HESI PEDIATRIC EXAM/ pediatric hesi

1. The nurse is caring for a 3-year old child who is 2 hours postop from a cardiac catheterization via the

right femoral artery. Which assessment finding is an indication of arterial obstruction?

A. Blood pressure trend is downward and pulse is rapid and irregular

B. Right foot is cool to the touch and appears pale and blanched.

C. Pulse distal to the femoral artery is weaker on the left foot than right foot.

D. The pressure dressing at right femoral area is moist and oozing blood.

2. Following a motor vehicle collision, a 3-year old girl has a spica cast applied. Which toy is best for

the nurse for this 3-year-old child?

 A. Duck that squeaks.

B. Fashion doll and clothes

C. Set of cloth and hand puppets

D. Hand held video game.

3. An infant with tetralogy of Fallot becomes acutely cyanotic and hyper apneic. Which action should

the nurse implement first?

A. Administer morphine sulphate.

B. Start IV fluids.

C. Place the infant in a knee-chest position

D. Provide 100% oxygen by face mask.

4. A child admitted with diabetic ketoacidosis is demonstrating Kussmaul’s respirations. The nurse

determines that the increased respiratory rate is a compensatory mechanism for which acid base

alteration?

A. Metabolic alkalosis.

B. Respiratory acidosis.

C. Respiratory alkalosis.

D. Metabolic acidosis

5. 7 years old is admitted to the hospital with persistent vomiting, and a nasogastric tube attached to

low intermittent suction is applied. Which finding is most important for the nurse to report to the

healthcare provider?

A. Gastric output of 100 mL in the last 8 hours.

B. Shift intake of 640 mL IV fluids plus 30 mL PO ice chips.