PEDS Hesi final exam 2025/2026 questions
and 100% correct anwers|graded A+
The nurse is caring for a 3 year old child who is 2 hours postop from a cardiac catheritization via the rig
B B B B B B B B B B B B B B B B B B B B B
ht femoral artery. Which assessment finding is an indication of arterial obstruction? - ANSWER-
B B B B B B B B B B B B B
Right foot is cool to the touch and appears pale and blanched
B B B B B B B B B B B
Following a motor vehicle collision, a 3 year old girl has a spica cast applied. Which toy is best for the n
B B B B B B B B B B B B B B B B B B B B B
urse for this 3 year old child? - ANSWER-Set of cloth and hand puppets
B B B B B B B B B B B B B
An infant with tetralogy of fallot becomes acutely cyanotic and hyperpneic. Which action should the n
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urse implement first? - ANSWER-Place the infant in a knee-chest position
B B B B B B B B B B
A child admitted with diabetic ketoacidosis is demonstrating Kussmaul respirations. The nurse determ
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ines that the increased respiratory rate is a compensatory mechanism for which acid base alteration? -
B B B B B B B B B B B B B B B
BANSWER-Metabolic Acidoses B
A 7 year old is admitted to the hospital with persistent vomiting, and a nasogastric tube attached to lo
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w intermittent suction is applied. Which finding is most important for the nurse to report to the health
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care provider? - ANSWER-Serum potassium of 3.0 mg/dL
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The nurse is evaluating diet teaching for a client who has nontropical sprue (celiac disease). Choosing
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which food indicates that the teaching has been effective? - ANSWER-Creamed corn
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During a well- B B
baby check, the nurse hides a block under the baby's blanket, and the baby looks for the block. Which
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normal growth and development milestone is the baby developing? - ANSWER-Object Permanence
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The nurse is measuring he frontal occipital circumference (FOC) of a 3 month old infant, and notes tha
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t the FOC has increased 5 inches since birth and the child's head appears large in relation to body size.
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Which action is most important for the nurse to take next? - ANSWER-
B B B B B B B B B B B B
Palpate the anterior fontanel for tension and bulging
B B B B B B B
The nurse is preparing a 10 year old with a lacerated forehead for suturing. Both parents and 12 years
B B B B B B B B B B B B B B B B B B B
old sibling are at the child's bedside. Which instruction best supports family? - ANSWER-
B B B B B B B B B B B B B
Please decide who will stay when the healthcare provider begins suturing
B B B B B B B B B B
, The nurse is planning for a 5 month old with gastroesophageal reflux disease whose weight has decrea
B B B B B B B B B B B B B B B B
sed by 3 ounces since the last clinic visit one month ago. To increase caloric intake and decrease vomiti
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ng, what instructions should the nurse provide this mother? - ANSWER-
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Thicken formula with cereal for each feeding
B B B B B B
While teaching a parenting class to new parents the nurse describes the needs of infants and toddlers
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regarding discipline and limit setting. What is the most important reason for implementing such paren
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ting behaviors? - ANSWER-They provide the child with a sense of security
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The parents of a newborn infant with hypospadia are concerned about when the surgical correction s
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hould occur. What information should the nurse provide? - ANSWER-
B B B B B B B B B
Repairs typically should be done before the child is potty trained
B B B B B B B B B B
Which drink choice on a hot day indicates to the nurse that a teenager with sickle cell anemia underst
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ands dietary considerations related to the disease? - ANSWER-Lemonade
B B B B B B B B
The nurse is assessing an infant with diarrhea and lethargy. Which finding should the nurse identify th
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at is consistent with early dehydration? - ANSWER-Tachycardia
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While auscultating the lung sounds of a 5 year old Chinese boy who recently completed antibiotic ther
B B B B B B B B B B B B B B B B
apy for pneumonia, the nurse notices symmetrical, round, bruise-
B B B B B B B B
like blemishes on his chest. What action is best for the nurse to take? - ANSWER-
B B B B B B B B B B B B B B B
Inquire about the use of alternative methods of treatment
B B B B B B B B
A child with acute lymphocytic leukemia (ALL) who is receiving chemotherapy via a subclavian IV infusi
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on, has an oral temperature of 103 degrees. In assessing the IV site, the nurse determines that there a
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re no signs of infection at the site. Which intervention is the most important for the nurse to impleme
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nt? - ANSWER-Obtain specimen for blood cultures
B B B B B B
A child who weighs 25 kg is receiving IV ampicillin 300mg/kg/24 hours in equally divided doses every
B B B B B B B B B B B B B B B B B
4 hours. How many mg should the nurse administer to the child for each dose? - ANSWER-1875mg
B B B B B B B B B B B B B B B B
The nurse is caring for an infant scheduled for reduction of intussusceptions. The day before the sched
