Evolve HESI PEDIATRICS Practice Exam EXAM (updated
2026) Questions & Answers | Latest Already Graded A+
UPDATE 2025|2026 Pediatrics HESI Practice Exam (evolve)
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Terms in this set (82)
Which should the nurse assess last when examining a 5- c. Throat.
year-old child?
Examination of the mouth, throat, and perineum is considered to be more
a. Heart. invasive than other parts of a physical examination. Invasive procedures should
b. Lungs. be left for the end of the examination for a preschooler.
c. Throat.
d. Abdomen.
The community health nurse teaches the parents of d. "Dental caries can be prevented through fluoridation of public water."
school-age children about the need for fluoride as part
of a dental health program. Which statement by the Dental caries can be prevented through fluoridation of public water.
parents indicates that they understand the teaching?
a. "Excessive amounts of fluoride will make teeth turn
brittle and yellow."
b. "Having our children brush with fluoride toothpaste is
not effective."
c. "Use of fluoride in water is mostly effective during
initial tooth formation."
d. "Dental caries can be prevented through fluoridation
of public water."
The nurse is assessing an infant with diarrhea and a. Tachycardia.
lethargy. Which finding should the nurse identify that is
consistent with early dehydration? In early dehydration (during the first 2 days), fluid loss occurs first from the
extracellular and intravascular fluid spaces. Blood pressure falls and heart rate
a. Tachycardia. increases in response to a diminished blood volume.
b. Bradycardia.
c. Dry mucous membranes.
d. Increased skin turgor.
,When conducting a hygiene class for adolescent girls, it a. Wash your hands before inserting a tampon.
is important for the nurse to include which instruction
about preventing toxic shock syndrome? The single most effective means of preventing infection is handwashing.
a. Wash your hands before inserting a tampon.
b. Use super absorbent tampons.
c. Wear cotton underwear.
d. Douche following menstruation.
The nurse is caring for an irritable, lethargic 18-month- a. Initiate gastric lavage.
old child who swallowed several over-the-counter
(OTC) antihistamine tablets an hour ago. Which Gastric lavage should be implemented within 2 hours of ingestion to ensure
intervention should the nurse implement? gastric removal of a noncorrosive substance, such as an OTC antihistamine.
a. Initiate gastric lavage.
b. Administer naloxone.
c. Give a dose of ipecac syrup.
d. Encourage oral intake of water or milk.
Which sign of malignant hyperthermia should the nurse b. Tachypnea.
assess for during the perioperative period in a child
receiving general anesthesia? Malignant hyperthermia, a potentially fatal autosomal genetic myopathy, can
cause a change in vital signs that demands immediate attention in the
a. Apnea. perioperative period when these individuals are exposed to anesthetic agents.
b. Tachypnea. Early symptoms of the disorder include tachycardia and tachyarrhythmia,
c. Bradycardia. tachypnea, hypercarbia, and metabolic and respiratory acidosis. An elevated
d. Decreased blood pressure. temperature is a late sign of the disorder.
A child with a penetrating eye injury comes to the d. Apply a Fox shield to the affected eye and any type of patch to the other
school clinic. Which action should the nurse eye.
implement?
The treatment for a penetrating eye injury is not to remove or manipulate the
a. Remove the object impaled in the eye and then apply impaled object, but to apply a Fox shield over the eye, if available (not a
a regular eye patch. regular eye patch). Place an eye patch over the unaffected eye to prevent
b. Place an ice bag over the eye until the healthcare bilateral eye movement. The child should be transported to the emergency
provider is seen department immediately. If a Fox shield is not available, tape a paper cup over
c. .Irrigate the affected eye copiously with a cool sterile the eye and object.
saline solution.
d. Apply a Fox shield to the affected eye and any type
of patch to the other eye.
The nurse is triaging a child with a fever brought to the a. Prolonged exhalations.
emergency department by the parents. Which finding
requires the nurse's immediate intervention? Prolonged exhalation indicates breathing difficulty and requires immediate
intervention. According to the American Heart Association's Pediatric Advance
a. Prolonged exhalations. Life Support (PALS) algorithm, a prolonged expiration in a pediatric client is
b. Thick yellow rhinorrhea. indicative of lower airway obstruction.
c. Frequent nonproductive cough.
d. Oxygen saturation of 95% by pulse oximeter.
