Pediatrics HESI Questions and Correct
Answers 2024 - 2025
1. 1. A 5-month-vintage is admitted to the health center with vomiting and diarrhea. The
pediatrician prescribes dextrose five% and zero.25% everyday saline with 2 mEq KCl/a
hundred ml to be infused at 25 ml/hour. Prior to initiating the infusion, the nurse should
attain which evaluation locating? - ANSWER-Serum BUN and creatinine ranges.
Adding potassium = need good enough renal function + urine output
2. 10. An 18-month-vintage is admitted to the clinic with possible Hirschsprung's sickness.
When acquiring a nursing records, the nurse asks about bowel habits. What description
of the ailment? - ANSWER-Ribbon-like and brown.
Hirschsprung's is a mechanical obstruction in a part of the intestines ensuing in
inadequate motility.
Bile-coloured and watery = gastroenteritis
Foul-smelling and fatty = cystic fibrosis
Semi-strong and yellow= regular in breast fed neonates
3. 11. A four-12 months-antique female keeps to break her mom in the course of a habitual
health facility visit. The mother seems indignant with the child and asks the nurse, "Is
this ordinary conduct for a child this age?" The nurse's response ought to be primarily
based on which statistics? - ANSWER-Children need to retain a experience of
initiative without impinging at the rights and privileges of others.
-Children elderly three to six are in Erickson's "Initiative vs. Guilt" stage, which is
characterized with the aid of vigorous, intrusive behavior, organization, and robust
creativeness. At this age, kids increase a moral sense and must learn how to
maintain a sense of initiative with out impinging on the rights of others
4. 12. The nurse is assessing a 2-year-antique. What behavior indicates that the child's
language development is within ordinary limits? - ANSWER-Half of baby's speech is
comprehensible (15-24 months)
by way of 18 months is able to creating a 3 phrase sentence.
Three-5 years vintage is ready to name 4 hues & matter five blocks
5. thirteen. A 2-12 months-old child with Down syndrome is brought to the clinic for his
everyday bodily exam. The nurse knows which hassle is regularly related to Down
syndrome? - ANSWER-Congenital coronary heart disease is the maximum not
unusual disorder observed in people with DS
6. 14. The nurse is giving preoperative instructions to a 14-year-old lady purchaser who is
scheduled for surgical treatment to accurate a spinal curvature. Which declaration with
the aid of the client pleasant demonstrates that studying has taken place? - ANSWER-I
, remember the fact that I may be in a body cast and I will show you how you taught
me to show
7. 15. A three-month-antique infant develops oral thrush. Which pharmacologic agent
ought to the nurse plan to manage for remedy of this ailment? - ANSWER-Nystatin
(Mycostatin).
8. Sixteen. A full time period toddler is admitted to the new child nursery. After cautious
assessment, the nurse suspects that the toddler may also have an esophageal atresia.
Which symptoms are this new child possibly to exhibit? - ANSWER-Choking,
coughing, and cyanosis.
9. 17. The nurse is teaching a 12-year-old male adolescent and his family about taking
injections of increase hormone for idiopathic hypopituitarism. Which damaging signs and
symptoms, generally associated with increase hormone remedy, ought to the nurse plan
to explain to the child and his own family? - ANSWER-Polyuria and polydipsia
boom hormone causes increase in blood sugar
*screen for diabetes
10.18. As a part of the physical assessment of youngsters, the nurse observes and palpates
the fontanels. Which infant's fontanel finding should be mentioned to the healthcare
issuer? - ANSWER-A 6-month-old with failure to thrive that has a closed anterior
fontanel.
11.19. A nurse presents the parents with data on fitness maintenance for their infant with
sickle cell ailment. Which data contemplated by means of the dad and mom suggests
know-how of the child's care? - ANSWER-Plenty of fluids must be ate up daily
hydration #1 priority to prevent viscosity of blood; for the reason that sickle
cellular can impact the spleen, liver, kidney, bones and CNS this could increase
the hazard for contamination w/ decreased or no function of the spleen a routine
immunization time table is needed
12.2. Which menu choice by way of a infant with celiac disease indicates to the nurse that
the kid is familiar with necessary nutritional considerations? - ANSWER-Oven-baked
potato chips and cola
keep away from: oats, wheat, rye and barley; intolerance to protein gluten
13.20. When discussing subject with the mom of a 4-yr-antique child, the nurse should
encompass which guideline? - ANSWER-Parental manipulate need to be regular.
