HESI PN Pediatric Exam
VERSION 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?
- Blood pressure trend is downward and pulse is rapid and irregular.
- Right foot is cool to the touch and appears pale and blanched.
- Pulse distal to the femoral artery is weaker on the left foot than right foot.
- The pressure dressing at right femoral area is moist and oozing blood.
- 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?
- Duck that squeaks.
- Fashion doll and clothes.
- Set of cloth and hand puppets.
- Hand held video game.
- An infant with tetralogy of Fallot becomes acutely cyanotic and hyperpneic. Which
action should the nurse implement first?
- Administer morphine sulphate.
- Start IV fluids.
- Place the infant in a knee-chest position.
- Provide 100% oxygen by face mask.
- A child admitted with diabetic ketoacidosis is demonstrating Kussmaul respirations. The
nurse determines that the increased respiratory rate is a compensatory mechanism for which acid base alteration?
- Metabolic alkalosis.
- Respiratory acidosis.
- Respiratory alkalosis.
- Metabolic acidosis.
- 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?
- Gastric output of 100 mL in the last 8 hours.
- Shift intake of 640 mL IV fluids plus 30 mL PO ice chips.
- Serum potassium of 3.0 mg/dL.
- Serum pH of 7.45.
- The nurse is evaluating diet teaching for a client who has nontropical sprue (celiac
disease). Choosing which food indicates that the teaching has been effective? 1 / 2
- Creamed corn.
- Pancakes.
- Rye crackers.
- Cooked oatmeal.
- During a well-baby check, the nurse hides a block under the baby’s blanket, and the
baby looks for the block. Which normal growth and development milestone is the baby developing?
- Separation anxiety.
- Associative play.
- Object prehension.
- Object permanence.
- The nurse is measuring the frontal occipital circumference (FOC) of a 3-months old
infant, and notes that the FOC has increased 5 inches since birth and the child’s head appears large in relation to body size. Which action is most important for the nurse to take next?
- Measure the infant’s head-to-toe length.
- Palpate the anterior fontanel for tension and bulging.
- Observe the infant for sunken eyes.
- Plot the measurement on the infant’s growth chart.
- The nurse is preparing a 10 year old with a lacerated forehead for suturing. Both
parents and 12 year old sibling are at the child’s bedside. Which instruction best supports family?
- While waiting for the healthcare provider, only one visitor may stay with the child.
- All of you should leave while the healthcare provider sutures the child’s forehead.
- It is best if the sibling goes to the waiting room until the suturing is completed.
- Please decide who will stay when the healthcare provider begins suturing.
- The nurse is planning for a 5-month old with gastroesophageal reflux disease whose
weight has decreased by 3 ounces since the last clinic visit one month ago. To increase caloric intake and decrease vomiting, what instructions should the nurse provide this mother?
- Give small amounts of baby food with each feeding.
- Thicken formula with cereal for each feeding.
- Dilute the childs formula with equal parts of water.
- Offer 10 % dextrose in water between most feedings.
- While teaching a parenting class to new parents the nurse describes the needs of
- / 2
infants and toddlers regarding discipline and limit setting. What is the most important reason for implementing such parenting behaviors?