Page 1 of 199
EVOLVE HESI PEDS NEWEST 2025 VERSION 3
COMPLETE 55 QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES (VERIFIED ANSWERS)
|ALREADY GRADED A+
A 6-month-old infant with congestive heart failure (CHF) is
receiving digoxin elixir. Which observation by the nurse warrants
immediate intervention?
Apical heart rate of 60.
Sweating across the forehead.
Doesn't suck well.
Respiratory rate of 30 breaths per minute. .....ANSWER.....Apical
heart rate of 60.
,Page 2 of 199
A heart rate of 60 (A) is much lower than normal for a 6-month-
old and warrants immediate intervention. The normal heart rate
for a 6-month-old is 80 to 150 BPM when awake, and a rate of
70 while sleeping is considered within normal limits. (B and C)
are expected symptoms of heart failure in an infant. (D) is within
normal limits for an infant.
The nurse is teaching the parents of a 5-year-old with cystic
fibrosis about respiratory treatments. Which statement indicates
to the nurse that the parents understand?
Perform postural drainage before starting aerosol therapy.
Give respiratory treatments when the child is coughing a lot.
Administer aerosol therapy followed by postural drainage
before meals.
Ensure respiratory therapy is done daily during any respiratory
infection. .....ANSWER.....Administer aerosol therapy followed by
postural drainage before meals.
,Page 3 of 199
Postural drainage for a child with cystic fibrosis is most effective
when performed after nebulization and before meals (C) or at
least 1 hour after eating to prevent nausea and vomiting.
Postural drainage uses gravity to promote mucous removal after
nebulization (A) treatments which open the airways. Pulmonary
toileting or respiratory treatments should be given 3 to 4 times
daily, not episodically (B and D).
A female teenager is taking oral tetracycline HCL (Achromycin V)
for acne vulgaris. What is the most important instruction for the
nurse to include in this client's teaching plan?
Use sunscreen when lying by the pool.
Cleanse the skin at least 4 times a day.
Take the medication with a glass of milk.
, Page 4 of 199
Menstrual periods may become irregular. .....ANSWER.....Use
sunscreen when lying by the pool.
Photosensitivity is a common side effect of tetracycline HCL
(Achromycin V) therapy. Severe sunburn can occur with minimal
sun exposure and clients should be instructed to avoid sunlight
and to use sunscreen (A). (B and D) are not related to
tetracycline HCL (Achromycin V) therapy. (C) should be avoided
because dairy products interfere with the absorption of
tetracyclines.
What preoperative nursing intervention should be included in the
plan of care for an infant with pyloric stenosis?
Monitor for signs of metabolic acidosis.
Estimate the quantity of diarrhea stools.
Place in a supine position after feeding.
EVOLVE HESI PEDS NEWEST 2025 VERSION 3
COMPLETE 55 QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES (VERIFIED ANSWERS)
|ALREADY GRADED A+
A 6-month-old infant with congestive heart failure (CHF) is
receiving digoxin elixir. Which observation by the nurse warrants
immediate intervention?
Apical heart rate of 60.
Sweating across the forehead.
Doesn't suck well.
Respiratory rate of 30 breaths per minute. .....ANSWER.....Apical
heart rate of 60.
,Page 2 of 199
A heart rate of 60 (A) is much lower than normal for a 6-month-
old and warrants immediate intervention. The normal heart rate
for a 6-month-old is 80 to 150 BPM when awake, and a rate of
70 while sleeping is considered within normal limits. (B and C)
are expected symptoms of heart failure in an infant. (D) is within
normal limits for an infant.
The nurse is teaching the parents of a 5-year-old with cystic
fibrosis about respiratory treatments. Which statement indicates
to the nurse that the parents understand?
Perform postural drainage before starting aerosol therapy.
Give respiratory treatments when the child is coughing a lot.
Administer aerosol therapy followed by postural drainage
before meals.
Ensure respiratory therapy is done daily during any respiratory
infection. .....ANSWER.....Administer aerosol therapy followed by
postural drainage before meals.
,Page 3 of 199
Postural drainage for a child with cystic fibrosis is most effective
when performed after nebulization and before meals (C) or at
least 1 hour after eating to prevent nausea and vomiting.
Postural drainage uses gravity to promote mucous removal after
nebulization (A) treatments which open the airways. Pulmonary
toileting or respiratory treatments should be given 3 to 4 times
daily, not episodically (B and D).
A female teenager is taking oral tetracycline HCL (Achromycin V)
for acne vulgaris. What is the most important instruction for the
nurse to include in this client's teaching plan?
Use sunscreen when lying by the pool.
Cleanse the skin at least 4 times a day.
Take the medication with a glass of milk.
, Page 4 of 199
Menstrual periods may become irregular. .....ANSWER.....Use
sunscreen when lying by the pool.
Photosensitivity is a common side effect of tetracycline HCL
(Achromycin V) therapy. Severe sunburn can occur with minimal
sun exposure and clients should be instructed to avoid sunlight
and to use sunscreen (A). (B and D) are not related to
tetracycline HCL (Achromycin V) therapy. (C) should be avoided
because dairy products interfere with the absorption of
tetracyclines.
What preoperative nursing intervention should be included in the
plan of care for an infant with pyloric stenosis?
Monitor for signs of metabolic acidosis.
Estimate the quantity of diarrhea stools.
Place in a supine position after feeding.
