HESI PEDIATRIC PRACTICE EXAM QUESTIONS AND CORRECT VERIFIED ANSWERS

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HESI PEDIATRIC PRACTICE EXAM QUESTIONS AND CORRECT VERIFIED ANSWERS

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2025/2026

Institution HESI Peds & Maternity

Course HESI Peds & Maternity

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HESI PEDIATRIC PRACTICE EXAM QUESTIONS AND CORRECT VERIFIED ANSWERS

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HESI PEDIATRIC PRACTICE EXAM
QUESTIONS AND CORRECT VERIFIED
ANSWERS
TheA2nurseA2isA2givingA2pre-
opA2instructionsA2toA2aA214A2yrA2oldA2femaleA2scheduledA2forA2surgeryA2toA2correctA2aA2spi
nalA2curvature.A2WhichA2stmtA2bestA2demonstratesA2thatA2leaningA2hasA2takenA2place?A2-
A2Ans--"IA2understandA2thatA2IA2willA2beA2inA2aA2bodyA2castA2andA2IA2willA2showA2youA2howA
2youA2taughtA2meA2toA2turn"

ToA2takeA2theA2v/
sA2ofA2aA24A2monthA2old,A2whichA2orderedA2willA2giveA2theA2mostA2accurateA2results?A2-
A2Ans--RRA2-A2HRA2-A2rectalA2temp

DuringA2routineA2screeningA2atA2aA2schoolA2clinic,A2anA2otoscopeA2examA2revealsA2aA2tym
panicA2mbA2thatA2isA2pearlyA2gray,A2slightlyA2bulging,A2andA2notA2movable.A2WhatA2actionA
2shouldA2theA2nurseA2takeA2next?A2-A2Ans--
AskA2theA2childA2ifA2theyA2haveA2hadA2aA2cold,A2runnyA2nose,A2orA2anyA2earA2painA2lately

WhichA2restraintA2shouldA2beA2usedA2forA2aA2toddlerA2afterA2aA2cleftA2palateA2repair?A2-
A2Ans--Elbow

WhatA2pre-
opA2nsgA2interventionA2shouldA2beA2includedA2inA2theA2POCA2forA2anA2infantA2w/
A2pyloricA2stenosis?A2-A2Ans--ObserveA2forA2projectileA2vomiting

(rememberA2thatA2projectileA2vomitingA2leadsA2toA2metabolicA2alkalosis)

AA26A2monthA2oldA2returnsA2fromA2surgeryA2w/
A2elbowA2restraintsA2inA2place.A2WhatA2nsgA2careA2shouldA2beA2includedA2whenA2caringA2f
orA2anyA2restrainedA2child?A2-A2Ans--
RemoveA2theA2restraintsA2oneA2atA2aA2timeA2andA2provideA2ROMA2exercises

(RemovingA2themA21A2atA2aA2timeA2isA2saferA2thanA2allA2atA2once)

AA22A2yrA2oldA2w/
A2DownA2syndromeA2isA2broughtA2toA2theA2clinicA2forA2hisA2regularA2physicalA2exam.A2TheA
2nurseA2knowsA2whichA2problemA2isA2requentlyA2associatedA2w/A2Downs?A2-A2Ans--
CongenitalA2heartA2disease

(CHDA2isA2theA2mostA2commonA2associatedA2defectA2w/A2Downs.A2-
A2also,A2rememberA2ProfessorA2MooreA2saidA2thatA2heartA2andA2earA2problemsA2goA2hand
A2inA2hand)

,WhenA2assessingA2aA2childA2w/
A2asthma,A2theA2nurseA2shouldA2expectA2intercostalA2retractionsA2duringA2-A2Ans--
Inspriation

WhenA2planningA2theA2careA2forA2aA2childA2whoA2hasA2hadA2aA2cleftA2lipA2repair,A2theA2nurs
eA2knowA2thatA2cryingA2shouldA2beA2minimizedA2becauseA2itA2-A2Ans--
StressesA2theA2sutureA2line

AA2full-
termA2infantA2isA2admittedA2toA2theA2newbornA2nursery.A2AfterA2carefulA2assessment,A2the
A2nurseA2suspectsA2thatA2theA2infantA2mayA2haveA2anA2esophagealA2atresia.A2WhichA2sx'sA
2isA2thisA2newbornA2likelyA2toA2haveA2exhibited?A2-A2Ans--
ChokingA2,A2coughing,A2andA2cyanosis

(thisA2answerA2includesA2theA23A2"C"sA2ofA2esophagealA2atresiaA2causedA2byA2theA2overflo
wA2ofA2secretionsA2toA2theA2trachea)

WhichA2behaviorA2wouldA2theA2nurseA2expectA2aA22A2yrA2oldA2toA2exhibit?A2-A2Ans--
DisplayA2possessivenessA2ofA2toys

(theyA2areA2egocentricA2andA2unableA2toA2shareA2w/A2others)

theA2otherA2ofA2aA2preschool-
agedA2childA2asksA2theA2nurseA2ifA2itA2isA2allA2rightA2toA2administerA2PeptoA2BismolA2toA2her
A2sonA2whenA2heA2hasA2aA2tummyA2ache.A2AfterA2remindingA2herA2toA2checkA2theA2labelA2o
fA2allA2OTCA2medsA2forA2theA2presenceA2ofA2ASA,A2whichA2instructionA2shouldA2theA2nurse
A2includeA2whenA2replyingA2toA2theA2mom'sA2question?A2-A2Ans--
DoA2notA2giveA2ifA2theyA2haveA2chickenA2pox,A2theA2flue,A2orA2anyA2otherA2viralA2illness

