Hesi-PEDS Exam Questions and Answers With Verified Solutions 2025
-a sore throat last week - ✔✔The nurse is assessing a 9-year-old boy who has been admitted to the
hospital with possible acute post-streptococcal glomerulonephritis (APSGN). In obtaining his history,
what information is most significant?
-palpate the anterior fontanel for tension and bulging - ✔✔The nurse is measuring the frontal occipital
circumference (FOC) of a 3-months 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 important for the nurse
to take next?
9% - ✔✔a female infant recently admitted with vomiting and diarrhea now weighs 10kg. Her weight at a
previous well-baby visit was 11kg. What is the percentage of body weight loss for this infant?
-tell him to eat a sandwich and fruit before beginning the game - ✔✔A male high school student with
Type 1 diabetes tests his blood glucose level before playing a game of soccer, and he obtains a reading
of 180. Based on this reading, which action should the nurse take?
-sore throat - ✔✔A 7-year-old child is admitted to the hospital with a diagnosis of acute rheumatic fever.
In obtaining a health history from the child's mother, the recent occurrence of which illness is most
significant?
-ask if the right tests has been seen in the scrotum before. - ✔✔A mother brings her 2 month old son to
the clinic for a well baby exam. During the assessment the nurse finds that the right testicle is not
descended into the scrotum but the left is palpable. Which action should the nurse take?
-demonstrate startle reflex - ✔✔The nurse is assessing a 6-month old infant. Which response requires
further evaluation by the nurse?
-"talks" to an imaginary friend - ✔✔A 4 year old girl returns to the pediatricians office for a post op visit
following hospitalization for minor surgery. When observing the child in the waiting area, which
behavior should the nurse consider normal for this age child?
, -obtain bedside trays for intubation or tracheostomy by the healthcare provider. - ✔✔A preschool aged
child is experiencing respiratory distress is brought ti the er by the parents. The child is anxious, has a
temp of 102.8 and is drooling from the mouth while leaning forward while sitting. Which action should
the nurse prepare for the child next?
-echocardiogram - ✔✔The nurse is caring for a preschool aged child with a congenital heart defect who
is admitted with intermittent low grade fever, fatigue, and weight loss. Further physical assessment
findings include a new murmur, splinter hemorrhages under the nails, and painless red lesions on the
palms of the hands. Which diagnostic procedure should the nurse prepare the parents to expect the
healthcare provider to prescribe?
-recommend increasing daily fruits and vegetables and daily exercise - ✔✔A six year old male with the
BMI in the 90th percentile for gender and age arrives at the clinic after a referral from the school nurse.
His lab findings include hemoglobin A1c of 5.5%, blood pressure in the 50th percentile for age, height in
the 75th percentile, and LDL cholesterol of 90 mg/dL, which lifestyle modification should the nurse
discuss with the parents?
-Decreased cardiac murmur - ✔✔When administering indomethacin (Indocin) to a premature infant
who has patent ductus arteriosus, the nurse should anticipate which outcome?
-Using a large piece puzzle - ✔✔A two-year-old boy who had hypospadias repair yesterday goes to the
hospital play room with his mother. Which activities should the nurse recommend?
-Play pillows inside the side rails
-Ask the mother to release the child
-Monitor the child's airway and tongue - ✔✔Email child is being prepared for a CT scan when he begins
to have a tonic clonic seizure. His mother is hysterical. I'm trying to hold a child down. What actions
should the nurse take?
-Play the child in a quiet environment - ✔✔A child diagnosed with Kawasaki disease is brought to the
clinic. The mother reports her child is irritable, refuses to eat, it has skin peeling on both hands and feet.
Which intervention should the nurse instruct the mother to implement first?
-a sore throat last week - ✔✔The nurse is assessing a 9-year-old boy who has been admitted to the
hospital with possible acute post-streptococcal glomerulonephritis (APSGN). In obtaining his history,
what information is most significant?
-palpate the anterior fontanel for tension and bulging - ✔✔The nurse is measuring the frontal occipital
circumference (FOC) of a 3-months 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 important for the nurse
to take next?
9% - ✔✔a female infant recently admitted with vomiting and diarrhea now weighs 10kg. Her weight at a
previous well-baby visit was 11kg. What is the percentage of body weight loss for this infant?
-tell him to eat a sandwich and fruit before beginning the game - ✔✔A male high school student with
Type 1 diabetes tests his blood glucose level before playing a game of soccer, and he obtains a reading
of 180. Based on this reading, which action should the nurse take?
-sore throat - ✔✔A 7-year-old child is admitted to the hospital with a diagnosis of acute rheumatic fever.
In obtaining a health history from the child's mother, the recent occurrence of which illness is most
significant?
-ask if the right tests has been seen in the scrotum before. - ✔✔A mother brings her 2 month old son to
the clinic for a well baby exam. During the assessment the nurse finds that the right testicle is not
descended into the scrotum but the left is palpable. Which action should the nurse take?
-demonstrate startle reflex - ✔✔The nurse is assessing a 6-month old infant. Which response requires
further evaluation by the nurse?
-"talks" to an imaginary friend - ✔✔A 4 year old girl returns to the pediatricians office for a post op visit
following hospitalization for minor surgery. When observing the child in the waiting area, which
behavior should the nurse consider normal for this age child?
, -obtain bedside trays for intubation or tracheostomy by the healthcare provider. - ✔✔A preschool aged
child is experiencing respiratory distress is brought ti the er by the parents. The child is anxious, has a
temp of 102.8 and is drooling from the mouth while leaning forward while sitting. Which action should
the nurse prepare for the child next?
-echocardiogram - ✔✔The nurse is caring for a preschool aged child with a congenital heart defect who
is admitted with intermittent low grade fever, fatigue, and weight loss. Further physical assessment
findings include a new murmur, splinter hemorrhages under the nails, and painless red lesions on the
palms of the hands. Which diagnostic procedure should the nurse prepare the parents to expect the
healthcare provider to prescribe?
-recommend increasing daily fruits and vegetables and daily exercise - ✔✔A six year old male with the
BMI in the 90th percentile for gender and age arrives at the clinic after a referral from the school nurse.
His lab findings include hemoglobin A1c of 5.5%, blood pressure in the 50th percentile for age, height in
the 75th percentile, and LDL cholesterol of 90 mg/dL, which lifestyle modification should the nurse
discuss with the parents?
-Decreased cardiac murmur - ✔✔When administering indomethacin (Indocin) to a premature infant
who has patent ductus arteriosus, the nurse should anticipate which outcome?
-Using a large piece puzzle - ✔✔A two-year-old boy who had hypospadias repair yesterday goes to the
hospital play room with his mother. Which activities should the nurse recommend?
-Play pillows inside the side rails
-Ask the mother to release the child
-Monitor the child's airway and tongue - ✔✔Email child is being prepared for a CT scan when he begins
to have a tonic clonic seizure. His mother is hysterical. I'm trying to hold a child down. What actions
should the nurse take?
-Play the child in a quiet environment - ✔✔A child diagnosed with Kawasaki disease is brought to the
clinic. The mother reports her child is irritable, refuses to eat, it has skin peeling on both hands and feet.
Which intervention should the nurse instruct the mother to implement first?