Regular parenting will prevent misbehavior of children; steady mother and father
will save you misinterpretation of policies.
14.21. The nurse gets a lab record stating a child with asthma has a theophylline stage of
15 mcg/dl. What movement will the nurse take? - ANSWER-Pass the data on inside
the document
theophylline: 10-20 mcg/dl (everyday range)
,15.22. A hospitalized sixteen-year-antique male refuses all visits from his classmates due to
the fact he's concerned about his distorted look. To increase the consumer's social
interplay, what intervention is quality for the nurse to initiate? - ANSWER-Arrange for an
Internet connection within the customer's room for e-mail verbal exchange.
Adolescent: body image and peer attractiveness are the principle concerns; e-mail
communique will nevertheless allow peer communique and attractiveness at the
same time as retaining his body photograph
16.23. The mother of a preschool-elderly baby asks the nurse if it's far all proper to
administer Pepto Bismol to her son while he "has a tummy pain." After reminding the
mother to check the label of all over-the-counter pills for the presence of aspirin, which
practise ought to the nurse consist of whilst replying to this mom's question? -
ANSWER-Do not deliver if the child has chickenpox, the flu, or another viral
contamination.
-pepto bismol: carries aspirin, aspirin + any viral, flu or contamination = reyes
syndrome
-->reyes syndrome (encephalophy + hepatic dysfunction)
17.24. The nurse is making ready a health coaching program for dad and mom of toddlers
and preschoolers and plans to include information approximately prevention of
accidental poisonings. It is most important for the nurse to encompass which instruction?
- ANSWER-Store all poisonous retailers and drugs in locked shelves.
18.25. A 2-year-old child with gastro-esophageal reflux has evolved a worry of eating. What
guidance should the nurse consist of within the dad and mom' teaching plan? -
ANSWER-Consistently follow a set mealtime recurring
- always observe a constant home agenda
19.26. The essential symptoms of a 4-year-old infant with polyuria are: BP 80/40, Pulse
118, and Respirations 24. The infant's pedal pulses are present with a extent of +1, and
no edema is found. What movement need to the nurse enforce first? - ANSWER-Start
an IV infusion of normal saline- patient is experiencing fluid vole deficit
20.27. The mother and father of a three-week-old little one document that the kid eats
properly but vomits after every feeding. What information is most vital for the nurse to
reap? - ANSWER-Description of vomiting episodes in past 24 hours.- evaluation of
what motive vomiting episodes leaning in the direction of treatment
21.28. A 12-month-antique boy is admitted with a breathing infection and possible
pneumonia. He is placed in a mist tent with oxygen. Which nursing intervention has the
greatest precedence for this little one? - ANSWER-Have a bulb syringe comfortably to
be had to do away with secretions.
A patent airway is highest precedence and humidification will liquefy the nasal secretions
22.29. A 6-12 months-old is admitted to the pediatric unit after falling off a bicycle. Which
intervention need to the nurse put into effect to assist the child's adjustment to
hospitalization? - ANSWER-Explain sanatorium schedules to the child, consisting
of mealtimes.
, -constantly keep a steady schedule, if possible attempt to replica domestic time
table. This will help to lower separation anxiety
23.3. A 3-week-old new child is delivered to the health facility for comply with-up after a
home start. The mother reviews that her child bottle feeds for five minutes simplest after
which falls asleep. The nurse auscultates a loud murmur feature of a ventricular septal
illness (VSD), and finds the new child is acyanotic with a respiration charge of sixty four
breaths in line with minute. What training have to the nurse provide the mother to make
certain the infant is receiving ok consumption? (Select all that observe.) - ANSWER-A.
Monitor the the infant's weight and number of wet diapers according to day. - infant have
to at least have 6 wet diapers per day.
