OB Peds HESI Practice Questions Solved Correctly Latest Update
2027, Graded A+
Question 1.
The RN is monitoring an infant with CHD closely for SSx of HF. The RN should assess the
infant for which early sign of HF? 1.Pallor 2.Cough 3.Tachycardia 4.Slow and shallow
breathing
Correct Answer: 3. tachycardia
RATIONALE: HF is the inability of the heart to pump a sufficient amt of blood to meet the
O2 and metabolic needs of the body. The early SSx of HF include tachycardia, tachypnea,
profuse scalp sweating, fatigue & irritability, sudden weight gain, and resp distress. A
cough may occur in HF as a result of mucosal swelling & irritation, but is not an early sign.
Pallor may be noted in an infant w/ HF, but is not an early sign.
Question 2.
The nurse reviews the laboratory results for a child with a suspected diagnosis of
rheumatic fever, knowing that which laboratory study would assist in confirming the
diagnosis? 1.Immunoglobulin 2.Red blood cell count 3.White blood cell count
4.Anti-streptolysin O titer
Correct Answer: 4. anti-streptolysin O titer
RATIONALE: Rheumatic fever is an inflammatory autoimmune disease that affects the CT
of the heart, joints, skin (SQ tissues), BV, and CNS. A Dx of rheumatic fever is confirmed by
the presence of 2 major manifestations or 1 major and 2 minor manifestations from the
Jones criteria. In addition, evidence of a recent strep infection is confirmed by a +
anti-streptolysin O titer, streptozyme assay, or anti-DNase B assay.
Question 3.
On assessment of a child admitted with a diagnosis of acute-stage Kawasaki disease, the
nurse expects to note which clinical manifestation of the acute stage of the disease?
1.Cracked lips 2.Normal appearance 3.Conjunctival hyperemia 4.Desquamation of the skin
Correct Answer: 3. conjunctival hyperemia
RATIONALE: Kawasaki disease, aka mucocutaneous lymph node syndrome, is an acute
systemic inflammatory illness. In the acute stage, the child has a fever, conjunctival
hyperemia, red throat, swollen hands, rash, and enlargement of the cervical lymph nodes.
In the subacute stage, cracking lips and fissures, desquamation of the skin on the tips of
the fingers and toes, joint pain, cardiac manifestations, and thromobocytosis occur. In the
convalescent stage, the child appears normal, but SSx of inflammation may be present
, Question 4.
The mother of a child being discharged after heart surgery asks the nurse when the child
will be able to return to school. Which is the most appropriate response to the mother?
1."The child may re- turn to school in 1 week." 2."The child will not be able to return to
school during this academic year." 3."The child may re- turn to school in 1 week but needs
to go half-days for the first 2 weeks." 4."The child may re- turn to school in 3 weeks but
needs to go half-days for the first few days."
Correct Answer: 4. "The child may return to school in 3 weeks but needs to go
half-days for the 1st few days"
RATIONALE: After heart surgery, the child may be able to return to school in 3 weeks but
needs to go half-days for the 1st few days. The mother also should be told that the child
cannot participate in PE for 2 months.
Question 5.
Prostaglandin E1 is prescribed for a child with transposition of the great arteries. The
mother of the child is a registered nurse and asks the nurse why the child needs the
medication. What is the most appropriate response to the mother about the action of the
medication? 1.Prevents blue (tet) spells 2.Maintains adequate cardiac output 3.Maintains
an adequate hormonal level 4.Maintains the position of the great arteries
Correct Answer: 2. maintains adequate CO
RATIONALE: A child with transposition of the great arteries may receive prostaglandin E1
temporarily to increased blood mixing if systemic and pulmonary mixing is inadequate to
maintain adequate CO.
Question 6.
The nurse is assess- ing a newborn with heart failure before administering the prescribed
digoxin. In re- viewing the laboratory data, the nurse notes that the newborn has a digoxin
blood level of 1.6 ng/mL (2.05 mmol/L) and an apical heart rate of 90 beats/min. The
mother also tells the nurse that the newborn just vomited her formula. Which intervention
should the nurse take? 1.Retake the apical pulse. 2.Administer the medication. 3.Withhold
the medication for 1 hour. 4.Withhold the medication and notify the health care provider.
Correct Answer: 4. withhold the med and notify HCP
RATIONALE: The apical pulse rate for a newborn is 120-160 bpm. The therapeutic dig
level is 0.5-0.8. Bc the apical rate is low and the dig blood level is elevated, indicating
toxicity, the RN would withhold the med and notify the HCP
2027, Graded A+
Question 1.
