2025 HESI RN PEDS EXAM V1
10-year-old girl who has had type 1 diabetes mellitus (DM) for the past two years tells the
nurse that she
would like to use a pump instead of insulin injections to manage her diabetes. Which
assessment of the girl
is most important for the nurse to obtain? - ANS Ability to perform the pump for basal
insulin with mealtime boluses
\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? - ANS Auscultate heart and lungs while infant
is held
\16-year-old with acute myelocytic leukemia is receiving chemotherapy (CT) via an
implanted
medication port at the out-patient oncology clinic. What action should the nurse
implement when the
infusion is complete? - ANS Flush mediport w/ saline and heparin solution
\2-weck-old female infant is hospitalized 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? - ANS Administer a PRN
analgesic prescription
\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? - ANS -Dental caries is associated with drinking soda
-Toddlers should be drinking from a cup by age 2
\3-year-old boy is receiving a weekly chemotherapy treatment. Which toy is best for the
nurse to provide
for this child? - ANS Coloring book with crayons
\6-year-old child is diagnosed with rheumatic fever and demonstrates associated chorea
(sudden aimless
movements of the arms and legs). Which information should the nurse provide to the
parents? - ANS The chorea or movements are temporary and will eventually disappear
\A 6-year-old boy with bronchial asthma takes the beta-adrenergic agonist agent
albuterol (Proventil). The child's mother tells the nurse that she uses this medication to
open her son's airway when he is having trouble breathing. What is the nurse's best
response? - ANS Assure the mother that she is using the medication correctly
, \A 9-week-old infant is scheduled for cleft lip repair. Which information is most important
for the nurse to
convey to the surgeon before transporting the infant to the surgical suite? - ANS Red
blood cell count of 2.3 million/mm3
\A child diagnosed with Kawasaki disease is brought to the clinic. The mother reports
that her child is
irritable, refuses to eat, and has skin peeling on both his hands and feet. Which
intervention should the
nurse instruct the mother to implement first? - ANS Place the child in a quiet
environment
\A child receives a prescription for amantadine 42 mg PO BID. Amantadine is available as
a 50 mg/5 mL
syrup. Using a supplied calibrated measuring device, how many mL should the nurse
administer per dose?
(round to nearest tenth) - ANS 0.5 ml
\A child who is admitted to the hospital with anemia is anxious, fearful, and
hyperventilating. The nurse
anticipates the child developing which acid base imbalance? - ANS Respiratory alkalosis
\A child with Grave's disease who is taking propranolol (Inderal) is seen in the clinic. The
nurse should
monitor the child for which therapeutic response? - ANS Decreased heart rate
\A child with pertussis is receiving azithromycin (Zithromax Injection) IV. Which
intervention is most
important for the nurse to include in the child's plan of care? - ANS Assess for abdominal
pain and vomiting
\A male infant with bronchiolitis is brought to the clinic by his mother. The infant is
congested and febrile
with a capillary refill of 2 seconds. Which information should the nurse discuss with the
mother? - ANS Keep infant isolated from others
\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 - ANS C. Measure the infant's pulse
\A mother of a 3-year old boy has just given birth to a new baby girl. The little boy asks
the nurse, "why is
my baby sister eating my mommy's breast?" how should the nurse respond? Select all
that apply - ANS -Remind him that his mother breastfed him too
-Reassure the older brother that it does not hurt his mother
-Explain that newborns get milk from their mothers in this way
\A nurse is teaching a class for mothers of premature infants, and is asked about "a shot
for respiratory
10-year-old girl who has had type 1 diabetes mellitus (DM) for the past two years tells the
nurse that she
would like to use a pump instead of insulin injections to manage her diabetes. Which
assessment of the girl
is most important for the nurse to obtain? - ANS Ability to perform the pump for basal
insulin with mealtime boluses
\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? - ANS Auscultate heart and lungs while infant
is held
\16-year-old with acute myelocytic leukemia is receiving chemotherapy (CT) via an
implanted
medication port at the out-patient oncology clinic. What action should the nurse
implement when the
infusion is complete? - ANS Flush mediport w/ saline and heparin solution
\2-weck-old female infant is hospitalized 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? - ANS Administer a PRN
analgesic prescription
\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? - ANS -Dental caries is associated with drinking soda
-Toddlers should be drinking from a cup by age 2
\3-year-old boy is receiving a weekly chemotherapy treatment. Which toy is best for the
nurse to provide
for this child? - ANS Coloring book with crayons
\6-year-old child is diagnosed with rheumatic fever and demonstrates associated chorea
(sudden aimless
movements of the arms and legs). Which information should the nurse provide to the
parents? - ANS The chorea or movements are temporary and will eventually disappear
\A 6-year-old boy with bronchial asthma takes the beta-adrenergic agonist agent
albuterol (Proventil). The child's mother tells the nurse that she uses this medication to
open her son's airway when he is having trouble breathing. What is the nurse's best
response? - ANS Assure the mother that she is using the medication correctly
, \A 9-week-old infant is scheduled for cleft lip repair. Which information is most important
for the nurse to
convey to the surgeon before transporting the infant to the surgical suite? - ANS Red
blood cell count of 2.3 million/mm3
\A child diagnosed with Kawasaki disease is brought to the clinic. The mother reports
that her child is
irritable, refuses to eat, and has skin peeling on both his hands and feet. Which
intervention should the
nurse instruct the mother to implement first? - ANS Place the child in a quiet
environment
\A child receives a prescription for amantadine 42 mg PO BID. Amantadine is available as
a 50 mg/5 mL
syrup. Using a supplied calibrated measuring device, how many mL should the nurse
administer per dose?
(round to nearest tenth) - ANS 0.5 ml
\A child who is admitted to the hospital with anemia is anxious, fearful, and
hyperventilating. The nurse
anticipates the child developing which acid base imbalance? - ANS Respiratory alkalosis
\A child with Grave's disease who is taking propranolol (Inderal) is seen in the clinic. The
nurse should
monitor the child for which therapeutic response? - ANS Decreased heart rate
\A child with pertussis is receiving azithromycin (Zithromax Injection) IV. Which
intervention is most
important for the nurse to include in the child's plan of care? - ANS Assess for abdominal
pain and vomiting
\A male infant with bronchiolitis is brought to the clinic by his mother. The infant is
congested and febrile
with a capillary refill of 2 seconds. Which information should the nurse discuss with the
mother? - ANS Keep infant isolated from others
\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 - ANS C. Measure the infant's pulse
\A mother of a 3-year old boy has just given birth to a new baby girl. The little boy asks
the nurse, "why is
my baby sister eating my mommy's breast?" how should the nurse respond? Select all
that apply - ANS -Remind him that his mother breastfed him too
-Reassure the older brother that it does not hurt his mother
-Explain that newborns get milk from their mothers in this way
\A nurse is teaching a class for mothers of premature infants, and is asked about "a shot
for respiratory
