Peds & Maternity HESI Exam
Questions and Answers 100% Pass
The nurse is caring for a 3 year old child who is 2 hours postop from a cardiac
catheritization via the right femoral artery. Which assessment finding is an
indication of arterial obstruction? - ANSWER-Right foot is cool to the touch and
appears pale and blanched
During fundal massage, place one hand at the fundus, what is the second hand
used for - ANSWER-to anchor fundus
Following a motor vehicle collision, a 3 year old girl has a spica cast applied. Which
toy is best for the nurse for this 3 year old child? - ANSWER-Set of cloth and
hand puppets
There is a question that has to be put in order - ANSWER-*isolate the baby, move
mom to private room, collect u/a, start iv*
An infant with tetralogy of fallot becomes acutely cyanotic and hyperpneic. Which
action should the nurse implement first? - ANSWER-Place the infant in a knee-
chest position
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,How do you measure the frequency of contractions - ANSWER-from the
beginning of one to the beginning of the next
A child admitted with diabetic ketoacidosis is demonstrating Kussmaul
respirations. The nurse determines that the increased respiratory rate is a
compensatory mechanism for which acid base alteration? - ANSWER-Metabolic
Acidoses
Mothers Hemoglobin A1C - ANSWER-give her a consultation to a nutritionist
A 7 year old is admitted to the hospital with persistent vomiting, and a nasogastric
tube attached to low intermittent suction is applied. Which finding is most
important for the nurse to report to the healthcare provider? - ANSWER-Serum
potassium of 3.0 mg/dL
Baby shows cyanosis in hands and feet and has elevated respirations - ANSWER-
gradually warm the baby
Cyanotic 3 hour old infant temperature 96.5, 40 breaths/min, 165 beats/minute.
Intervention best to implement? - ANSWER-gradually warm under heat source
The nurse is evaluating diet teaching for a client who has nontropical sprue (celiac
disease). Choosing which food indicates that the teaching has been effective? -
ANSWER-*Creamed corn*
Baby is showing signs of mottling - ANSWER-check temperature
©️COPYRIGHT 2025, ALL RIGHTS RESERVED. 2
, During a well-baby check, the nurse hides a block under the baby's blanket, and
the baby looks for the block. Which normal growth and development milestone is
the baby developing? - ANSWER-Object Permanence
Mom is at 20 week gestation and has gained 20 lbs, what is of most concern out of
the data of mom - ANSWER-increased weight gain
The nurse is measuring he frontal occipital circumference (FOC) of a 3 month old
infant, and notes that the FOC has increased 5 inches since birth and the child's
head appears large in relation to body size. Which action is most important for the
nurse to take next? - ANSWER-Palpate the anterior fontanel for tension and
bulging
Mom asks why her baby is being screened for T4 and TSH levels - ANSWER-it is
state protocol to monitor for metabolic abnormalities
The nurse is preparing a 10 year old with a lacerated forehead for suturing. Both
parents and 12 years old sibling are at the child's bedside. Which instruction best
supports family? - ANSWER-Please decide who will stay when the healthcare
provider begins suturing
Patient is having labor back pain - ANSWER-counter pressure on lower back
(sacrum)
The nurse is planning for a 5 month old with gastroesophageal reflux disease
whose weight has decreased by 3 ounces since the last clinic visit one month ago.
©️COPYRIGHT 2025, ALL RIGHTS RESERVED. 3
Questions and Answers 100% Pass
The nurse is caring for a 3 year old child who is 2 hours postop from a cardiac
catheritization via the right femoral artery. Which assessment finding is an
indication of arterial obstruction? - ANSWER-Right foot is cool to the touch and
appears pale and blanched
During fundal massage, place one hand at the fundus, what is the second hand
used for - ANSWER-to anchor fundus
Following a motor vehicle collision, a 3 year old girl has a spica cast applied. Which
toy is best for the nurse for this 3 year old child? - ANSWER-Set of cloth and
hand puppets
There is a question that has to be put in order - ANSWER-*isolate the baby, move
mom to private room, collect u/a, start iv*
An infant with tetralogy of fallot becomes acutely cyanotic and hyperpneic. Which
action should the nurse implement first? - ANSWER-Place the infant in a knee-
chest position
©️COPYRIGHT 2025, ALL RIGHTS RESERVED. 1
,How do you measure the frequency of contractions - ANSWER-from the
beginning of one to the beginning of the next
A child admitted with diabetic ketoacidosis is demonstrating Kussmaul
respirations. The nurse determines that the increased respiratory rate is a
compensatory mechanism for which acid base alteration? - ANSWER-Metabolic
Acidoses
Mothers Hemoglobin A1C - ANSWER-give her a consultation to a nutritionist
A 7 year old is admitted to the hospital with persistent vomiting, and a nasogastric
tube attached to low intermittent suction is applied. Which finding is most
important for the nurse to report to the healthcare provider? - ANSWER-Serum
potassium of 3.0 mg/dL
Baby shows cyanosis in hands and feet and has elevated respirations - ANSWER-
gradually warm the baby
Cyanotic 3 hour old infant temperature 96.5, 40 breaths/min, 165 beats/minute.
Intervention best to implement? - ANSWER-gradually warm under heat source
The nurse is evaluating diet teaching for a client who has nontropical sprue (celiac
disease). Choosing which food indicates that the teaching has been effective? -
ANSWER-*Creamed corn*
Baby is showing signs of mottling - ANSWER-check temperature
©️COPYRIGHT 2025, ALL RIGHTS RESERVED. 2
, During a well-baby check, the nurse hides a block under the baby's blanket, and
the baby looks for the block. Which normal growth and development milestone is
the baby developing? - ANSWER-Object Permanence
Mom is at 20 week gestation and has gained 20 lbs, what is of most concern out of
the data of mom - ANSWER-increased weight gain
The nurse is measuring he frontal occipital circumference (FOC) of a 3 month old
infant, and notes that the FOC has increased 5 inches since birth and the child's
head appears large in relation to body size. Which action is most important for the
nurse to take next? - ANSWER-Palpate the anterior fontanel for tension and
bulging
Mom asks why her baby is being screened for T4 and TSH levels - ANSWER-it is
state protocol to monitor for metabolic abnormalities
The nurse is preparing a 10 year old with a lacerated forehead for suturing. Both
parents and 12 years old sibling are at the child's bedside. Which instruction best
supports family? - ANSWER-Please decide who will stay when the healthcare
provider begins suturing
Patient is having labor back pain - ANSWER-counter pressure on lower back
(sacrum)
The nurse is planning for a 5 month old with gastroesophageal reflux disease
whose weight has decreased by 3 ounces since the last clinic visit one month ago.
©️COPYRIGHT 2025, ALL RIGHTS RESERVED. 3
