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HESI RN PEDIATRICS EXAM 2025 UPDATED
ACTUAL EXAM WITH CORRECT SOLUTIONS.
The nurse is giving pre-op instructions to a 14 yr old female
scheduled for surgery to correct a spinal curvature. Which stmt
best demonstrates that leaning has taken place? - correct
answer- "I understand that I will be in a body cast and I will
show you how you taught me to turn"
To take the v/s of a 4 month old, which ordered will give the
most accurate results? - correct answer- RR - HR - rectal temp
During routine screening at a school clinic, an otoscope exam
reveals a tympanic mb that is pearly gray, slightly bulging, and
not movable. What action should the nurse take next? - correct
answer- Ask the child if they have had a cold, runny nose, or
any ear pain lately
Which restraint should be used for a toddler after a cleft palate
repair? - correct answer- Elbow
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What pre-op nsg intervention should be included in the POC for
an infant w/ pyloric stenosis? - correct answer- Observe for
projectile vomiting
(remember that projectile vomiting leads to metabolic alkalosis)
A 6 month old returns from surgery w/ elbow restraints in place.
What nsg care should be included when caring for any
restrained child? - correct answer- Remove the restraints one
at a time and provide ROM exercises
(Removing them 1 at a time is safer than all at once)
A 2 yr old w/ Down syndrome is brought to the clinic for his
regular physical exam. The nurse knows which problem is
requently associated w/ Downs? - correct answer- Congenital
heart disease
(CHD is the most common associated defect w/ Downs. - also,
remember Professor Moore said that heart and ear problems
go hand in hand)
When assessing a child w/ asthma, the nurse should expect
intercostal retractions during - correct answer- Inspriation
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When planning the care for a child who has had a cleft lip
repair, the nurse know that crying should be minimized because
it - correct answer- Stresses the suture line
A full-term infant is admitted to the newborn nursery. After
careful assessment, the nurse suspects that the infant may
have an esophageal atresia. Which sx's is this newborn likely to
have exhibited? - correct answer- Choking , coughing, and
cyanosis
(this answer includes the 3 "C"s of esophageal atresia caused
by the overflow of secretions to the trachea)
Which behavior would the nurse expect a 2 yr old to exhibit? -
correct answer- Display possessiveness of toys
(they are egocentric and unable to share w/ others)
the other of a preschool-aged child asks the nurse if it is all
right to administer Pepto Bismol to her son when he has a
tummy ache. After reminding her to check the label of all OTC
meds for the presence of ASA, which instruction should the
nurse include when replying to the mom's question? - correct
answer- Do not give if they have chicken pox, the flue, or any
other viral illness
HESI RN PEDIATRICS EXAM 2025 UPDATED
ACTUAL EXAM WITH CORRECT SOLUTIONS.
The nurse is giving pre-op instructions to a 14 yr old female
scheduled for surgery to correct a spinal curvature. Which stmt
best demonstrates that leaning has taken place? - correct
answer- "I understand that I will be in a body cast and I will
show you how you taught me to turn"
To take the v/s of a 4 month old, which ordered will give the
most accurate results? - correct answer- RR - HR - rectal temp
During routine screening at a school clinic, an otoscope exam
reveals a tympanic mb that is pearly gray, slightly bulging, and
not movable. What action should the nurse take next? - correct
answer- Ask the child if they have had a cold, runny nose, or
any ear pain lately
Which restraint should be used for a toddler after a cleft palate
repair? - correct answer- Elbow
,2 | Page
What pre-op nsg intervention should be included in the POC for
an infant w/ pyloric stenosis? - correct answer- Observe for
projectile vomiting
(remember that projectile vomiting leads to metabolic alkalosis)
A 6 month old returns from surgery w/ elbow restraints in place.
What nsg care should be included when caring for any
restrained child? - correct answer- Remove the restraints one
at a time and provide ROM exercises
(Removing them 1 at a time is safer than all at once)
A 2 yr old w/ Down syndrome is brought to the clinic for his
regular physical exam. The nurse knows which problem is
requently associated w/ Downs? - correct answer- Congenital
heart disease
(CHD is the most common associated defect w/ Downs. - also,
remember Professor Moore said that heart and ear problems
go hand in hand)
When assessing a child w/ asthma, the nurse should expect
intercostal retractions during - correct answer- Inspriation
, 3 | Page
When planning the care for a child who has had a cleft lip
repair, the nurse know that crying should be minimized because
it - correct answer- Stresses the suture line
A full-term infant is admitted to the newborn nursery. After
careful assessment, the nurse suspects that the infant may
have an esophageal atresia. Which sx's is this newborn likely to
have exhibited? - correct answer- Choking , coughing, and
cyanosis
(this answer includes the 3 "C"s of esophageal atresia caused
by the overflow of secretions to the trachea)
Which behavior would the nurse expect a 2 yr old to exhibit? -
correct answer- Display possessiveness of toys
(they are egocentric and unable to share w/ others)
the other of a preschool-aged child asks the nurse if it is all
right to administer Pepto Bismol to her son when he has a
tummy ache. After reminding her to check the label of all OTC
meds for the presence of ASA, which instruction should the
nurse include when replying to the mom's question? - correct
answer- Do not give if they have chicken pox, the flue, or any
other viral illness
