Peds HESI practice Exam Questions
and Answers 100% Pass
The nurse is assessing a 3-year-old presenting to the emergency department with
agitation, a cherry red and edematous epiglottis, and a high fever. What focuses
assessments will the nurse include in this child's plan of care? (Select all that apply.)
A. Respiratory rate
B. Use of accessory muscles when breathing
C. Babinski reflex
D. Bowel sounds
E. Breath sounds - ANSWER-Correct Answer: A,B,E
This child is presenting with signs of epiglottitis. The hallmark sign is the cherry
red and edematous epiglottis. This can lead to a severely restricted or occluded
airway. The focused assessment is of the respiratory system. The Babinski reflex is
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,a neurologic sign. Bowel sounds are a gastrointestinal sign. The remaining
assessments are included in a focused respiratory assessment.
The clinic nurse is preparing a teaching plan for a child just diagnosed with lactose
intolerance. What sources of calcium will the nurse include in the child's plan?
(Select all that apply.)
A. Skim milk
B. Sorbet
C. Cheddar Cheese
D. Yogurt
E. Provolone cheese
F. Cottage cheese - ANSWER-Correct Answer: C,D,E,F
Skim milk contains an active lactose enzyme. If given to a client with lactose
intolerance it needs to be accompanied by an enzyme replacement tablet. Sorbet is
permissible for the client who is lactose intolerant, but it contains no calcium. The
remaining selections contain calcium, but they contain inactive lactose.
A woman is being discharged following the birth of her second child. Her first
child died at 6 weeks of age because of sudden infant death syndrome (SIDS). The
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, mother tells the nurse that she is fearful that this infant will also develop SIDS.
What is the nurse's best response?
A. "You can prevent SIDS if your baby sleeps on the side or back. You will have
to monitor the baby carefully."
B. "The fear of losing another child to SIDS is very realistic. Have you thought
about what support you may need?"
C. "An apnea monitor will alert you if the baby stops breathing. This will give you
the peace of mind that you need."
D. "My neighbor's baby died of SIDS last year and she went to a SIDS support
group. That really helped her." - ANSWER-B. "The fear of losing another child to
SIDS is very realistic. Have you thought about what support you may need?"
The most effective way to provide emotional support is to acknowledge what
clients may be feeling, be a sounding board for them so they can listen to
themselves, and allow them to discover their own solutions. Option A implies to
the mother that she can prevent SIDS from occurring, which is an unrealistic
expectation. Offering a personal opinion about what will help this client or about
what has helped a neighbor is not as effective as helping the client discover what
would be best for her.
©️COPYRIGHT 2025, ALL RIGHTS RESERVED. 3
and Answers 100% Pass
The nurse is assessing a 3-year-old presenting to the emergency department with
agitation, a cherry red and edematous epiglottis, and a high fever. What focuses
assessments will the nurse include in this child's plan of care? (Select all that apply.)
A. Respiratory rate
B. Use of accessory muscles when breathing
C. Babinski reflex
D. Bowel sounds
E. Breath sounds - ANSWER-Correct Answer: A,B,E
This child is presenting with signs of epiglottitis. The hallmark sign is the cherry
red and edematous epiglottis. This can lead to a severely restricted or occluded
airway. The focused assessment is of the respiratory system. The Babinski reflex is
©️COPYRIGHT 2025, ALL RIGHTS RESERVED. 1
,a neurologic sign. Bowel sounds are a gastrointestinal sign. The remaining
assessments are included in a focused respiratory assessment.
The clinic nurse is preparing a teaching plan for a child just diagnosed with lactose
intolerance. What sources of calcium will the nurse include in the child's plan?
(Select all that apply.)
A. Skim milk
B. Sorbet
C. Cheddar Cheese
D. Yogurt
E. Provolone cheese
F. Cottage cheese - ANSWER-Correct Answer: C,D,E,F
Skim milk contains an active lactose enzyme. If given to a client with lactose
intolerance it needs to be accompanied by an enzyme replacement tablet. Sorbet is
permissible for the client who is lactose intolerant, but it contains no calcium. The
remaining selections contain calcium, but they contain inactive lactose.
A woman is being discharged following the birth of her second child. Her first
child died at 6 weeks of age because of sudden infant death syndrome (SIDS). The
©️COPYRIGHT 2025, ALL RIGHTS RESERVED. 2
, mother tells the nurse that she is fearful that this infant will also develop SIDS.
What is the nurse's best response?
A. "You can prevent SIDS if your baby sleeps on the side or back. You will have
to monitor the baby carefully."
B. "The fear of losing another child to SIDS is very realistic. Have you thought
about what support you may need?"
C. "An apnea monitor will alert you if the baby stops breathing. This will give you
the peace of mind that you need."
D. "My neighbor's baby died of SIDS last year and she went to a SIDS support
group. That really helped her." - ANSWER-B. "The fear of losing another child to
SIDS is very realistic. Have you thought about what support you may need?"
The most effective way to provide emotional support is to acknowledge what
clients may be feeling, be a sounding board for them so they can listen to
themselves, and allow them to discover their own solutions. Option A implies to
the mother that she can prevent SIDS from occurring, which is an unrealistic
expectation. Offering a personal opinion about what will help this client or about
what has helped a neighbor is not as effective as helping the client discover what
would be best for her.
©️COPYRIGHT 2025, ALL RIGHTS RESERVED. 3
