HESI Pediatric Practice Exam

HESI Pediatric Practice Exam Related

Review HESI Pediatric Practice Exam related questions and content

A mother brings her 3-week-old infant to the clinic because the baby vomits after eating and always seems hungry. Further assessment indicates that the infant's vomiting is projectile, and the child seems listless. Which additional assessment finding indicates the possibility of a life-threatening complication?

  • A. Irregular palpable pulse
  • B. Hyperactive bowel sounds
  • C. Underweight for age
  • D. Crying without tears
Correct Answer: D

Rationale: In this scenario, the infant presenting with vomiting, lethargy, and projectile vomiting indicates a potential serious condition. Crying without tears is a sign of dehydration, a critical condition that can lead to life-threatening complications in infants. Dehydration can rapidly worsen an infant's condition, making prompt intervention crucial to prevent further complications.

You may also like to solve these questions

In a 12-year-old child with a history of epilepsy brought to the emergency department after experiencing a 10-minute seizure, what is the nurse's priority intervention?

  • A. Administer oxygen
  • B. Administer antiepileptic medication as prescribed
  • C. Monitor the child's vital signs
  • D. Check the child's blood glucose level
Correct Answer: B

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

A child with sickle cell anemia is being treated for a vaso-occlusive crisis. Which intervention should the practical nurse (PN) implement?

  • A. Apply cold packs to painful areas.
  • B. Encourage increased fluid intake.
  • C. Administer high doses of vitamin C.
  • D. Provide low-calorie meals.
Correct Answer: B

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

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?

  • A. Measure the infant's head-to-toe length.
  • B. Palpate the anterior fontanel for tension and bulging.
  • C. Observe the infant for sunken eyes.
  • D. Plot the measurement on the infant's growth chart.
Correct Answer: B

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

The caregiver is caring for a 3-year-old child with a diagnosis of gastroenteritis. The child has had several episodes of vomiting and diarrhea over the past 24 hours. What is the caregiver's priority assessment?

  • A. Monitor the child's weight
  • B. Assess the child's hydration status
  • C. Evaluate the child's nutritional intake
  • D. Check the child's temperature
Correct Answer: B

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

The practical nurse is reinforcing education with the parents of a child prescribed iron supplements for iron-deficiency anemia. Which statement by the parents indicates they need further instruction?

  • A. We will give the iron supplement with milk to reduce stomach upset.
  • B. We should give the iron supplement with orange juice to improve absorption.
  • C. The supplement may cause the stools to appear dark or black.
  • D. We should store the iron supplements out of reach of children.
Correct Answer: A

Rationale: Iron supplements should not be given with milk as calcium can interfere with iron absorption. Instead, it is recommended to give it with a source of vitamin C, such as orange juice, to enhance iron absorption. Giving iron supplements with milk may decrease the absorption of iron and should be avoided in this case.

Copyright © 2025 Nokea. All rights reserved.