The RN is monitoring an infant with CHD closely for SSx of HF. The RN should assess the
infant for which early sign of HF? 1.Pallor 2.Cough 3.Tachycardia 4.Slow and shallow
breathing
Correct Answer: 3. tachycardia
RATIONALE: HF is the inability of the heart to pump a sufficient amt of blood to meet the
O2 and metabolic needs of the body. The early SSx of HF include tachycardia, tachypnea,
profuse scalp sweating, fatigue & irritability, sudden weight gain, and resp distress. A
cough may occur in HF as a result of mucosal swelling & irritation, but is not an early sign.
Pallor may be noted in an infant w/ HF, but is not an early sign.
Question 2.
The nurse reviews the laboratory results for a child with a suspected diagnosis of
rheumatic fever, knowing that which laboratory study would assist in confirming the
diagnosis? 1.Immunoglobulin 2.Red blood cell count 3.White blood cell count
4.Anti-streptolysin O titer
Correct Answer: 4. anti-streptolysin O titer
RATIONALE: Rheumatic fever is an inflammatory autoimmune disease that affects the CT
of the heart, joints, skin (SQ tissues), BV, and CNS. A Dx of rheumatic fever is confirmed by
the presence of 2 major manifestations or 1 major and 2 minor manifestations from the
Jones criteria. In addition, evidence of a recent strep infection is confirmed by a +
anti-streptolysin O titer, streptozyme assay, or anti-DNase B assay.
Question 3.
On assessment of a child admitted with a diagnosis of acute-stage Kawasaki disease, the
nurse expects to note which clinical manifestation of the acute stage of the disease?
1.Cracked lips 2.Normal appearance 3.Conjunctival hyperemia 4.Desquamation of the skin
Correct Answer: 3. conjunctival hyperemia
RATIONALE: Kawasaki disease, aka mucocutaneous lymph node syndrome, is an acute
systemic inflammatory illness. In the acute stage, the child has a fever, conjunctival
hyperemia, red throat, swollen hands, rash, and enlargement of the cervical lymph nodes.
In the subacute stage, cracking lips and fissures, desquamation of the skin on the tips of
the fingers and toes, joint pain, cardiac manifestations, and thromobocytosis occur. In the
convalescent stage, the child appears normal, but SSx of inflammation may be present
, Question 4.
The mother of a child being discharged after heart surgery asks the nurse when the child
will be able to return to school. Which is the most appropriate response to the mother?
1."The child may re- turn to school in 1 week." 2."The child will not be able to return to
school during this academic year." 3."The child may re- turn to school in 1 week but needs
to go half-days for the first 2 weeks." 4."The child may re- turn to school in 3 weeks but
needs to go half-days for the first few days."
Correct Answer: 4. "The child may return to school in 3 weeks but needs to go
half-days for the 1st few days"
RATIONALE: After heart surgery, the child may be able to return to school in 3 weeks but
needs to go half-days for the 1st few days. The mother also should be told that the child
cannot participate in PE for 2 months.
Question 5.
Prostaglandin E1 is prescribed for a child with transposition of the great arteries. The
mother of the child is a registered nurse and asks the nurse why the child needs the
medication. What is the most appropriate response to the mother about the action of the
medication? 1.Prevents blue (tet) spells 2.Maintains adequate cardiac output 3.Maintains
an adequate hormonal level 4.Maintains the position of the great arteries
Correct Answer: 2. maintains adequate CO
RATIONALE: A child with transposition of the great arteries may receive prostaglandin E1
temporarily to increased blood mixing if systemic and pulmonary mixing is inadequate to
maintain adequate CO.
Question 6.
The nurse is assess- ing a newborn with heart failure before administering the prescribed
digoxin. In re- viewing the laboratory data, the nurse notes that the newborn has a digoxin
blood level of 1.6 ng/mL (2.05 mmol/L) and an apical heart rate of 90 beats/min. The
mother also tells the nurse that the newborn just vomited her formula. Which intervention
should the nurse take? 1.Retake the apical pulse. 2.Administer the medication. 3.Withhold
the medication for 1 hour. 4.Withhold the medication and notify the health care provider.
Correct Answer: 4. withhold the med and notify HCP
RATIONALE: The apical pulse rate for a newborn is 120-160 bpm. The therapeutic dig
level is 0.5-0.8. Bc the apical rate is low and the dig blood level is elevated, indicating
toxicity, the RN would withhold the med and notify the HCP
