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NGN RN HESI PEDIATRICS EXAM QUESTIONS AND EXPLAINED ANSWERS 2025 (best answers)

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NGN RN HESI PEDIATRICS EXAM QUESTIONS AND EXPLAINED ANSWERS 2025 (correct answers)

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  • 5 juin 2024
  • 17 décembre 2024
  • 24
  • 2023/2024
  • Examen
  • Questions et réponses

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NGN RN HESI PEDIATRICS EXAM QUESTIONS
AND EXPLAINED ANSWERS 2025

1. Question:
A 3-year-old child is brought to the pediatrician with a fever, cough, and a red rash
that started on the face and spread to the body. What is the most likely diagnosis?
A) Chickenpox
B) Measles
C) Rubella
D) Hand, Foot, and Mouth Disease
Answer: B) Measles
Rationale: Measles is characterized by a fever, cough, conjunctivitis, and a red,
blotchy rash that starts on the face and spreads to the rest of the body. The
presence of Koplik spots in the mouth, along with the symptoms, supports the
diagnosis.


2. Question:
A nurse is caring for a 4-month-old infant who is being evaluated for failure to
thrive. The nurse is preparing to educate the parents about proper feeding
practices. What is the most important information to include in the teaching?
A) The infant should be fed solid foods immediately.
B) The infant should be breastfed or formula-fed exclusively until 6 months.
C) The infant should be weaned to cow's milk immediately.
D) The infant should be fed every 4 hours, including at night.
Answer: B) The infant should be breastfed or formula-fed exclusively until 6
months.
Rationale: Breast milk or formula should be the sole source of nutrition for infants
until 6 months of age to ensure proper growth and development. Introducing
solids too early can interfere with proper nutrition.

,3. Question:
A nurse is assessing a child who has been diagnosed with asthma. The child
reports wheezing, chest tightness, and difficulty breathing. Which of the following
actions should the nurse take first?
A) Administer a bronchodilator.
B) Encourage the child to drink fluids.
C) Offer a snack.
D) Provide a quiet environment.
Answer: A) Administer a bronchodilator.
Rationale: The priority intervention for a child experiencing asthma symptoms is
to administer a bronchodilator to relieve bronchospasm and improve airflow. This
helps to address the immediate breathing difficulty.


4. Question:
A nurse is caring for a 2-year-old child who is scheduled for surgery. Which of the
following is the most appropriate action to take before surgery?
A) Allow the child to select a favorite toy to bring to surgery.
B) Explain the entire surgical procedure in detail to the child.
C) Provide the child with a small meal 2 hours before surgery.
D) Administer preoperative medications without explanation.
Answer: A) Allow the child to select a favorite toy to bring to surgery.
Rationale: Providing comfort items like a favorite toy helps reduce anxiety in
young children. Explaining the entire surgical procedure in detail is unnecessary
for a 2-year-old. The child should not eat before surgery, and medications should
always be explained when possible.


5. Question:

,A 5-year-old child is diagnosed with chickenpox. The nurse is providing discharge
instructions. Which statement by the parent indicates the need for further
teaching?
A) "I should keep the child home from school until the last blister crusts over."
B) "I can give the child a bath with cool water and baking soda."
C) "I will keep the child isolated from others, especially pregnant women."
D) "I should allow the child to scratch the blisters to reduce itching."
Answer: D) "I should allow the child to scratch the blisters to reduce itching."
Rationale: Scratching the blisters can cause secondary infections and scarring. The
child should be advised to use soothing measures like cool baths, calamine lotion,
and antihistamines to relieve itching.


6. Question:
A 9-year-old child with diabetes mellitus is experiencing a hypoglycemic episode.
Which of the following is the most appropriate intervention?
A) Administer 1/2 cup of orange juice.
B) Administer 1/4 cup of regular soda.
C) Administer 10 units of insulin.
D) Administer 1 cup of water.
Answer: A) Administer 1/2 cup of orange juice.
Rationale: For hypoglycemia, the child should receive a fast-acting carbohydrate,
such as orange juice or glucose tablets, to raise blood sugar levels. Insulin should
not be administered during hypoglycemia, and water does not provide glucose.


7. Question:
A 12-year-old child is admitted with suspected appendicitis. Which finding should
the nurse expect?
A) Severe headache
B) Right lower quadrant abdominal pain

, C) Tenderness in the upper right abdomen
D) Nausea with vomiting, but no pain
Answer: B) Right lower quadrant abdominal pain
Rationale: The classic sign of appendicitis is right lower quadrant abdominal pain,
often accompanied by nausea and vomiting. Pain typically starts near the
umbilicus and later localizes to the lower right abdomen (McBurney's point).


8. Question:
A nurse is caring for a child with a history of dehydration. Which of the following is
the most important indicator of fluid status for this child?
A) Skin turgor
B) Urine output
C) Weight changes
D) Blood pressure
Answer: C) Weight changes
Rationale: Weight changes are the most accurate measure of fluid status in
children. A sudden weight loss or gain indicates fluid imbalance. Skin turgor, urine
output, and blood pressure are also important but are less reliable than weight
changes.


9. Question:
A 7-year-old child presents with a painful, swollen knee after a fall. The nurse
suspects a fracture. Which of the following is the most appropriate initial action?
A) Apply a warm compress to the knee.
B) Immobilize the knee and elevate the leg.
C) Massage the knee to reduce swelling.
D) Administer analgesics immediately.
Answer: B) Immobilize the knee and elevate the leg.
Rationale: Immobilizing the injured area prevents further injury and reduces the

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