HESI RN Pediatric Exam | Questions & Rationales
At what age should pureed food be At 6 months.
introduced to an infant?
What is a good first food for infants? Dry cereals like rice cereal and bananas.
What should continue to be the primary Milk intake, whether breastfeeding or via bottle.
source of nutrition for infants?
What type of restraint should be used Elbow restraints.
for a toddler after a cleft palate repair?
What is the purpose of elbow restraints To prevent children from bending their arms and
after a cleft palate repair? bringing their hands to the oral surgical site.
What is the first action a nurse should Wash the wound gently with mild soap and water.
take for a child with a small laceration
on the forearm?
Why should hydrogen peroxide not be It is cytotoxic and can damage tissue.
used on a small laceration?
What complication should a nurse Changes in level of consciousness due to
monitor for in a child with syndrome of hyponatremia.
inappropriate antidiuretic hormone
(SIADH)?
What are the potential symptoms of Changes in level of consciousness, seizures, and
hyponatremia in children? coma.
What should a nurse include in the Consistently follow a set mealtime routine.
teaching plan for parents of a 2-year-old
with GERD?
Grade A+ | Updated
, HESI RN Pediatric Exam | Questions & Rationales
Why is consistency important for a 2- It helps alleviate the child's fear of experiencing GERD
year-old with GERD? symptoms after eating.
What should be done after a child with Ensure the child remains upright for at least two hours.
GERD eats?
What is the rationale for washing a To prevent infection and/or tetanus.
small laceration with soap and water?
What should be avoided when treating Using hydrogen peroxide.
a small laceration?
What should a nurse assess in a child Signs of severe edema from excess water and sodium.
with SIADH?
What is a key sign of dehydration in Poor skin turgor.
children?
What is the recommended approach for Introduce each new food one at a time to recognize
introducing new foods to infants? any food allergies.
What is the significance of transitioning It helps as the child is able to hold it.
to a sippy cup?
What is the first step in caring for a child Gently wash the wound.
with a laceration?
What should be monitored in children Signs and symptoms of hyponatremia.
with SIADH?
Grade A+ | Updated
, HESI RN Pediatric Exam | Questions & Rationales
What is the potential risk for a child with Developing a fear of eating.
GERD?
What is the importance of mealtime They provide comfort and reduce anxiety around
routines for toddlers? eating.
What should a nurse do before Prepare the child and ensure proper technique.
administering otic drops to a 2-year-
old?
What should the nurse pull to straighten The earlobe or lower segment of the pinna.
the external ear canal in children under
3?
What finding in a 19-year-old female Menstruation has not occurred.
client should trigger further
assessment?
What is a key preoperative nursing Monitor for signs of metabolic alkalosis.
intervention for an infant with pyloric
stenosis?
What position should an infant with Semi-Fowler's position for a minimum of 30 to 60
pyloric stenosis be maintained in after minutes.
feeding?
What should the nurse report when Pale bluish coloration of the toes.
assessing neurovascular status in a
child in Russell traction?
What is the expected outcome for a The child should begin to feel better within a few days.
child receiving a liquid antibiotic?
What indicates a need for further Using a teaspoon to measure the antibiotic, as it is
teaching when a parent is instructed on equivalent to 5 mL.
giving liquid antibiotics?
Grade A+ | Updated
, HESI RN Pediatric Exam | Questions & Rationales
What behavior most strongly influences Response to separation from family.
a preschool-aged child hospitalized for
hypospadias repair?
What is the classic sign of pyloric Projectile vomiting.
stenosis that nurses should monitor for?
What should be ensured to prevent Suctioning equipment should be close by.
aspiration in infants with pyloric
stenosis?
At what age does menstruation typically Between the ages of 10 to 17.
occur, prompting concern if absent in a
19-year-old?
What should the nurse assess for in a Adequate circulation, movement, and sensation of the
child with Russell traction? toes.
What is the expected distance of 3 to 4 feet.
vomitus ejected from a child with pyloric
stenosis in a side-lying position?
What is the expected distance of 1 foot or more.
vomitus ejected from a child with pyloric
stenosis in a supine position?
What should the nurse monitor for in a Further assessment may be needed for potential
child with a history of painful, inward complications.
growth on the bottom of the foot?
What is the primary concern for a 19- Investigating the cause of primary amenorrhea.
year-old female who has not had
menarche?
What should the nurse do if a child in Report it immediately to the healthcare provider.
Russell traction shows signs of
cyanosis in the toes?
