ii
ATI PEDS/OB HESI Exams Questions and
ii ii ii ii ii ii
Graded A+ Answers ii ii ii
1.A mother brings her 8 mo. old baby boy to clinic bc he has
ii ii ii ii ii ii ii ii ii ii ii ii ii
been vomitting and had diarrhea for last 3 days. Which
ii ii ii ii ii ii ii ii ii ii
assessment is most important for nurse to make?
ii ii ii ii ii ii ii ii ii
a. Assess infant abdomen for tenderness ii ii ii ii ii
b. Determine if the infant was exposed to a virus ii ii ii ii ii ii ii ii ii
c.Measure the infant’s pulse ii ii ii ii
d.Evaluate the infant’s cry ii ii ii ii
2. While obtaining the vital signs of a 10 year old who had a
ii ii ii ii ii ii ii ii ii ii ii ii
tonsillectomy this morning, the nurse observes the child
ii ii ii ii ii ii ii ii
swallowing every 2-3 minutes. Which assessment should the
ii ii ii ii ii ii ii ii
nurse implement? a.Inspect the posterior oropharynx
ii ii ii ii ii ii ii
b. Assess for teeth clenching or grinding ii ii ii ii ii ii
c. Touch the tonsillar pillars to stimulate the gag reflex
ii ii ii ii ii ii ii ii ii
d. Ask the child to speak to evaluate change in voice tone
ii ii ii ii ii ii ii ii ii ii ii
3. The parents of a 3-year old boy who has Duchenne muscular
ii ii ii ii ii ii ii ii ii ii
dystrophy ask, “How can our son have this disease? We are
ii ii ii ii ii ii ii ii ii ii ii
wondering if we should have any more children.” What
ii ii ii ii ii ii ii ii ii
information should the nurse provide to parents?
ii ii ii ii ii ii ii ii
a.This is an inherited X- ii ii ii ii ii
linked recessive disorder, which primarily affects male
ii ii ii ii ii ii
children in the family
ii ii ii ii ii
b. The striated muscle groups of males can be impacted by a
ii ii ii ii ii ii ii ii ii ii
lack of the protein dystrophin in their mothers
ii ii ii ii ii ii ii ii ii
c. The male infant had a viral infection that went unnoticed
ii ii ii ii ii ii ii ii ii
and untreated so muscle damage was incurred
ii ii ii ii ii ii ii ii
d. Birth trauma with a breech vaginal birth causes damage to
ii ii ii ii ii ii ii ii ii
the spinal cord, thus weakening the muscles
ii ii ii ii ii ii ii ii
, 4. A 2-week-old female infant is hospitalized for the surgical
ii ii ii ii ii ii ii ii ii
repair of an umbilical hernia. After returning to the
ii ii ii ii ii ii ii ii ii
postoperative neonatal unit, her RR and HR have increased
ii ii ii ii ii ii ii ii ii
during the last hour. Which intervention should the nurse
ii ii ii ii ii ii ii ii ii
implement?
ii ii
a. Notify the HCP of these findings
ii ii ii ii ii ii ii
b.Administer a PRN analgesic prescription ii ii ii ii ii
c. Record the findings in the child’s record ii ii ii ii ii ii ii
d. Wrap the infant tightly and rock in rocking chair ii ii ii ii ii ii ii ii ii
5. A 2-year-old girl is brought to the clinic by her 17 year old
ii ii ii ii ii ii ii ii ii ii ii ii ii
mother. When the nurse observes that the child is drinking
ii ii ii ii ii ii ii ii ii ii
sweetened soda from her bottle, what information should the
ii ii ii ii ii ii ii ii ii
nurse discuss with this mother?
