Pediatric HESI T E S T B A N K F I N A L 2 0 2 0 2 7 A N D
HIGH YIELD PRACTICE QUESTIONS COMPLETE
ACCURATE EXAM APPROVED QUESTIONS AND
CORRECT VERIFIED SOLUTIONS (100% CORRECT
VERIFIED ANSWERS) CURRENTLY UPDATED
VERSION 2026 EDITION |GUARANTEED PASS –
Western Governors University D 446
A nurse is preparing to end the shift and receives a lab report stating that
a child with asthma has a theophylline level of 15 mcg/dL. Which action
should the nurse take?
A.Communicate the result to the oncoming nurse and document.
B.Tell the oncoming nurse that the level is dangerously high.
C.Ask the laboratory to redo the test because the result is faulty.
D.Hold the next dose of theophylline based on this finding.
ANS: A
The therapeutic level of theophylline is 10 to 20 mcg/dL, so the child's
level is within the therapeutic range. This information evaluates the
prescribed therapy and should be communicated in the nurse's report
(A). Based on the laboratory finding, (B, C, and D) are not indicated.
,Following the administration of immunizations to a 6-month-old girl, the
nurse provides the family with home care instructions. Which statement
by the mother indicates that further teaching is needed?
A. "I will give her a baby aspirin every 4 hours as needed for fever."
B. "I will call the clinic if her cry becomes high-pitched or unusual."
C. "I know I can expect her to be irritable over the next 2 days."
D. "I will exercise her legs regularly to decrease the soreness."
ANS: A
Although fever may occur, non-aspirin-containing medications should be
used because of the risk of Reye's syndrome (A). (B) indicates a severe
reaction, whereas (C) is a common side effect. (D) decreases soreness in
the thigh injection site.
Ampicillin, 75 mg/kg, is prescribed for a 22-lb child. It is available in a
solution that contains 250 mg/5 mL. How many milliliters should the
nurse administer in one dose?
A.10
B.15
C.20
D.25
ANS: B
,An infant is receiving digoxin (Lanoxin) for congestive heart failure. The
apical heart rate is assessed at 80 beats/min. What intervention should
the nurse implement?
A. Call for a portable chest radiograph.
B. Obtain a therapeutic drug level.
C. Reassess the heart rate in 30 minutes.
D.Administer digoxin immune Fab (Digibind) stat.
ANS: B
Sinus bradycardia (heart rate < 90 to 110 beats/min in an infant) is an
indication of digoxin toxicity, so assessment of the client's digoxin level
has the highest priority (B). (A) is not indicated at this time. (C) provides
helpful assessment data but does not address the cause of the problem
and delays needed intervention. (D) is indicated for a serious, life-
threatening overdose with digoxin.
, The nurse notes that a 16-year-old male client is refusing visits from his
classmates. Further assessment reveals that he is concerned about his
edematous facial features. Based on these assessment findings, the nurse
should plan interventions related to which nursing diagnosis?
A. Social isolation
B. Altered health maintenance
C.Knowledge deficit
D.Ineffective coping
ANS: A
Peer acceptance and body image are significant issues in the growth and
development of adolescents. (A) addresses the problem of a lack of
contact with peers stemming from his desire to protect his ego. (B, C, and
D) are not supported by the assessment finding.
HIGH YIELD PRACTICE QUESTIONS COMPLETE
ACCURATE EXAM APPROVED QUESTIONS AND
CORRECT VERIFIED SOLUTIONS (100% CORRECT
VERIFIED ANSWERS) CURRENTLY UPDATED
VERSION 2026 EDITION |GUARANTEED PASS –
Western Governors University D 446
A nurse is preparing to end the shift and receives a lab report stating that
a child with asthma has a theophylline level of 15 mcg/dL. Which action
should the nurse take?
A.Communicate the result to the oncoming nurse and document.
B.Tell the oncoming nurse that the level is dangerously high.
C.Ask the laboratory to redo the test because the result is faulty.
D.Hold the next dose of theophylline based on this finding.
ANS: A
The therapeutic level of theophylline is 10 to 20 mcg/dL, so the child's
level is within the therapeutic range. This information evaluates the
prescribed therapy and should be communicated in the nurse's report
(A). Based on the laboratory finding, (B, C, and D) are not indicated.
,Following the administration of immunizations to a 6-month-old girl, the
nurse provides the family with home care instructions. Which statement
by the mother indicates that further teaching is needed?
A. "I will give her a baby aspirin every 4 hours as needed for fever."
B. "I will call the clinic if her cry becomes high-pitched or unusual."
C. "I know I can expect her to be irritable over the next 2 days."
D. "I will exercise her legs regularly to decrease the soreness."
ANS: A
Although fever may occur, non-aspirin-containing medications should be
used because of the risk of Reye's syndrome (A). (B) indicates a severe
reaction, whereas (C) is a common side effect. (D) decreases soreness in
the thigh injection site.
Ampicillin, 75 mg/kg, is prescribed for a 22-lb child. It is available in a
solution that contains 250 mg/5 mL. How many milliliters should the
nurse administer in one dose?
A.10
B.15
C.20
D.25
ANS: B
,An infant is receiving digoxin (Lanoxin) for congestive heart failure. The
apical heart rate is assessed at 80 beats/min. What intervention should
the nurse implement?
A. Call for a portable chest radiograph.
B. Obtain a therapeutic drug level.
C. Reassess the heart rate in 30 minutes.
D.Administer digoxin immune Fab (Digibind) stat.
ANS: B
Sinus bradycardia (heart rate < 90 to 110 beats/min in an infant) is an
indication of digoxin toxicity, so assessment of the client's digoxin level
has the highest priority (B). (A) is not indicated at this time. (C) provides
helpful assessment data but does not address the cause of the problem
and delays needed intervention. (D) is indicated for a serious, life-
threatening overdose with digoxin.
, The nurse notes that a 16-year-old male client is refusing visits from his
classmates. Further assessment reveals that he is concerned about his
edematous facial features. Based on these assessment findings, the nurse
should plan interventions related to which nursing diagnosis?
A. Social isolation
B. Altered health maintenance
C.Knowledge deficit
D.Ineffective coping
ANS: A
Peer acceptance and body image are significant issues in the growth and
development of adolescents. (A) addresses the problem of a lack of
contact with peers stemming from his desire to protect his ego. (B, C, and
D) are not supported by the assessment finding.
