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PEDIATRICS HESI EXIT EXAM NEWEST VERSION
2025 WITH COMPLETE 55 QUESTIONS AND
SOLUTION 100% VERIFIED ANSWERS A+ GRADED
FREE
The nurse is teaching the parents of a 2-year-old child with a
congenital heart defect about signs and symptoms of congestive
heart failure. Which information about the child is most
important for the parents to report to the health care provider?
A. Sits or squats frequently when playing outdoors
B. Exhibits a sudden and unexplained weight gain
C. Is not completely toilet-trained and has some accidents
D. Demonstrates irritation and fatigue 1 hour before bedtime -
ANSWER-B
Rationale:
Sudden and unexplained weight gain can indicate fluid retention
and is a sign of congestive heart failure. Option A is used by the
child to reduce chronic hypoxia, especially during exercise.
Option C is common; 2-year-olds are not expected to be toilet-
trained. Option D is normal.
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The nurse assigns an unlicensed assistive personnel (UAP) to
provide morning care to a newly admitted child with bacterial
meningitis. What is the most important instruction for the nurse
to review with the UAP?
A. Use designated isolation precautions.
B. Keep the lighting in the room dim.
C. Allow the parents to assist with care.
D. Report any pain that the child experiences. - ANSWER-A
Rationale:
All these are important measures to review with the UAP, but
the most important is option A. Improper use of isolation
precautions can place other staff and clients at risk for infection.
Options B, C, and D promote client comfort and reduce anxiety
but are of a lower priority than option A.
Ampicillin, 75 mg/kg, is prescribed for a 22-lb child. It is
available in a solution that contains 250 mg/5 mL. How many
milliliters should the nurse administer in one dose?
A. 10
B. 15
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C. 20
D. 25 - ANSWER-B
Rationale:
Version: 1
Convert lbs to kg:
22lb ÷ 2.2kg = 10kg
Multiply dose needed by weight:
75mg x 10kg =750mg
Divide calculated dose needed by med on hand:
750mg ÷ 250mg = 3
Multiply mg needed by mL available:
3 x 5mL = 15mL
Version 2:
Rationale:
2.2 lb/1 kg = 22 lb/x kg
x = 10 kg
1 kg/75 mg = 10 kg/x mg
x = 750 mg
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250 mg/5 mL = 750 mg/x mL
x = 15 mL
A child breaks out with varicella infection (chickenpox) while
hospitalized for a minor surgical procedure. Which intervention
should the nurse implement first?
A. Place a mask on the child before transporting the child
outside the room.
B. Immunize exposed family members with the varicella
vaccine.
C. Place the child in strict isolation to prevent an outbreak on the
unit.
D. Determine which staff have had varicella before making
assignments. - ANSWER-Rationale:
The period of communicability of varicella is 2 days before the
rash appears until all lesions are crusted; varicella is spread by
direct or indirect contact of saliva or vesicles. Strict isolation is
indicated to prevent further exposure to staff and others. Staff
who have had varicella or the vaccine are not susceptible to
contracting or spreading the virus and should be the only
personnel assigned to care for this client. Option A is not
sufficient to prevent exposure to others. Option B must be done
prior to exposure.
PEDIATRICS HESI EXIT EXAM NEWEST VERSION
2025 WITH COMPLETE 55 QUESTIONS AND
SOLUTION 100% VERIFIED ANSWERS A+ GRADED
FREE
The nurse is teaching the parents of a 2-year-old child with a
congenital heart defect about signs and symptoms of congestive
heart failure. Which information about the child is most
important for the parents to report to the health care provider?
A. Sits or squats frequently when playing outdoors
B. Exhibits a sudden and unexplained weight gain
C. Is not completely toilet-trained and has some accidents
D. Demonstrates irritation and fatigue 1 hour before bedtime -
ANSWER-B
Rationale:
Sudden and unexplained weight gain can indicate fluid retention
and is a sign of congestive heart failure. Option A is used by the
child to reduce chronic hypoxia, especially during exercise.
Option C is common; 2-year-olds are not expected to be toilet-
trained. Option D is normal.
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The nurse assigns an unlicensed assistive personnel (UAP) to
provide morning care to a newly admitted child with bacterial
meningitis. What is the most important instruction for the nurse
to review with the UAP?
A. Use designated isolation precautions.
B. Keep the lighting in the room dim.
C. Allow the parents to assist with care.
D. Report any pain that the child experiences. - ANSWER-A
Rationale:
All these are important measures to review with the UAP, but
the most important is option A. Improper use of isolation
precautions can place other staff and clients at risk for infection.
Options B, C, and D promote client comfort and reduce anxiety
but are of a lower priority than option A.
Ampicillin, 75 mg/kg, is prescribed for a 22-lb child. It is
available in a solution that contains 250 mg/5 mL. How many
milliliters should the nurse administer in one dose?
A. 10
B. 15
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C. 20
D. 25 - ANSWER-B
Rationale:
Version: 1
Convert lbs to kg:
22lb ÷ 2.2kg = 10kg
Multiply dose needed by weight:
75mg x 10kg =750mg
Divide calculated dose needed by med on hand:
750mg ÷ 250mg = 3
Multiply mg needed by mL available:
3 x 5mL = 15mL
Version 2:
Rationale:
2.2 lb/1 kg = 22 lb/x kg
x = 10 kg
1 kg/75 mg = 10 kg/x mg
x = 750 mg
, 4|Page
250 mg/5 mL = 750 mg/x mL
x = 15 mL
A child breaks out with varicella infection (chickenpox) while
hospitalized for a minor surgical procedure. Which intervention
should the nurse implement first?
A. Place a mask on the child before transporting the child
outside the room.
B. Immunize exposed family members with the varicella
vaccine.
C. Place the child in strict isolation to prevent an outbreak on the
unit.
D. Determine which staff have had varicella before making
assignments. - ANSWER-Rationale:
The period of communicability of varicella is 2 days before the
rash appears until all lesions are crusted; varicella is spread by
direct or indirect contact of saliva or vesicles. Strict isolation is
indicated to prevent further exposure to staff and others. Staff
who have had varicella or the vaccine are not susceptible to
contracting or spreading the virus and should be the only
personnel assigned to care for this client. Option A is not
sufficient to prevent exposure to others. Option B must be done
prior to exposure.
