HESI RN Pediatrics V1, V2 and V3

Questions and Answers 2021

1. The nurse is performing a routine examination of a 6-month-old infant at community

health clinic. Records indicate that the child weighed 3 kg at birth. The clinic uses lbs to

describe weight. When assessing this child, approximately what weight, in lbs, should

the nurse considerto be within normal range for this child?

• 15 to 18 lb

• 12 to 15 lb

• 9 to 11.5 lb

• 6 to 7.5 lb

2. When development a teaching plan for an adolescent male who was recently

diagnosed withType 1 diabetes mellitus, the nurse should instruct the to eat a source

of sugar if which symptom occurs?

• Excessive thirst

• Racing pulse

• Profuse perspiration

• Seeing spots

3. A breast feeding mother returns to work when her infant is 5 months old. She is having

difficultypumping enough milk to meet her infant's dietary requirements. Which

suggestion should the nurse provide to this mother?

• Mix infant formula with breast milk

• Supplement with an iron-rich formula

• Introduce baby food for one meal daily

• Offer a follow-up transitional formula

4. The nurse is assessing an infant with aortic stenosis and identifies bilateral fine crackles

in bothlung fields. Which additional finding should the nurse expect to obtain?

• Vigorous feeding and satiation

• Hemiplegia

• Fever

• Hypotension and tachycardia

5. The nurse should instruct the parent of an 8-year-old child who has sickle anemia to

alert forwhich complaint from the child?

• "I'm shorter than everyone else"

• "I'm really hot and thirsty"

• "I don't want to eat any vegetables"

• "I have to urinate every few hours"

6. During a routine clinic visit, the nurse determines that 5-year-old girl's systolic blood

pressure isgreater than the 90th percentile. What action should the nurse implement

next?

• Take the blood pressure two more time during the visit and determine the average

of thethree readings

• Measure the child's blood pressure three times during the visit and determine the highest

of

the readings

• Conduct a head-to-toe assessment and omit repeat blood pressure during the examination

• Refer child to the healthcare provider and schedule evaluation of blood pressure in two

weeks

7. A one - month old male infant is brought to the clinic by his mother who states that her

son hasbeen vomiting forcefully after each meal for the last three days. The infant is

afebrile, dehydrated, and pyloric stenosis is suspected. What other finding should the

nurse identify thatare consistent with pyloric stenosis?

• Perianal diaper rash from persistent diarrhea

• Rooting, hunger, and irritability

• Bite-stained emesis

• An olive-shaped mass in the abdominal area

8. The nurse is evaluating a young child with atopic dermatitis. Which question should

the nurseask the parent while obtaining the child's history?

• Does the child have any nausea or vomiting?

• Can any particular stress be associated with onset of the rash?

• Has the child displayed any symptoms of asthma or hay fever?

• What time of day does the rash appear on the body?

9. A 3-month-old with myelomeningocele and atonic bladder is catheterized every 4 hours

to prevent urinary retention. The home health nurse note that the child has developed

episodes ofsneezing, urticaria, watery eyes, and a rash in the diaper area. What action is

most important forthe nurse to take?

• Auscultate the lungs for respiratory pneumonia

• Draw blood to analyze for streptococcus infection

• Change to latex - free gloves when handling infant

• Apply zinc oxide to perineum with each diaper change

10. A 12-year-old is admitted to the hospital with possible encephalitis, and a lumbar

puncture isschedule. Which information should the nurse provide concerning to this

procedure?

• Explain that fluids cannot be taken for 8 hours before the procedure and 4 hours after the

procedure

• Tell the child to expend loud clicking during the procedure that may be annoying

• Describe the side-lying, knee to the chest position that must be assumed during the

procedure

• Reassure the child that there will be no restrictions on activity after the procedure is

completed