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OB/PEDS HESI PRACTICE QUESTIONS 2025
UPDATED ACTUAL EXAM WITH CORRECT
SOLUTIONS.
The RN is monitoring an infant with CHD closely for SSx of HF.
The RN should assess the infant for which early sign of HF?
1.Pallor
2.Cough
3.Tachycardia
4.Slow and shallow breathing - correct answer- 3. tachycardia
RATIONALE:
HF is the inability of the heart to pump a sufficient amt of blood
to meet the O2 and metabolic needs of the body. The early SSx
of HF include tachycardia, tachypnea, profuse scalp sweating,
fatigue & irritability, sudden weight gain, and resp distress. A
cough may occur in HF as a result of mucosal swelling &
irritation, but is not an early sign. Pallor may be noted in an
infant w/ HF, but is not an early sign.
The nurse reviews the laboratory results for a child with a
suspected diagnosis of rheumatic fever, knowing that which
laboratory study would assist in confirming the diagnosis?
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1.Immunoglobulin
2.Red blood cell count
3.White blood cell count
4.Anti-streptolysin O titer - correct answer- 4. anti-streptolysin O
titer
RATIONALE:
Rheumatic fever is an inflammatory autoimmune disease that
affects the CT of the heart, joints, skin (SQ tissues), BV, and
CNS. A Dx of rheumatic fever is confirmed by the presence of 2
major manifestations or 1 major and 2 minor manifestations
from the Jones criteria. In addition, evidence of a recent strep
infection is confirmed by a + anti-streptolysin O titer,
streptozyme assay, or anti-DNase B assay.
On assessment of a child admitted with a diagnosis of acute-
stage Kawasaki disease, the nurse expects to note which
clinical manifestation of the acute stage of the disease?
1.Cracked lips
2.Normal appearance
3.Conjunctival hyperemia
4.Desquamation of the skin - correct answer- 3. conjunctival
hyperemia
RATIONALE:
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Kawasaki disease, aka mucocutaneous lymph node syndrome,
is an acute systemic inflammatory illness. In the acute stage,
the child has a fever, conjunctival hyperemia, red throat,
swollen hands, rash, and enlargement of the cervical lymph
nodes. In the subacute stage, cracking lips and fissures,
desquamation of the skin on the tips of the fingers and toes,
joint pain, cardiac manifestations, and thromobocytosis occur.
In the convalescent stage, the child appears normal, but SSx of
inflammation may be present
The mother of a child being discharged after heart surgery asks
the nurse when the child will be able to return to school. Which
is the most appropriate response to the mother?
1."The child may return to school in 1 week."
2."The child will not be able to return to school during this
academic year."
3."The child may return to school in 1 week but needs to go
half-days for the first 2 weeks."
4."The child may return to school in 3 weeks but needs to go
half-days for the first few days." - correct answer- 4. "The child
may return to school in 3 weeks but needs to go half-days for
the 1st few days"
RATIONALE:
After heart surgery, the child may be able to return to school in
3 weeks but needs to go half-days for the 1st few days. The
mother also should be told that the child cannot participate in
PE for 2 months.
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Prostaglandin E1 is prescribed for a child with transposition of
the great arteries. The mother of the child is a registered nurse
and asks the nurse why the child needs the medication. What is
the most appropriate response to the mother about the action
of the medication?
1.Prevents blue (tet) spells
2.Maintains adequate cardiac output
3.Maintains an adequate hormonal level
4.Maintains the position of the great arteries - correct answer-
2. maintains adequate CO
RATIONALE:
A child with transposition of the great arteries may receive
prostaglandin E1 temporarily to increased blood mixing if
systemic and pulmonary mixing is inadequate to maintain
adequate CO.
The nurse is assessing a newborn with heart failure before
administering the prescribed digoxin. In reviewing the
laboratory data, the nurse notes that the newborn has a digoxin
blood level of 1.6 ng/mL (2.05 mmol/L) and an apical heart rate
of 90 beats/min. The mother also tells the nurse that the
newborn just vomited her formula. Which intervention should
the nurse take?
