HESI PEDIATRICS EXIT /HESI EXIT PEDIATRICS EXAM
LATEST REAL EXAM ALL QUESTIONS AND CORRECT
ANSWERS|ALREADY GRADED A+
A mother of a full-term newborn asks the nurse if her child's cryptochidism will need to have surgical
intervenion. What is the best response from the nurse?
A. this will probably need to be corected as soon as possible to prevent reproductive problems later in
life.
B. This would only be a concern if the baby was premature
C. This is something that should be monitored during your well baby check ups. The problem may
resolve spontanously over time.
D. Surgery is only needed for cosmetic purposes. This will be a decision you will need to speak with
your doctor about.
A
A 4 year old is diagnosed with Duchenes Muscular Dystrophy. His parents are worried about their
daughter age 2, and they wonder if she will show signs of this diease in the future. Which information
would be the most accurate for these parents?
A. It is unlikely that the daughter has Duschense Muscular Dystrophy , however she could be a carrier
of the disease.
B. It is very possible that the daughter will show signs of Duschense Muscular Dystrophy since it is
passed on genetically
C. The daughter may show signs of Duschense Muscular Dystrophy when she reaches adolescence.
D. There is only a 25% chance that the daughter has Duschense Muscular Dystrophy.
A
The nurse has developed a plan of care of a 12 month old hospitalized with severe dehydration as a
result of rotovirus. Which intervention would the nurse include in the plan of care?
A. Encourage consumption of fruit juice
B. Offering Kool-Aid or popsicles as tolerated
C. Encourage soft drinks, such as cola
D. Maintaining the IV fluid rate as ordered.
D
,The doctor has ordered a Pavlik Harness for a 3 month old patient. What information should the nurse
include?
A. the child will only need to wear this during the night
B. It is important to remove the harness for daily physical therapy.
C. The child must wear this as much as possible to be effective
D. This device will help to keep the childs feet in alignment.
C
Upon examination of a newborn, the right foot was found to be turned inward. The physcian was able
to manipulate the foot into alignment. Which explanation to the parents is accurate?
A. The baby appears to have a club foot and will need surgical treatment for correction.
B. The baby's abnormal foot positioning is probably a mild positional club foot, not a true defect, but
should still be monitored.
C.The baby has a talipes varus deformity that will need to be casted as soon as possible.
D. The baby will most likely need special and assistive devices for ambulation in the future.
A
An infant with hydrocephulus is hospitalized for surgical placement of a ventriculoperitoneal shunt to
the left lateral ventricle. Post operative nursing care should include which of the following:
A. monitor temperature and assess surgical site for inflammation and drainage
B. Pump the shunt reservior to maintain patency and observe function
C.Turn the patient every 2 hours alternating between the right side, back, and left side.
D. Maintain trendelenburg position to decrease tension on shunt and pressure circulation
A
A patient is brought to the emergency room with suspected botulism secondary to eating home
canned vegetables. which assessment will be the most appropriate for the nurse to perform to check
for the initial symptoms of botulism?
A. Cardiac assessment including telemetry and assessment of murmurs.
B. Neurological assessment including hand grasp and pedal push/pull
C.Urinary assessment including checks for protein and blood in urine
D. Abdominal assessment including palpation and percussion
B
A nurse is caring for an infant who is suspected of having Wilm's tumor. Upon arriving in the room the
mother is seen massaging her child's abdomen stating that this often helps her child to expel gas.
Which response wouldbe the most appropriate for the nurse to give?
A.Massaging your childs abdomen helps with peristalis and will give him relief from excess gas
B. It is good to know what works best for your child. We will try that if you are not here and the baby
is fussy.
C. While the doctor is running tests to rule out a kidney problem It would be best not to massage your
child's abdomen as this could cause some complications
D. It would probably be better to apply a heating pad to your baby's abdomen than to massage it.
,C
A 3 year old has just returned to the unit folllowing a ventriculoperitoneal shunt for placement for
hydrocephulus. How Should the child be positioned?