(ASAA2canA2causeA2Reye'sA2syndrome)

theA2nurseA2observesA2aA24A2yrA2oldA2boyA2inA2aA2daycare.A2WhichA2behaviorA2shouldA2the
A2nurseA2considerA2normalA2forA2thisA2child?A2-A2Ans--
DemonstratesA2aggressivenessA2byA2boastingA2whenA2tellingA2aA2story

AA2burnedA2childA2isA2broughtA2toA2theA2ER.A2InA2estimatingA2theA2%A2ofA2bodyA2burned,A2t
heA2nurseA2usesA2aA2modifiedA2"RuleA2ofA2Nines."A2WhichA2partA2ofA2theA2bodyA2isA2calcul
atedA2asA2aA2largerA2%A2ofA2totalA2bodyA2surfaceA2thanA2anA2adult?A2-A2Ans--
HeadA2andA2neck

(aA2child'sA2headA2andA2neckA2areA2proportionatelyA2largerA2toA2theirA2bodyA2thanA2anA2ad
ult's)

TheA2nurseA2receivesA2aA2labA2reportA2statingA2aA2childA2w/
A2asthmaA2hasA2aA2theophyllineA2levelA2ofA215mcg/
dL.A2WhatA2actionA2willA2theA2nurseA2take?A2-A2Ans--PassA2theA2infoA2onA2inA2theA2report

, (therapeuticA2levelA2isA210-20)

AA212A2monthA2oldA2isA2admittedA2w/
A2aA2respiratoryA2infectionA2andA2possibleA2pneumonia.A2HeA2isA2placedA2inA2aA2mistA2tent
A2w/A2O2.A2WhichA2nsgA2interventionA2hasA2theA2greatestA2priority?A2-A2Ans--
HaveA2aA2bulbA2syringeA2readilyA2availableA2toA2removeA2secretions

(patentA2airwayA2hasA2theA2highestA2priority.A2HumidificationA2willA2liquefyA2theA2nasalA2se
cretionsA2-
A2therebyA2increasingA2theA2amtA2ofA2secretionsA2andA2makingA2thatA2aA2priority)

AllA2ofA2theA2followingA2interventionsA2canA2beA2usedA2toA2evalA2theA2effectivenessA2ofA2ns
gA2andA2medicalA2interventionsA2usedA2toA2txA2diarrhea.A2WhichA2interventionA2isA2theA2le
astA2usefulA2inA2theA2nurse'sA2evalA2ofA2aA220A2monthA2oldA2child?A2-A2Ans--
AssessingA2theA2fontanels

(WeighingA2diapers,A2checkingA2skinA2turgor,A2andA2observingA2mucousA2mb'sA2forA2moist
ureA2evaluateA2fluidA2statusA2inA2infants.A2ButA2howA2oldA2isA2thisA2child?
A2PosteriorA2fontanelA2closesA2atA22A2monthsA2andA2anteriorA2closesA2byA218A2months)

AA25A2monthA2oldA2isA2admittedA2toA2theA2hospitalA2w/
A2vomitingA2andA2diarrhea.A2TheA2dr.A2prescribesA2dextroseA25%A2andA20.25%A2NSA2w/
A22A2mEqA2KCl/A2100mlA2toA2beA2infusedA2atA225mL/
hr.A2PriorA2toA2initiatingA2theA2infusion,A2theA2nurseA2shouldA2obtainA2whichA2assessmentA2
finding?A2-A2Ans--SerumA2BUNA2andA2creatinineA2levels

(RegardlessA2ofA2theA2age,A2adequateA2renalA2fxnA2mustA2beA2presentA2b/
fA2addingA2K+A2IVF)

TheA2nurseA2isA2assigningA2careA2forA2aA24A2yrA2oldA2w/
A2otitisA2mediaA2andA2isA2concernedA2aboutA2theA2child'sA2increasingA2tempA2overA2theA2la
stA224A2hrs.A2WhenA2planningA2careA2forA2thisA2child,A2itA2isA2importantA2forA2theA2nurseA2to
A2considerA2thatA2-A2Ans--
aA2tympanicA2measurementA2ofA2tempA2willA2provideA2theA2mostA2accurateA2reading

(AA2tympanicA2mbA2sensorA2isA2anA2excellentA2siteA2becauseA2bothA2theA2eardrumA2andA2
hypothalamusA2(tempA2regulatingA2center)A2areA2perfusedA2byA2theA2sameA2circulation.A2t
heA2sensorA2isA2unaffectedA2byA2theA2cerumenA2andA2theA2presenceA2ofA2suppurativeA2orA
2unsuppurativeA2otitisA2mediaA2doesA2notA2effectA2measurement.A2RULEA2OFA2THUMB:A2
forA2mgmtA2-
sterileA2proceduresA2shouldA2beA2assignedA2toA2licensedA2personnel.A2MgmgA2skillsA2beA2
beA2testedA2onA2theA2NCLEX.A2AnA2RNA2isA2notA2required)

TheA2nurseA2isA2assessingA2anA28A2monthA2oldA2whoA2hasA2aA2medicalA2dxA2ofA2Tetrology
A2ofA2Fallow.A2WhichA2sxA2isA2thisA2clientA2likelyA2toA2exhibit?A2-A2Ans--ClubbedA2fingers

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Number of pages: 16
Written in: 2025/2026
Type: Exam (elaborations)
Contains: Questions & answers

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