Grade A+ | Updated
At what age should pureed food be At 6 months.
introduced to an infant?
What is a good first food for infants? Dry cereals like rice cereal and bananas.
What should continue to be the primary Milk intake, whether breastfeeding or via bottle.
source of nutrition for infants?
What type of restraint should be used Elbow restraints.
for a toddler after a cleft palate repair?
What is the purpose of elbow restraints To prevent children from bending their arms and
after a cleft palate repair? bringing their hands to the oral surgical site.
What is the first action a nurse should Wash the wound gently with mild soap and water.
take for a child with a small laceration
on the forearm?
Why should hydrogen peroxide not be It is cytotoxic and can damage tissue.
used on a small laceration?
What complication should a nurse Changes in level of consciousness due to
monitor for in a child with syndrome of hyponatremia.
inappropriate antidiuretic hormone
(SIADH)?
What are the potential symptoms of Changes in level of consciousness, seizures, and
hyponatremia in children? coma.
What should a nurse include in the Consistently follow a set mealtime routine.
teaching plan for parents of a 2-year-old
with GERD?
Grade A+ | Updated
, HESI RN Pediatric Exam | Questions & Rationales
Why is consistency important for a 2- It helps alleviate the child's fear of experiencing GERD
year-old with GERD? symptoms after eating.
What should be done after a child with Ensure the child remains upright for at least two hours.
GERD eats?
What is the rationale for washing a To prevent infection and/or tetanus.
small laceration with soap and water?
What should be avoided when treating Using hydrogen peroxide.
a small laceration?
What should a nurse assess in a child Signs of severe edema from excess water and sodium.
with SIADH?
What is a key sign of dehydration in Poor skin turgor.
children?
What is the recommended approach for Introduce each new food one at a time to recognize
introducing new foods to infants? any food allergies.
What is the significance of transitioning It helps as the child is able to hold it.
to a sippy cup?
What is the first step in caring for a child Gently wash the wound.
with a laceration?
What should be monitored in children Signs and symptoms of hyponatremia.
with SIADH?
Grade A+ | Updated
, HESI RN Pediatric Exam | Questions & Rationales
What is the potential risk for a child with Developing a fear of eating.
GERD?
What is the importance of mealtime They provide comfort and reduce anxiety around
routines for toddlers? eating.
What should a nurse do before Prepare the child and ensure proper technique.
administering otic drops to a 2-year-
old?
What should the nurse pull to straighten The earlobe or lower segment of the pinna.
the external ear canal in children under
3?
What finding in a 19-year-old female Menstruation has not occurred.
client should trigger further
assessment?
What is a key preoperative nursing Monitor for signs of metabolic alkalosis.
intervention for an infant with pyloric
stenosis?
What position should an infant with Semi-Fowler's position for a minimum of 30 to 60
pyloric stenosis be maintained in after minutes.
feeding?
What should the nurse report when Pale bluish coloration of the toes.
assessing neurovascular status in a
child in Russell traction?
What is the expected outcome for a The child should begin to feel better within a few days.
child receiving a liquid antibiotic?
What indicates a need for further Using a teaspoon to measure the antibiotic, as it is
teaching when a parent is instructed on equivalent to 5 mL.
giving liquid antibiotics?
Grade A+ | Updated
, HESI RN Pediatric Exam | Questions & Rationales
What behavior most strongly influences Response to separation from family.
a preschool-aged child hospitalized for
hypospadias repair?
What is the classic sign of pyloric Projectile vomiting.
stenosis that nurses should monitor for?
What should be ensured to prevent Suctioning equipment should be close by.
aspiration in infants with pyloric
stenosis?
At what age does menstruation typically Between the ages of 10 to 17.
occur, prompting concern if absent in a
19-year-old?
What should the nurse assess for in a Adequate circulation, movement, and sensation of the
child with Russell traction? toes.
What is the expected distance of 3 to 4 feet.
vomitus ejected from a child with pyloric
stenosis in a side-lying position?
What is the expected distance of 1 foot or more.
vomitus ejected from a child with pyloric
stenosis in a supine position?
What should the nurse monitor for in a Further assessment may be needed for potential
child with a history of painful, inward complications.
growth on the bottom of the foot?
What is the primary concern for a 19- Investigating the cause of primary amenorrhea.
year-old female who has not had
menarche?
What should the nurse do if a child in Report it immediately to the healthcare provider.
Russell traction shows signs of
cyanosis in the toes?
Grade A+ | Updated
