2022 Hesi RN Pediatrics Exam 55 answers
1. b.Right foot is cool to the touch and appears pale and blanched.: 1. The nurse
is caring for a 3-year old child who is 2 hours postop from a cardiac catheterization
via the right femoral artery. Which assessment finding is an indication of arterial
obstruction?
a.Blood pressure trend is downward and pulse is rapid and irregular.
b.Right foot is cool to the touch and appears pale and blanched.
c.Pulse distal to the femoral artery is weaker on the left foot than right foot.
d.The pressure dressing at right femoral area is moist and oozing blood.
2. C. Set of cloth and hand puppets.: 2. Following a motor vehicle collision, a
3-year old girl has a spica cast applied. Which toy is best for the nurse for this
3-year-old child?
A. Duckthatsqueaks.
B. Fashiondollandclothes.
C. Set of cloth and hand puppets.
D. Hand held video game.
3. C. Place the infant in a knee-chest position.: 3. An infant with tetralogy of Fallot
becomes acutely cyanotic and hyperpneic. Which action should the nurse implement
first?
A. Administer morphine sulphate.
B. Start IV fluids.
C. Place the infant in a knee-chest position.
D. Provide 100% oxygen by face mask.
4. D. Metabolic acidosis.: 4. A child admitted with diabetic ketoacidosis is demon-
strating Kussmaul respirations. The nurse determines that the increased respiratory
rate is a compensatory mechanism for which acid base alteration?
A. Metabolicalkalosis.
B. Respiratory acidosis.
C. Respiratoryalkalosis.
D. Metabolic acidosis.
5. C. Serum potassium of 3.0 mg/dL.: 5. 7 years old is admitted to the hospital with
persistent vomiting, and a nasogastric tube attached to low intermittent suction is
applied. Which finding is most important for the nurse to report to the healthcare
provider?
A. Gastric output of 100 mL in the last 8 hours.
B. Shift intake of 640 mL IV fluids plus 30 mL PO ice chips.
C. Serum potassium of 3.0 mg/dL.
D. Serum pH of 7.45.
6. A. Creamed corn.: 6. The nurse is evaluating diet teaching for a client who has
nontropical sprue (celiac disease). Choosing which food indicates that the teaching
, 2022 Hesi RN Pediatrics Exam 55 answers
has been effective?
A. Creamed corn.
B. Pancakes.
C. Rye crackers.
D. Cooked oatmeal.
7. D. Object permanence.: 7. During a well-baby check, the nurse hides a block
under the baby's blanket, and the baby looks for the block. Which normal growth
and development milestone is the baby developing?
A. Separation anxiety.
B. Associativeplay.
C. Object prehension.
D. Object permanence.
8. B. Palpate the anterior fontanel for tension and bulging.: 8. The nurse is
measuring the frontal occipital circumference (FOC) of a 3-months old infant, and
notes that the FOC has increased 5 inches since birth and the child's head appears
large in relation to body size. Which action is most important for the nurse to take
next?
A. Measuretheinfant'shead-to-toelength.
B. Palpate the anterior fontanel for tension and bulging.
C. Observe the infant for sunken eyes.
D. Plot the measurement on the infant's growth chart.
9. D. Please decide who will stay when the healthcare provider begins sutur-
ing.: 9. The nurse is preparing a 10-year-old with a lacerated forehead for suturing.
Both parents and 12-year-old sibling are at the child's bedside. Which instruction
best supports family?
A. While waiting for the healthcare provider, only one visitor may stay with the child.
B. All of you should leave while the healthcare provider sutures the child's forehead.
C. It is best if the sibling goes to the waiting room until the suturing is completed.
D. Please decide who will stay when the healthcare provider begins suturing.
10. B. Thicken formula with cereal for each feeding.: 10. The nurse is planning for
a 5-month old with gastroesophageal reflux disease whose weight has decreased
by 3 ounces since the last clinic visit one month ago. To increase caloric intake and
decrease vomiting, what instructions should the nurse provide this mother?
