EVOLVE HESI PEDS PRACTICE QUESTIONS NEWEST 2026
ACTUAL EXAM COMPLETE QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY
GRADED A+||BRAND NEW!! PDF
The most important principle in dealing with a poisoning is to treat the child first, not the
poison. Initiate immediate life support measures with assessment of vital signs (B), in
particular, respirations. Inserting an airway or initiating mechanical ventilation may be
necessary. Assessment and identification of the poison should occur prior to (A). (C and D)
should occur after assessing the airway.
To take the vital signs of a 4-month-old child, which order provides the most accurate
results?
Respiratory rate, heart rate, then rectal temperature.
Heart rate, rectal temperature, then respiratory rate.
Rectal temperature, heart rate, then respiratory rate.
Rectal temperature, respiratory rate, then heart rate. - SELECTED ANSWER 👀**
Respiratory rate, heart rate, then rectal temperature.
The respiratory rate should be taken first (A) in infants, since touching them or performing
unpleasant procedures usually makes them cry, elevating the heart rate and making
respirations difficult to count (B). Rectal temperature is the most invasive procedure, and is
most likely to precipitate crying, so should be done last (C and D).
The parents of a 3-week-old infant report that the child eats well but vomits after each
feeding. What information is most important for the nurse to obtain?
Description of vomiting episodes in past 24 hours.
Number of wet diapers in last 24 hours.
,Feeding and sleep schedule.
Amount of formula consumed during the past 24 hours. - SELECTED ANSWER 👀**
Description of vomiting episodes in past 24 hours.
A description of the vomiting episodes (A) will assist the nurse in determining the reason for
the symptoms, which may be helpful in developing a plan of care for this infant. (B and C)
provide related information but are not as helpful as (A). (D) may be related to the vomiting,
but the nurse should first obtain a better description of the vomiting episodes.
A 5-month-old is admitted to the hospital with vomiting and diarrhea. The pediatrician
prescribes dextrose 5% and 0.25% normal saline with 2 mEq KCl/100 ml to be infused at 25
ml/hour. Prior to initiating the infusion, the nurse should obtain which assessment finding?
Frequency of emesis in the last 8 hours.
Serum BUN and creatinine levels.
Current blood sugar level.
Appearance of the stool. - SELECTED ANSWER 👀** Serum BUN and creatinine levels.
Regardless of a client's age, adequate renal function must be present before adding
potassium to IV fluids (B). (A) is important in determining the need for fluid replacement. (C)
is not indicated. (D) is useful information, but will not impact administration of the prescribed
IV solution.
Which finding in a 19-year-old female client should trigger further assessment by the nurse?
Menstruation has not occurred.
Reports no tetanus immunization since childhood.
Denies having any wisdom teeth.
History of painful, inward growth on bottom of foot. - SELECTED ANSWER 👀**
Menstruation has not occurred.
,Menstruation is an expected secondary sex characteristic that occurs with pubescence and
typically occurs by age 18, so (A) should prompt further investigation to determine the cause
of this primary amenorrhea. Children receive tetanus as part of the DPT childhood
immunization series, and a booster is not typically given until age 16 (B). Wisdom teeth are
the third molar teeth of the permanent dentition and are the last to erupt, so (C) is a normal
finding. (D) describes a plantar surface wart, harmless but painful because of the pressure
with walking or standing.
The nurse is giving a liquid iron preparation to a 3-year-old child. Which technique should
the nurse implement to engage the child's cooperation?
Use a colorful straw.
Mix the medication in water.
Administer the medication using an oral syringe.
Ask the pharmacy to provide an enteric tablet. - SELECTED ANSWER 👀** Use a colorful
straw.
A liquid iron preparation administered through a straw may help the child to accept the
medication since young children consider drinking from a colorful straw fun (A). (B) may
cause staining of the child's teeth. (C) is often used if the child is uncooperative. (D) is
ineffective and should be requested from the healthcare provider.
When evaluating the effectiveness of interventions to improve the nutritional status of an
infant with gastro-esophageal reflux, which intervention is most important for the nurse to
implement?
Record weight daily.
Assess for signs of anemia.
Document sleeping patterns.
Teach parenting skills. - SELECTED ANSWER 👀** Record weight daily.
, The most definitive measure of improved nutrition in an infant is obtaining the child's daily
weight (A). (B, C, and D) may also be useful, but they are not as definitive as a daily weight
measurement.
A three-month old boy weighing 10 lbs 15 oz has an axillary temperature of 98.9° F. The
nurse determines the daily caloric need for this child is approximately
400 calories per day.
500 calories per day.
600 calories per day.
700 calories per day. - SELECTED ANSWER 👀** 600 calories per day.
10 lbs 15 oz = 10.9 lbs. Convert lbs to kg by dividing pounds by 2.2; 10.9/2.2 = 4.954 kg,
rounded to 5 kg. An infant requires 108 calories/kg/day (108 × 5 = 540 calories/day).
However, this infant requires 10% more calories because he has one degree temperature
elevation. 10% of 540 is 54 and 540 + 54 = 594. This infant will require approximately 600
calories/day. Tough question! You know that 400 calories are too few and 700 are too
much, and a temperature elevation necessitates consumption of more calories, so choose
the higher of the two choices left!
Which measurements should be used to accurately calculate a pediatric medication
dosage? (Select all that apply.)
Child's height and weight.
Adult dosage of medication.
Body surface area of child.
Average adult's body surface area.
Average pediatric dosage of medication.
Nomogram determined mathematical constant. - SELECTED ANSWER 👀** Child's height
and weight.
