WGU D446 PEDs HESI Practice Test EXAM TEST BANK
2026/2027 AND HIGH YIELD PRACTICE QUESTIONS
COMPLETE ACCURATE EXAM APPROVED QUESTIONS
AND CORRECT VERIFIED SOLUTIONS (100% CORRECT
VERIFIED ANSWERS) CURRENTLY UPDATED VERSION
2026 EDITION
The vital signs of a 4-year-old child with polyuria are: BP 80/40, Pulse 118,
and Respirations 24. The child's pedal pulses are present with a volume of
+1, and no edema is observed. What action should the nurse implement
first?
A. Insert an indwelling urinary catheter.
B. Start an IV infusion of normal saline.
C. Send a specimen to the lab for urinalysis.
D. Document the child's vital signs and pulses.
B. Start an IV infusion of normal saline.
A 3-week-old newborn is brought to the clinic for follow-up after a home
birth. The mother reports that her child bottle feeds for 5 minutes only
and then falls asleep. The nurse auscultates a loud murmur characteristic
of a ventricular septal defect (VSD), and finds the newborn is acyanotic
with a respiratory rate of 64 breaths per minute. What instruction should
the nurse provide the mother to ensure the infant is receiving adequate
intake? (Select all that apply.)
A. Monitor the the infant's weight and number of wet diapers per day.
B. Increase the infant's intake per feeding by 1 to 2 ounces per week.
C. Mix the dose of prophylactic antibiotic in a full bottle of formula.
D. Allow the infant to rest and refeed on demand or every 2 hours.
E. Use a softer nipple or increase the size of the nipple opening.
A. Monitor the the infant's weight and number of wet diapers per day.
B. Increase the infant's intake per feeding by 1 to 2 ounces per week.
D. Allow the infant to rest and refeed on demand or every 2 hours.
E. Use a softer nipple or increase the size of the nipple opening.
,When discussing discipline with the mother of a 4-year-old child, the
nurse should include which guideline?
A. Parental control should be consistent.
B. Children as young as 4 years rarely need reprimand or punishment.
C. Withdrawal of approval is effective.
D. Parents should enforce rigid rules to be followed without question.
A. Parental control should be consistent.
Which action by the nurse is most helpful in communicating with a
preschool-aged child?
A. Speak clearly and directly to the child.
B. Use a doll to play and communicate.
C. Approach when a parent is not present.
D. Play a board game with the child.
B. Use a doll to play and communicate.
The nurse is having difficulty communicating with a hospitalized 6-year-
old child. Which approach by the nurse is most helpful in establishing
communication?
A. Engage the child through drawing pictures.
B. Suggest that the parent read a book to the child.
C. Provide paper and pencil for the child to keep a diary.
D. Ask the parent if the child is always uncommunicative.
A. Engage the child through drawing pictures.
, A child falls on the playground and is brought to the school nurse with a
small laceration on the forearm. Which action should the nurse
implement first?
A. Slowly pour hydrogen peroxide over the open wound.
B. Apply ice to the area before rinsing with cold water.
C. Wash the wound gently with mild soap and water.
D. Gently cleanse with a sterile pad using povidone-iodine.
C. Wash the wound gently with mild soap and water.
A 6-year-old is admitted to the pediatric unit after falling off a bicycle.
Which intervention should the nurse implement to assist the child's
adjustment to hospitalization?
A. Explain hospital schedules to the child, such as mealtimes.
B. Use terms, such as "honey" and "dear," to show a caring attitude.
C. Provide a list of rules that limits visitation of siblings in the hospital.
D. Orient the parents to the hospital unit and refreshment areas.
A. Explain hospital schedules to the child, such as mealtimes.
A 16-year-old is brought to the Emergency Center with a crushed leg
after falling off a horse. The adolescent's last tetanus toxoid booster was
received eight years ago. What action should the nurse take?
