2024 HESI RN PAEDIATRICS EXAM UPDATED
QUESTIONS AND CORRECT ANSWERS
ANSWERS
Arterial obstruction indication - CORRECT ANSWER ✅✅✅Right foot is cool to
the touch and appears pale and blanched.
Best toy for a 3-year old in a spica cast - CORRECT ANSWER ✅✅✅Set of cloth
and hand puppets.
First action for an infant with tetralogy of Fallot - CORRECT ANSWER
✅✅✅Place the infant in a knee-chest position.
Compensatory mechanism for metabolic acidosis - CORRECT ANSWER
✅✅✅Kussmaul respirations.
Most important finding to report for a child with vomiting - CORRECT ANSWER
✅✅✅Serum potassium of 3.0 mg/dL.
Effective food choice for celiac disease - CORRECT ANSWER ✅✅✅Creamed
corn.
Developmental milestone when a baby looks for a hidden object - CORRECT
ANSWER ✅✅✅Object permanence.
Next action for an infant with increased FOC - CORRECT ANSWER
✅✅✅Palpate the anterior fontanel for tension and bulging.
Best instruction for family during child's suturing - CORRECT ANSWER
✅✅✅Please decide who will stay when the healthcare provider begins suturing.
Instructions to increase caloric intake for a 5-month old - CORRECT ANSWER
✅✅✅Thicken formula with cereal for each feeding.
Most important reason for discipline in infants and toddlers - CORRECT ANSWER
✅✅✅They provide the child with a sense of security.
Timing for surgical correction of hypospadia - CORRECT ANSWER
✅✅✅Repairs typically should be done before the child is potty trained.
Healthy drink choice for a teenager with sickle cell anemia - CORRECT ANSWER
✅✅✅Lemonade.
, Finding consistent with early dehydration in an infant - CORRECT ANSWER
✅✅✅Tachycardia.
Bradycardia - CORRECT ANSWER ✅✅✅Abnormally slow heart rate, below 60
bpm.
Dry mucous membrane - CORRECT ANSWER ✅✅✅Indicates dehydration;
lacks moisture.
Increased skin turgor - CORRECT ANSWER ✅✅✅Skin elasticity; reflects
hydration status.
Tachycardia - CORRECT ANSWER ✅✅✅Abnormally fast heart rate, above 100
bpm.
Child abuse reporting - CORRECT ANSWER ✅✅✅Mandatory action when
abuse is suspected.
Blood culture - CORRECT ANSWER ✅✅✅Test to identify infection-causing
organisms.
IV ampicillin dosage - CORRECT ANSWER ✅✅✅300 mg/kg/24 hours; calculate
per dose.
Intussusception - CORRECT ANSWER ✅✅✅Condition where part of the
intestine folds into itself.
Diaper rash prevention - CORRECT ANSWER ✅✅✅Use barrier cream to protect
skin.
Lyme disease transmission - CORRECT ANSWER ✅✅✅Prevent by wearing
long sleeves in wooded areas.
Thyroid therapy effectiveness - CORRECT ANSWER ✅✅✅Indicated by
developmental milestones in infants.
Congenital heart defect - CORRECT ANSWER ✅✅✅Heart abnormality present
at birth.
Lumbar puncture procedure - CORRECT ANSWER ✅✅✅Requires side-lying
position, knees to chest.
Duchenne muscular dystrophy - CORRECT ANSWER ✅✅✅Inherited X-linked
recessive disorder affecting males.
Infant CPR - CORRECT ANSWER ✅✅✅Deliver 30 compressions followed by 2
breaths.
QUESTIONS AND CORRECT ANSWERS
ANSWERS
Arterial obstruction indication - CORRECT ANSWER ✅✅✅Right foot is cool to
the touch and appears pale and blanched.
Best toy for a 3-year old in a spica cast - CORRECT ANSWER ✅✅✅Set of cloth
and hand puppets.
First action for an infant with tetralogy of Fallot - CORRECT ANSWER
✅✅✅Place the infant in a knee-chest position.
Compensatory mechanism for metabolic acidosis - CORRECT ANSWER
✅✅✅Kussmaul respirations.
Most important finding to report for a child with vomiting - CORRECT ANSWER
✅✅✅Serum potassium of 3.0 mg/dL.
Effective food choice for celiac disease - CORRECT ANSWER ✅✅✅Creamed
corn.
Developmental milestone when a baby looks for a hidden object - CORRECT
ANSWER ✅✅✅Object permanence.
Next action for an infant with increased FOC - CORRECT ANSWER
✅✅✅Palpate the anterior fontanel for tension and bulging.
Best instruction for family during child's suturing - CORRECT ANSWER
✅✅✅Please decide who will stay when the healthcare provider begins suturing.
Instructions to increase caloric intake for a 5-month old - CORRECT ANSWER
✅✅✅Thicken formula with cereal for each feeding.
Most important reason for discipline in infants and toddlers - CORRECT ANSWER
✅✅✅They provide the child with a sense of security.
Timing for surgical correction of hypospadia - CORRECT ANSWER
✅✅✅Repairs typically should be done before the child is potty trained.
Healthy drink choice for a teenager with sickle cell anemia - CORRECT ANSWER
✅✅✅Lemonade.
, Finding consistent with early dehydration in an infant - CORRECT ANSWER
✅✅✅Tachycardia.
Bradycardia - CORRECT ANSWER ✅✅✅Abnormally slow heart rate, below 60
bpm.
Dry mucous membrane - CORRECT ANSWER ✅✅✅Indicates dehydration;
lacks moisture.
Increased skin turgor - CORRECT ANSWER ✅✅✅Skin elasticity; reflects
hydration status.
Tachycardia - CORRECT ANSWER ✅✅✅Abnormally fast heart rate, above 100
bpm.
Child abuse reporting - CORRECT ANSWER ✅✅✅Mandatory action when
abuse is suspected.
Blood culture - CORRECT ANSWER ✅✅✅Test to identify infection-causing
organisms.
IV ampicillin dosage - CORRECT ANSWER ✅✅✅300 mg/kg/24 hours; calculate
per dose.
Intussusception - CORRECT ANSWER ✅✅✅Condition where part of the
intestine folds into itself.
Diaper rash prevention - CORRECT ANSWER ✅✅✅Use barrier cream to protect
skin.
Lyme disease transmission - CORRECT ANSWER ✅✅✅Prevent by wearing
long sleeves in wooded areas.
Thyroid therapy effectiveness - CORRECT ANSWER ✅✅✅Indicated by
developmental milestones in infants.
Congenital heart defect - CORRECT ANSWER ✅✅✅Heart abnormality present
at birth.
Lumbar puncture procedure - CORRECT ANSWER ✅✅✅Requires side-lying
position, knees to chest.
Duchenne muscular dystrophy - CORRECT ANSWER ✅✅✅Inherited X-linked
recessive disorder affecting males.
Infant CPR - CORRECT ANSWER ✅✅✅Deliver 30 compressions followed by 2
breaths.
