HESI PN PEDIATRICS PROCTORED EXAM

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HESI PN PEDIATRICS PROCTORED EXAM

VERSION 1

• A nurse is providing teaching to the parents of a school aged child who has ADHD. Which

of the following instructions should the nurse include?

• Place the childs daily activities on an organizational chart
• A nurse is caring for a child who has sickle cell anemia. Which of the following findings is

a priority for the nurse to report to the provider?

• Facial twitching
• A nurse in the PACU is caring for a school aged child immediately after a tonsillectomy.

Which of the following actions should the nurse take?

• Place the child in a side lying position
• A nurse in the ER is caring for an adolescent who was requesting testing for STIs. Which of

the following actions is appropriate for the nurse to take?

• Obtain the written consent from the client
• A nurse is providing teaching about medication administration to the parents of the toddler

who has a new prescription for liquid ferrous sulfate. Which of the following instructions should the nurse include?

• Dilute the drops of water prior to administration
• A nurse is providing dietary teaching to a parent of a 10-month-old infant who has

phenylketonuria. Which of the following responses by the parent indicates an understanding of the teaching?

• I will steam carrots and will cut them into small pieces for her
• a nurse is caring for a child who s 2 days post-op following an appendectomy due to the

rupture of the appendix the childs NG tube is set to low intermittent suction. Which of the following indicates that the childs GI function has returned?

• The nurse auscultates bowel sounds
• A nurse is providing teaching to the parent of an infant who has a diaper rash. Which of the

following statements by the parents indicate an understanding of the teaching?

• I will use superabsorbent disposable diapers
• a nurse is administering an opioid to an adolescent who is in a sickle cell crisis. Which

statement is true regarding opioid pain management?

• Oral opioid does should be larger than parenteral doses
• A nurse is providing discharge to the parents of a school aged child following placement of

a ventriculoperitoneal shunt. The nurse should determine the teaching was effective when the parents identify which of the following as an indicator that the shunt has been displaced?

• Elevated temperature
• A nurse is reviewing laboratory results of a school aged child. Which of the following

findings to the nurse reports the provider?

• Platelets 110,000
• A nurse is planning care for a child immediately following the insertion of a chest tube for

continuous suction with a closed drainage system. Which of the following interventions should the nurse include in the plan of care?Ensure continuous bubbling is present in the suction control chamber A nurses caring for an infant who has heart failure and is receiving digoxin. Which of the 1 / 2

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following findings indicates a positive response to the medication?

• Urine output 2 mL/kg/hr
• A nurse is assessing a six month old infant who has respiratory syncytial virus. The nurse

should immediately report which of the following findings to the provider?

• Tachypnea
• A nurse is reviewing the results of the newborn screening of a newborn who is one week

old. Results include total T4 0.8mcg/dl phenylalanine 0.7 and negative galactosemia.Which of the following nursing include in the plan of care?

• Instruct the newborns parent about how to administer levothyroxine
• A nurse is caring for a newly admitted toddler who has acute diarrhea. Which of the

following actions should the nurse take first.

• Initiate contact precautions
• A nurse is caring for toddler who post operative following cleft palate repair. Which of the

following actions should the nurse take?

• Administer opioids for mouth pain
• A nurse is assessing a child who has measles. Which of the following areas should the nurse

inspect for koplik spots?

• Inside the mouth
• A nurse is assessing an infant who has acute otitis media which of the following findings

should the nurse expect? Select all that apply.

• Crying
• Fever
• Restlessness
• A nurse is assessing a child who has measles which of the fallowing areas should the nurse

expect for kolpik spots?

• The picture that shows inside of the mouth
• A nurse in the emergency department is assessing an adolescent who reports inhalation of

gasoline. Which of the fallowing should the nurse expect?

• Ataxia
• A nurse caring for a 4 year old child who has moderate dehydration. Which of the fallowing

should the nurse expect?

• Orthostatic hypertension
• A nurse is planning to teach an adolescent who is lactose intolerant about dietary

guidelines. Which of the fallowing instructions should the nurse include in the teaching?

• You can replace milk with non dairy source of calcium
• A nurse is caring for a school age child who is in 90/90 skeletal traction. Which of the

fallowing actions should the nurse take?

• Place the child on an alternating pressure mattress
• A nurse is providing teaching to the parents of the child who is receiving radiation therapy.

Which of the fallowing instructions should the nurse include in the teaching? (select all that apply)

• Avoid giving your child lengthy baths
• Encourage mild activity daily
• Dress your child in loose fitting clothing
• A nurse is assessing a school age child who has type 1 diabetes mellitus. The nurse notes

that the child is diaphoretic. Which of the following actions should the nurse take?

• Obtain blood glucose level
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