24.B. Increase the toddler's intake in line with feeding through 1 to 2 ounces in step with
week.- infant is usually fatigue, need to boom to 30 oza day
25.D. Allow the infant to relaxation and re-feed on demand or every 2 hours.- toddler is
always fatigue, this can make sure good enough feeding.
26.E. Use a softer nipple or growth the size of the nipple starting.- this can save electricity
27.30. The nurse is caring for a 12-12 months-old with Syndrome of Inappropriate
Antidiuretic Hormone (SIADH). This infant should be cautiously assessed for which
worry? - ANSWER-Changes in stage of cognizance.
28.
29.Fluid retention + DILUTED s/s hyponatremia
30.31. Which class of antiinfective drugs is contraindicated to be used in children under 8
years of age? - ANSWER-Tetracyclines
31.
32.reasons destruction of enamel and enamel discoloration
33.able to give: aminoglycodides, penicillins, Quinolones.
34.32. Preoperative nursing take care of a child with Wilms' tumor must include which
intervention? - ANSWER-Put a sign on the bed reading, "DO NOT PALPATE
ABDOMEN."
35.*prevents rupture of the encapsulated tumor and spreading to different organs
36.33. A 15-12 months-antique lady tells the college nurse that every one of her buddies
have started out their intervals and he or she feels peculiar because she has no longer.
Which response is excellent for the nurse offer? - ANSWER-Explain that menarche
varies and happens between the a long time of 12 and 18 years.
37.34. At eight a.M. The unlicensed assistive personnel (UAP) informs the price nurse that
a lady adolescent customer with acute glomerulonephritis has a blood pressure of
210/110. The four a.M. Blood stress studying become 170/88. The customer reviews to
the UAP that she is disillusioned due to the fact her boyfriend did no longer visit final
night. What movement should the nurse take first? - ANSWER-Administer PRN
prescription of nifedipine (Procardia) sublingually.
38.-CA channel blocker
39.-always investigate physiological wishes
40.35. Which measurements need to be used to accurately calculate a pediatric medicine
dosage? (Select all that observe.) - ANSWER-A. Child top + weight
41.C. Body surface region of the kid
Answers 2024 - 2025
1. 1. A 5-month-vintage is admitted to the health center with vomiting and diarrhea. The
pediatrician prescribes dextrose five% and zero.25% everyday saline with 2 mEq KCl/a
hundred ml to be infused at 25 ml/hour. Prior to initiating the infusion, the nurse should
attain which evaluation locating? - ANSWER-Serum BUN and creatinine ranges.
Adding potassium = need good enough renal function + urine output
2. 10. An 18-month-vintage is admitted to the clinic with possible Hirschsprung's sickness.
When acquiring a nursing records, the nurse asks about bowel habits. What description
of the ailment? - ANSWER-Ribbon-like and brown.
Hirschsprung's is a mechanical obstruction in a part of the intestines ensuing in
inadequate motility.
Bile-coloured and watery = gastroenteritis
Foul-smelling and fatty = cystic fibrosis
Semi-strong and yellow= regular in breast fed neonates
3. 11. A four-12 months-antique female keeps to break her mom in the course of a habitual
health facility visit. The mother seems indignant with the child and asks the nurse, "Is
this ordinary conduct for a child this age?" The nurse's response ought to be primarily
based on which statistics? - ANSWER-Children need to retain a experience of
initiative without impinging at the rights and privileges of others.
-Children elderly three to six are in Erickson's "Initiative vs. Guilt" stage, which is
characterized with the aid of vigorous, intrusive behavior, organization, and robust
creativeness. At this age, kids increase a moral sense and must learn how to
maintain a sense of initiative with out impinging on the rights of others
4. 12. The nurse is assessing a 2-year-antique. What behavior indicates that the child's
language development is within ordinary limits? - ANSWER-Half of baby's speech is
comprehensible (15-24 months)
by way of 18 months is able to creating a 3 phrase sentence.
