Pediatrics HESI 2025 – Combined Questions And Answers

Pediatrics HESI 2025 – Combined
Questions And Answers
Ae10-year-
oldegirlewhoehasehadetypee1ediabetesemellituse(DM)eforetheepastetwoeyearsetellsetheenursee
thatesheewouldelikeetoeuseeaepumpeinsteadeofeinsulineinjectionsetoemanageeherediabetes.e
Whicheassessmenteofetheegirleisemosteimportanteforetheenurseetoeobtain?
A.eUnderstandingeofequalityecontroleprocesseusedetoetroubleshootetheepump
B.eInterpretationeofefingerstickeglucoseelevelsethateinfluenceedieteselections
C.eKnowledgeeofehereglycosylatedehemoglobineA1celevelseforepasteyear
D.eAbilityetoeperformetheepumpeforebasaleinsulinewithemealtimeebolusese-
eCORRECTeeANSWER-ANS:eA

Abilityetoeperformetheepumpeforebasaleinsulinewithemealtimeeboluses

Ae12-year-
oldemaleeclientetellsetheenurseethateheeisehappyetoebeetakingegrowthehormonesebecauseen
oweheecaneexpectetoegroweandebeejusteasetalleasealleofehisefriends.eWhateresponseeisebestef
oretheenurseetoeprovide?

"Youemusterememberethatethisetreatmenteregimeneisenotealwayseeffective."

"Althoughebeingetalleiseimportantetoeyou,erememberethereeareefaremoreeimportantecharacte
risticsethaneheight."

"Youewillegrowewithethisemedicine,eandeareelikelyetoebeetallerethaneanyoneeineyourefamily."

"Beingetallereiseimportantetoeyoueandetakingeyoureinjectionsewillehelpeachieveethategoal."e-
eCORRECTeeANSWER-

"Beingetallereiseimportantetoeyoueandetakingeyoureinjectionsewillehelpeachieveethategoal."

Ae12-year-
oldemaleeclientetellsetheenurseethateheeisehappyetoebeetakingegrowthehormonesebecauseen
oweheecaneexpectetoegroweandebeejusteasetalleasealleofehisefriends.eWhateresponseeisebestef
oretheenurseetoeprovide?

"Youemusterememberethatethisetreatmenteregimeneisenotealwayseeffective."

"Althoughebeingetalleiseimportantetoeyou,erememberethereeareefaremoreeimportantecharacte
risticsethaneheight."

"Youewillegrowewithethisemedicine,eandeareelikelyetoebeetallerethaneanyoneeineyourefamily."

,"Beingetallereiseimportantetoeyoueandetakingeyoureinjectionsewillehelpeachieveethategoal."e-
eCORRECTeeANSWER-

"Beingetallereiseimportantetoeyoueandetakingeyoureinjectionsewillehelpeachieveethategoal."

Ae14-year-
oldeisebroughtetoetheeemergencyeroomeaftereaebikingeaccident.eHoweshouldetheenurseeinte
ractewithetheeadolescent?

Furnisherewardseforecooperationeduringeprocedures.

Haveetheeparentseremainewithetheeadolescenteatealletimes.

Provideecleareexplanationsewhileeencouragingequestions.

Limitetheenumbereofechoicesetoebeemadeebyetheeadolescent.e-eCORRECTeeANSWER-
Provideecleareexplanationsewhileeencouragingequestions.

Ae14-year-
oldereturnsetoetheepediatriceuniteafterecorrectiveesurgeryeforescoliosis.eInetheeimmediateepo
stoperativeeperiod,etheenurseeshouldeincludeewhicheaction(s)einethiseclient'seplaneofecare?e
(Selecteallethateapply.)

Recordeintakeeandeoutputeeverye8ehours.

Elevateetheeheadeofetheebede30edegrees.

Assessebowelesoundseeverye4ehours.

Initiateeaelogrollingescheduleeeverye2ehours.

Ambulateefore5eminutese12ehoursepostoperative.

Giveemorphineesulfatee2emgeIVeeverye4ehoursePRN.e-eCORRECTeeANSWER-
Recordeintakeeandeoutputeeverye8ehours.

Assessebowelesoundseeverye4ehours.

Initiateeaelogrollingescheduleeeverye2ehours.

Giveemorphineesulfatee2emgeIVeeverye4ehoursePRN.

Ae15-year-
oldegirletellsetheeschoolenurseethatesheewantsetoehaveeaebaby.eHoweshouldetheenurseeresp
ond?