ii ii ii ii ii ii
a. A 2-year old should be speaking in 2 word phrases
ii ii ii ii ii ii ii ii ii ii
b. Dental caries are associated with drinking soda c. ii ii ii ii ii ii ii ii
Drinking soda is related to childhood obesity ii ii ii ii ii ii ii
d.Toddlers should be sleeping 10 hours a night ii ii ii ii ii ii ii ii
e.Toddlers should be drinking from a cup by age 2 ii ii ii ii ii ii ii ii ii ii
6. A mother brings her 3 month old infant to the clinic because
ii ii ii ii ii ii ii ii ii ii ii ii
the baby does not sleep through the night. Which finding is
ii ii ii ii ii ii ii ii ii ii ii
most significant in planning care for this family?
ii ii ii ii ii ii ii ii ii
a. The mother is a single parent and lives with her parents
ii ii ii ii ii ii ii ii ii ii ii
b. The mother states the baby is irritable during feedings
ii ii ii ii ii ii ii ii ii
c. The infant’s formula has been changed twice ii ii ii ii ii ii ii
d.The diaper area shows severe skin breakdown
ii ii ii ii ii ii ii
7. The nurse determines that an infant admitted for surgical
ii ii ii ii ii ii ii ii
repair of an inguinal hernia voids a urinary stream from the
ii ii ii ii ii ii ii ii ii ii ii
ventral surface of the penis. What action should the nurse
ii ii ii ii ii ii ii ii ii ii
take? a.Document the finding
ii ii ii ii ii
b. Palpate scrotum for testicular descent ii ii ii ii ii
c. Assess for bladder distension ii ii ii ii
d. Auscultate bowel sounds ii ii ii
, 8. A 16 year old with acute myelocytic leukemia is receiving
ii ii ii ii ii ii ii ii ii
chemotherapy (CT) via an implanted medication port at the
ii ii ii ii ii ii ii ii ii
outpatient oncology clinic. What action should the nurse
ii ii ii ii ii ii ii ii
implement when the infusion is complete?
ii ii ii ii ii ii ii
a. Administer Zofran ii ii ii
b.Obtain blood samples for RBCs, WBCs, and platelets ii ii ii ii ii ii ii ii
c.Flush mediport w/ saline and heparin solutionii ii ii ii ii ii ii
d.Initiate an infusion of normal saline ii ii ii ii ii ii
9. A mother brings her 3-week old infant to the clinic because the
ii ii ii ii ii ii ii ii ii ii ii ii
baby vomits after eating and always seems hungry. Further
ii ii ii ii ii ii ii ii ii
assessment indicates that the infant’s vomiting is projectile, and
ii ii ii ii ii ii ii ii ii
the child seems listless. Which additional assessment finding
ii ii ii ii ii ii ii ii
indicates the possibility of a life threatening complication?
ii ii ii ii ii ii ii ii ii
a. Irregular palpable pulse ii ii ii ii
b. Hyperactive bowel sounds ii ii ii
c. Underweight for age ii ii ii
d. Crying without tears ii ii ii
10. The nurse is performing a routine assessment of a 3-year old
ii ii ii ii ii ii ii ii ii ii ii
at a community health center. Which behavior by the child
ii ii ii ii ii ii ii ii ii ii
should alert the nurse to request a follow-up for a possible
ii ii ii ii ii ii ii ii ii ii ii
autistic spectrum disorder?
ii ii ii ii
a.Performs odd repetitive behaviors ii ii ii ii
b. Shows indifference to verbal stimulation ii ii ii ii ii
c. Strokes the hair of a hand held doll ii ii ii ii ii ii ii ii
d. Has a history of temper tantrums ii ii ii ii ii ii
11. Following admission for cardiac catheterization, the nurse is
ii ii ii ii ii ii ii ii
providing discharge teaching to the parents of a 2-year-old
ii ii ii ii ii ii ii ii ii
toddler with tetralogy of Fallot. What instruction should the
ii ii ii ii ii ii ii ii ii
nurse give the parents if their child becomes pale, cool,
ii ii ii ii ii ii ii ii ii ii
lethargic?