B B B B B B B B B B B B B B B B
uled procedures the infant passes a soft-
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formed brown stool. Which intervention should the nurse implement? - ANSWER-
B B B B B B B B B B
Notify the healthcare provider of the passage of brown stool
B B B B B B B B B
and 100% correct anwers|graded A+
The nurse is caring for a 3 year old child who is 2 hours postop from a cardiac catheritization via the rig
B B B B B B B B B B B B B B B B B B B B B
ht femoral artery. Which assessment finding is an indication of arterial obstruction? - ANSWER-
B B B B B B B B B B B B B
Right foot is cool to the touch and appears pale and blanched
B B B B B B B B B B B
Following a motor vehicle collision, a 3 year old girl has a spica cast applied. Which toy is best for the n
B B B B B B B B B B B B B B B B B B B B B
urse for this 3 year old child? - ANSWER-Set of cloth and hand puppets
B B B B B B B B B B B B B
An infant with tetralogy of fallot becomes acutely cyanotic and hyperpneic. Which action should the n
B B B B B B B B B B B B B B B
urse implement first? - ANSWER-Place the infant in a knee-chest position
B B B B B B B B B B
A child admitted with diabetic ketoacidosis is demonstrating Kussmaul respirations. The nurse determ
B B B B B B B B B B B B
ines that the increased respiratory rate is a compensatory mechanism for which acid base alteration? -
B B B B B B B B B B B B B B B
BANSWER-Metabolic Acidoses B
A 7 year old is admitted to the hospital with persistent vomiting, and a nasogastric tube attached to lo
B B B B B B B B B B B B B B B B B B
w intermittent suction is applied. Which finding is most important for the nurse to report to the health
B B B B B B B B B B B B B B B B B
care provider? - ANSWER-Serum potassium of 3.0 mg/dL
B B B B B B B
The nurse is evaluating diet teaching for a client who has nontropical sprue (celiac disease). Choosing
B B B B B B B B B B B B B B B B
which food indicates that the teaching has been effective? - ANSWER-Creamed corn
B B B B B B B B B B B
During a well- B B
baby check, the nurse hides a block under the baby's blanket, and the baby looks for the block. Which
B B B B B B B B B B B B B B B B B B B
normal growth and development milestone is the baby developing? - ANSWER-Object Permanence
B B B B B B B B B B B
The nurse is measuring he frontal occipital circumference (FOC) of a 3 month old infant, and notes tha
B B B B B B B B B B B B B B B B B
t the FOC has increased 5 inches since birth and the child's head appears large in relation to body size.
B B B B B B B B B B B B B B B B B B B B
Which action is most important for the nurse to take next? - ANSWER-
B B B B B B B B B B B B
Palpate the anterior fontanel for tension and bulging
B B B B B B B
The nurse is preparing a 10 year old with a lacerated forehead for suturing. Both parents and 12 years
B B B B B B B B B B B B B B B B B B B
old sibling are at the child's bedside. Which instruction best supports family? - ANSWER-
B B B B B B B B B B B B B
Please decide who will stay when the healthcare provider begins suturing
B B B B B B B B B B
, The nurse is planning for a 5 month old with gastroesophageal reflux disease whose weight has decrea
B B B B B B B B B B B B B B B B
sed by 3 ounces since the last clinic visit one month ago. To increase caloric intake and decrease vomiti
B B B B B B B B B B B B B B B B B B
ng, what instructions should the nurse provide this mother? - ANSWER-
B B B B B B B B B B
Thicken formula with cereal for each feeding
B B B B B B
While teaching a parenting class to new parents the nurse describes the needs of infants and toddlers
B B B B B B B B B B B B B B B B B
regarding discipline and limit setting. What is the most important reason for implementing such paren
B B B B B B B B B B B B B B
ting behaviors? - ANSWER-They provide the child with a sense of security
B B B B B B B B B B B
The parents of a newborn infant with hypospadia are concerned about when the surgical correction s
B B B B B B B B B B B B B B B
hould occur. What information should the nurse provide? - ANSWER-
B B B B B B B B B
Repairs typically should be done before the child is potty trained
B B B B B B B B B B
Which drink choice on a hot day indicates to the nurse that a teenager with sickle cell anemia underst
B B B B B B B B B B B B B B B B B B
ands dietary considerations related to the disease? - ANSWER-Lemonade
B B B B B B B B
The nurse is assessing an infant with diarrhea and lethargy. Which finding should the nurse identify th
B B B B B B B B B B B B B B B B
at is consistent with early dehydration? - ANSWER-Tachycardia
B B B B B B B
While auscultating the lung sounds of a 5 year old Chinese boy who recently completed antibiotic ther
B B B B B B B B B B B B B B B B
apy for pneumonia, the nurse notices symmetrical, round, bruise-
B B B B B B B B
like blemishes on his chest. What action is best for the nurse to take? - ANSWER-
B B B B B B B B B B B B B B B
Inquire about the use of alternative methods of treatment
B B B B B B B B
A child with acute lymphocytic leukemia (ALL) who is receiving chemotherapy via a subclavian IV infusi
B B B B B B B B B B B B B B B
on, has an oral temperature of 103 degrees. In assessing the IV site, the nurse determines that there a
B B B B B B B B B B B B B B B B B B
re no signs of infection at the site. Which intervention is the most important for the nurse to impleme
B B B B B B B B B B B B B B B B B B
nt? - ANSWER-Obtain specimen for blood cultures
B B B B B B
A child who weighs 25 kg is receiving IV ampicillin 300mg/kg/24 hours in equally divided doses every
B B B B B B B B B B B B B B B B B
4 hours. How many mg should the nurse administer to the child for each dose? - ANSWER-1875mg
B B B B B B B B B B B B B B B B
The nurse is caring for an infant scheduled for reduction of intussusceptions. The day before the sched
B B B B B B B B B B B B B B B B
uled procedures the infant passes a soft-
B B B B B B
formed brown stool. Which intervention should the nurse implement? - ANSWER-
B B B B B B B B B B
Notify the healthcare provider of the passage of brown stool
B B B B B B B B B