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2023 HESI MATERNITY & PEDIATRICS EXAM VERSION
1,2 & 3 ACTUAL EXAM EACH VERSION CONTAINS 55
QUESTIONS AND CORRECT DETAILED ANSWERS WITH
RATIONALES (100% VERIFIED ANSWER) |ALREADY
GRADED A+ (BRAND NEW!!)
VERSION 1
A child with severe burns begins to exhibit decreased level of consciousnessand
lethargy four days after being admitted to the burn unit. The nurse’s assessment reveals
a low-grade fever, but the client’s other vital signs are stable. The nurse should be alert
for which potential complication?
Respiratory failure.
Dehydration.
Correct
Sepsis.
Hypovolemia.
Rationale
Dead tissue and exudate associated with burned skin provides a fertile field for bacterial growth.If the
burn site is contaminated with infectious material, sepsis may occur. Decreased level of consciousness
and lethargy are early signs of sepsis.
Question 2 of 3
The parents of a 13-year-old male client are concerned that he may not have started
puberty. The client’s stage of puberty is assessed using the Tanner scale of
development. Which type of test is performed to determine this child’sTanner stage?
Correct
Radiological examination.
Bone densitometry.
Muscle mass calculation.
Rationale
Tanner’s staging is used to assess puberty milestones and compare individuals. In males, thestages are
partly based on testes volume, which is measured with an orchidometer.
Question 3 of 3
The nurse is assessing a 16-month old child whose mother is concerned thather 16-
Orchidometry.
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month old child is not spontanesously speaking any meaningful
words. The child uses gestures and appears to have difficulty following verbal
directions. What is the next action the nurse should take?
Advise the mother to ask the primary care provider to conduct a thorough language
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assessment.
Correct
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Reassure the mother that this may be a variation of normal development.
Tell the mother that the child should see a speech pathologist before the child’ssecond
birthday.
Teach the mother that language development is not completed until 4 years of age.
Rationale
Indications for a referral for possible communication Impairment should be made if a toddler bythe age of
two is not speaking meaningful words spontaneously, consistently uses gestures rather than vocalizations,
appears to have difficulty in following verbal directions and fails to respond consistently to sound.
Question 1 of 3
The nurse is reviewing the white blood cell differential for an infant admittedfor
suspected sepsis in the client’s electronic medical record. The nurse should expect
the client to have elevated levels of which cells?
Monocytes.
Correct
Neutrophils.
Eosinophils.
Lymphocytes.
Rationale
Neutrophils are phagocytic immune cells that are recruited to sites of infection early in the immunologic
response cycle, known as the “first responders”. An acute bacterial infection increases the need for
neutrophils, so the nurse should expect a white blood cell differential thatreflects neutrophilia.
Question 2 of 3
An eighteen-month-old is put into an isolation room for suspected mumps dueto
presenting the following symptoms of parotitis, high fever, weakness
and muscle aches. Which factor should the nurse evaluate to help reduce thespread of
infection?
History of prodromal symptoms in child.
Documentation of immunization history.
Correct
Evidence of mumps in child’s school.
Rationale
Family members’ compliance with isolation measures.