HESI PEDIATRICS EXIT EXAM 3 2026 GROWTH
AND DEVELOPMENT REVIEW QUESTIONS
ANSWERS VERIFIED GUIDE
◉ upper airway infection characterized by hoarseness and a barking
cough
Answer: croup
◉ earliest manifestation of cystic fibrosis where the small intestine
is blocked w/ thick meconium in the newborn
Answer: meconium ileus
◉ the child insists on sitting upright and leaning foward w/ the chin
thrust out, mouth open and tongue protruding to facilitate breathing
Answer: tripod
◉ irritants such as house dust mites, tobacco smoke, mold or pets
Answer: allergens
◉ a serious possibly life-threatening obstructive inflammatory
process of the upper trachea w/ features of croup and epiglottitis
Answer: bacterial tracheitis
,◉ considered to be the corner stone treatment for children and
adolescents w/ cystic fibrosis
Answer: airway clearance therapies
◉ The nurse in the emergency department (ED) is assessing a
school-age child with a new ventriculoperitoneal (VP) shunt. The
child is being seen for lethargy, irritability, vomiting, severe
headache, and a fever of 102.4°. What initial action should the nurse
expect would be taken?
1.An admission to the hospital for IV fluids and monitoring
2.Give mannitol for increased intracranial pressure.
3.Obtain a CT scan of the brain with X-rays of the chest and
abdomen.
4.A surgical intervention for hydrocephalus
Answer: 3
◉ A nurse in the emergency department (ED) is assessing a pre-
school age client who had a febrile seizure at home. The parent is
very concerned and asks the nurse if this is very serious. How
should the nurse respond?
1."Yes, the child is likely to get brain damage when a fever gets too
high."
2."Generally they are not. But it is best to treat a fever when it starts."
,3."No, they don't cause any issues."
4."Yes, you should consider this a medical emergency any time
something like this occurs."
Answer: 2
◉ The nurse is doing post-procedure education with a school-age
child after a lumbar puncture. What factor is important for the nurse
to emphasize?
1.The child will be NPO for 6 hours post-procedure.
2.The child will need to lay flat for 4 to 24 hours.
3.The child will need hourly vital signs for the first 6 hours post-
procedure.
4.The child will need to be assessed for adequate urinary
elimination within 4 hours post-procedure.
Answer: 2
◉ The nurse is assigned an adolescent client with newly diagnosed
meningitis and is going in the client's room to hang the antibiotics.
What personal protective equipment (PPE) should the nurse put on?
1.Gown and gloves
2.Gown, mask, and gloves
3.Gown, goggles, mask, and gloves
4.Gloves
Answer: 2
, ◉ A mother is talking to the nurse and is concerned that her infant
will get meningitis and die like her cousin's child did many years
ago. The mother asks the nurse, "What is the best way I can protect
my child?" How should the nurse respond?
1."There is no way to prevent it, unfortunately, but you must be
quick to respond to any symptoms."
2."You should avoid taking your baby anywhere."
3."Many strains are vaccine-preventable, so getting all your
vaccinations is a good start."
4."Keep your baby away from anyone who is sick."
Answer: 3
◉ The nurse is reviewing the plan of care for an adolescent child
with cerebral palsy. Which treatment modalities would the nurse
expect? Select all that apply.
1.Speech therapy
2.Physical therapy
3.Respiratory therapy
4.Occupational therapy
5.Educational therapy
Answer: 1, 2, 4, 5
AND DEVELOPMENT REVIEW QUESTIONS
ANSWERS VERIFIED GUIDE
◉ upper airway infection characterized by hoarseness and a barking
cough
Answer: croup
◉ earliest manifestation of cystic fibrosis where the small intestine
is blocked w/ thick meconium in the newborn
Answer: meconium ileus
◉ the child insists on sitting upright and leaning foward w/ the chin
thrust out, mouth open and tongue protruding to facilitate breathing
Answer: tripod
◉ irritants such as house dust mites, tobacco smoke, mold or pets
Answer: allergens
◉ a serious possibly life-threatening obstructive inflammatory
process of the upper trachea w/ features of croup and epiglottitis
Answer: bacterial tracheitis
,◉ considered to be the corner stone treatment for children and
adolescents w/ cystic fibrosis
Answer: airway clearance therapies
◉ The nurse in the emergency department (ED) is assessing a
school-age child with a new ventriculoperitoneal (VP) shunt. The
child is being seen for lethargy, irritability, vomiting, severe
headache, and a fever of 102.4°. What initial action should the nurse
expect would be taken?
1.An admission to the hospital for IV fluids and monitoring
2.Give mannitol for increased intracranial pressure.
3.Obtain a CT scan of the brain with X-rays of the chest and
abdomen.
4.A surgical intervention for hydrocephalus
Answer: 3
◉ A nurse in the emergency department (ED) is assessing a pre-
school age client who had a febrile seizure at home. The parent is
very concerned and asks the nurse if this is very serious. How
should the nurse respond?
1."Yes, the child is likely to get brain damage when a fever gets too
high."
2."Generally they are not. But it is best to treat a fever when it starts."
,3."No, they don't cause any issues."
4."Yes, you should consider this a medical emergency any time
something like this occurs."
Answer: 2
◉ The nurse is doing post-procedure education with a school-age
child after a lumbar puncture. What factor is important for the nurse
to emphasize?
1.The child will be NPO for 6 hours post-procedure.
2.The child will need to lay flat for 4 to 24 hours.
3.The child will need hourly vital signs for the first 6 hours post-
procedure.
4.The child will need to be assessed for adequate urinary
elimination within 4 hours post-procedure.
Answer: 2
◉ The nurse is assigned an adolescent client with newly diagnosed
meningitis and is going in the client's room to hang the antibiotics.
What personal protective equipment (PPE) should the nurse put on?
1.Gown and gloves
2.Gown, mask, and gloves
3.Gown, goggles, mask, and gloves
4.Gloves
Answer: 2
, ◉ A mother is talking to the nurse and is concerned that her infant
will get meningitis and die like her cousin's child did many years
ago. The mother asks the nurse, "What is the best way I can protect
my child?" How should the nurse respond?
1."There is no way to prevent it, unfortunately, but you must be
quick to respond to any symptoms."
2."You should avoid taking your baby anywhere."
3."Many strains are vaccine-preventable, so getting all your
vaccinations is a good start."
4."Keep your baby away from anyone who is sick."
Answer: 3
◉ The nurse is reviewing the plan of care for an adolescent child
with cerebral palsy. Which treatment modalities would the nurse
expect? Select all that apply.
1.Speech therapy
2.Physical therapy
3.Respiratory therapy
4.Occupational therapy
5.Educational therapy
Answer: 1, 2, 4, 5
