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PEDS HESI PRACTICE QUESTIONS
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PEDS HESI PRACTICE QUESTIONS
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PEDS HESI PRACTICE TESTQUESTIONS WITH CORRECT ANSWERS
The6nurse6is6giving6preoperative6instructions6to6a614-year-
old6female6client6who6is6scheduled6for6surgery6to6correct6a6spinal6curvature.6Which6state
ment6by6the6client6best6demonstrates6that6learning6has6taken6place?
A.6"I6will6read6all6the6literature6you6gave6me6before6surgery."
B.6"I6have6had6surgery6before6when6I6broke6my6wrist6in6a6bike6accident,6so6I6know6what6t
o6expect."
C.6"All6the6things6people6have6told6me6will6help6me6take6care6of6my6back."
D.6"I6understand6that6I6will6be6in6a6body6cast6and6I6will6show6you6how6you6taught6me6to6tu
rn."6-6--
D.6"I6understand6that6I6will6be6in6a6body6cast6and6I6will6show6you6how6you6taught6me6to6tu
rn."
To6take6the6vital6signs6of6a64-month-
old6child,6which6order6will6give6the6most6accurate6results?
A.6Respiratory6rate,6heart6rate,6then6rectal6temperature.
B.6Heart6rate,6rectal6temperature,6then6respiratory6rate.
C.6Rectal6temperature,6heart6rate,6then6respiratory6rate.
D.6Rectal6temperature,6respiratory6rate,6then6heart6rate.6-6--
A.6Respiratory6rate,6heart6rate,6then6rectal6temperature.
During6routine6screening6at6a6school6clinic,6an6otoscope6examination6of6a6child's6ear6rev
eals6a6tympanic6membrane6that6is6pearly6gray,6slightly6bulging,6and6not6movable.6What6a
ction6should6the6nurse6take6next?
A.6No6action6required,6as6this6is6an6expected6finding6for6a6school-aged6child.
B.6Ask6the6child6if6he/she6has6had6a6cold,6runny6nose,6or6any6ear6pain6lately.
C.6Send6a6note6home6advising6the6parents6to6have6the6child6evaluated6by6a6healthcare6p
rovider6as6soon6as6possible.
D.6Call6the6parents6and6have6them6take6the6child6home6from6school6for6the6rest6of6the6da
y.6-6--B.6Ask6the6child6if6he/she6has6had6a6cold,6runny6nose,6or6any6ear6pain6lately.
Which6restraint6should6be6used6for6a6toddler6after6a6cleft6palate6repair?
A.6Clove6hitch.
B.6Mummy.
C.6Elbow.
D.6Jacket.6-6--C.6Elbow.
,What6preoperative6nursing6intervention6should6be6included6in6the6plan6of6care6for6an6infa
nt6with6pyloric6stenosis?
A.6Monitor6for6signs6of6metabolic6acidosis.
B.6Estimate6the6quantity6of6diarrhea6stools.
C.6Place6in6a6supine6position6after6feeding.
D.6Observe6for6projectile6vomiting.6-6--D.6Observe6for6projectile6vomiting.
A6six-month-
old6returns6from6surgery6with6elbow6restraints6in6place.6What6nursing6care6should6be6incl
uded6when6caring6for6any6restrained6child?
A.6Keep6restraints6on6at6all6times.
B.6Remove6restraints6one6at6a6time6and6provide6range6of6motion6exercises.
C.6Remove6all6restraints6simultaneously6and6provide6play6activities.
D.6Renew6the6healthcare6provider's6prescription6for6restraints6every6726hours.6-6--
B.6Remove6restraints6one6at6a6time6and6provide6range6of6motion6exercises.
A62-year-
old6child6with6Down6syndrome6is6brought6to6the6clinic6for6his6regular6physical6examinatio
n.6The6nurse6knows6which6problem6is6frequently6associated6with6Down6syndrome?
A.6Congenital6heart6disease.
B.6Fragile6X6chromosome.
C.6Trisomy613.
D.6Pyloric6stenosis.6-6--A.6Congenital6heart6disease.
When6assessing6a6child6with6asthma,6the6nurse6should6expect6intercostal6retractions6dur
ing
A.6Inspiration.
