PEDIATRICS HESI PRACTICE TESTS QUESTIONS WITH
DETAILED AND ACCURATE ANSWERS GRADED A+
The mother of a 6-month-old asks the nurse when her baby will get the first measles, mumps, and
rubella (MMR) vaccine. Based on the recommended childhood immunization schedule published by the
Centers for Disease Control, which response is accurate?
A. 3 to 6 months.
B. 12 to 15 months.
C. 18 to 24 months.
D. 4 to 6 years.
B. 12 to 15 months.
Preoperative nursing care for a child with Wilms' tumor should include which intervention?
A. Gently percuss the abdomen for evidence of trapped air.
B. Observe the abdomen for any noticeable discolorations.
C. Apply cold compresses to the abdomen to reduce edema.
D. Put a sign on the bed reading, "DO NOT PALPATE ABDOMEN."
D. Put a sign on the bed reading, "DO NOT PALPATE ABDOMEN."
A 4-year-old boy was admitted to the emergency room with a fractured right ulna and a short arm cast
was applied. When preparing the parents to take the child home, which discharge instruction has the
highest priority?
A. "Call the healthcare provider immediately if his nail beds appear blue."
B. "Check his fingers hourly for the first 48 hours to see that he is able to move them without pain."
C. "Be sure your child's arm remains above his heart for the first 24 hours."
D. "Take his temperature every four hours for the next two days and call if an elevation is noted."
A. "Call the healthcare provider immediately if his nail beds appear blue."
,An 18-month-old is admitted to the hospital with possible Hirschsprung's disease. When obtaining a
nursing history, the nurse asks about bowel habits. What description of the disease?
A. Foul-smelling and fatty.
B. Bile-colored and watery.
C. Semi-solid and yellow.
D. Ribbon-like and brown.
D. Ribbon-like and brown.
The nurse must prevent a 2-year-old with severe eczema on the face, neck, and scalp from scratching
the affected areas. Which nursing intervention is most effective in preventing further excoriation due to
the pruritis?
A. Obtain gloves for the child's hands.
B. Apply finger cots on the child's fingers.
C. Place elbow restraints on the child's arms.
D. Apply soft restraints to the child's wrists.
C. Place elbow restraints on the child's arms.
The nurse assigning care for a 5-year-old child with otitis media is concerned about the child's increasing
temperature over the past 24 hours. Which statement is accurate and should be considered when
planning care for the remainder of the shift?
A. An RN should be assigned to take temperatures frequently.
B. Tympanic and oral temperatures are equally accurate.
C. The PN should take rectal temperatures on this child.
D. The pediatrician should decide how to assess the temperature.
B. Tympanic and oral temperatures are equally accurate.
, A 3-year-old boy is brought to the emergency room because he swallowed an entire bottle of children's
vitamin pills. Which intervention should the nurse implement first?
A. Insert N/G tube for gastric lavage.
B. Determine the child's pulse and respirations.
C. Assess the child's level of consciousness.
D. Administer an IV D5/0.25 NS as prescribed.
B. Determine the child's pulse and respirations.
A 2-year-old child with gastro-esophageal reflux has developed a fear of eating. What instruction should
the nurse include in the parents' teaching plan?
A. Invite other children home to share meals.
B. Accept that he will eat when he is hungry.
C. Reward the child with a nap after eating.
D. Consistently follow a set mealtime routine.
D. Consistently follow a set mealtime routine.
A 6-month-old boy and his mother are at the healthcare provider's office for a well-baby check-up and
routine immunizations. The healthcare provider recommends to the mother that the child receive an
influenza vaccine. What medications should the nurse plan to administer today?
A. The routine immunizations and schedule another appointment to administer the influenza vaccine.
B. All the immunizations with the influenza vaccine given at a separate site from any other injection.
C. The influenza vaccine and schedule another appointment to administer the immunizations.
D. The influenza vaccine and the polio vaccine and schedule another appointment to administer the
remaining immunizations.
