EVOLVE HESI PEDIATRIC NEWEST 2026 ACTUAL EXAM
QUESTIONS AND VERIFIED ANSWERS |ALREADY GRADED
A+||BRAND NEW!!
The nurse is triaging a child with a fever brought to the emergency department by the
parents. Which finding requires the nurse's immediate intervention?
a. Prolonged exhalations.
b. Thick yellow rhinorrhea.
c. Frequent nonproductive cough.
d. Oxygen saturation of 95% by pulse oximeter. - SELECTED ANSWER 👀** a. Prolonged
exhalations.
Prolonged exhalation indicates breathing difficulty and requires immediate intervention.
According to the American Heart Association's Pediatric Advance Life Support (PALS)
algorithm, a prolonged expiration in a pediatric client is indicative of lower airway
obstruction.
A newborn who is breastfeeding is diagnosed with galactosemia. Which action should the
nurse implement?
a. Stop the infant breastfeeding.
b. Add amino acids to breast milk.
c. Give galactokinase with breast milk.
d. Substitute a lactose-containing formula. - SELECTED ANSWER 👀** a. Stop the infant
breastfeeding.
,Galactosemia is a rare genetic disorder that involves an inborn error of carbohydrate
metabolism in which a hepatic enzyme, galactokinase, involved in the conversion of
galactose to glucose is absent. Treatment consists of eliminating all lactose-containing
foods, including breast milk, so the infant should stop breastfeeding. Soy protein formula is
the feeding of choice during infancy.
A 12-year-old male client tells the nurse that he is happy to be taking growth hormones
because now he can grow to be as tall as his friends. What response is best for the nurse to
provide?
a. "You must remember that this treatment regimen is not always effective."
b. "Although being tall is important to you, remember there are far more important
characteristics than height."
c. You will grow with this medicine, and are likely to be taller than anyone in your family."
d. "Being taller is important to you and taking your injections will help achieve that goal." -
SELECTED ANSWER 👀** d. "Being taller is important to you and taking your injections will
help achieve that goal."
A 4-year-old child who is ventilator-dependent is receiving tube feedings in the home
setting. The family wants to begin oral feeding of the child and asks the home health nurse
to orally feed the 4-year-old baby food. What steps should be taken? (Rank in priority
order.)
1. Acknowledge the request.
2. Explore available options.
3. Explain the risk of aspiration.
4. Contact the healthcare provider (HCP) and discuss suggested new options for further
orders and additional discussion. - SELECTED ANSWER 👀** 1. Acknowledge the request.
2. Explain the risk of aspiration.
,3. Explore available options.
4. Contact the healthcare provider (HCP) and discuss suggested new options for further
orders and additional discussion.
The request for oral feeding should be acknowledged, risk of aspiration should be
discussed, and then options should be explored. These options and suggested changes
must be presented to the HCP and new orders must be written before implementation. All
education and outcomes should be thoroughly documented.
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. -
SELECTED ANSWER 👀** a. Recommend the use of consistent discipline and reward for
acceptable behavior.
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. - SELECTED ANSWER
👀** b. Infants should be positioned supine or supported laterally to sleep.
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. - SELECTED 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.
The nurse is collecting a blood sample from a newborn for a phenylketonuria (PKU)
screening test. When should the nurse obtain the blood sample?
QUESTIONS AND VERIFIED ANSWERS |ALREADY GRADED
A+||BRAND NEW!!
The nurse is triaging a child with a fever brought to the emergency department by the
parents. Which finding requires the nurse's immediate intervention?
a. Prolonged exhalations.
b. Thick yellow rhinorrhea.
c. Frequent nonproductive cough.
d. Oxygen saturation of 95% by pulse oximeter. - SELECTED ANSWER 👀** a. Prolonged
exhalations.
Prolonged exhalation indicates breathing difficulty and requires immediate intervention.
According to the American Heart Association's Pediatric Advance Life Support (PALS)
algorithm, a prolonged expiration in a pediatric client is indicative of lower airway
obstruction.
A newborn who is breastfeeding is diagnosed with galactosemia. Which action should the
nurse implement?
a. Stop the infant breastfeeding.
b. Add amino acids to breast milk.
c. Give galactokinase with breast milk.
d. Substitute a lactose-containing formula. - SELECTED ANSWER 👀** a. Stop the infant
breastfeeding.
,Galactosemia is a rare genetic disorder that involves an inborn error of carbohydrate
metabolism in which a hepatic enzyme, galactokinase, involved in the conversion of
galactose to glucose is absent. Treatment consists of eliminating all lactose-containing
foods, including breast milk, so the infant should stop breastfeeding. Soy protein formula is
the feeding of choice during infancy.
A 12-year-old male client tells the nurse that he is happy to be taking growth hormones
because now he can grow to be as tall as his friends. What response is best for the nurse to
provide?
a. "You must remember that this treatment regimen is not always effective."
b. "Although being tall is important to you, remember there are far more important
characteristics than height."
c. You will grow with this medicine, and are likely to be taller than anyone in your family."
d. "Being taller is important to you and taking your injections will help achieve that goal." -
SELECTED ANSWER 👀** d. "Being taller is important to you and taking your injections will
help achieve that goal."
A 4-year-old child who is ventilator-dependent is receiving tube feedings in the home
setting. The family wants to begin oral feeding of the child and asks the home health nurse
to orally feed the 4-year-old baby food. What steps should be taken? (Rank in priority
order.)
1. Acknowledge the request.
2. Explore available options.
3. Explain the risk of aspiration.
4. Contact the healthcare provider (HCP) and discuss suggested new options for further
orders and additional discussion. - SELECTED ANSWER 👀** 1. Acknowledge the request.
2. Explain the risk of aspiration.
,3. Explore available options.
4. Contact the healthcare provider (HCP) and discuss suggested new options for further
orders and additional discussion.
The request for oral feeding should be acknowledged, risk of aspiration should be
discussed, and then options should be explored. These options and suggested changes
must be presented to the HCP and new orders must be written before implementation. All
education and outcomes should be thoroughly documented.
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. -
SELECTED ANSWER 👀** a. Recommend the use of consistent discipline and reward for
acceptable behavior.
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. - SELECTED ANSWER
👀** b. Infants should be positioned supine or supported laterally to sleep.
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. - SELECTED 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.
The nurse is collecting a blood sample from a newborn for a phenylketonuria (PKU)
screening test. When should the nurse obtain the blood sample?