A. Givesmallamountsofbabyfoodwitheachfeeding.
B. Thicken formula with cereal for each feeding.
C. Dilute the child's formula with equal parts of water.
D. Offer 10 % dextrose in water between most feedings.
11. B.They provide the child with a sense of security: 11. While teaching a
parenting class to new parents the nurse describes the needs of infants and
1. b.Right foot is cool to the touch and appears pale and blanched.: 1. The nurse
is caring for a 3-year old child who is 2 hours postop from a cardiac catheterization
via the right femoral artery. Which assessment finding is an indication of arterial
obstruction?
a.Blood pressure trend is downward and pulse is rapid and irregular.
b.Right foot is cool to the touch and appears pale and blanched.
c.Pulse distal to the femoral artery is weaker on the left foot than right foot.
d.The pressure dressing at right femoral area is moist and oozing blood.
2. C. Set of cloth and hand puppets.: 2. Following a motor vehicle collision, a
3-year old girl has a spica cast applied. Which toy is best for the nurse for this
3-year-old child?
A. Duckthatsqueaks.
B. Fashiondollandclothes.
C. Set of cloth and hand puppets.
D. Hand held video game.
3. C. Place the infant in a knee-chest position.: 3. An infant with tetralogy of Fallot
becomes acutely cyanotic and hyperpneic. Which action should the nurse implement
first?
A. Administer morphine sulphate.
B. Start IV fluids.
C. Place the infant in a knee-chest position.
D. Provide 100% oxygen by face mask.
4. D. Metabolic acidosis.: 4. A child admitted with diabetic ketoacidosis is demon-
strating Kussmaul respirations. The nurse determines that the increased respiratory
rate is a compensatory mechanism for which acid base alteration?
A. Metabolicalkalosis.
B. Respiratory acidosis.
C. Respiratoryalkalosis.
D. Metabolic acidosis.
5. C. Serum potassium of 3.0 mg/dL.: 5. 7 years old is admitted to the hospital with
persistent vomiting, and a nasogastric tube attached to low intermittent suction is
applied. Which finding is most important for the nurse to report to the healthcare
provider?
A. Gastric output of 100 mL in the last 8 hours.
B. Shift intake of 640 mL IV fluids plus 30 mL PO ice chips.
C. Serum potassium of 3.0 mg/dL.
D. Serum pH of 7.45.
6. A. Creamed corn.: 6. The nurse is evaluating diet teaching for a client who has
nontropical sprue (celiac disease). Choosing which food indicates that the teaching
, 2022 Hesi RN Pediatrics Exam 55 answers
has been effective?
A. Creamed corn.
B. Pancakes.
C. Rye crackers.
D. Cooked oatmeal.
7. D. Object permanence.: 7. During a well-baby check, the nurse hides a block
under the baby's blanket, and the baby looks for the block. Which normal growth
and development milestone is the baby developing?
A. Separation anxiety.
B. Associativeplay.
C. Object prehension.
D. Object permanence.
8. B. Palpate the anterior fontanel for tension and bulging.: 8. The nurse is
measuring the frontal occipital circumference (FOC) of a 3-months old infant, and
notes that the FOC has increased 5 inches since birth and the child's head appears
large in relation to body size. Which action is most important for the nurse to take
next?
A. Measuretheinfant'shead-to-toelength.
B. Palpate the anterior fontanel for tension and bulging.
C. Observe the infant for sunken eyes.
D. Plot the measurement on the infant's growth chart.
9. D. Please decide who will stay when the healthcare provider begins sutur-
ing.: 9. The nurse is preparing a 10-year-old with a lacerated forehead for suturing.
Both parents and 12-year-old sibling are at the child's bedside. Which instruction
best supports family?
A. While waiting for the healthcare provider, only one visitor may stay with the child.
B. All of you should leave while the healthcare provider sutures the child's forehead.
C. It is best if the sibling goes to the waiting room until the suturing is completed.
D. Please decide who will stay when the healthcare provider begins suturing.
10. B. Thicken formula with cereal for each feeding.: 10. The nurse is planning for
a 5-month old with gastroesophageal reflux disease whose weight has decreased
by 3 ounces since the last clinic visit one month ago. To increase caloric intake and
decrease vomiting, what instructions should the nurse provide this mother?
A. Givesmallamountsofbabyfoodwitheachfeeding.
B. Thicken formula with cereal for each feeding.
C. Dilute the child's formula with equal parts of water.
D. Offer 10 % dextrose in water between most feedings.
11. B.They provide the child with a sense of security: 11. While teaching a
parenting class to new parents the nurse describes the needs of infants and
