Peds Hesi Exam Study Questions and Answers
with Complete Solutions
Graded A 2026/2027
Thenurseiscaringfora3-
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yearoldchildwhois2hourspostopfromacardiac catheterizationviatheright femoralartery. Which
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assessmentfinding is anindicationof arterial obstruction? sw sw w
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A.Bloodpressuretrendisdownwardandpulseis rapidandirregular.
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B.Rightsw cooltothetouchand andblanched.
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C.Pulsedistaltothefemoralarteryisweakeronthe
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D.Thepressuredressing
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Answer✔B sw
Followingamotorvehiclecollision,a3-yearoldgirlhasaspicacastapplied.Whichtoy
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forthenurseforthis3yearoldchild? sw w
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A. sw squeaks.
B.Fashiondollandclothes.
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C. clothandhandpuppets.
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D.Handheldvideogame.-CorrectAnswer✔C
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An tetralogyof
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actionshouldthenurse sw w
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A.Administermorphinesulphate.
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B. swfluids.
C.Placethe sw aknee- sw w
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D.Provide100%oxygenbyfacemask.-
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Achild admitted with sw sw sw Kussmaulrespirations. The sw sw
increasedrespiratoryrateis w
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whichacidbasealteration? sw sw w
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A.Metabolicalkalosis.
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B.Respiratoryacidosis.
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C.Respiratoryalkalosis.
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D.Metabolicacidosis.-Correct Answer✔D
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7 yearsold is admitted to thehospital with persistent vomiting, andanasogastric tube attache d
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to low intermittent suction is applied. Which finding is most important for the nurse to report to the
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healthcare provider? sw
A. Gastric output of100mLinthelast8hours.
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B. Shiftintakeof640mLIVfluidsplus 30mLPOicechips.
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C. Serumpotassiumof3.0mg/dL.
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D. SerumpHof7.45.-Correct Answer✔C
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,Peds HESI
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, Thenurseisevaluatingdietteachingforaclientwhohasnontropicalsprue(celiac disease). Ch
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oosing which food indicates thattheteachinghas been effective?
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A. creamedcorn
B. pancakes
C. Ryecrackers sw
D. cookedoatmeal-CorrectAnswer✔A sw w
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Duringawell- sw sw
babycheck,thenursehidesablockunderthebaby'sblanket,andthebabylooksforthebloc
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k.Whichnormalgrowthanddevelopmentmilestoneisthebabydeveloping?
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A.Separationanxiety.
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B.Associativeplay.
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D. sw - ✔D
Thenurseismeasuringthefrontaloccipitalcircumference(FOC)ofa3-monthsold sw w
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infant,andnotesthattheFOChasincreased5inchessincebirthandthechild'shead
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appearslargeinrelationtobodysize.Whichaction thenurseto
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takenext? sw
A.Measuretheinfant'shead-to-toelength.
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B.Palpatetheanteriorfontanelfortensionandbulging.
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C.Observethe
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D. sw measurementontheinfant'sgrowthchart.- ✔B w
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Thenurseispreparinga10yearoldwithalaceratedforeheadforsuturing.Both parentssw w
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and12yearoldsiblingare
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supportsfamily? sw
Whilewaiting provider,onlyonevisitormaystaywiththechild.
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Allofyoushouldleavewhilethehealthcareprovidersuturesthechild'sforehead.
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C.Itissw thesibling
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D.Pleasedecidewhowillstaywhenthehealthcareproviderbeginssuturing -Correct
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Answer✔D sw
Thenurseisplanningfora5- diseasewhose
decreasedby sincethe visit ago. w
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decreasevomiting, should providethis w
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mother?
A. Givesmallamountsofbabyfoodwitheachfeeding. sw w
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B. Thickenformulawithcerealforeachfeeding. w
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C. Dilutethechildsformulawithequalpartsofwater. sw w
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D. Offer10%dextroseinwaterbetweenmostfeedings. -Correct Answer✔B w
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While teaching a parenting class to new parents the nurse describes the needs of infants a nd t
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oddlers regarding discipline and limit setting.What is themostimportant reason for imp lemen
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ting such parenting behaviors?
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A. Childrenneedhelpindevelopingsocialskills. w
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with Complete Solutions
Graded A 2026/2027
Thenurseiscaringfora3-
sw sw w
s w
s w
s w
s
yearoldchildwhois2hourspostopfromacardiac catheterizationviatheright femoralartery. Which
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s w
s w
s w
s w
s sw sw df sw sw sw df sw sw
assessmentfinding is anindicationof arterial obstruction? sw sw w
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s sw sw
A.Bloodpressuretrendisdownwardandpulseis rapidandirregular.
sw sw w
s w
s sw sw sw df sw sw
B.Rightsw cooltothetouchand andblanched.
sw w
s w
s w
s w
s w
s
C.Pulsedistaltothefemoralarteryisweakeronthe
sw than
sw w
s w
s w
s w
s sw sw sw sw
D.Thepressuredressing
sw femoralareais
sw oozingblood.-Correct w
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Answer✔B sw
Followingamotorvehiclecollision,a3-yearoldgirlhasaspicacastapplied.Whichtoy
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s w
s sw sw sw sw
forthenurseforthis3yearoldchild? sw w
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s w
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s w
s
A. sw squeaks.
B.Fashiondollandclothes.