Three-5 years vintage is ready to name 4 hues & matter five blocks
5. thirteen. A 2-12 months-old child with Down syndrome is brought to the clinic for his
everyday bodily exam. The nurse knows which hassle is regularly related to Down
syndrome? - ANSWER-Congenital coronary heart disease is the maximum not
unusual disorder observed in people with DS
6. 14. The nurse is giving preoperative instructions to a 14-year-old lady purchaser who is
scheduled for surgical treatment to accurate a spinal curvature. Which declaration with
the aid of the client pleasant demonstrates that studying has taken place? - ANSWER-I
, remember the fact that I may be in a body cast and I will show you how you taught
me to show
7. 15. A three-month-antique infant develops oral thrush. Which pharmacologic agent
ought to the nurse plan to manage for remedy of this ailment? - ANSWER-Nystatin
(Mycostatin).
8. Sixteen. A full time period toddler is admitted to the new child nursery. After cautious
assessment, the nurse suspects that the toddler may also have an esophageal atresia.
Which symptoms are this new child possibly to exhibit? - ANSWER-Choking,
coughing, and cyanosis.
9. 17. The nurse is teaching a 12-year-old male adolescent and his family about taking
injections of increase hormone for idiopathic hypopituitarism. Which damaging signs and
symptoms, generally associated with increase hormone remedy, ought to the nurse plan
to explain to the child and his own family? - ANSWER-Polyuria and polydipsia
boom hormone causes increase in blood sugar
*screen for diabetes
10.18. As a part of the physical assessment of youngsters, the nurse observes and palpates
the fontanels. Which infant's fontanel finding should be mentioned to the healthcare
issuer? - ANSWER-A 6-month-old with failure to thrive that has a closed anterior
fontanel.
11.19. A nurse presents the parents with data on fitness maintenance for their infant with
sickle cell ailment. Which data contemplated by means of the dad and mom suggests
know-how of the child's care? - ANSWER-Plenty of fluids must be ate up daily
hydration #1 priority to prevent viscosity of blood; for the reason that sickle
cellular can impact the spleen, liver, kidney, bones and CNS this could increase
the hazard for contamination w/ decreased or no function of the spleen a routine
immunization time table is needed
12.2. Which menu choice by way of a infant with celiac disease indicates to the nurse that
the kid is familiar with necessary nutritional considerations? - ANSWER-Oven-baked
potato chips and cola
keep away from: oats, wheat, rye and barley; intolerance to protein gluten
13.20. When discussing subject with the mom of a 4-yr-antique child, the nurse should
encompass which guideline? - ANSWER-Parental manipulate need to be regular.
Regular parenting will prevent misbehavior of children; steady mother and father
will save you misinterpretation of policies.
14.21. The nurse gets a lab record stating a child with asthma has a theophylline stage of
15 mcg/dl. What movement will the nurse take? - ANSWER-Pass the data on inside
the document
theophylline: 10-20 mcg/dl (everyday range)
,15.22. A hospitalized sixteen-year-antique male refuses all visits from his classmates due to
the fact he's concerned about his distorted look. To increase the consumer's social
interplay, what intervention is quality for the nurse to initiate? - ANSWER-Arrange for an
Internet connection within the customer's room for e-mail verbal exchange.
Adolescent: body image and peer attractiveness are the principle concerns; e-mail
communique will nevertheless allow peer communique and attractiveness at the
same time as retaining his body photograph
16.23. The mother of a preschool-elderly baby asks the nurse if it's far all proper to
administer Pepto Bismol to her son while he "has a tummy pain." After reminding the
mother to check the label of all over-the-counter pills for the presence of aspirin, which
practise ought to the nurse consist of whilst replying to this mom's question? -
ANSWER-Do not deliver if the child has chickenpox, the flu, or another viral
contamination.
-pepto bismol: carries aspirin, aspirin + any viral, flu or contamination = reyes
syndrome
-->reyes syndrome (encephalophy + hepatic dysfunction)
17.24. The nurse is making ready a health coaching program for dad and mom of toddlers
and preschoolers and plans to include information approximately prevention of
accidental poisonings. It is most important for the nurse to encompass which instruction?
- ANSWER-Store all poisonous retailers and drugs in locked shelves.
