HESI Pediatric Practice Exam

Questions 55

HESI RN

HESI RN Test Bank

HESI Pediatric Practice Exam Questions

Question 1 of 5

The nurse is assessing a 4-year-old child who is brought to the clinic for a routine checkup. The child's parent reports that the child has been more irritable and less active over the past week. The nurse notes a petechial rash on the child's trunk and extremities. What should the nurse do first?

Correct Answer: D

Rationale: Petechial rash can be a sign of a serious condition like meningitis, and the healthcare provider should be notified immediately.

Question 2 of 5

A 7-year-old child with cystic fibrosis is admitted to the hospital with a respiratory infection. The nurse is teaching the child's parents about the importance of chest physiotherapy (CPT). Which statement by the parents indicates they need further teaching?

Correct Answer: C

Rationale: The correct answer is C. Chest physiotherapy should not be performed right after meals to avoid inducing vomiting. It should be done before meals or at least 1 hour after for effective mucus clearance and to prevent any potential complications like vomiting.

Question 3 of 5

The mother of a one-month-old calls the clinic to report that the back of her infant's head is flat. How should the nurse respond?

Correct Answer: D

Rationale: Positioning the infant on the stomach occasionally when awake and active can help prevent flat spots on the head.

Question 4 of 5

During a well-baby check of a 7-month-old infant, the practical nurse notes an absence of babbling. Which focused assessment should the PN implement?

Correct Answer: B

Rationale: The absence of babbling in a 7-month-old infant is a concerning auditory development milestone. Babbling is an early stage of language development which involves making various sounds. A lack of babbling could indicate a hearing impairment or other auditory issues. Therefore, the practical nurse should focus on assessing the infant's auditory function to determine if further evaluation or intervention is necessary.

Question 5 of 5

The caregiver discovers a 6-month-old infant unresponsive and calls for help. After opening the airway and finding the infant is still not breathing, what action should the caregiver take?

Correct Answer: C

Rationale: Providing two breaths that make the chest rise is the correct action in this situation. This helps to deliver oxygen to the infant's lungs and body, which is crucial in a situation where the infant is not breathing. Chest rise indicates successful ventilation, and it is an essential step in pediatric resuscitation, especially for infants.

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