HESI PEDIATRIC EXIT REAL EXAM COMPLETE
QUESTIONS AND CORRECT ANSWERS 2025 LATEST &
ALREADY GRADED A+
A child with autism spectrum disorder (ASD) is admitted to the hospital with pneuomonia. The
nurse should plan which priority intervention when caring for this child?
A. Maintain a structured routine and keep stimulation to a minimim
B. Communicate at child;s level and maintain eye contact
C. Use therapeutic touch to calm child with procedures
D. Switch from one assessment activity to another quickly?
A child is admitted with acute glomerularnephritis. The nurse would expect the UA during this
acute phase to show which of the following?
A. Bacteruria, hematuria
B. Hematuria, proteinuria
C. Bacteruria, increase specific gravity
D. Proteinuria, decreased specific gravity
A child has been admitted to the pedatric unit with suspected meningitis. The CSF aanalysis
reveals the following: Apperance: Clear, WBC: within normal limits, Protein: within normal limits,
Glucose: within normal limits, Culture: negative. Based on the results, the nurse suspects that the
child has:
A. Bacertial Meningitis
B. Meningococcal meningitis
C. Viral meningitis
D. Hydrocephalous
A two year old has had one bout of nephrosis (nephrotic syndrome) His mother suspected a
recurrence when she observed swelling around his eyes. The nurse helps to confirrm the condition
by recognizing what additional sympton?
A. Blood presssure 140/90
B. Marked proteinuria
C. Tea colored urine
D. A history of positive strep infections
,The mother of a 1 month old infant tells the nurse she worries that her baby will get meningitits
like her oldest son did when he was an infant. The nurse should base her response on which
statement?
A. Meningitis rarely occurs during infancy, however after the first year of life, it is more common.
B. Often a genetic predisposition to meningitis is found and family members are more likely to get
it.
C. Vaccination to prevent all types of meningitits is now avaliable and should be administered at 6
months.
D. Vaccination to prevent Haemophilus influenzae type B meningitits has decreased the frequency
of this disease in children.
A six week old infant is brought to the pediatricians office for a well-baby visit. During
examinations the physcian displaces the femoral head and reduces it back into place by
manipulation of the thighs and hips. The nurse recognizes that the physcian is assessing:
A. Barlow and ortalani tests for developmental dysplasia of the hip
B. Gower test for developmental dysplasia of the hip
C. Pavlik test for developmental dysplasia of the hip
D. Trendelenburg test for developmental dysplasia of the hip
A 10 year old is admitted with possible appendicitis. The doctor's history and physical indicates a
WBC count of 17,000, increased segmented neutrophils, decreased lymphocytes, and 6% bands.
The patient complains of abdominal pain, localized at Mcberney's point. Which statement most
accurately describes the data?
A. Lab work revels a left shift and pain localized in the right lower quadrant
B. Lab work reveals a right shift and pain localized in the left upper quadrant
C. Lab work reveals normal findings with pain localized in the epigastric area.
D. Lab work reveals a possible viral infection with pain localized in the left upper quadrant.
A nurse is caring for a boy with probable intusseception. He had diarrhea before admission but
while waiting for administration of air pressure to reduce the intusseception he produced a normal
brown stool. Which nursing action is the most appropriete.
A. Notify practitioner
B. Measure abdomnial girth
, C. Auscultate for bowel sounds
D. Take vital signs, including blood pressure.
The nurse is evaluating a child who is being treated for nephrotic syndrome. Which observation
indicated successful treatment of nephrosis?
A. Diuresis and weight loss
B. improved appetitie and weight gain
C. Increase in urine specific gravity
D. Return of temperature and pulse to normal
A young child is brought to the emergency room with suspected meningitis. Blood work with
cultures, a urine specimen with a culture and sensitivity, and the spinal tap were completed in the
ER and he is being admitted to the pedatric unit for continued care. Which of the following is a
major priority of nursing care?
A. Encourage oral intake of clear liquids. Progress diet as tolerated
B. Inititate isolation procedure if warranted after the CSF analysis is completed.
C. Inititate isolation procedire immediatly and administer ordered antibiotics
D. Administer sedatives/analgesic on a prescribed schedule to manage pain.
The nurse is caring for a 4-year old child immobilized by a fractured leg. Which complication
should the nurse monitor related to the childs immobilzation status.
A. The metabolic rate increases.
B. Increased joint mobility leading to contractures
C. Hypocalcemia due to release of excess calcium
D. Venous stasis leading to thrombi or emboli formation.
An adolescent who has chronic SCFE (slipped capital femoral epiphysis) sustains a fall during gym
class andis transported to the hospital with severe pain. Which is the most appropriate explanation
for what happened.