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s w
s
C. clothandhandpuppets.
sw w
s w
s
D.Handheldvideogame.-CorrectAnswer✔C
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s w
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An tetralogyof
sw acutelycyanotic andhyperpneic.Which w
s sw sw sw sw
actionshouldthenurse sw w
s w
s w
s
A.Administermorphinesulphate.
sw w
s w
s
B. swfluids.
C.Placethe sw aknee- sw w
s w
s
D.Provide100%oxygenbyfacemask.-
sw ✔C sw w
s w
s sw
Achild admitted with sw sw sw Kussmaulrespirations. The sw sw
increasedrespiratoryrateis w
s sw sw sw mechanismfor sw
whichacidbasealteration? sw sw w
s
A.Metabolicalkalosis.
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s
B.Respiratoryacidosis.
sw w
s
C.Respiratoryalkalosis.
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s
D.Metabolicacidosis.-Correct Answer✔D
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s df sw
7 yearsold is admitted to thehospital with persistent vomiting, andanasogastric tube attache d
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to low intermittent suction is applied. Which finding is most important for the nurse to report to the
sw sw sw sw sw sw sw sw sw sw sw sw sw sw sw sw sw sw
healthcare provider? sw
A. Gastric output of100mLinthelast8hours.
sw df df sw w
s w
s w
s w
s w
s w
s
B. Shiftintakeof640mLIVfluidsplus 30mLPOicechips.
sw sw w
s w
s w
s w
s df sw sw sw sw
C. Serumpotassiumof3.0mg/dL.
sw sw w
s w
s w
s
D. SerumpHof7.45.-Correct Answer✔C
sw sw w
s w
s df sw
,Peds HESI
df
, Thenurseisevaluatingdietteachingforaclientwhohasnontropicalsprue(celiac disease). Ch
sw w
s w
s w
s sw sw sw sw sw df sw
oosing which food indicates thattheteachinghas been effective?
sw sw sw sw w
s w
s sw sw sw
A. creamedcorn
B. pancakes
C. Ryecrackers sw
D. cookedoatmeal-CorrectAnswer✔A sw w
s w
s
Duringawell- sw sw
babycheck,thenursehidesablockunderthebaby'sblanket,andthebabylooksforthebloc
sw w
s w
s w
s w
s sw sw sw sw sw sw sw sw sw sw sw sw
k.Whichnormalgrowthanddevelopmentmilestoneisthebabydeveloping?
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s sw sw sw sw
A.Separationanxiety.
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s
B.Associativeplay.
sw
C. sw
D. sw - ✔D
Thenurseismeasuringthefrontaloccipitalcircumference(FOC)ofa3-monthsold sw w
s w
s w
s sw sw sw sw sw
infant,andnotesthattheFOChasincreased5inchessincebirthandthechild'shead
sw w
s w
s w
s w
s w
s sw sw sw sw sw sw sw sw
appearslargeinrelationtobodysize.Whichaction thenurseto
sw w
s w
s w
s w
s w
s sw sw sw
takenext? sw
A.Measuretheinfant'shead-to-toelength.
sw sw w
s w
s w
s
B.Palpatetheanteriorfontanelfortensionandbulging.
sw sw w
s w
s w
s sw
C.Observethe
sw sunkeneyes. w
s w
s w
s
D. sw measurementontheinfant'sgrowthchart.- ✔B w
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s w
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Thenurseispreparinga10yearoldwithalaceratedforeheadforsuturing.Both parentssw w
s w
s w
s w
s w
s sw sw sw sw sw sw sw sw
and12yearoldsiblingare
sw child'sbedside.Whichinstructionbest
sw w
s w
s w
s sw sw sw
supportsfamily? sw
Whilewaiting provider,onlyonevisitormaystaywiththechild.
sw w
s sw sw sw sw sw sw
Allofyoushouldleavewhilethehealthcareprovidersuturesthechild'sforehead.
sw sw sw w
s w
s w
s w
s sw sw sw sw sw
C.Itissw thesibling
sw thewaitingroomuntilthesuturingiscompleted.
sw w
s w
s w
s sw sw sw sw sw sw
D.Pleasedecidewhowillstaywhenthehealthcareproviderbeginssuturing -Correct
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s w
s sw w
s sw sw sw sw sw
Answer✔D sw
Thenurseisplanningfora5- diseasewhose
decreasedby sincethe visit ago. w
s w
s sw sw sw sw
decreasevomiting, should providethis w
s w
s sw sw
mother?
A. Givesmallamountsofbabyfoodwitheachfeeding. sw w
s w
s w
s w
s sw sw
B. Thickenformulawithcerealforeachfeeding. w
s w
s w
s w
s sw
C. Dilutethechildsformulawithequalpartsofwater. sw w
s w
s w
s w
s sw
D. Offer10%dextroseinwaterbetweenmostfeedings. -Correct Answer✔B w
s w
s w
s w
s sw sw sw df sw
While teaching a parenting class to new parents the nurse describes the needs of infants a nd t
sw sw sw sw sw sw sw sw sw sw sw sw sw sw sw sw sw
oddlers regarding discipline and limit setting.What is themostimportant reason for imp lemen
sw sw sw sw sw df sw sw sw sw sw
ting such parenting behaviors?
sw sw sw
A. Childrenneedhelpindevelopingsocialskills. w
s w
s w
s sw