ACTUAL EXAM COMPLETE QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY
GRADED A+||BRAND NEW!! PDF
The most important principle in dealing with a poisoning is to treat the child first, not the
poison. Initiate immediate life support measures with assessment of vital signs (B), in
particular, respirations. Inserting an airway or initiating mechanical ventilation may be
necessary. Assessment and identification of the poison should occur prior to (A). (C and D)
should occur after assessing the airway.
To take the vital signs of a 4-month-old child, which order provides the most accurate
results?
Respiratory rate, heart rate, then rectal temperature.
Heart rate, rectal temperature, then respiratory rate.
Rectal temperature, heart rate, then respiratory rate.
Rectal temperature, respiratory rate, then heart rate. - SELECTED ANSWER 👀**
Respiratory rate, heart rate, then rectal temperature.
The respiratory rate should be taken first (A) in infants, since touching them or performing
unpleasant procedures usually makes them cry, elevating the heart rate and making
respirations difficult to count (B). Rectal temperature is the most invasive procedure, and is
most likely to precipitate crying, so should be done last (C and D).
The parents of a 3-week-old infant report that the child eats well but vomits after each
feeding. What information is most important for the nurse to obtain?
Description of vomiting episodes in past 24 hours.
Number of wet diapers in last 24 hours.
,Feeding and sleep schedule.
Amount of formula consumed during the past 24 hours. - SELECTED ANSWER 👀**
Description of vomiting episodes in past 24 hours.
A description of the vomiting episodes (A) will assist the nurse in determining the reason for
the symptoms, which may be helpful in developing a plan of care for this infant. (B and C)
provide related information but are not as helpful as (A). (D) may be related to the vomiting,
but the nurse should first obtain a better description of the vomiting episodes.
A 5-month-old is admitted to the hospital with vomiting and diarrhea. The pediatrician
prescribes dextrose 5% and 0.25% normal saline with 2 mEq KCl/100 ml to be infused at 25
ml/hour. Prior to initiating the infusion, the nurse should obtain which assessment finding?
Frequency of emesis in the last 8 hours.
Serum BUN and creatinine levels.
Current blood sugar level.
Appearance of the stool. - SELECTED ANSWER 👀** Serum BUN and creatinine levels.
Regardless of a client's age, adequate renal function must be present before adding
potassium to IV fluids (B). (A) is important in determining the need for fluid replacement. (C)
is not indicated. (D) is useful information, but will not impact administration of the prescribed
IV solution.
Which finding in a 19-year-old female client should trigger further assessment by the nurse?
Menstruation has not occurred.
Reports no tetanus immunization since childhood.
Denies having any wisdom teeth.
History of painful, inward growth on bottom of foot. - SELECTED ANSWER 👀**
Menstruation has not occurred.
,Menstruation is an expected secondary sex characteristic that occurs with pubescence and
typically occurs by age 18, so (A) should prompt further investigation to determine the cause
of this primary amenorrhea. Children receive tetanus as part of the DPT childhood
immunization series, and a booster is not typically given until age 16 (B). Wisdom teeth are
the third molar teeth of the permanent dentition and are the last to erupt, so (C) is a normal
finding. (D) describes a plantar surface wart, harmless but painful because of the pressure
with walking or standing.
The nurse is giving a liquid iron preparation to a 3-year-old child. Which technique should
the nurse implement to engage the child's cooperation?
Use a colorful straw.
Mix the medication in water.
Administer the medication using an oral syringe.
Ask the pharmacy to provide an enteric tablet. - SELECTED ANSWER 👀** Use a colorful
straw.
A liquid iron preparation administered through a straw may help the child to accept the
medication since young children consider drinking from a colorful straw fun (A). (B) may
cause staining of the child's teeth. (C) is often used if the child is uncooperative. (D) is
ineffective and should be requested from the healthcare provider.
When evaluating the effectiveness of interventions to improve the nutritional status of an
infant with gastro-esophageal reflux, which intervention is most important for the nurse to
implement?
Record weight daily.
Assess for signs of anemia.
Document sleeping patterns.
Teach parenting skills. - SELECTED ANSWER 👀** Record weight daily.
, The most definitive measure of improved nutrition in an infant is obtaining the child's daily
weight (A). (B, C, and D) may also be useful, but they are not as definitive as a daily weight
measurement.
A three-month old boy weighing 10 lbs 15 oz has an axillary temperature of 98.9° F. The
nurse determines the daily caloric need for this child is approximately
400 calories per day.
500 calories per day.
600 calories per day.
700 calories per day. - SELECTED ANSWER 👀** 600 calories per day.
10 lbs 15 oz = 10.9 lbs. Convert lbs to kg by dividing pounds by 2.2; 10.9/2.2 = 4.954 kg,
rounded to 5 kg. An infant requires 108 calories/kg/day (108 × 5 = 540 calories/day).
However, this infant requires 10% more calories because he has one degree temperature
elevation. 10% of 540 is 54 and 540 + 54 = 594. This infant will require approximately 600
calories/day. Tough question! You know that 400 calories are too few and 700 are too
much, and a temperature elevation necessitates consumption of more calories, so choose
the higher of the two choices left!
Which measurements should be used to accurately calculate a pediatric medication
dosage? (Select all that apply.)
Child's height and weight.
Adult dosage of medication.
Body surface area of child.
Average adult's body surface area.
Average pediatric dosage of medication.
Nomogram determined mathematical constant. - SELECTED ANSWER 👀** Child's height
and weight.
