2025 Hesi RN Pediatrics Exam 55 answers
Questions with Verified Answers (2024/2025)
1. 1. The nurse is caring for a 3-year old child who is 2 hours postop
from a cardiac catheterization via the right femoral artery. Which
assessment finding is an indication of arterial obstruction?
a.Blood pressure trend is downward and pulse is rapid and irregular.
b.Right foot is cool to the touch and appears pale and blanched.
c.Pulse distal to the femoral artery is weaker on the left foot than right foot.
d.The pressure dressing at right femoral area is moist and oozing blood-
correct answer - - b.Right foot is cool to the touch and appears pale and
blanched.
,2. 2. Following a motor vehicle collision, a 3-year old girl has a spica
cast applied. Which toy is best for the nurse for this 3-year-old child?
A. Duckthatsqueaks.
B. Fashiondollandclothes.
C. Set of cloth and hand puppets.
D. Hand held video game- correct answer - C. Set of cloth and hand
puppets.
3. 3. An infant with tetralogy of Fallot becomes acutely cyanotic and
hyperp- neic. Which action should the nurse implement first?
A. Administer morphine sulphate.
B. Start IV fluids.
C. Place the infant in a knee-chest position.
,D. Provide 100% oxygen by face mask- correct answer - C. Place the
infant in a knee-chest position.
4. 4. A child admitted with diabetic ketoacidosis is demonstrating
Kussmaul respirations. The nurse determines that the increased respiratory
rate is a compensatory mechanism for which acid base alteration?
A. Metabolicalkalosis.
B. Respiratory acidosis.
C. Respiratoryalkalosis.
D. Metabolic acidosis- correct answer - D. Metabolic acidosis.
5. 5. 7 years old is admitted to the hospital with persistent vomiting, and
a nasogastric tube attached to low intermittent suction is applied. Which
finding is most important for the nurse to report to the healthcare provider?
A. Gastric output of 100 mL in the last 8 hours.
, B. Shift intake of 640 mL IV fluids plus 30 mL PO ice chips.
C. Serum potassium of 3.0 mg/dL.
D. Serum pH of 7.45- correct answer - C. Serum potassium of 3.0 mg/dL.
6. 6. The nurse is evaluating diet teaching for a client who has
nontropical sprue (celiac disease). Choosing which food indicates that the
teaching has been effective?
A. Creamed corn.
B. Pancakes.
C. Rye crackers.
D. Cooked oatmeal- correct answer - A. Creamed corn.
7. 7. During a well-baby check, the nurse hides a block under the baby's
blan- ket, and the baby looks for the block. Which normal growth and
development milestone is the baby developing?
Questions with Verified Answers (2024/2025)
1. 1. The nurse is caring for a 3-year old child who is 2 hours postop
from a cardiac catheterization via the right femoral artery. Which
assessment finding is an indication of arterial obstruction?
a.Blood pressure trend is downward and pulse is rapid and irregular.
b.Right foot is cool to the touch and appears pale and blanched.
c.Pulse distal to the femoral artery is weaker on the left foot than right foot.
d.The pressure dressing at right femoral area is moist and oozing blood-
correct answer - - b.Right foot is cool to the touch and appears pale and
blanched.
,2. 2. Following a motor vehicle collision, a 3-year old girl has a spica
cast applied. Which toy is best for the nurse for this 3-year-old child?
A. Duckthatsqueaks.
B. Fashiondollandclothes.
C. Set of cloth and hand puppets.
D. Hand held video game- correct answer - C. Set of cloth and hand
puppets.
3. 3. An infant with tetralogy of Fallot becomes acutely cyanotic and
hyperp- neic. Which action should the nurse implement first?
A. Administer morphine sulphate.
B. Start IV fluids.
C. Place the infant in a knee-chest position.
,D. Provide 100% oxygen by face mask- correct answer - C. Place the
infant in a knee-chest position.
4. 4. A child admitted with diabetic ketoacidosis is demonstrating
Kussmaul respirations. The nurse determines that the increased respiratory
rate is a compensatory mechanism for which acid base alteration?
A. Metabolicalkalosis.
B. Respiratory acidosis.
C. Respiratoryalkalosis.
D. Metabolic acidosis- correct answer - D. Metabolic acidosis.
5. 5. 7 years old is admitted to the hospital with persistent vomiting, and
a nasogastric tube attached to low intermittent suction is applied. Which
finding is most important for the nurse to report to the healthcare provider?
A. Gastric output of 100 mL in the last 8 hours.
, B. Shift intake of 640 mL IV fluids plus 30 mL PO ice chips.
C. Serum potassium of 3.0 mg/dL.
D. Serum pH of 7.45- correct answer - C. Serum potassium of 3.0 mg/dL.
6. 6. The nurse is evaluating diet teaching for a client who has
nontropical sprue (celiac disease). Choosing which food indicates that the
teaching has been effective?
A. Creamed corn.
B. Pancakes.
C. Rye crackers.
D. Cooked oatmeal- correct answer - A. Creamed corn.
7. 7. During a well-baby check, the nurse hides a block under the baby's
blan- ket, and the baby looks for the block. Which normal growth and
development milestone is the baby developing?
