Hesi Pediatric Practice Exam With 84 Questions and answers RATED A+ 2025/2026

Hesi Pediatric Practice Exam With 84 Questions and
answers RATED A+ 2025/2026
The nurse is giving pre-op instructions to a 14 yr old female scheduled for surgery to correct a
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spinal curvature. Which stmt best demonstrates that leaning has taken place? - Correct Answers
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"I understand that I will be in a body cast and I will show you how you taught me to turn"
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Il` To take the v/s of a 4 month old, which ordered will give the most accurate results? - Correct
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Il` Answers RR - HR - rectal temp Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`




Il` During routine screening at a school clinic, an otoscope exam reveals a tympanic mb that is pearly
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Il` gray, slightly bulging, and not movable. What action should the nurse take next? - Correct
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Il` Answers Ask the child if they have had a cold, runny nose, or any ear pain lately
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Il` Which restraint should be used for a toddler after a cleft palate repair? - Correct Answers Elbow
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Il` What pre-op nsg intervention should be included in the POC for an infant w/ pyloric stenosis? -
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Il` Correct Answers Observe for projectile vomiting Il` Il` Il` Il` Il` Il` Il` Il` Il`




(remember that projectile vomiting leads to metabolic alkalosis) Il` Il` Il` Il` Il` Il` Il`




Il` A 6 month old returns from surgery w/ elbow restraints in place. What nsg care should be
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Il` included when caring for any restrained child? - Correct Answers Remove the restraints one at a
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Il` time and provide ROM exercisesIl` Il` Il` Il`




(Removing them 1 at a time is safer than all at once) Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`

,Il` A 2 yr old w/ Down syndrome is brought to the clinic for his regular physical exam. The nurse
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Il` knows which problem is requently associated w/ Downs? - Correct Answers Congenital heart
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Il` disease



(CHD is the most common associated defect w/ Downs. - also, remember Professor Moore said
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that heart and ear problems go hand in hand)
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Il` When assessing a child w/ asthma, the nurse should expect intercostal retractions during -
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Il` Correct Answers Inspriation Il` Il` Il` Il` Il` Il`




Il` When planning the care for a child who has had a cleft lip repair, the nurse know that crying
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Il` should be minimized because it - Correct Answers Stresses the suture line
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Il` A full-term infant is admitted to the newborn nursery. After careful assessment, the nurse
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Il` suspects that the infant may have an esophageal atresia. Which sx's is this newborn likely to have
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Il` exhibited? - Correct Answers Choking , coughing, and cyanosis Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`




(this answer includes the 3 "C"s of esophageal atresia caused by the overflow of secretions to the
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trachea)
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Il` Which behavior would the nurse expect a 2 yr old to exhibit? - Correct Answers Display
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Il` possessiveness of toys Il` Il`




(they are egocentric and unable to share w/ others)
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Il` the other of a preschool-aged child asks the nurse if it is all right to administer Pepto Bismol to her
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Il` son when he has a tummy ache. After reminding her to check the label of all OTC meds for the
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Il` presence of ASA, which instruction should the nurse include when replying to the mom's
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Il` question? - Correct Answers Do not give if they have chicken pox, the flue, or any other viral
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Il` illness

, (ASA can cause Reye's syndrome) Il` Il` Il` Il`




Il` the nurse observes a 4 yr old boy in a daycare. Which behavior should the nurse consider normal
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Il` for this child? - Correct Answers Demonstrates aggressiveness by boasting when telling a story
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Il` A burned child is brought to the ER. In estimating the % of body burned, the nurse uses a modified
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Il` "Rule of Nines." Which part of the body is calculated as a larger % of total body surface than an
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Il` adult? - Correct Answers Head and neck Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`




(a child's head and neck are proportionately larger to their body than an adult's)
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Il` The nurse receives a lab report stating a child w/ asthma has a theophylline level of 15mcg/dL.
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Il` What action will the nurse take? - Correct Answers Pass the info on in the report
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(therapeutic level is 10-20) Il` Il` Il`




Il` A 12 month old is admitted w/ a respiratory infection and possible pneumonia. He is placed in a
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Il` mist tent w/ O2. Which nsg intervention has the greatest priority? - Correct Answers Have a
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Il` bulb syringe readily available to remove secretions
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(patent airway has the highest priority. Humidification will liquefy the nasal secretions - thereby
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increasing the amt of secretions and making that a priority)
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Il` All of the following interventions can be used to eval the effectiveness of nsg and medical
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Il` interventions used to tx diarrhea. Which intervention is the least useful in the nurse's eval of a 20 Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`




Il` month old child? - Correct Answers Assessing the fontanels
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