HESI RN Pediatric Exam

HESI RN Pediatric Exam

VERSION 9

• 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. 1 / 3

• 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?

• 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? 2 / 3

• 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

infants and toddlers regarding discipline and limit setting. What is the most important reason for implementing such parenting behaviors?

• Children need help in developing social skills.
• This age child fears loss of self control.
• They provide the child with a sense of security.
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