1|Page
PEDIATRICS HESI EXIT EXAM NEWEST
VERSION 2025 WITH COMPLETE 55 QUESTIONS
AND SOLUTION 100% VERIFIED ANSWERS A+
GRADED/ BRAND NEW!!!
The nurse is giving preoperative instructions to a 14-
year old female client who is scheduled for surgery
to correct a spinal curvature. Which statement by the
client best demonstrates that learning has taken
place?
A. I will read all the literature you gave me before
surgery.
B. I have had surgery before when I broke my wrist
in a bike accident, so I know what to expect.
C. All the things people have told me will help me
take care of my back.
D. I understand that I will be in a body cast and I will
show you how you taught me to turn. - Answer-D. I
understand that I will be in a body cast and I will
show you how you taught me to turn.
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Outcome of learning is best demonstrated when the
client not only verbalizes an understanding, but also
can provide a return demonstration. A 14-year old
may or may not follow through with reading material
and there is no way of measuring that way of
learning. Have a previous surgery may help the
client understand the surgical process, but wrist
surgery is very different from spinal surgery and
emergency surgery is different than elective surgery.
In (C), the client may be saying what the nurse
wants to hear, without expressing any real
understanding of what to do after surgery.
To take the vital signs of a 4-month old child, which
order will give the most accurate results?
A. Respiratory rate, heart rate, then rectal
temperature
B. Heart rate, rectal temperature, then respiratory
rate.
C. Rectal temperature, heart rate, then respiratory
rate
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D. Rectal temperature, respiratory rate, then heart
rate - Answer-A. Respiratory rate, heart rate, then
rectal temperature
The respiratory rate should be taken first in infants,
since touching them or performing unpleasant
procedures usually makes them cry, elevating the
heart rate and making respirations difficult to count.
Rectal temperature is the most invasive procedure,
and is mot likely to precipitate crying, so should be
done last.
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?
A. No action required, as this is an expected finding
for a school-aged child
B. Ask the child if he/she has had a cold, runny
nose, or any ear pain lately.
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C. Send a note home advising the parents to have
the child evaluated by a healthcare provider as soon
as possible.
d. Call the parents and have them take the child
home from school for the rest of the day. - Answer-B.
Ask the child if he/she has had a cold, runny nose,
or any ear pain lately.
More information is needed to interpret these
findings. The tympanic membrane is normally pearly
gray, not bulging, and moves when the client blows
against resistance or a small puff of air is blown into
the ear canal. Since this child's findings are not
completely normal, further assessment of history
and related signs and symptoms is indicated for
accurate interpretation of the findings. (A), (C), and
(D) are inappropriate actions based on the data
obtained from the otoscope examination.
Which restraint should be used for a toddler after a
cleft palate repair?
A. clove hitch
PEDIATRICS HESI EXIT EXAM NEWEST
VERSION 2025 WITH COMPLETE 55 QUESTIONS
AND SOLUTION 100% VERIFIED ANSWERS A+
GRADED/ BRAND NEW!!!
The nurse is giving preoperative instructions to a 14-
year old female client who is scheduled for surgery
to correct a spinal curvature. Which statement by the
client best demonstrates that learning has taken
place?
A. I will read all the literature you gave me before
surgery.
B. I have had surgery before when I broke my wrist
in a bike accident, so I know what to expect.
C. All the things people have told me will help me
take care of my back.
D. I understand that I will be in a body cast and I will
show you how you taught me to turn. - Answer-D. I
understand that I will be in a body cast and I will
show you how you taught me to turn.
,2|Page
Outcome of learning is best demonstrated when the
client not only verbalizes an understanding, but also
can provide a return demonstration. A 14-year old
may or may not follow through with reading material
and there is no way of measuring that way of
learning. Have a previous surgery may help the
client understand the surgical process, but wrist
surgery is very different from spinal surgery and
emergency surgery is different than elective surgery.
In (C), the client may be saying what the nurse
wants to hear, without expressing any real
understanding of what to do after surgery.
To take the vital signs of a 4-month old child, which
order will give the most accurate results?
A. Respiratory rate, heart rate, then rectal
temperature
B. Heart rate, rectal temperature, then respiratory
rate.
C. Rectal temperature, heart rate, then respiratory
rate
,3|Page
D. Rectal temperature, respiratory rate, then heart
rate - Answer-A. Respiratory rate, heart rate, then
rectal temperature
The respiratory rate should be taken first in infants,
since touching them or performing unpleasant
procedures usually makes them cry, elevating the
heart rate and making respirations difficult to count.
Rectal temperature is the most invasive procedure,
and is mot likely to precipitate crying, so should be
done last.
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?
A. No action required, as this is an expected finding
for a school-aged child
B. Ask the child if he/she has had a cold, runny
nose, or any ear pain lately.
, 4|Page
C. Send a note home advising the parents to have
the child evaluated by a healthcare provider as soon
as possible.
d. Call the parents and have them take the child
home from school for the rest of the day. - Answer-B.
Ask the child if he/she has had a cold, runny nose,
or any ear pain lately.
More information is needed to interpret these
findings. The tympanic membrane is normally pearly
gray, not bulging, and moves when the client blows
against resistance or a small puff of air is blown into
the ear canal. Since this child's findings are not
completely normal, further assessment of history
and related signs and symptoms is indicated for
accurate interpretation of the findings. (A), (C), and
(D) are inappropriate actions based on the data
obtained from the otoscope examination.
Which restraint should be used for a toddler after a
cleft palate repair?
A. clove hitch
