Peds HESI Final Exam
The nurse is caring for a 3 year old child who is 2 hours postop from a cardiac catheterization via the
right femoral artery. Which assessment finding is an indication of arterial obstruction?
A. Blood pressure trend is downward and pulse is rapid and irregular
B. Right foot I cool to the touch and appears pale and blanched
C. Pulse distal to the femoral artery is weaker on the left foot than right foot
D. The pressure dressing at right femoral area is moist and oozing blood - B. Right foot is cool to the
touch and appears pale and blanched
Following a motor vehicle collision, a 3 year old girl has a spica cast applied. Which toy is best for the
nurse for this 3 year old child?
A. Duck that squeaks
B. Fashion doll and clothes
C. Set of cloth and hand puppets
D. Hand held video game - C. Set of cloth and hand puppets
An infant with tetralogy of Fallot becomes acutely cyanotic and hyperpneic. Which action should the
nurse implement first?
A. Administer morphine sulphate
B. Start IV fluids
C. Place the infant in a knee-chest position
D. Provide 100% oxygen by face mask - C. Place the infant in a knee-chest position
,A child admitted with diabetic keto acidosis is demonstrating Kussmaul respirations. The nurse
determines that the increased respiratory rate is a compensatory mechanism for which acid baed
alteration?
A. Metabolic alkalosis
B. Respiratory acidosis
C. Respiratory alkalosis
D. Metabolic acidosis - D. Metabolic acidosis
A 7 year old is admitted to the hospital with persistent vomiting, and a nasogastric tube attached to low
intermittent suction is applied. Which finding is most important for the nurse to report to the healthcare
provider?
A. Gastric output of 100 mL in the last 8 hours
B. Shift intake of 640 mL IV fluids plus 30 mL PO ice chips
C. Serum potassium of 3.0 mg/dL
D. Serum pH of 7.45 - C. serum potassium of 3.0 mg/dL
The nurse is evaluating diet teaching for a client who has nontropical sprue (celiac disease). Choosing
which food indicates that the teaching has been effective?
A. Creamed corn
B. Pancakes
C. Rye crackers
D. Cooked oatmeal - A. Creamed corn
During a well-baby check, the nurse hides a block under the baby's blanket, and the baby looks for the
block. Which normal growth and development milestones is the baby developing?
, A. Separation anxiety
B. Associative play
C. Object prehension
D. Object permanence - D. Object permanence
The nurse is measuring the frontal occipital circumference (FOC) of a 3 month 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 appropriate 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 - B. Palpate the anterior fontanel for tension and
bulging
The nurse is preparing a 10 year old with a lacerated forehead for suturing. Both parents and 12 year old
sibling are at the child's bedside. Which instruction best supports family?
A. While waiting for the healthcare provider, only one visitor may stay with the child
B. All of you should leave while the healthcare provider sutures the child's forehead
C. It is best if the sibling goes to the waiting room until the suturing is completed
D. Please decide who will stay when the healthcare provider begins suturing - D. Please decide who will
stay when the healthcare provider begins suturing
The nurse is planning for a 5 month old with gastroesophageal reflux disease whose weight has
decreased by 3 ounces since the last clinic visit one month ago. To increase caloric intake and decrease
vomiting, which instructions should the nurse provide this mother?
The nurse is caring for a 3 year old child who is 2 hours postop from a cardiac catheterization via the
right femoral artery. Which assessment finding is an indication of arterial obstruction?
A. Blood pressure trend is downward and pulse is rapid and irregular
B. Right foot I cool to the touch and appears pale and blanched
C. Pulse distal to the femoral artery is weaker on the left foot than right foot
D. The pressure dressing at right femoral area is moist and oozing blood - B. Right foot is cool to the
touch and appears pale and blanched
Following a motor vehicle collision, a 3 year old girl has a spica cast applied. Which toy is best for the
nurse for this 3 year old child?
A. Duck that squeaks
B. Fashion doll and clothes
C. Set of cloth and hand puppets
D. Hand held video game - C. Set of cloth and hand puppets
An infant with tetralogy of Fallot becomes acutely cyanotic and hyperpneic. Which action should the
nurse implement first?
A. Administer morphine sulphate
B. Start IV fluids
C. Place the infant in a knee-chest position
D. Provide 100% oxygen by face mask - C. Place the infant in a knee-chest position
,A child admitted with diabetic keto acidosis is demonstrating Kussmaul respirations. The nurse
determines that the increased respiratory rate is a compensatory mechanism for which acid baed
alteration?
A. Metabolic alkalosis
B. Respiratory acidosis
C. Respiratory alkalosis
D. Metabolic acidosis - D. Metabolic acidosis
A 7 year old is admitted to the hospital with persistent vomiting, and a nasogastric tube attached to low
intermittent suction is applied. Which finding is most important for the nurse to report to the healthcare
provider?
A. Gastric output of 100 mL in the last 8 hours
B. Shift intake of 640 mL IV fluids plus 30 mL PO ice chips
C. Serum potassium of 3.0 mg/dL
D. Serum pH of 7.45 - C. serum potassium of 3.0 mg/dL
The nurse is evaluating diet teaching for a client who has nontropical sprue (celiac disease). Choosing
which food indicates that the teaching has been effective?
A. Creamed corn
B. Pancakes
C. Rye crackers
D. Cooked oatmeal - A. Creamed corn
During a well-baby check, the nurse hides a block under the baby's blanket, and the baby looks for the
block. Which normal growth and development milestones is the baby developing?
, A. Separation anxiety
B. Associative play
C. Object prehension
D. Object permanence - D. Object permanence
The nurse is measuring the frontal occipital circumference (FOC) of a 3 month 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 appropriate 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 - B. Palpate the anterior fontanel for tension and
bulging
The nurse is preparing a 10 year old with a lacerated forehead for suturing. Both parents and 12 year old
sibling are at the child's bedside. Which instruction best supports family?
A. While waiting for the healthcare provider, only one visitor may stay with the child
B. All of you should leave while the healthcare provider sutures the child's forehead
C. It is best if the sibling goes to the waiting room until the suturing is completed
D. Please decide who will stay when the healthcare provider begins suturing - D. Please decide who will
stay when the healthcare provider begins suturing
The nurse is planning for a 5 month old with gastroesophageal reflux disease whose weight has
decreased by 3 ounces since the last clinic visit one month ago. To increase caloric intake and decrease
vomiting, which instructions should the nurse provide this mother?