, A newborn who is breastfeeding is diagnosed with a. Stop the infant breastfeeding.
galactosemia. Which action should the nurse
implement? Galactosemia is a rare genetic disorder that involves an inborn error of
carbohydrate metabolism in which a hepatic enzyme, galactokinase, involved
a. Stop the infant breastfeeding. in the conversion of galactose to glucose is absent. Treatment consists of
b. Add amino acids to breast milk. eliminating all lactose-containing foods, including breast milk, so the infant
c. Give galactokinase with breast milk. should stop breastfeeding. Soy protein formula is the feeding of choice during
d. Substitute a lactose-containing formula. infancy.
A 12-year-old male client tells the nurse that he is happy d. "Being taller is important to you and taking your injections will help achieve
to be taking growth hormones because now he can that goal."
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."
A 4-year-old child who is ventilator-dependent is 1. Acknowledge the request.
receiving tube feedings in the home setting. The family 2. Explain the risk of aspiration.
wants to begin oral feeding of the child and asks the 3. Explore available options.
home health nurse to orally feed the 4-year-old baby 4. Contact the healthcare provider (HCP) and discuss suggested new options
food. What steps should be taken? (Rank in priority for further orders and additional discussion.
order.)
The request for oral feeding should be acknowledged, risk of aspiration should
1. Acknowledge the request. be discussed, and then options should be explored. These options and
2. Explore available options. suggested changes must be presented to the HCP and new orders must be
3. Explain the risk of aspiration. written before implementation. All education and outcomes should be
4. Contact the healthcare provider (HCP) and discuss thoroughly documented.
suggested new options for further orders and
additional discussion.
The nurse is developing a plan of care for a school- a. Recommend the use of consistent discipline and reward for acceptable
aged boy with a chronic disability. The child frequently behavior.
complains about being different from his siblings and
wants others to do things for him that he is capable of Focusing on the child, and not the condition, is essential in assisting the child to
doing for himself. To assist the family in coping with this adapt to a chronic disability or illness. Consistent family rules should be used
child's chronic illness, which intervention is most with a chronically ill child, such as setting boundaries for acceptable behavior,
important for the nurse to implement? requiring participation in household activities, and fulfilling school
responsibilities. Children need solid boundaries, even if chronically ill.
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.
2026) Questions & Answers | Latest Already Graded A+
UPDATE 2025|2026 Pediatrics HESI Practice Exam (evolve)
Leave the first rating
Save
Students also studied
Flashcard sets Study guides
Cabine 55 t/m 81 pre flight safety checks Dangerous goods АН
27 terms 33 terms 13 terms 6t
gamze0133 Preview lunakexoxo Preview Hardgaan Preview
Terms in this set (82)
Which should the nurse assess last when examining a 5- c. Throat.
year-old child?
Examination of the mouth, throat, and perineum is considered to be more
a. Heart. invasive than other parts of a physical examination. Invasive procedures should
b. Lungs. be left for the end of the examination for a preschooler.
c. Throat.
d. Abdomen.
The community health nurse teaches the parents of d. "Dental caries can be prevented through fluoridation of public water."
school-age children about the need for fluoride as part
of a dental health program. Which statement by the Dental caries can be prevented through fluoridation of public water.
parents indicates that they understand the teaching?
a. "Excessive amounts of fluoride will make teeth turn
brittle and yellow."
b. "Having our children brush with fluoride toothpaste is
not effective."
c. "Use of fluoride in water is mostly effective during
initial tooth formation."
d. "Dental caries can be prevented through fluoridation
of public water."
The nurse is assessing an infant with diarrhea and a. Tachycardia.
lethargy. Which finding should the nurse identify that is
consistent with early dehydration? In early dehydration (during the first 2 days), fluid loss occurs first from the
extracellular and intravascular fluid spaces. Blood pressure falls and heart rate
a. Tachycardia. increases in response to a diminished blood volume.
b. Bradycardia.
c. Dry mucous membranes.
d. Increased skin turgor.
,When conducting a hygiene class for adolescent girls, it a. Wash your hands before inserting a tampon.
is important for the nurse to include which instruction
about preventing toxic shock syndrome? The single most effective means of preventing infection is handwashing.
a. Wash your hands before inserting a tampon.
b. Use super absorbent tampons.
c. Wear cotton underwear.
d. Douche following menstruation.
The nurse is caring for an irritable, lethargic 18-month- a. Initiate gastric lavage.
old child who swallowed several over-the-counter
(OTC) antihistamine tablets an hour ago. Which Gastric lavage should be implemented within 2 hours of ingestion to ensure
intervention should the nurse implement? gastric removal of a noncorrosive substance, such as an OTC antihistamine.
a. Initiate gastric lavage.
b. Administer naloxone.
c. Give a dose of ipecac syrup.
d. Encourage oral intake of water or milk.