"Willeyouebeeableetoesupportetheebaby?"

,"Doeyouehaveeplansetoecontinueeschool?"

"Haveeyouetalkedewitheyoureparentseaboutethis?"

"Caneyouetellemeehoweyourelifeewillebeeifeyouehaveeaneinfant?"e-eCORRECTeeANSWER-
"Caneyouetellemeehoweyourelifeewillebeeifeyouehaveeaneinfant?"

Ae16-year-
oldewitheacuteemyelocyticeleukemiaeisereceivingechemotherapye(CT)eviaeaneimplantedeme
dicationeporteatetheeout-
patienteoncologyeclinic.eWhateactioneshouldetheenurseeimplementewhenetheeinfusioneiseco
mplete?

A.eAdministereondansetrone(Zofran).

B.eObtainebloodesampleseforeRBCs,eWBCs,eandeplatelets.

C.eFlushetheemediportewithesalineeandeaeheparinesolution.

D.eInitiateeaneinfusioneofenormalesaline.e-eCORRECTeeANSWER-ANS:eC
Flushetheemediportewithesalineeandeaeheparinesolutions.

Ae2-week-
oldefemaleeinfanteisehospitalizedeforetheesurgicalerepaireofeaneumbilicalehernia.eAfterereturn
ingetoetheepostoperativeeneonataleunit,ehererespiratoryerateeandehearterateehaveeincreased
eduringetheelastehour.eWhicheinterventioneshouldetheenurseeimplement?



A.eNotifyetheehealthcareeprovidereofetheseefindings.

B.eAdministereaePRNeanalgesiceprescription.

C.eRecordetheefindingseinetheechild'serecord.

D.eWrapetheeinfantetightlyeanderockeinerockingechair.e-eCORRECTeeANSWER-ANS:eB
AdministereaePRNeanalgesiceprescription

Ae2-year-oldegirleisebroughtetoetheeclinicebyehere17-year-
oldemother.eWhenetheenurseeobservesethatetheechildeisedrinkingesweetenedesodaefromeher
ebottle,ewhateinformationeshouldetheenurseediscussewithethisemother?e(Selecteallethateappl

y)

A.eAe2-year-oldeshouldebeespeakingeine2ewordephrases.

B.eDentalecarieseareeassociatedewithedrinkingesoda.

, C.eDrinkingesodaeiserelatedetoechildhoodeobesity.

D.eToddlerseshouldebeesleepinge10ehourseaenight.

E.eToddlerseshouldebeedrinkingefromeaecupebyeagee2.e-eCORRECTeeANSWER-
ANS:eB,eC,eE

Ae2-year-
oldeisereceivingecareeinetheeemergencyedepartmente(ED)eforeaedeepelacerationeonetheehea
d.eWhateactioneshouldetheenurseeimplementetoefacilitateetheechild'secooperation?

Allowetheechildetoeholdeaefavoriteetoyeoreblanket.

Directetheeparentsetoeremaineoutsideetheetreatmenteroom.

Keepetheechildephysicallyerestrainededuringenursingecare.

Letetheechildedecideewhetheretoesiteupeorelieedowneforeprocedures.e-
eCORRECTeeANSWER-Allowetheechildetoeholdeaefavoriteetoyeoreblanket



Ae3eyear-
oldeboyeisereceivingeaeweeklyechemotherapyetreatment.eWhichetoyeisebesteforetheenurseeto
eprovideeforethisechild?

A.eBouncyeball
B.eColoringebookewithecrayons
C.eDuckethatesqueaks
D.eRemote-controlledecaree-eCORRECTeeANSWER-ANS:eB
Coloringebookewithecrayons

Ae3-year-
oldeboyeisebroughtetoetheeemergencyeroomebecauseeofeaepossibleediazepame(Valium)eove
rdose.eHeeiselethargiceandeconfused,eandehisevitalesignseare:epulseeratee100ebeats/minute
,erespiratoryeratee20ebreaths/minute,eandebloodepressuree70/30.eWhichenursingeinterventi
onehasetheehighestepriority?

Inserteaneorogastricetubeeforegastricelavage.

Prepareeaeset-upeforeaneendotrachealeintubation.

Drawebloodeforestatechemistrieseandebloodegases.

InserteaeFoleyecatheteretoemonitorerenalefunctioning.e-eCORRECTeeANSWER-
Prepareeaeset-upeforeaneendotrachealeintubation.