B. All the immunizations with the influenza vaccine given at a separate site from any other injection.
DETAILED AND ACCURATE ANSWERS GRADED A+
The mother of a 6-month-old asks the nurse when her baby will get the first measles, mumps, and
rubella (MMR) vaccine. Based on the recommended childhood immunization schedule published by the
Centers for Disease Control, which response is accurate?
A. 3 to 6 months.
B. 12 to 15 months.
C. 18 to 24 months.
D. 4 to 6 years.
B. 12 to 15 months.
Preoperative nursing care for a child with Wilms' tumor should include which intervention?
A. Gently percuss the abdomen for evidence of trapped air.
B. Observe the abdomen for any noticeable discolorations.
C. Apply cold compresses to the abdomen to reduce edema.
D. Put a sign on the bed reading, "DO NOT PALPATE ABDOMEN."
D. Put a sign on the bed reading, "DO NOT PALPATE ABDOMEN."
A 4-year-old boy was admitted to the emergency room with a fractured right ulna and a short arm cast
was applied. When preparing the parents to take the child home, which discharge instruction has the
highest priority?
A. "Call the healthcare provider immediately if his nail beds appear blue."
B. "Check his fingers hourly for the first 48 hours to see that he is able to move them without pain."
C. "Be sure your child's arm remains above his heart for the first 24 hours."
D. "Take his temperature every four hours for the next two days and call if an elevation is noted."
A. "Call the healthcare provider immediately if his nail beds appear blue."
,An 18-month-old is admitted to the hospital with possible Hirschsprung's disease. When obtaining a
nursing history, the nurse asks about bowel habits. What description of the disease?
A. Foul-smelling and fatty.
B. Bile-colored and watery.
C. Semi-solid and yellow.
D. Ribbon-like and brown.
D. Ribbon-like and brown.
The nurse must prevent a 2-year-old with severe eczema on the face, neck, and scalp from scratching
the affected areas. Which nursing intervention is most effective in preventing further excoriation due to
the pruritis?
A. Obtain gloves for the child's hands.
B. Apply finger cots on the child's fingers.
C. Place elbow restraints on the child's arms.
D. Apply soft restraints to the child's wrists.
C. Place elbow restraints on the child's arms.
The nurse assigning care for a 5-year-old child with otitis media is concerned about the child's increasing
temperature over the past 24 hours. Which statement is accurate and should be considered when
planning care for the remainder of the shift?
A. An RN should be assigned to take temperatures frequently.
B. Tympanic and oral temperatures are equally accurate.
C. The PN should take rectal temperatures on this child.
D. The pediatrician should decide how to assess the temperature.
B. Tympanic and oral temperatures are equally accurate.
, A 3-year-old boy is brought to the emergency room because he swallowed an entire bottle of children's
vitamin pills. Which intervention should the nurse implement first?
A. Insert N/G tube for gastric lavage.
B. Determine the child's pulse and respirations.
C. Assess the child's level of consciousness.
D. Administer an IV D5/0.25 NS as prescribed.
B. Determine the child's pulse and respirations.
A 2-year-old child with gastro-esophageal reflux has developed a fear of eating. What instruction should
the nurse include in the parents' teaching plan?
A. Invite other children home to share meals.
B. Accept that he will eat when he is hungry.
C. Reward the child with a nap after eating.
D. Consistently follow a set mealtime routine.
D. Consistently follow a set mealtime routine.
A 6-month-old boy and his mother are at the healthcare provider's office for a well-baby check-up and
routine immunizations. The healthcare provider recommends to the mother that the child receive an
influenza vaccine. What medications should the nurse plan to administer today?
A. The routine immunizations and schedule another appointment to administer the influenza vaccine.
B. All the immunizations with the influenza vaccine given at a separate site from any other injection.
C. The influenza vaccine and schedule another appointment to administer the immunizations.
D. The influenza vaccine and the polio vaccine and schedule another appointment to administer the
remaining immunizations.
B. All the immunizations with the influenza vaccine given at a separate site from any other injection.
