2022 HESI RN PEDS EXAM V1
1. C. Measure the infant's pulse: A mother brings her 8 mo. old baby boy to clinic
because he has been vomiting and had diarrhea for last 3
days. Which assessment is most important for nurse to make?
A.Assess infant abdomen for tenderness
b.Determine if the infant was exposed to a virus
C. Measure the infant's pulse
d. Evaluate the infant's cry
2. Inspect the posterior oropharynx: While obtaining the vital signs of a
10-year-old who had a tonsillectomy this morning, the nurse observes
the child swallowing every 2-3 minutes. Which assessment should the nurse imple-
ment?
3. This is an inherited X-linked recessive disorder, which primarily affects male
children in the
family: parents of a 3-year old boy who has Duchenne muscular dystrophy ask,
"How can our son have this
disease? We are wondering if we should have any more children." What information
should the nurse
provide to parents?
4. Administer a PRN analgesic prescription: 2-weck-old female infant is hospital-
ized for the surgical repair of an umbilical hernia. After retuming to the postoperative
neonatal unit, her R and HR have increased during the last hour. Which intervention
should the nurse implement?
5. -Dental caries is associated with drinking soda
-Toddlers should be drinking from a cup by age 2: 2-year-old girl is brought to
the clinic by her 17-year-old mother. When the nurse observes that the child
is drinking sweetened soda from her bottle, what information should the nurse
discuss with this mother?
6. D.The diaper area shows severe skin breakdown: mother brings her
3-month-old infant to the clinic because the baby does not sleep through the night.
Which finding is most significant in planning care for this family?
a. The mother is a single parent and lives with her parents
b. The mother states the baby is irritable during feedings
C the infant's formula has been changed twice
D.The diaper area shows severe skin breakdown
7. Document the finding: The nurse determines that an infant admitted for surgical
repair of an inguinal hernia voids a urinary stream from the ventral surface of the
penis. What action should the nurse take?
8. Flush mediport w/ saline and heparin solution: 16-year-old with acute myelo-
cytic leukemia is receiving chemotherapy (CT) via an implanted
1/7
, 2022 HESI RN PEDS EXAM V1
medication port at the out-patient oncology clinic. What action should the nurse
implement when the
infusion is complete?
9. Irregular palpable pulse: mother brings her 3-week old infant to the clinic be-
cause the baby vomits after eating and always seems
hungry. Further assessment indicates that the infant's vomiting is projectile, and the
child seems listless.
Which additional assessment finding indicates the possibility of a life-threatening
complication?
10. Perform odd repetitive behaviors: nurse is performing a routine assessment
of a &-year old at a sommunity health center. Which behavior
by the child should alert she nurse to request a
follow up for a posaible autism spectrum disorder?
11. Contact their HCP immediately: Following admission for cardiac catheteriza-
tion, the nurse is providing discharge teaching to the parents of a 2-year-old toddler
with tetralogy of Fallot. What instruction should the nurse give the parents if their
child becomes pale, cool, lethargic?
12. Ask the mother if the child has had a runny nose: mother brings her
2-year-old son to the clinic because he has been crying and pulling on his earlobe
for
the past 12 hours. The child's oral temperature is 101.2 F. Which intervention should
the nurse implement?
13. Auscultate heart and lungs while infant is held: 13. During a follow up olinical
visit a mother tells tia nurse that her 5-monih-old son who had surgical
correction for tetralogy of fallot has rapid breathing, often takes a long time to eat,
and requires frequent
rest periods. The infant is not crying while being held and his growth is in the
expected range. Which
intervention should the nurse implement?
14. Giving pain medication around the clock helps control the pain: The mother
of an 11-year old boy who has juvenile arthritis tells the nurse, "I really don't want
my son to
become dependent on pain medication, so I only allow him to take it when he is
really hurting." Which
information is most important for the nurse to provide this mother?
15. Opens mouth when food comes her way: mother of a 4-month-old baby girl
asks the nurse when she should introduce solid foods to her infant.
The mother states, "My mother says I should put rice cereal in the baby's bottle now."
