HESI PEDS/OB EXAM LATEST 2025 ACTUAL EXAM
REAL QUESTIONS AND CORRECT DETAILD
ANSWERS WITH RATIONALES (CORRECT VERIFIED
SOLUTIONS) NEWEST UPDATED VERSION
|GUARANTEED PASS.
A 3-month-old infant develops oral thrush. Which
pharmacologic agent should the nurse plan to administer for
treatment of this disorder? - answer Nystatin (antifungal)
Surgery is being delayed for an infant with undescended
testes. In collaboration with the healthcare provider and the
family, which prescription should the nurse anticipate? - answer
A trial of human chorionic gonadotrophic hormone.
[A trial of HCG (human chorionic gonadotrophic hormone) may
aid in testicular descent, but does not replace surgical repair
for true undescended testes. Undescended testes
(cryptorchidism) may be found in the inguinal canal due to
exaggerated cremasteric re昀氀ex.]
The nurse is teaching the parents of a 5-year-old child with cystic
昀椀brosis about respiratory treatments. Which statement
indicates to the nurse that the parents understand?
,a. Perform postural drainage before starting the aerosol therapy.
b. Give respiratory treatments when the child is coughing a lot.
c. Administer
aerosol therapy followed by postural drainage
before meals.
d. Ensurerespiratory therapy is done daily during any
respiratory infection. - answer C. Administer aerosol
therapy followed by postural drainage before meals.
[Postural drainage for a child with cystic 昀椀brosis is most e昀昀
ective when performed after nebulization and one hour before
meals and/or at least 2 hours after eating to prevent nausea
and vomiting and potential aspiration. Postural drainage uses
gravity to promote mucous removal after the nebulization
treatments has lique昀椀ed the secretions, therefore helps open
the airways. Pulmonary toileting or respiratory treatments
should be given 3 to 4 times daily.]
The mother of a preschool-aged child asks the nurse if it is all
right to administer bismuth subsalicylate (Pepto Bismol,
Bismylate) to her son when he "has a tummy ache." After
,reminding the mother to check the label of all over-the-
counter drugs for the presence of aspirin, which instruction
should the nurse include when replying to this mother's
question?
a. If
the child's tongue darkens, discontinue the Pepto Bismol
immediately.
b. Do not give if the child has chickenpox, the 昀氀u, or any other
viral illness.
c. Avoidthe use of Pepto Bismol until the child is at least 16
years old.
d. PeptoBismol may cause a rebound hyperacidity, worsening
the "tummy ache." - answer b. Do not give if the child has
chickenpox, the 昀氀u, or any other viral illness.
Rationale: [Pepto Bismol, Bismylate contains subsalicylate and
if used in the presence of a viral illness, there is the potential of
developing Reye's syndrome, a sometimes fatal condition for
children.]
The nurse is assessing an 8-month-old child who has a medical
diagnosis of Tetrology of Fallot. Which symptom is this client
most likely to exhibit?
, a. Bradycardia
b. Machinery murmur
c. Weak pedal pulses
d. Clubbed 昀椀ngers - answer d. Clubbed 昀椀ngers
[Tetrology of Fallot, a cyanotic heart defect, causes clubbing of 昀椀
ngers and toes (D) due to tissue hypoxia. Tachycardia, not (A), is
a manifestation of congenital heart disease. (B) is a classic sign
of ventricular septal defect. (C) is characteristic of coarctation
of the aorta.]
During routine screening at a school clinic, an otoscope
examination of a child's ear reveals a tympanic membrane that
is pearly gray, slightly bulging, and not movable. What action
should the nurse take next?
action required, as this is an expected 昀椀nding for a school-
a. No
aged child.
REAL QUESTIONS AND CORRECT DETAILD
ANSWERS WITH RATIONALES (CORRECT VERIFIED
SOLUTIONS) NEWEST UPDATED VERSION
|GUARANTEED PASS.
A 3-month-old infant develops oral thrush. Which
pharmacologic agent should the nurse plan to administer for
treatment of this disorder? - answer Nystatin (antifungal)
Surgery is being delayed for an infant with undescended
testes. In collaboration with the healthcare provider and the
family, which prescription should the nurse anticipate? - answer
A trial of human chorionic gonadotrophic hormone.
[A trial of HCG (human chorionic gonadotrophic hormone) may
aid in testicular descent, but does not replace surgical repair
for true undescended testes. Undescended testes
(cryptorchidism) may be found in the inguinal canal due to
exaggerated cremasteric re昀氀ex.]
The nurse is teaching the parents of a 5-year-old child with cystic
昀椀brosis about respiratory treatments. Which statement
indicates to the nurse that the parents understand?
,a. Perform postural drainage before starting the aerosol therapy.
b. Give respiratory treatments when the child is coughing a lot.
c. Administer
aerosol therapy followed by postural drainage
before meals.
d. Ensurerespiratory therapy is done daily during any
respiratory infection. - answer C. Administer aerosol
therapy followed by postural drainage before meals.
[Postural drainage for a child with cystic 昀椀brosis is most e昀昀
ective when performed after nebulization and one hour before
meals and/or at least 2 hours after eating to prevent nausea
and vomiting and potential aspiration. Postural drainage uses
gravity to promote mucous removal after the nebulization
treatments has lique昀椀ed the secretions, therefore helps open
the airways. Pulmonary toileting or respiratory treatments
should be given 3 to 4 times daily.]
The mother of a preschool-aged child asks the nurse if it is all
right to administer bismuth subsalicylate (Pepto Bismol,
Bismylate) to her son when he "has a tummy ache." After
,reminding the mother to check the label of all over-the-
counter drugs for the presence of aspirin, which instruction
should the nurse include when replying to this mother's
question?
a. If
the child's tongue darkens, discontinue the Pepto Bismol
immediately.
b. Do not give if the child has chickenpox, the 昀氀u, or any other
viral illness.
c. Avoidthe use of Pepto Bismol until the child is at least 16
years old.
d. PeptoBismol may cause a rebound hyperacidity, worsening
the "tummy ache." - answer b. Do not give if the child has
chickenpox, the 昀氀u, or any other viral illness.
Rationale: [Pepto Bismol, Bismylate contains subsalicylate and
if used in the presence of a viral illness, there is the potential of
developing Reye's syndrome, a sometimes fatal condition for
children.]
The nurse is assessing an 8-month-old child who has a medical
diagnosis of Tetrology of Fallot. Which symptom is this client
most likely to exhibit?
, a. Bradycardia
b. Machinery murmur
c. Weak pedal pulses
d. Clubbed 昀椀ngers - answer d. Clubbed 昀椀ngers
[Tetrology of Fallot, a cyanotic heart defect, causes clubbing of 昀椀
ngers and toes (D) due to tissue hypoxia. Tachycardia, not (A), is
a manifestation of congenital heart disease. (B) is a classic sign
of ventricular septal defect. (C) is characteristic of coarctation
of the aorta.]
During routine screening at a school clinic, an otoscope
examination of a child's ear reveals a tympanic membrane that
is pearly gray, slightly bulging, and not movable. What action
should the nurse take next?
action required, as this is an expected 昀椀nding for a school-
a. No
aged child.
