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HESI PEDS PRACTICE QUESTIONS WITH A+
GRADED ANSWERS AND RATIONALES
GUARANTEED PASS
1. The nurse is caring for a 3-year old child who is 2 hours postop from a cardiac
catheterization via the right femoral artery. Which assessment finding is an indication of
arterial obstruction?
a.Blood pressure trend is downward and pulse is rapid and irregular.
b.Right foot is cool to the touch and appears pale and blanched.
c.Pulse distal to the femoral artery is weaker on the left foot than right foot.
d.The pressure dressing at right femoral area is moist and oozing blood. - Answer- b.Right
foot is cool to the touch and appears pale and blanched.
2. 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?
A. Duckthatsqueaks.
B. Fashiondollandclothes.
C. Set of cloth and hand puppets.
D. Hand held video game. - Answer- C. Set of cloth and hand puppets.
3. An infant with tetralogy of Fallot becomes acutely cyanotic and hyperpneic. Which action
should the nurse implement first?
A. Administer morphine sulphate.
B. Start IV fluids.
C. Place the infant in a knee-chest position.
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D. Provide 100% oxygen by face mask. - Answer- C. Place the infant in a knee-chest
position.
4. 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?
A. Metabolicalkalosis.
B. Respiratory acidosis.
C. Respiratoryalkalosis.
D. Metabolic acidosis. - Answer- D. Metabolic acidosis.
5. 7 years 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?
A. Gastric output of 100 mL in the last 8 hours.
B. Shift intake of 640 mL IV fluids plus 30 mL PO ice chips.
C. Serum potassium of 3.0 mg/dL.
D. Serum pH of 7.45. - Answer- C. Serum potassium of 3.0 mg/dL.
6. 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?
A. Creamed corn.
B. Pancakes.
C. Rye crackers.
D. Cooked oatmeal. - Answer- A. Creamed corn.
7. 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?
A. Separation anxiety.
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B. Associativeplay.
C. Object prehension.
D. Object permanence. - Answer- D. Object permanence.
8. The nurse is measuring the frontal occipital circumference (FOC) of a 3-months 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?
A. Measuretheinfant'shead-to-toelength.
B. Palpate the anterior fontanel for tension and bulging.
C. Observe the infant for sunken eyes.
D. Plot the measurement on the infant's growth chart. - Answer- B. Palpate the anterior
fontanel for tension and bulging.
9. The nurse is preparing a 10-year-old with a lacerated forehead for suturing. Both parents
and 12-year-old sibling are at the child's bedside. Which instruction best supports family?
A. While waiting for the healthcare provider, only one visitor may stay with the child.
B. All of you should leave while the healthcare provider sutures the child's forehead.
C. It is best if the sibling goes to the waiting room until the suturing is completed.
D. Please decide who will stay when the healthcare provider begins suturing. - Answer- D.
Please decide who will stay when the healthcare provider begins suturing.
10. 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. To increase
caloric intake and decrease vomiting, what instructions should the nurse provide this
mother?
A. Givesmallamountsofbabyfoodwitheachfeeding.
B. Thicken formula with cereal for each feeding.
C. Dilute the child's formula with equal parts of water.
D. Offer 10 % dextrose in water between most feedings. - Answer- B. Thicken formula with
cereal for each feeding.
HESI PEDS PRACTICE QUESTIONS WITH A+
GRADED ANSWERS AND RATIONALES
GUARANTEED PASS
1. The nurse is caring for a 3-year old child who is 2 hours postop from a cardiac
catheterization via the right femoral artery. Which assessment finding is an indication of
arterial obstruction?
a.Blood pressure trend is downward and pulse is rapid and irregular.
b.Right foot is cool to the touch and appears pale and blanched.
c.Pulse distal to the femoral artery is weaker on the left foot than right foot.
d.The pressure dressing at right femoral area is moist and oozing blood. - Answer- b.Right
foot is cool to the touch and appears pale and blanched.
2. 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?
A. Duckthatsqueaks.
B. Fashiondollandclothes.
C. Set of cloth and hand puppets.
D. Hand held video game. - Answer- C. Set of cloth and hand puppets.
3. An infant with tetralogy of Fallot becomes acutely cyanotic and hyperpneic. Which action
should the nurse implement first?
A. Administer morphine sulphate.
B. Start IV fluids.
C. Place the infant in a knee-chest position.
, Page |2
D. Provide 100% oxygen by face mask. - Answer- C. Place the infant in a knee-chest
position.
4. 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?
A. Metabolicalkalosis.
B. Respiratory acidosis.
C. Respiratoryalkalosis.
D. Metabolic acidosis. - Answer- D. Metabolic acidosis.
5. 7 years 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?
A. Gastric output of 100 mL in the last 8 hours.
B. Shift intake of 640 mL IV fluids plus 30 mL PO ice chips.
C. Serum potassium of 3.0 mg/dL.
D. Serum pH of 7.45. - Answer- C. Serum potassium of 3.0 mg/dL.
6. 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?
A. Creamed corn.
B. Pancakes.
C. Rye crackers.
D. Cooked oatmeal. - Answer- A. Creamed corn.
7. 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?
A. Separation anxiety.
, Page |3
B. Associativeplay.
C. Object prehension.
D. Object permanence. - Answer- D. Object permanence.
8. The nurse is measuring the frontal occipital circumference (FOC) of a 3-months 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?
A. Measuretheinfant'shead-to-toelength.
B. Palpate the anterior fontanel for tension and bulging.
C. Observe the infant for sunken eyes.
D. Plot the measurement on the infant's growth chart. - Answer- B. Palpate the anterior
fontanel for tension and bulging.
9. The nurse is preparing a 10-year-old with a lacerated forehead for suturing. Both parents
and 12-year-old sibling are at the child's bedside. Which instruction best supports family?
A. While waiting for the healthcare provider, only one visitor may stay with the child.
B. All of you should leave while the healthcare provider sutures the child's forehead.
C. It is best if the sibling goes to the waiting room until the suturing is completed.
D. Please decide who will stay when the healthcare provider begins suturing. - Answer- D.
Please decide who will stay when the healthcare provider begins suturing.
10. 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. To increase
caloric intake and decrease vomiting, what instructions should the nurse provide this
mother?
A. Givesmallamountsofbabyfoodwitheachfeeding.
B. Thicken formula with cereal for each feeding.
C. Dilute the child's formula with equal parts of water.
D. Offer 10 % dextrose in water between most feedings. - Answer- B. Thicken formula with
cereal for each feeding.
