HESI Pediatric Practice Exam

Question 1 of 5

A mother brings her school-aged daughter to the pediatric clinic for evaluation of her anti-epileptic medication regimen. What information should the nurse provide to the mother?

A. The medication dose will be tapered over a period of 2 weeks when being discontinued B. If seizures return, multiple medications will be prescribed for another 2 years C. A dose of valproic acid (Depakote) should be available in the event of status epilepticus D. Phenytoin (Dilantin) and phenobarbital (Luminal) should be taken for life

Correct Answer: A

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

Question 2 of 5

A 10-year-old girl who has had type 1 diabetes mellitus (DM) for the past two years tells the nurse that she would like to use a pump instead of insulin injections to manage her diabetes. Which assessment of the girl is most important for the nurse to obtain?

A. Understanding of the quality control process used to troubleshoot the pump B. Interpretation of fingerstick glucose levels that influence diet selections C. Knowledge of her glycosylated hemoglobin A1c levels for the past year D. Ability to perform the pump for basal insulin with mealtime boluses

Correct Answer: A

Rationale: In a patient transitioning to an insulin pump, understanding the quality control process to troubleshoot the pump is essential for ensuring proper and safe management of diabetes. This knowledge enables the individual to identify and address any issues that may arise with the pump, helping maintain optimal glycemic control and prevent complications.

Question 3 of 5

The mother calls the clinic and tells the practical nurse (PN) that her child cannot swallow a prescribed tablet that was dispensed by the local pharmacy as a whole tablet. How should the PN respond?

A. You can crush the tablet and mix it with food. B. You should not force the child to swallow the tablets by holding her nose closed. C. If a liquid form is available, the pharmacist can be contacted for a prescription change. D. Do not advise the child to chew the tablet if she cannot swallow it.

Correct Answer: C

Rationale: When a child is unable to swallow a tablet, the appropriate response is to consider if a liquid form of the medication is available. This is a safer and more effective alternative than forcing the child to swallow or chew the tablet. Contacting the pharmacist for a prescription change can provide a suitable solution that ensures the child receives the medication in a more manageable form.

Question 4 of 5

What action should be taken by the healthcare provider for a child who has ingested a corrosive product?

A. Induce vomiting using Ipecac to remove the corrosive agent. B. Administer vinegar or lemon juice to neutralize the caustic agent. C. Give activated charcoal to decontaminate the stomach. D. Telephone the poison control center and follow their advice.

Correct Answer: D

Rationale: In cases of corrosive product ingestion, it is crucial to contact the poison control center for guidance. Inducing vomiting or attempting to neutralize the agent can lead to further harm. The poison control center professionals are trained to provide specific instructions tailored to the situation, ensuring the best possible outcome for the child.

Question 5 of 5

When should oral hygiene practices start for an infant according to the American Dental Association guidelines?

A. There is no need to begin until after all of the child's baby teeth are in. B. You don't have to worry about that until your child can handle a toothbrush. C. You can begin now using toothpaste on a gauze pad and wiping the gums. D. Begin wiping the teeth with a washcloth and water when the first tooth appears.

Correct Answer: D

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

HESI Pediatric Practice Exam - Nurselytic

Nurselytic

HESI RN

HESI RN