OB/PEDS HESI PRACTICE QUESTIONS 2025
UPDATED ACTUAL EXAM WITH CORRECT
SOLUTIONS.
The RN is monitoring an infant with CHD closely for SSx of HF.
The RN should assess the infant for which early sign of HF?
1.Pallor
2.Cough
3.Tachycardia
4.Slow and shallow breathing - correct answer- 3. tachycardia
RATIONALE:
HF is the inability of the heart to pump a sufficient amt of blood
to meet the O2 and metabolic needs of the body. The early SSx
of HF include tachycardia, tachypnea, profuse scalp sweating,
fatigue & irritability, sudden weight gain, and resp distress. A
cough may occur in HF as a result of mucosal swelling &
irritation, but is not an early sign. Pallor may be noted in an
infant w/ HF, but is not an early sign.
The nurse reviews the laboratory results for a child with a
suspected diagnosis of rheumatic fever, knowing that which
laboratory study would assist in confirming the diagnosis?
,2 | Page
1.Immunoglobulin
2.Red blood cell count
3.White blood cell count
4.Anti-streptolysin O titer - correct answer- 4. anti-streptolysin O
titer
RATIONALE:
Rheumatic fever is an inflammatory autoimmune disease that
affects the CT of the heart, joints, skin (SQ tissues), BV, and
CNS. A Dx of rheumatic fever is confirmed by the presence of 2
major manifestations or 1 major and 2 minor manifestations
from the Jones criteria. In addition, evidence of a recent strep
infection is confirmed by a + anti-streptolysin O titer,
streptozyme assay, or anti-DNase B assay.
On assessment of a child admitted with a diagnosis of acute-
stage Kawasaki disease, the nurse expects to note which
clinical manifestation of the acute stage of the disease?
1.Cracked lips
2.Normal appearance
3.Conjunctival hyperemia
4.Desquamation of the skin - correct answer- 3. conjunctival
hyperemia
RATIONALE:
,3 | Page
Kawasaki disease, aka mucocutaneous lymph node syndrome,
is an acute systemic inflammatory illness. In the acute stage,
the child has a fever, conjunctival hyperemia, red throat,
swollen hands, rash, and enlargement of the cervical lymph
nodes. In the subacute stage, cracking lips and fissures,
desquamation of the skin on the tips of the fingers and toes,
joint pain, cardiac manifestations, and thromobocytosis occur.
In the convalescent stage, the child appears normal, but SSx of
inflammation may be present
The mother of a child being discharged after heart surgery asks
the nurse when the child will be able to return to school. Which
is the most appropriate response to the mother?
1."The child may return to school in 1 week."
2."The child will not be able to return to school during this
academic year."
3."The child may return to school in 1 week but needs to go
half-days for the first 2 weeks."
4."The child may return to school in 3 weeks but needs to go
half-days for the first few days." - correct answer- 4. "The child
may return to school in 3 weeks but needs to go half-days for
the 1st few days"
RATIONALE:
After heart surgery, the child may be able to return to school in
3 weeks but needs to go half-days for the 1st few days. The
mother also should be told that the child cannot participate in
PE for 2 months.
, 4 | Page
Prostaglandin E1 is prescribed for a child with transposition of
the great arteries. The mother of the child is a registered nurse
and asks the nurse why the child needs the medication. What is
the most appropriate response to the mother about the action
of the medication?
1.Prevents blue (tet) spells
2.Maintains adequate cardiac output
3.Maintains an adequate hormonal level
4.Maintains the position of the great arteries - correct answer-
2. maintains adequate CO
RATIONALE:
A child with transposition of the great arteries may receive
prostaglandin E1 temporarily to increased blood mixing if
systemic and pulmonary mixing is inadequate to maintain
adequate CO.
The nurse is assessing a newborn with heart failure before
administering the prescribed digoxin. In reviewing the
laboratory data, the nurse notes that the newborn has a digoxin
blood level of 1.6 ng/mL (2.05 mmol/L) and an apical heart rate
of 90 beats/min. The mother also tells the nurse that the
newborn just vomited her formula. Which intervention should
the nurse take?
