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Pediatric HESI Practice Exam 2024/2025 Questions With Completed & Verified Solutions.
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Pediatric HESI Practice Exam 2024/2025 Questions With Completed & Verified Solutions.
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Pediatric HESI Practice ExamThe nurse is assessing an infant with diarrhea and lethargy. Which finding should the nurse
identify that is consistent with early dehydration?
A. Tachycardia.
B. Bradycardia.
C. Dry mucous membranes.
D. Increased skin turgor. - ANS A. Tachycardia.
While assessing the apical pulse of a 13-year-old, the nurse determines that the rate is 88
beats/minute, and the rhythm is irregular. The heart rate is phasic with respirations, increasing
during inspiration and decreasing with expiration. What action should the nurse take?
A. Continue the cardiac examination.
B. Inquire about daily caffeine intake.
C. Re-assess the apical pulse in 15 minutes.
D. Schedule a consultation with a cardiologist. - ANS A. Continue the cardiac examination.
An 8-year-old boy who is recently diagnosed with diabetes mellitus is admitted to the intensive
care unit with diabetic ketoacidosis (DKA). Which nursing action has the highest priority?
A. Place on cardiac monitor.
B. Initiate an intravenous infusion.
C. Collect specimen for serum electrolytes.
D. Obtain fingerstick glucose. - ANS B. Initiate an intravenous infusion.
A mother tells the nurse that her children are asking questions about divorce, but one male child
tells her that he is sorry that he caused the divorce of the parents. Which age group is most
likely to experience feelings of punishment or responsibity for the divorce of parents?
A. 1 year.
B. 4 years.
C. 8 years.
D. 13 years. - ANS B. 4 years.
A 14-year-old returns to the pediatric unit after corrective surgery for scoliosis. In the immediate
postoperative period, the nurse should include which action(s) in this client's plan of care?
(Select all that apply.)
Select all that apply
A. Record intake and output every 8 hours.
B. Elevate the head of the bed 30 degrees.
C. Assess bowel sounds every 4 hours.
D. Initiate a logrolling schedule every 2 hours.
E. Ambulate for 5 minutes 12 hours postoperative.
F. Give morphine sulfate 2 mg IV every 4 hours PRN.
,Rationale - ANS A. Record intake and output every 8 hours.
C. Assess bowel sounds every 4 hours.
D. Initiate a logrolling schedule every 2 hours.
F. Give morphine sulfate 2 mg IV every 4 hours PRN.
Rationale
A newborn who is breastfeeding is diagnosed with galactosemia. What action should the nurse
implement?
A. Stop the infant breastfeeding.
B. Add amino acids to breast milk.
C. Give galactokinase with breast milk.
D. Substitute a lactose-containing formula. - ANS A. Stop the infant breastfeeding.
The parents of a child with Asperger's disorder asks the nurse to explain the differences
between Asperger's and autism. Which information should the nurse share with the parents
about Asperger's disorder that is not characteristic in autism?
A. Obsession with moving objects.
B. Repetitive patterns of behavior.
C. Age-appropriate language development.
D. Stereotypic movements and speech patterns. - ANS C. Age-appropriate language
development.
The nurse notices that the hem of a skirt on a pre-adolescent girl is uneven when she comes to
the clinic. What procedure should the nurse follow to examine the girl for scoliosis? (Arrange the
examination process from first on top to last on the bottom.)
1. Ask the girl to remove her shirt but leave on her bra or swimsuit top.
2. Instruct the girl to bend at the waist so back is parallel to the floor.
3. Look for asymmetry in the hip area.
4. Examine for scapular prominence. - ANS 1. Ask the girl to remove her shirt but leave on her
bra or swimsuit top.
2. Look for asymmetry in the hip area.
3. Instruct the girl to bend at the waist so back is parallel to the floor.
4. Examine for scapular prominence.
A 3-year-old boy is brought to the emergency room because of a possible diazepam (Valium)
overdose. He is lethargic and confused, and his vital signs are: pulse rate 100 beats/minute,
respiratory rate 20 breaths/minute, and blood pressure 70/30. Which nursing intervention has
the highest priority?
A. Insert an orogastric tube for gastric lavage.
B. Prepare a set-up for an endotracheal intubation.
C. Draw blood for stat chemistries and blood gases.
D. Insert a Foley catheter to monitor renal functioning. - ANS B. Prepare a set-up for an
endotracheal intubation.
, A seven-month old infant is admitted with nonorganic failure to thrive (NFTT). To aid the child's
growth and development, which intervention is most important for the nurse to implement?
A. Encourage the parents to participate in a planned program of play with the infant.
B. Refer the parents for psychological counseling to identify parental detachment.
C. Demonstrate feeding strategies and infant cues that indicate hunger and satiation.
D. Provide instructions about formula preparation and feeding schedules. - ANS C. Demonstrate
feeding strategies and infant cues that indicate hunger and satiation.
The nurse is caring for a premature infant who needs an IV access restarted. What action
should the nurse take when using adhesive tape?
A. Remove adhesives with water, mineral oil, or petrolatum.
B. Avoid using tape and adhesives until skin is more mature.
C. Use scissors carefully to remove tape instead of pulling tape off.
D. Employ solvents to remove adhesives instead of pulling on skin. - ANS A. Remove adhesives
with water, mineral oil, or petrolatum.
The nurse is collecting a blood sample from a newborn for a screening test for phenylketonuria
(PKU). When should the nurse obtain the blood sample?
A. At birth from cord blood.
B. Fourteen days after birth.
C. Before oral feedings are initiated.
D. After ingestion of a source of protein. - ANS D. After ingestion of a source of protein.
A mother brings her 6-month-old infant to the clinic for a well-baby routine exam. Which
vaccine(s) should the nurse verify the infant has received? (Select all that apply.)
Select all that apply
A. Meningococcal polysaccharide vaccine (MPSV4).
B. Haemophilus influenzae type b conjugate vaccine (Hib).
C. Inactivated poliovirus vaccine (IPV).
D. Hepatitis B virus vaccine (HepB).
E. Diphtheria, tetanus toxoids, and acellular pertussis (DTaP).
F. Measles, mumps, and rubella vaccine (MMR). - ANS B. Haemophilus influenzae type b
conjugate vaccine (Hib).
C. Inactivated poliovirus vaccine (IPV).
D. Hepatitis B virus vaccine (HepB).
E. Diphtheria, tetanus toxoids, and acellular pertussis (DTaP).
A mother expresses concern to the nurse about the behavior of her 15-year-old adolescent who
is frequently finding fault and criticizing her. What information should the nurse provide?
A. The family value system may need to be changed to meet the teen's changing needs.
B. Teens create psychological distance from parents in order to separate from them.
C. Parents should relinquish their relationship with their teen to the teen's peers.
D. Conflicts in the parent-teen relationship are to be expected during adolescence. - ANS B.
Teens create psychological distance from parents in order to separate from them.
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