
"Methylphenidate6hydrochloride6(Ritalin)6is6prescribed6for6a610-year-
old6child6diagnosed6with6attention6deficit6hyperactivity6disorder,6and6the6nurse6provides6i
,nstructions6to6the6mother6about6administration6of6the6medication.6The6nurse6determines6
that6the6mother6understands6the6instructions6when6the6mother6states:"
a.6I6will6give6my6child6the6medication6at6bedtime6so6that6he6will6be6rested6and6alert6for6sc
hool6the6next6day
b.6I6will6give6my6child6the6medication6after6meals6to6obtain6the6full6effects6of6the6medicati
on
c.6I6will6give6my6child6the6medication6at6breakfast6and6lunch6to6prevent6insomnia
d.6I6will6give6my6child6the6medication6with6water6to6prevent6kidney6damage6-6ans--
I6will6give6my6child6the6medication6at6breakfast6and6lunch6to6prevent6insomnia
Methylphenidate6(Ritalin)6is6prescribed6for6a6child6with6attention6deficit6hyperactivity6disor
der6(ADHD).6The6nurse6provides6instructions6to6the6mother6regarding6the6administration6
of6the6medication.6Which6statement6by6the6mother6would6indicate6a6need6for6further6instr
uctions?
a.6I6will6administer6the6medication6with6the6noontime6meal6
b.6I6will6keep6the6medication6tightly6capped6and6away6from6direct6heat
c.6I6should6inform6the6school6nurse6that6my6child6is6taking6this6medication
d.6I6should6avoid6giving6the6medications6on6Saturdays6and6Sundays6to6provide6a6medica
tion6holiday6-6ans--
I6should6avoid6giving6the6medications6on6Saturdays6and6Sundays6to6provide6a6medicatio
n6holiday
A6client6with6diplopia6has6been6given6an6eye6patch6to6promote6better6vision6and6prevent6i
njury.6The6nurse6teaches6the6client6to6do6which6of6the6following6as6part6of6correct6use6of6t
his6item?
a.6wear6the6patch6continuously,6alternating6eyes6each6day
b.6wear6the6patch6continuously,6alternating6eyes6each6week
c.6use6the6patch6only6when6vision6is6exceptionally6blurry
d.6put6the6patch6on6for6an6hour,6and6then6take6it6off6for6an6hour6-6ans--
wear6the6patch6continuously,6alternating6eyes6each6day
A6student6nurse6examines6an6Asian6American6infant's6eyes6and6notes6that6the6infant's6e
yes6are6crossed.6The6registered6nurse6asks6the6student6to6interpret6the6finding.6Which6st
atement6by6the6student6indicates6an6understanding6of6this6assessment6finding?
a.6it6probably6isn't6strabismus6but6appears6that6way6because6of6the6child;s6ethnic6backgr
ound
b.6you6will6want6to6call6the6pediatrician6immediately6because6this6could6lead6to6detached6
retina
c.6it6probably6is6strabismus6because6the6baby's6mother6has6abused6tranquilizers
d.6strabismus6isn't6life6threatening6but6it6requires6surgery6in6the6first626months6to6prevent6
the6crossed6eyes6from6being6a6life6long6condition6-6ans--
it6probably6isn't6strabismus6but6appears6that6way6because6of6the6child;s6ethnic6backgrou
nd
A6nurse6notes6that6a6client's6eyes6are6continuously6moving6back6and6forth6within6the6eye
6sockets.6The6nurse6documents6in6the6medical6record6that6the6client6has:
, a.6ataxia
b.6nystagmus
c.6pronator6drift
d.6hyperreflexia6-6ans--nystagmus
"A6nurse6is6providing6instructions6to6the6mother6of6a6child6with6a6diagnosis6of6strabismus6
of6the6left6eye,6and6the6nurse6reviews6the6procedure6for6patching6the6child.6The6nurse6de
termines6that6the6mother6understands6the6procedure6if6the6mother6makes6which6stateme
nt?"
a.6I6will6place6the6patch6on6the6right6eye
b.6I6will6place6the6patch6on6both6eyes
c.6I6will6place6the6patch6on6the6left6eye
d.6I6will6alternate6the6patch6from6the6right6to6the6left6eye6every6hour6-6ans--
I6will6place6the6patch6on6the6right6eye
A6nurse6develops6a6plan6of6care6for6a6one-month-
old6infant6hospitalized6for6intussusception.6Which6nursing6measure6would6be6most6effecti
ve6to6provide6psychosocial6support6for6the6parent-child6relationship?
a.6encourage6the6parents6to6go6home6and6get6some6sleep
b.6encourage6the6parents6to6room-in6with6their6infant
c.6provide6educational6materials
d.6initiate6home6nutritional6support6as6early6as6possible6-6ans--
encourage6the6parents6to6room-in6with6their6infant
"A612-year-
old6child6is6seen6in6the6health6care6clinic.6During6the6assessment,6which6finding6would6su
ggest6to6the6nurse6that6the6child6is6experiencing6a6disruption6in6the6development6of6self-
concept?"
a.6the6child6has6a6part-time6babysitting6job
b.6the6child6enjoys6playing6chess6and6mastering6new6skills6with6this6game
c.6the6child6has6many6friends
d.6the6child6has6an6intimate6relationship6with6a6significant6other6-6ans--
the6child6has6an6intimate6relationship6with6a6significant6other
A6nurse6is6preparing6to6care6for6a6child6from6a6culture6different6from6the6nurse's.6What6is6
the6best6way6to6address6the6cultural6needs6of6the6child6and6family6when6the6child6is6admi
tted6to6the6health6care6facility?
a.6ask6questions6and6explain6to6the6family6why6the6questions6are6being6asked
b.6explain6to6the6family6that6while6the6child6is6being6treated,6they6need6to6discontinue6cult
ural6practices6because6they6may6be6harmful6to6the6child
c.6ignore6cultural6needs6because6they6are6not6important6to6health6care6professionals
d.6only6address6those6issues6that6directly6affect6the6nurse's6care6of6the6child6-6ans--
ask6questions6and6explain6to6the6family6why6the6questions6are6being6asked
"A64-year-
old6child6with6cancer6is6admitted6to6the6hospital6for6radiation6therapy6and6surgery.6To6ass
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