B.6Coughing.
C.6Apneic6episodes.
D.6Expiration.6-6--A.6Inspiration.
When6planning6the6care6for6a6child6who6has6had6a6cleft6lip6repair,6the6nurse6knows6that6c
rying6should6be6minimized6because6it
A.6Increases6salivation.
B.6Increases6the6respiratory6rate.
C.6Leads6to6vomiting.
D.6Stresses6the6suture6line.6-6--D.6Stresses6the6suture6line.
A6full-
term6infant6is6admitted6to6the6newborn6nursery.6After6careful6assessment,6the6nurse6sus
pects6that6the6infant6may6have6an6esophageal6atresia.6Which6symptoms6is6this6newborn6
likely6to6have6exhibited?
A.6Choking,6coughing,6and6cyanosis.
B.6Projectile6vomiting6and6cyanosis.
C.6Apneic6spells6and6grunting.
D.6Scaphoid6abdomen6and6anorexia.6-6--A.6Choking,6coughing,6and6cyanosis.
, Which6behavior6would6the6nurse6expect6a6two-year-old6child6to6exhibit?
A.6Build6a6house6with6blocks.
B.6Ride6a6tricycle.
C.6Display6possessiveness6of6toys.
D.6Look6at6a6picture6book6for6156minutes.6-6--C.6Display6possessiveness6of6toys.
The6mother6of6a6preschool-
aged6child6asks6the6nurse6if6it6is6all6right6to6administer6Pepto6Bismol6to6her6son6when6he6
"has6a6tummy6ache."6After6reminding6the6mother6to6check6the6label6of6all6over-the-
counter6drugs6for6the6presence6of6aspirin,6which6instruction6should6the6nurse6include6wh
en6replying6to6this6mother's6question?
A.6If6the6child's6tongue6darkens,6discontinue6the6Pepto6Bismol6immediately.
B.6Do6not6give6if6the6child6has6chickenpox,6the6flu,6or6any6other6viral6illness.
C.6Avoid6the6use6of6Pepto6Bismol6until6the6child6is6at6least6166years6old.
D.6Pepto6Bismol6may6cause6a6rebound6hyperacidity,6worsening6the6"tummy6ache."6-6--
B.6Do6not6give6if6the6child6has6chickenpox,6the6flu,6or6any6other6viral6illness.
The6nurse6observes6a64-year-
old6boy6in6a6daycare6setting.6Which6behavior6should6the6nurse6consider6normal6for6this6c
hild?
A.6Has6a6temper6tantrum6when6told6he6must6share6his6toys.
B.6Plays6by6himself6most6of6the6day.
C.6Demonstrates6aggressiveness6by6boasting6when6telling6a6story.
D.6Begins6to6cry6and6is6fearful6when6separated6from6his6parents.6-6--
C.6Demonstrates6aggressiveness6by6boasting6when6telling6a6story.
A6burned6child6is6brought6to6the6emergency6room.6In6estimating6the6percentage6of6the6bo
dy6burned,6the6nurse6uses6a6modified6"Rule6of6Nines."6Which6part6of6a6child's6body6is6cal
culated6as6a6larger6percentage6of6total6body6surface6than6an6adult's?
A.6Head6and6neck.
B.6Arms6and6chest.
C.6Legs6and6abdomen.
D.6Back6and6abdomen.6-6--A.6Head6and6neck.
The6nurse6receives6a6lab6report6stating6a6child6with6asthma6has6a6theophylline6level6of61
56mcg/dl.6What6action6will6the6nurse6take?
A.6Pass6the6information6on6in6the6report.
B.6Notify6the6healthcare6provider6because6the6value6is6high.
C.6Repeat6the6lab6study6because6the6value6is6too6high.
D.6Hold6the6next6dose6of6theophylline.6-6--A.6Pass6the6information6on6in6the6report.
A612-month-
old6boy6is6admitted6with6a6respiratory6infection6and6possible6pneumonia.6He6is6placed6in6
a6mist6tent6with6oxygen.6Which6nursing6intervention6has6the6greatest6priority6for6this6infan
t?
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