A. Dispense a tetanus antitoxin.
B. Prepare human tetanus immune globulin.
C. Administer tetanus toxoid booster.
D. Delay the tetanus toxoid booster until due.
C. Administer tetanus toxoid booster.
2026/2027 AND HIGH YIELD PRACTICE QUESTIONS
COMPLETE ACCURATE EXAM APPROVED QUESTIONS
AND CORRECT VERIFIED SOLUTIONS (100% CORRECT
VERIFIED ANSWERS) CURRENTLY UPDATED VERSION
2026 EDITION
The vital signs of a 4-year-old child with polyuria are: BP 80/40, Pulse 118,
and Respirations 24. The child's pedal pulses are present with a volume of
+1, and no edema is observed. What action should the nurse implement
first?
A. Insert an indwelling urinary catheter.
B. Start an IV infusion of normal saline.
C. Send a specimen to the lab for urinalysis.
D. Document the child's vital signs and pulses.
B. Start an IV infusion of normal saline.
A 3-week-old newborn is brought to the clinic for follow-up after a home
birth. The mother reports that her child bottle feeds for 5 minutes only
and then falls asleep. The nurse auscultates a loud murmur characteristic
of a ventricular septal defect (VSD), and finds the newborn is acyanotic
with a respiratory rate of 64 breaths per minute. What instruction should
the nurse provide the mother to ensure the infant is receiving adequate
intake? (Select all that apply.)
A. Monitor the the infant's weight and number of wet diapers per day.
B. Increase the infant's intake per feeding by 1 to 2 ounces per week.
C. Mix the dose of prophylactic antibiotic in a full bottle of formula.
D. Allow the infant to rest and refeed on demand or every 2 hours.
E. Use a softer nipple or increase the size of the nipple opening.
A. Monitor the the infant's weight and number of wet diapers per day.
B. Increase the infant's intake per feeding by 1 to 2 ounces per week.
D. Allow the infant to rest and refeed on demand or every 2 hours.
E. Use a softer nipple or increase the size of the nipple opening.
,When discussing discipline with the mother of a 4-year-old child, the
nurse should include which guideline?
A. Parental control should be consistent.
B. Children as young as 4 years rarely need reprimand or punishment.
C. Withdrawal of approval is effective.
D. Parents should enforce rigid rules to be followed without question.
A. Parental control should be consistent.
Which action by the nurse is most helpful in communicating with a
preschool-aged child?
A. Speak clearly and directly to the child.
B. Use a doll to play and communicate.
C. Approach when a parent is not present.
D. Play a board game with the child.
B. Use a doll to play and communicate.
The nurse is having difficulty communicating with a hospitalized 6-year-
old child. Which approach by the nurse is most helpful in establishing
communication?
A. Engage the child through drawing pictures.
B. Suggest that the parent read a book to the child.
C. Provide paper and pencil for the child to keep a diary.
D. Ask the parent if the child is always uncommunicative.
A. Engage the child through drawing pictures.
, A child falls on the playground and is brought to the school nurse with a
small laceration on the forearm. Which action should the nurse
implement first?
A. Slowly pour hydrogen peroxide over the open wound.
B. Apply ice to the area before rinsing with cold water.
C. Wash the wound gently with mild soap and water.
D. Gently cleanse with a sterile pad using povidone-iodine.
C. Wash the wound gently with mild soap and water.
A 6-year-old is admitted to the pediatric unit after falling off a bicycle.
Which intervention should the nurse implement to assist the child's
adjustment to hospitalization?
A. Explain hospital schedules to the child, such as mealtimes.
B. Use terms, such as "honey" and "dear," to show a caring attitude.
C. Provide a list of rules that limits visitation of siblings in the hospital.
D. Orient the parents to the hospital unit and refreshment areas.
A. Explain hospital schedules to the child, such as mealtimes.
A 16-year-old is brought to the Emergency Center with a crushed leg
after falling off a horse. The adolescent's last tetanus toxoid booster was
received eight years ago. What action should the nurse take?
A. Dispense a tetanus antitoxin.
B. Prepare human tetanus immune globulin.
C. Administer tetanus toxoid booster.
D. Delay the tetanus toxoid booster until due.
C. Administer tetanus toxoid booster.