ii ii
a. Encourage oral electrolyte solution intake
ii ii ii ii ii ii
b.Assess the child to a recumbent position ii ii ii ii ii ii ii
ATI PEDS/OB HESI Exams Questions and
ii ii ii ii ii ii
Graded A+ Answers ii ii ii
1.A mother brings her 8 mo. old baby boy to clinic bc he has
ii ii ii ii ii ii ii ii ii ii ii ii ii
been vomitting and had diarrhea for last 3 days. Which
ii ii ii ii ii ii ii ii ii ii
assessment is most important for nurse to make?
ii ii ii ii ii ii ii ii ii
a. Assess infant abdomen for tenderness ii ii ii ii ii
b. Determine if the infant was exposed to a virus ii ii ii ii ii ii ii ii ii
c.Measure the infant’s pulse ii ii ii ii
d.Evaluate the infant’s cry ii ii ii ii
2. While obtaining the vital signs of a 10 year old who had a
ii ii ii ii ii ii ii ii ii ii ii ii
tonsillectomy this morning, the nurse observes the child
ii ii ii ii ii ii ii ii
swallowing every 2-3 minutes. Which assessment should the
ii ii ii ii ii ii ii ii
nurse implement? a.Inspect the posterior oropharynx
ii ii ii ii ii ii ii
b. Assess for teeth clenching or grinding ii ii ii ii ii ii
c. Touch the tonsillar pillars to stimulate the gag reflex
ii ii ii ii ii ii ii ii ii
d. Ask the child to speak to evaluate change in voice tone
ii ii ii ii ii ii ii ii ii ii ii
3. The parents of a 3-year old boy who has Duchenne muscular
ii ii ii ii ii ii ii ii ii ii
dystrophy ask, “How can our son have this disease? We are
ii ii ii ii ii ii ii ii ii ii ii
wondering if we should have any more children.” What
ii ii ii ii ii ii ii ii ii
information should the nurse provide to parents?
ii ii ii ii ii ii ii ii
a.This is an inherited X- ii ii ii ii ii
linked recessive disorder, which primarily affects male
ii ii ii ii ii ii
children in the family
ii ii ii ii ii
b. The striated muscle groups of males can be impacted by a
ii ii ii ii ii ii ii ii ii ii
lack of the protein dystrophin in their mothers
ii ii ii ii ii ii ii ii ii
c. The male infant had a viral infection that went unnoticed
ii ii ii ii ii ii ii ii ii
and untreated so muscle damage was incurred
ii ii ii ii ii ii ii ii
d. Birth trauma with a breech vaginal birth causes damage to
ii ii ii ii ii ii ii ii ii
the spinal cord, thus weakening the muscles
ii ii ii ii ii ii ii ii
, 4. A 2-week-old female infant is hospitalized for the surgical
ii ii ii ii ii ii ii ii ii
repair of an umbilical hernia. After returning to the
ii ii ii ii ii ii ii ii ii
postoperative neonatal unit, her RR and HR have increased
ii ii ii ii ii ii ii ii ii
during the last hour. Which intervention should the nurse
ii ii ii ii ii ii ii ii ii
implement?
ii ii
a. Notify the HCP of these findings
ii ii ii ii ii ii ii
b.Administer a PRN analgesic prescription ii ii ii ii ii
c. Record the findings in the child’s record ii ii ii ii ii ii ii
d. Wrap the infant tightly and rock in rocking chair ii ii ii ii ii ii ii ii ii
5. A 2-year-old girl is brought to the clinic by her 17 year old
ii ii ii ii ii ii ii ii ii ii ii ii ii
mother. When the nurse observes that the child is drinking
ii ii ii ii ii ii ii ii ii ii
sweetened soda from her bottle, what information should the
ii ii ii ii ii ii ii ii ii
nurse discuss with this mother?