The nurse should
2/7
1. C. Measure the infant's pulse: A mother brings her 8 mo. old baby boy to clinic
because he has been vomiting and had diarrhea for last 3
days. Which assessment is most important for nurse to make?
A.Assess infant abdomen for tenderness
b.Determine if the infant was exposed to a virus
C. Measure the infant's pulse
d. Evaluate the infant's cry
2. Inspect the posterior oropharynx: While obtaining the vital signs of a
10-year-old who had a tonsillectomy this morning, the nurse observes
the child swallowing every 2-3 minutes. Which assessment should the nurse imple-
ment?
3. This is an inherited X-linked recessive disorder, which primarily affects male
children in the
family: parents of a 3-year old boy who has Duchenne muscular dystrophy ask,
"How can our son have this
disease? We are wondering if we should have any more children." What information
should the nurse
provide to parents?
4. Administer a PRN analgesic prescription: 2-weck-old female infant is hospital-
ized for the surgical repair of an umbilical hernia. After retuming to the postoperative
neonatal unit, her R and HR have increased during the last hour. Which intervention
should the nurse implement?
5. -Dental caries is associated with drinking soda
-Toddlers should be drinking from a cup by age 2: 2-year-old girl is brought to
the clinic by her 17-year-old mother. When the nurse observes that the child
is drinking sweetened soda from her bottle, what information should the nurse
discuss with this mother?
6. D.The diaper area shows severe skin breakdown: mother brings her
3-month-old infant to the clinic because the baby does not sleep through the night.
Which finding is most significant in planning care for this family?
a. The mother is a single parent and lives with her parents
b. The mother states the baby is irritable during feedings
C the infant's formula has been changed twice
D.The diaper area shows severe skin breakdown
7. Document the finding: The nurse determines that an infant admitted for surgical
repair of an inguinal hernia voids a urinary stream from the ventral surface of the
penis. What action should the nurse take?
8. Flush mediport w/ saline and heparin solution: 16-year-old with acute myelo-
cytic leukemia is receiving chemotherapy (CT) via an implanted
1/7
, 2022 HESI RN PEDS EXAM V1
medication port at the out-patient oncology clinic. What action should the nurse
implement when the
infusion is complete?
9. Irregular palpable pulse: mother brings her 3-week old infant to the clinic be-
cause the baby vomits after eating and always seems
hungry. Further assessment indicates that the infant's vomiting is projectile, and the
child seems listless.
Which additional assessment finding indicates the possibility of a life-threatening
complication?
10. Perform odd repetitive behaviors: nurse is performing a routine assessment
of a &-year old at a sommunity health center. Which behavior
by the child should alert she nurse to request a
follow up for a posaible autism spectrum disorder?
11. Contact their HCP immediately: Following admission for cardiac catheteriza-
tion, the nurse is providing discharge teaching to the parents of a 2-year-old toddler
with tetralogy of Fallot. What instruction should the nurse give the parents if their
child becomes pale, cool, lethargic?
12. Ask the mother if the child has had a runny nose: mother brings her
2-year-old son to the clinic because he has been crying and pulling on his earlobe
for
the past 12 hours. The child's oral temperature is 101.2 F. Which intervention should
the nurse implement?
13. Auscultate heart and lungs while infant is held: 13. During a follow up olinical
visit a mother tells tia nurse that her 5-monih-old son who had surgical
correction for tetralogy of fallot has rapid breathing, often takes a long time to eat,
and requires frequent
rest periods. The infant is not crying while being held and his growth is in the
expected range. Which
intervention should the nurse implement?
14. Giving pain medication around the clock helps control the pain: The mother
of an 11-year old boy who has juvenile arthritis tells the nurse, "I really don't want
my son to
become dependent on pain medication, so I only allow him to take it when he is
really hurting." Which
information is most important for the nurse to provide this mother?
15. Opens mouth when food comes her way: mother of a 4-month-old baby girl
asks the nurse when she should introduce solid foods to her infant.
The mother states, "My mother says I should put rice cereal in the baby's bottle now."
The nurse should
2/7
