1200 HESI QUESTIONS PEDIATRICS EXAM VERSION B

Pediatrics Exam - Version B
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Points Awarded 22
Points Missed 68
Percentage 24%
1. The nurse is preparing to catheterize an 8-year-old child. Before starting the procedure, which action should the nurse take first?
A. Obtain the parent's cooperation before initiating the procedure.
B. Explain to the child and the parents that the procedure needs to be done.
C. After talking with the parents about the procedure, ask them to leave the room.
D. Provide the child with privacy by conducting the procedure in the treatment room.
An 8-year-old uses concrete operational thought (Piaget), can cooperate, and should be included
in the plan of care (B). (A) is indicated for a pre-school aged child, and does not acknowledge
the school-aged child's cognitive ability. (C and D) may be needed, but should occur after (B).
Points Earned: 0/1
Correct Answer: B
Your Response: D
2. Which neurological test should the nurse implement to assess cerebellar function in a 5-year-old with symptoms of hyperactivity?
A. Finger-to-nose.
B. Quadriceps reflex.
C. Two-point discrimination.
D. Ability to follow directions.
The cerebellum controls balance and coordination and is significant in children with symptoms
of hyperactivity or learning difficulty, so difficulty in performing a finger-to-nose test (A)
indicates poor sense of position (especially with the eyes closed) and incoordination (especially
with the eyes opened). Superficial reflexes (B), sensory discrimination (C), and ability to follow
directions (D) are aspects of a neurologic examination but do not test cerebellar function.
Points Earned: 0/1
Correct Answer: A
Your Response: C
3. An infant with developmental dysplasia of the hip is placed in a Pavlik harness. What instructions should the nurse include in a teaching plan for the parents?
A. Apply lotion or powder to minimize skin irritation.
B. Put clothing over harness for maximum effectiveness.
. Check for red areas under the straps three times a day.
D. Use a thin absorbent disposable diaper over the harness.
The Pavlik harness, which maintains the hips in abduction, is the most widely used device for
developmental dysplasia of the hip. An infant who continuously wears a Pavlik harness is at risk
for skin breakdown, so parents should be instructed to check two to three times a day for red
areas under clothing and harness straps (C). Lotions and powders (A) can cake or irritate the skin