A. The child has probably experienced a fracture
B. The child has expereienced an acute on chronic phenomenom
C. The child has developed idopathic avascular necrosis.
QUESTIONS AND CORRECT ANSWERS 2025 LATEST &
ALREADY GRADED A+
A child with autism spectrum disorder (ASD) is admitted to the hospital with pneuomonia. The
nurse should plan which priority intervention when caring for this child?
A. Maintain a structured routine and keep stimulation to a minimim
B. Communicate at child;s level and maintain eye contact
C. Use therapeutic touch to calm child with procedures
D. Switch from one assessment activity to another quickly?
A child is admitted with acute glomerularnephritis. The nurse would expect the UA during this
acute phase to show which of the following?
A. Bacteruria, hematuria
B. Hematuria, proteinuria
C. Bacteruria, increase specific gravity
D. Proteinuria, decreased specific gravity
A child has been admitted to the pedatric unit with suspected meningitis. The CSF aanalysis
reveals the following: Apperance: Clear, WBC: within normal limits, Protein: within normal limits,
Glucose: within normal limits, Culture: negative. Based on the results, the nurse suspects that the
child has:
A. Bacertial Meningitis
B. Meningococcal meningitis
C. Viral meningitis
D. Hydrocephalous
A two year old has had one bout of nephrosis (nephrotic syndrome) His mother suspected a
recurrence when she observed swelling around his eyes. The nurse helps to confirrm the condition
by recognizing what additional sympton?
A. Blood presssure 140/90
B. Marked proteinuria
C. Tea colored urine
D. A history of positive strep infections
,The mother of a 1 month old infant tells the nurse she worries that her baby will get meningitits
like her oldest son did when he was an infant. The nurse should base her response on which
statement?
A. Meningitis rarely occurs during infancy, however after the first year of life, it is more common.
B. Often a genetic predisposition to meningitis is found and family members are more likely to get
it.
C. Vaccination to prevent all types of meningitits is now avaliable and should be administered at 6
months.
D. Vaccination to prevent Haemophilus influenzae type B meningitits has decreased the frequency
of this disease in children.
A six week old infant is brought to the pediatricians office for a well-baby visit. During
examinations the physcian displaces the femoral head and reduces it back into place by
manipulation of the thighs and hips. The nurse recognizes that the physcian is assessing:
A. Barlow and ortalani tests for developmental dysplasia of the hip
B. Gower test for developmental dysplasia of the hip
C. Pavlik test for developmental dysplasia of the hip
D. Trendelenburg test for developmental dysplasia of the hip
A 10 year old is admitted with possible appendicitis. The doctor's history and physical indicates a
WBC count of 17,000, increased segmented neutrophils, decreased lymphocytes, and 6% bands.
The patient complains of abdominal pain, localized at Mcberney's point. Which statement most
accurately describes the data?
A. Lab work revels a left shift and pain localized in the right lower quadrant
B. Lab work reveals a right shift and pain localized in the left upper quadrant
C. Lab work reveals normal findings with pain localized in the epigastric area.
D. Lab work reveals a possible viral infection with pain localized in the left upper quadrant.
A nurse is caring for a boy with probable intusseception. He had diarrhea before admission but
while waiting for administration of air pressure to reduce the intusseception he produced a normal
brown stool. Which nursing action is the most appropriete.
A. Notify practitioner
B. Measure abdomnial girth
, C. Auscultate for bowel sounds
D. Take vital signs, including blood pressure.
The nurse is evaluating a child who is being treated for nephrotic syndrome. Which observation
indicated successful treatment of nephrosis?
A. Diuresis and weight loss
B. improved appetitie and weight gain
C. Increase in urine specific gravity
D. Return of temperature and pulse to normal
A young child is brought to the emergency room with suspected meningitis. Blood work with
cultures, a urine specimen with a culture and sensitivity, and the spinal tap were completed in the
ER and he is being admitted to the pedatric unit for continued care. Which of the following is a
major priority of nursing care?
A. Encourage oral intake of clear liquids. Progress diet as tolerated
B. Inititate isolation procedure if warranted after the CSF analysis is completed.
C. Inititate isolation procedire immediatly and administer ordered antibiotics
D. Administer sedatives/analgesic on a prescribed schedule to manage pain.
The nurse is caring for a 4-year old child immobilized by a fractured leg. Which complication
should the nurse monitor related to the childs immobilzation status.
A. The metabolic rate increases.
B. Increased joint mobility leading to contractures
C. Hypocalcemia due to release of excess calcium
D. Venous stasis leading to thrombi or emboli formation.
An adolescent who has chronic SCFE (slipped capital femoral epiphysis) sustains a fall during gym
class andis transported to the hospital with severe pain. Which is the most appropriate explanation
for what happened.
A. The child has probably experienced a fracture
B. The child has expereienced an acute on chronic phenomenom
C. The child has developed idopathic avascular necrosis.