A. Flat in bed supine or on the non shunt side.
B. Prone position with the head elevated 30 degrees
C. High Fowlers posititon
D. Trendelenburg
A
An 18th month old has been admitted to the hospital with rotavirus. Which precautions should be
implemmented in the care plan?
A. Caregivers should wear a mask at all times in the room.
B. No special precautions are needed for the caregivers.
C. Caregivers should wear a gown and gloves in the room
D. The child may go in the playroom as long as there is no leaking from the diaper.
C
When interviewing the parents of a 6 month old with atopic dermatitis (infantile eczema) they
describe the following care measures. Which one would lead the nurse to think
A. The patient gives the baby a bath using a mild soap to prevent irritation
B. The parent applies lotion to the skin after bathing to increase moisture
C. The parent applies hydrocortisone cream to the lesions to decrease
D. The parent applies alcohol to the lesions to decrease risk of infection
D
A new born has a hpospadius with chordee. A mother is upset about her sons apperance and asks if
he will ever be normal. What wiykd be the best response to the mother?
A. "as the baby grows, this problem with eventually go away by itself.
B. When the baby gets older, surgery will probably be done to correct the problem.
C. Having the baby circumcised will make surgery later on less complicated.
D. Sometimes administration of prostaglandins may correct the problem.
B
A 4 Year old child is newly diagnosed with Legg-Calve Perth disease. Nursing consideration should
include which action?
A. Encouraging normal activity for as long as possible
B. Explaning the cause of the disease to the child and family
C. Preparing the child and family for long-term permanent disabilities
D. Teaching the family the importance of rest and non weight bearing regimen
D
An infant is scheduled to repair a myelomeningocele. Which statement by the parents indicates
effective pre-op teaching?
, A. "this surgery will increase the probability that your child will eventually be able to walk
B. "This surgery will decrease the risk of hydrocephalus developing as a complication
C. This surgery will decrease the risk of an infection developing in the cerebral spinal fluid
D. This surgery is being done for cosmetic purpose, to promote self-esteem as your child gets older.
C
A child is 12 hours post op following an open appendectomy performed for a perforated appendix.
The patient has a naso-gastric tube connected to low intermident suction. Which of the following
assessment findings is the highest priority to be reported to the physcian?
A. Serous drainage on abdominal dressing
B. Abscence of bowel sounds
C. Green drainage from the naso-gastric tube
D. Distended abdomen with pain.
D
The nurse is caring for a 5 year old with botulism in the peadatric intensive care unit. Which health
care provider prescription should the nurse clarify with the health care provider before
implementing?
A. Administer botulism antitoxin IV stat x1 dose
B. Infuse D5/0.45% saline @ 50ml/hr
C. Administer diphenoxylate (lomotil) by mouth every 4 hours prn for diarrhea
D. Administer magnesium citrate by mouth 4 hours x2 doses
C
A mother was called by the health department 2 weeks after giving birth to a full-term newborn. They
reported that the baby's lab tests came back abnormal, suggesting congenital hypothyroidism. The
mother states that she will let her family doctor know about this when she takes the baby in for his 3
month check up. How should the health department nurse respond?
A. Letting your doctor know at his next appointment will be fine as there is nothing that can be done
right now to treat this.
B. The baby will need to be seen by a physcian immedatley so that further lab tests may be done to
confirm the diagnosis and then start treatment asap.
C. You will need to let the doctor know immedatley so that he can add ab iodibne supplement to the
baby's formula.
D. There is no hurry for treatment, as long as the baby continues to grow and develop normally.
B
An 11 month old is admitted to the pedatric unit with a diagnosis of gastroenteritis and dehydration.