18.25. A 2-year-old child with gastro-esophageal reflux has evolved a worry of eating. What
guidance should the nurse consist of within the dad and mom' teaching plan? -
ANSWER-Consistently follow a set mealtime recurring
- always observe a constant home agenda
19.26. The essential symptoms of a 4-year-old infant with polyuria are: BP 80/40, Pulse
118, and Respirations 24. The infant's pedal pulses are present with a extent of +1, and
no edema is found. What movement need to the nurse enforce first? - ANSWER-Start
an IV infusion of normal saline- patient is experiencing fluid vole deficit
20.27. The mother and father of a three-week-old little one document that the kid eats
properly but vomits after every feeding. What information is most vital for the nurse to
reap? - ANSWER-Description of vomiting episodes in past 24 hours.- evaluation of
what motive vomiting episodes leaning in the direction of treatment
21.28. A 12-month-antique boy is admitted with a breathing infection and possible
pneumonia. He is placed in a mist tent with oxygen. Which nursing intervention has the
greatest precedence for this little one? - ANSWER-Have a bulb syringe comfortably to
be had to do away with secretions.
A patent airway is highest precedence and humidification will liquefy the nasal secretions
22.29. A 6-12 months-old is admitted to the pediatric unit after falling off a bicycle. Which
intervention need to the nurse put into effect to assist the child's adjustment to
hospitalization? - ANSWER-Explain sanatorium schedules to the child, consisting
of mealtimes.
, -constantly keep a steady schedule, if possible attempt to replica domestic time
table. This will help to lower separation anxiety
23.3. A 3-week-old new child is delivered to the health facility for comply with-up after a
home start. The mother reviews that her child bottle feeds for five minutes simplest after
which falls asleep. The nurse auscultates a loud murmur feature of a ventricular septal
illness (VSD), and finds the new child is acyanotic with a respiration charge of sixty four
breaths in line with minute. What training have to the nurse provide the mother to make
certain the infant is receiving ok consumption? (Select all that observe.) - ANSWER-A.
Monitor the the infant's weight and number of wet diapers according to day. - infant have
to at least have 6 wet diapers per day.
24.B. Increase the toddler's intake in line with feeding through 1 to 2 ounces in step with
week.- infant is usually fatigue, need to boom to 30 oza day
25.D. Allow the infant to relaxation and re-feed on demand or every 2 hours.- toddler is
always fatigue, this can make sure good enough feeding.
26.E. Use a softer nipple or growth the size of the nipple starting.- this can save electricity
27.30. The nurse is caring for a 12-12 months-old with Syndrome of Inappropriate
Antidiuretic Hormone (SIADH). This infant should be cautiously assessed for which
worry? - ANSWER-Changes in stage of cognizance.
28.
29.Fluid retention + DILUTED s/s hyponatremia
30.31. Which class of antiinfective drugs is contraindicated to be used in children under 8
years of age? - ANSWER-Tetracyclines
31.
32.reasons destruction of enamel and enamel discoloration
33.able to give: aminoglycodides, penicillins, Quinolones.
34.32. Preoperative nursing take care of a child with Wilms' tumor must include which
intervention? - ANSWER-Put a sign on the bed reading, "DO NOT PALPATE
ABDOMEN."
35.*prevents rupture of the encapsulated tumor and spreading to different organs
36.33. A 15-12 months-antique lady tells the college nurse that every one of her buddies
have started out their intervals and he or she feels peculiar because she has no longer.
Which response is excellent for the nurse offer? - ANSWER-Explain that menarche
varies and happens between the a long time of 12 and 18 years.
37.34. At eight a.M. The unlicensed assistive personnel (UAP) informs the price nurse that
a lady adolescent customer with acute glomerulonephritis has a blood pressure of
210/110. The four a.M. Blood stress studying become 170/88. The customer reviews to
the UAP that she is disillusioned due to the fact her boyfriend did no longer visit final
night. What movement should the nurse take first? - ANSWER-Administer PRN
prescription of nifedipine (Procardia) sublingually.
38.-CA channel blocker
39.-always investigate physiological wishes
40.35. Which measurements need to be used to accurately calculate a pediatric medicine
dosage? (Select all that observe.) - ANSWER-A. Child top + weight
41.C. Body surface region of the kid
