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PEDS HESI EXIT EXAM QUESTIONS BANK NEWEST
2025 ACTUAL EXAM COMPLETE 300 QUESTIONS
AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED A+|LATEST
VERSION!!
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.
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
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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
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.
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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.
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.
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Which restraint should be used for a toddler after a cleft
palate repair?
A. clove hitch
B. Mummy
C. elbow
D. jacket - Answer-C. elbow
Elbow restraints
Elbow restraints prevent children from bending their arms
and bringing their hands to the oral surgical site. A clove
hitch restrains the hands, but the child can bend and bring
their head to their hands. A mummy restraint is used
during procedures. A jacket restraint restrains the body
torso and is not appropriate.
What preoperative nursing intervention should be included
in the plan of care for an infant with pyloric stenosis?
A. Monitor for signs of metabolic acidosis.
B. estimate the quantity of diarrhea stools.
C. place in a supine position after feeding
PEDS HESI EXIT EXAM QUESTIONS BANK NEWEST
2025 ACTUAL EXAM COMPLETE 300 QUESTIONS
AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED A+|LATEST
VERSION!!
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.
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
,2|Page
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
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.
,3|Page
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.
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.
, 4|Page
Which restraint should be used for a toddler after a cleft
palate repair?
A. clove hitch
B. Mummy
C. elbow
D. jacket - Answer-C. elbow
Elbow restraints
Elbow restraints prevent children from bending their arms
and bringing their hands to the oral surgical site. A clove
hitch restrains the hands, but the child can bend and bring
their head to their hands. A mummy restraint is used
during procedures. A jacket restraint restrains the body
torso and is not appropriate.
What preoperative nursing intervention should be included
in the plan of care for an infant with pyloric stenosis?
A. Monitor for signs of metabolic acidosis.
B. estimate the quantity of diarrhea stools.
C. place in a supine position after feeding
