HESI RN
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 2-year-old is admitted to the hospital with possible encephalitis, and a lumbar puncture is scheduled. Which information should the nurse provide this child concerning the procedure?
Correct Answer: A
Rationale: Children, especially young ones, benefit from knowing what position they will be in during a procedure as it helps them understand and feel more in control. Describing the side-lying, knees-to-chest position can reduce anxiety and promote cooperation during the lumbar puncture.
Question 3 of 5
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?
Correct Answer: B
Rationale: Palpating the anterior fontanel for tension and bulging helps assess for increased intracranial pressure.
Question 4 of 5
During a well baby visit, the parents explain that a soft bulge appears in the groin of their 4-month-old son when he cries or strains during stooling. The infant is scheduled for surgical repair of the inguinal hernia in two weeks. What should the parent be instructed to do if the hernia becomes incarcerated prior to the surgery?
Correct Answer: B
Rationale: In the case of an incarcerated inguinal hernia, gentle manipulation can sometimes help in reducing it before surgery. This action should be taken cautiously and immediately followed by seeking medical attention. It is important to note that attempting reduction should be done by a healthcare professional, and parents should be advised to seek urgent medical care if the hernia becomes incarcerated.
Question 5 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.
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