Which sign of malignant hyperthermia should the nurse b. Tachypnea.
assess for during the perioperative period in a child
receiving general anesthesia? Malignant hyperthermia, a potentially fatal autosomal genetic myopathy, can
cause a change in vital signs that demands immediate attention in the
a. Apnea. perioperative period when these individuals are exposed to anesthetic agents.
b. Tachypnea. Early symptoms of the disorder include tachycardia and tachyarrhythmia,
c. Bradycardia. tachypnea, hypercarbia, and metabolic and respiratory acidosis. An elevated
d. Decreased blood pressure. temperature is a late sign of the disorder.
A child with a penetrating eye injury comes to the d. Apply a Fox shield to the affected eye and any type of patch to the other
school clinic. Which action should the nurse eye.
implement?
The treatment for a penetrating eye injury is not to remove or manipulate the
a. Remove the object impaled in the eye and then apply impaled object, but to apply a Fox shield over the eye, if available (not a
a regular eye patch. regular eye patch). Place an eye patch over the unaffected eye to prevent
b. Place an ice bag over the eye until the healthcare bilateral eye movement. The child should be transported to the emergency
provider is seen department immediately. If a Fox shield is not available, tape a paper cup over
c. .Irrigate the affected eye copiously with a cool sterile the eye and object.
saline solution.
d. Apply a Fox shield to the affected eye and any type
of patch to the other eye.
The nurse is triaging a child with a fever brought to the a. Prolonged exhalations.
emergency department by the parents. Which finding
requires the nurse's immediate intervention? Prolonged exhalation indicates breathing difficulty and requires immediate
intervention. According to the American Heart Association's Pediatric Advance
a. Prolonged exhalations. Life Support (PALS) algorithm, a prolonged expiration in a pediatric client is
b. Thick yellow rhinorrhea. indicative of lower airway obstruction.
c. Frequent nonproductive cough.
d. Oxygen saturation of 95% by pulse oximeter.
, A newborn who is breastfeeding is diagnosed with a. Stop the infant breastfeeding.
galactosemia. Which action should the nurse
implement? Galactosemia is a rare genetic disorder that involves an inborn error of
carbohydrate metabolism in which a hepatic enzyme, galactokinase, involved
a. Stop the infant breastfeeding. in the conversion of galactose to glucose is absent. Treatment consists of
b. Add amino acids to breast milk. eliminating all lactose-containing foods, including breast milk, so the infant
c. Give galactokinase with breast milk. should stop breastfeeding. Soy protein formula is the feeding of choice during
d. Substitute a lactose-containing formula. infancy.
A 12-year-old male client tells the nurse that he is happy d. "Being taller is important to you and taking your injections will help achieve
to be taking growth hormones because now he can that goal."
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."
A 4-year-old child who is ventilator-dependent is 1. Acknowledge the request.
receiving tube feedings in the home setting. The family 2. Explain the risk of aspiration.
wants to begin oral feeding of the child and asks the 3. Explore available options.
home health nurse to orally feed the 4-year-old baby 4. Contact the healthcare provider (HCP) and discuss suggested new options
food. What steps should be taken? (Rank in priority for further orders and additional discussion.
order.)
The request for oral feeding should be acknowledged, risk of aspiration should
1. Acknowledge the request. be discussed, and then options should be explored. These options and
2. Explore available options. suggested changes must be presented to the HCP and new orders must be
3. Explain the risk of aspiration. written before implementation. All education and outcomes should be
4. Contact the healthcare provider (HCP) and discuss thoroughly documented.
suggested new options for further orders and
additional discussion.
The nurse is developing a plan of care for a school- a. Recommend the use of consistent discipline and reward for acceptable
aged boy with a chronic disability. The child frequently behavior.
complains about being different from his siblings and
wants others to do things for him that he is capable of Focusing on the child, and not the condition, is essential in assisting the child to
doing for himself. To assist the family in coping with this adapt to a chronic disability or illness. Consistent family rules should be used
child's chronic illness, which intervention is most with a chronically ill child, such as setting boundaries for acceptable behavior,
important for the nurse to implement? requiring participation in household activities, and fulfilling school
responsibilities. Children need solid boundaries, even if chronically ill.
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.
