PEDS HESI EXIT EXAM QUESTIONS BANK
NEWEST 2025 ACTUAL EXAM COMPLETE 300
QUESTIONS AND CORRECT DETAILED
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PEDS HESI EXIT EXAM
A 12-year-old male client tells the nurse that he is happy to be
taking growth hormones because now he can expect to grow and
be just as tall as all of his friends. What response is best for the
nurse to provide?
A. "You must remember that this treatment regimen is not
always effective."
B. "Although being tall is important to you, remember there are
far more important characteristics than height."
C. "You will grow with this medicine, and are likely to be taller
than anyone in your family."
D. "Being taller is important to you and taking your injections
will help achieve that goal." - CORRECT ANSWER-D. "Being
taller is important to you and taking your injections will help
achieve that goal."
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Rationale; It is important to validate his feelings and reinforce
the fact that injections are the only way he can get the
medication and achieve growth in height. He will have to take
injections three times a week for years.
The nurse is developing the plan of care for a school-aged boy
with a chronic disability. The child frequently cries about being
different from his siblings and wants others to do things for him
that he is capable of doing for himself. To assist the family in
coping with this child's chronic illness, which intervention is
most important for the nurse to implement?
A. Recommend the use of consistent discipline and reward for
acceptable behavior.
B. Encourage the parents to role model ways to act when one is
disappointed.
C. Suggest that all the children are included in family decision
making.
D. Evaluate the proper use of equipment that is provided to
improve the child's lifestyle. - CORRECT ANSWER-A.
Recommend the use of consistent discipline and reward for
acceptable behavior.
Rationale; Focusing on the child, and not the condition, is
essential in assisting the child to adapt to a chronic disability or
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illness. Consistent family rules should be used with a chronically
ill child, such as setting boundaries for acceptable behavior,
requiring participation in household activities, and fulfilling
school responsibilities.
A 6-year-old squirms and giggles when the nurse begins to
palpate the abdomen. What action should the nurse implement?
A. Postpone the abdominal palpation until the next examination.
B. Place the child's hand under the examiner's hand while
palpating.
C. Touch the abdomen firmly as the child takes short, quick
breaths.
D. Press the abdomen with the child bearing down and holding
the breath. - CORRECT ANSWER-B. Place the child's hand
under the examiner's hand while palpating.
Rationale; Placing the child's hand on the abdomen with the
examiner's hand on top of the child's hand gives the child control
and reduces the sensation of tickling. Abdominal palpation is an
integral part of the physical assessment and should not be
postponed.
A mother tells the nurse that her children are asking questions
about divorce, but one male child tells her that he is sorry that he
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caused the divorce of the parents. Which age group is most
likely to experience feelings of punishment or responsibility for
the divorce of parents?
A. 1 year.
B. 4 years.
C. 8 years.
D. 13 years. - CORRECT ANSWER-b. 4 years
Rationale; Divorce constitutes a major disruption for children of
all ages. Behaviors and feelings differ based on children's
developmental stages and cover a wide spectrum, with overlap
between stages. A preschool-aged child often feels frightened,
confused, and may blame themselves for the divorce, or feel it is
their personal punishment.
A 14-year-old returns to the pediatric unit after corrective
surgery for scoliosis. In the immediate postoperative period, the
nurse should include which action(s) in this client's plan of care?
(Select all that apply.)
A. Record intake and output every 8 hours.
B. Elevate the head of the bed 30 degrees.
C. Assess bowel sounds every 4 hours.