ii ii ii ii ii ii
a. A 2-year old should be speaking in 2 word phrases
ii ii ii ii ii ii ii ii ii ii
b. Dental caries are associated with drinking soda c. ii ii ii ii ii ii ii ii
Drinking soda is related to childhood obesity ii ii ii ii ii ii ii
d.Toddlers should be sleeping 10 hours a night ii ii ii ii ii ii ii ii
e.Toddlers should be drinking from a cup by age 2 ii ii ii ii ii ii ii ii ii ii
6. A mother brings her 3 month old infant to the clinic because
ii ii ii ii ii ii ii ii ii ii ii ii
the baby does not sleep through the night. Which finding is
ii ii ii ii ii ii ii ii ii ii ii
most significant in planning care for this family?
ii ii ii ii ii ii ii ii ii
a. The mother is a single parent and lives with her parents
ii ii ii ii ii ii ii ii ii ii ii
b. The mother states the baby is irritable during feedings
ii ii ii ii ii ii ii ii ii
c. The infant’s formula has been changed twice ii ii ii ii ii ii ii
d.The diaper area shows severe skin breakdown
ii ii ii ii ii ii ii
7. The nurse determines that an infant admitted for surgical
ii ii ii ii ii ii ii ii
repair of an inguinal hernia voids a urinary stream from the
ii ii ii ii ii ii ii ii ii ii ii
ventral surface of the penis. What action should the nurse
ii ii ii ii ii ii ii ii ii ii
take? a.Document the finding
ii ii ii ii ii
b. Palpate scrotum for testicular descent ii ii ii ii ii
c. Assess for bladder distension ii ii ii ii
d. Auscultate bowel sounds ii ii ii
, 8. A 16 year old with acute myelocytic leukemia is receiving
ii ii ii ii ii ii ii ii ii
chemotherapy (CT) via an implanted medication port at the
ii ii ii ii ii ii ii ii ii
outpatient oncology clinic. What action should the nurse
ii ii ii ii ii ii ii ii
implement when the infusion is complete?
ii ii ii ii ii ii ii
a. Administer Zofran ii ii ii
b.Obtain blood samples for RBCs, WBCs, and platelets ii ii ii ii ii ii ii ii
c.Flush mediport w/ saline and heparin solutionii ii ii ii ii ii ii
d.Initiate an infusion of normal saline ii ii ii ii ii ii
9. A mother brings her 3-week old infant to the clinic because the
ii ii ii ii ii ii ii ii ii ii ii ii
baby vomits after eating and always seems hungry. Further
ii ii ii ii ii ii ii ii ii
assessment indicates that the infant’s vomiting is projectile, and
ii ii ii ii ii ii ii ii ii
the child seems listless. Which additional assessment finding
ii ii ii ii ii ii ii ii
indicates the possibility of a life threatening complication?
ii ii ii ii ii ii ii ii ii
a. Irregular palpable pulse ii ii ii ii
b. Hyperactive bowel sounds ii ii ii
c. Underweight for age ii ii ii
d. Crying without tears ii ii ii
10. The nurse is performing a routine assessment of a 3-year old
ii ii ii ii ii ii ii ii ii ii ii
at a community health center. Which behavior by the child
ii ii ii ii ii ii ii ii ii ii
should alert the nurse to request a follow-up for a possible
ii ii ii ii ii ii ii ii ii ii ii
autistic spectrum disorder?
ii ii ii ii
a.Performs odd repetitive behaviors ii ii ii ii
b. Shows indifference to verbal stimulation ii ii ii ii ii
c. Strokes the hair of a hand held doll ii ii ii ii ii ii ii ii
d. Has a history of temper tantrums ii ii ii ii ii ii
11. Following admission for cardiac catheterization, the nurse is
ii ii ii ii ii ii ii ii
providing discharge teaching to the parents of a 2-year-old
ii ii ii ii ii ii ii ii ii
toddler with tetralogy of Fallot. What instruction should the
ii ii ii ii ii ii ii ii ii
nurse give the parents if their child becomes pale, cool,
ii ii ii ii ii ii ii ii ii ii
lethargic?
ii ii
a. Encourage oral electrolyte solution intake
ii ii ii ii ii ii
b.Assess the child to a recumbent position ii ii ii ii ii ii ii
