PEDS HESI EXIT EXAM QUESTIONS BANK NEWEST 2025/2026
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The nurse is developing a plan of care for a school-aged boy with
a chronic disability. The child frequently complains about being
different from his siblings and wants others to do things for him
that he is capable of doing for himself. To assist the family in
coping with this child's chronic illness, which intervention is most
important for the nurse to implement?
a. Recommend the use of consistent discipline and reward for
acceptable behavior.
b. Allow the child to act out since he is chronically ill.
c. Suggest that all the children are included in family decision-
making.
d. Evaluate the proper use of equipment that is provided to
improve the child's lifestyle. - ANSWER-a. Recommend the use of
consistent discipline and reward for acceptable behavior.
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Focusing on the child, and not the condition, is essential in
assisting the child to adapt to a chronic disability or illness.
Consistent family rules should be used with a chronically ill child,
such as setting boundaries for acceptable behavior, requiring
participation in household activities, and fulfilling school
responsibilities. Children need solid boundaries, even if
chronically ill.
Which research finding provides evidence-based practice for an
infant's risk for sudden infant death syndrome (SIDS)?
a. Breastfeeding reduces the risk for and the incidence of SIDS.
b. Infants should be positioned supine or supported laterally to
sleep.
c. The prone position should be used when an infant sleeps after
feeding.
d The peak incidence occurs between the ages of 1 and 2
months. - ANSWER-b. Infants should be positioned supine or
supported laterally to sleep.
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Research has shown that placing babies on their backs for sleep
reduces the risk of SIDS. A population-based study found the
prone sleep position was associated with twice (2.4% odds ratio)
the rate of SIDS compared with infants placed supine (on their
backs) to sleep.
An 8-year-old boy who was recently diagnosed with diabetes
mellitus is admitted to the intensive care unit with diabetic
ketoacidosis (DKA). Which nursing action has the highest priority?
a. Place on a cardiac monitor.
b. Initiate an intravenous infusion.
c. Collect a specimen for serum electrolytes.
d. Obtain fingerstick glucose. - ANSWER-b. Initiate an
intravenous infusion.
The priority for a child with DKA, an emergency life-threatening
situation, is to obtain venous access for administration of fluids,
electrolytes, and insulin. The child should be placed on a cardiac
monitor and have serum electrolytes and glucose levels obtained,
but not before initiating venous access.
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The nurse is collecting a blood sample from a newborn for a
phenylketonuria (PKU) screening test. When should the nurse
obtain the blood sample?
a. At birth from cord blood.
b. Fourteen days after birth.
c. Before oral feedings are initiated.
d. After ingestion of a source of protein. - ANSWER-d. After
ingestion of a source of protein.
PKU is a genetic disease caused by the absence of the enzyme
needed to metabolize the essential amino acid phenylalanine.
The Guthrie blood test is used for early detection of this condition
in order to prevent mental retardation as a result of this disease.
The blood sample should be collected between 1 to 7 days after
birth, with fresh heel blood only, and no sooner than 24 hours
after the infant has ingested a source of protein (breast milk or
infant formula). Premature infants and/or sick neonates who
haven't been introduce to breast milk or formula due to medical
reasons will have the PKU test taken after they are able to ingest