Admission weight is 30 pounds. The parents states that this is a 3 pound weight loss since she checked
his weight a week ago. Using weight as a guide, the nurse determines the child has which degree of
dehydration? (round to nearest whole number)
A. Mild
B. Moderate
LATEST REAL EXAM ALL QUESTIONS AND CORRECT
ANSWERS|ALREADY GRADED A+
A mother of a full-term newborn asks the nurse if her child's cryptochidism will need to have surgical
intervenion. What is the best response from the nurse?
A. this will probably need to be corected as soon as possible to prevent reproductive problems later in
life.
B. This would only be a concern if the baby was premature
C. This is something that should be monitored during your well baby check ups. The problem may
resolve spontanously over time.
D. Surgery is only needed for cosmetic purposes. This will be a decision you will need to speak with
your doctor about.
A
A 4 year old is diagnosed with Duchenes Muscular Dystrophy. His parents are worried about their
daughter age 2, and they wonder if she will show signs of this diease in the future. Which information
would be the most accurate for these parents?
A. It is unlikely that the daughter has Duschense Muscular Dystrophy , however she could be a carrier
of the disease.
B. It is very possible that the daughter will show signs of Duschense Muscular Dystrophy since it is
passed on genetically
C. The daughter may show signs of Duschense Muscular Dystrophy when she reaches adolescence.
D. There is only a 25% chance that the daughter has Duschense Muscular Dystrophy.
A
The nurse has developed a plan of care of a 12 month old hospitalized with severe dehydration as a
result of rotovirus. Which intervention would the nurse include in the plan of care?
A. Encourage consumption of fruit juice
B. Offering Kool-Aid or popsicles as tolerated
C. Encourage soft drinks, such as cola
D. Maintaining the IV fluid rate as ordered.
D
,The doctor has ordered a Pavlik Harness for a 3 month old patient. What information should the nurse
include?
A. the child will only need to wear this during the night
B. It is important to remove the harness for daily physical therapy.
C. The child must wear this as much as possible to be effective
D. This device will help to keep the childs feet in alignment.
C
Upon examination of a newborn, the right foot was found to be turned inward. The physcian was able
to manipulate the foot into alignment. Which explanation to the parents is accurate?
A. The baby appears to have a club foot and will need surgical treatment for correction.
B. The baby's abnormal foot positioning is probably a mild positional club foot, not a true defect, but
should still be monitored.
C.The baby has a talipes varus deformity that will need to be casted as soon as possible.
D. The baby will most likely need special and assistive devices for ambulation in the future.
A
An infant with hydrocephulus is hospitalized for surgical placement of a ventriculoperitoneal shunt to
the left lateral ventricle. Post operative nursing care should include which of the following:
A. monitor temperature and assess surgical site for inflammation and drainage
B. Pump the shunt reservior to maintain patency and observe function
C.Turn the patient every 2 hours alternating between the right side, back, and left side.
D. Maintain trendelenburg position to decrease tension on shunt and pressure circulation
A
A patient is brought to the emergency room with suspected botulism secondary to eating home
canned vegetables. which assessment will be the most appropriate for the nurse to perform to check
for the initial symptoms of botulism?
A. Cardiac assessment including telemetry and assessment of murmurs.
B. Neurological assessment including hand grasp and pedal push/pull
C.Urinary assessment including checks for protein and blood in urine
D. Abdominal assessment including palpation and percussion
B
A nurse is caring for an infant who is suspected of having Wilm's tumor. Upon arriving in the room the
mother is seen massaging her child's abdomen stating that this often helps her child to expel gas.
Which response wouldbe the most appropriate for the nurse to give?
A.Massaging your childs abdomen helps with peristalis and will give him relief from excess gas
B. It is good to know what works best for your child. We will try that if you are not here and the baby
is fussy.
C. While the doctor is running tests to rule out a kidney problem It would be best not to massage your
child's abdomen as this could cause some complications
D. It would probably be better to apply a heating pad to your baby's abdomen than to massage it.
,C
A 3 year old has just returned to the unit folllowing a ventriculoperitoneal shunt for placement for
hydrocephulus. How Should the child be positioned?
A. Flat in bed supine or on the non shunt side.
B. Prone position with the head elevated 30 degrees
C. High Fowlers posititon
D. Trendelenburg
A
An 18th month old has been admitted to the hospital with rotavirus. Which precautions should be
implemmented in the care plan?
A. Caregivers should wear a mask at all times in the room.
B. No special precautions are needed for the caregivers.
C. Caregivers should wear a gown and gloves in the room
D. The child may go in the playroom as long as there is no leaking from the diaper.
C
When interviewing the parents of a 6 month old with atopic dermatitis (infantile eczema) they
describe the following care measures. Which one would lead the nurse to think
A. The patient gives the baby a bath using a mild soap to prevent irritation
B. The parent applies lotion to the skin after bathing to increase moisture
C. The parent applies hydrocortisone cream to the lesions to decrease
D. The parent applies alcohol to the lesions to decrease risk of infection
D
A new born has a hpospadius with chordee. A mother is upset about her sons apperance and asks if
he will ever be normal. What wiykd be the best response to the mother?
A. "as the baby grows, this problem with eventually go away by itself.
B. When the baby gets older, surgery will probably be done to correct the problem.
C. Having the baby circumcised will make surgery later on less complicated.
D. Sometimes administration of prostaglandins may correct the problem.
B
A 4 Year old child is newly diagnosed with Legg-Calve Perth disease. Nursing consideration should
include which action?
A. Encouraging normal activity for as long as possible
B. Explaning the cause of the disease to the child and family
C. Preparing the child and family for long-term permanent disabilities
D. Teaching the family the importance of rest and non weight bearing regimen
D
An infant is scheduled to repair a myelomeningocele. Which statement by the parents indicates
effective pre-op teaching?
, A. "this surgery will increase the probability that your child will eventually be able to walk
B. "This surgery will decrease the risk of hydrocephalus developing as a complication
C. This surgery will decrease the risk of an infection developing in the cerebral spinal fluid
D. This surgery is being done for cosmetic purpose, to promote self-esteem as your child gets older.
C
A child is 12 hours post op following an open appendectomy performed for a perforated appendix.
The patient has a naso-gastric tube connected to low intermident suction. Which of the following
assessment findings is the highest priority to be reported to the physcian?
A. Serous drainage on abdominal dressing
B. Abscence of bowel sounds
C. Green drainage from the naso-gastric tube
D. Distended abdomen with pain.
D
The nurse is caring for a 5 year old with botulism in the peadatric intensive care unit. Which health
care provider prescription should the nurse clarify with the health care provider before
implementing?
A. Administer botulism antitoxin IV stat x1 dose
B. Infuse D5/0.45% saline @ 50ml/hr
C. Administer diphenoxylate (lomotil) by mouth every 4 hours prn for diarrhea
D. Administer magnesium citrate by mouth 4 hours x2 doses
C
A mother was called by the health department 2 weeks after giving birth to a full-term newborn. They
reported that the baby's lab tests came back abnormal, suggesting congenital hypothyroidism. The
mother states that she will let her family doctor know about this when she takes the baby in for his 3
month check up. How should the health department nurse respond?
A. Letting your doctor know at his next appointment will be fine as there is nothing that can be done
right now to treat this.
B. The baby will need to be seen by a physcian immedatley so that further lab tests may be done to
confirm the diagnosis and then start treatment asap.
C. You will need to let the doctor know immedatley so that he can add ab iodibne supplement to the
baby's formula.
D. There is no hurry for treatment, as long as the baby continues to grow and develop normally.
B
An 11 month old is admitted to the pedatric unit with a diagnosis of gastroenteritis and dehydration.
Admission weight is 30 pounds. The parents states that this is a 3 pound weight loss since she checked
his weight a week ago. Using weight as a guide, the nurse determines the child has which degree of
dehydration? (round to nearest whole number)
A. Mild
B. Moderate
