PEDS HESI REMEDIATION EXAM
2025 QUESTIONS AND ANSWERS
An alert child has been treated for a submersion injury (near drowning). Which
complication should the nurse anticipate?
A. hypertension
B. Edema
C. Oliguria
D. Hypothermia - ....ANSWER ...-D. Hypothermia
Almost half of all children who experience near drowning, whether they are
asymptomatic or minimally symptomatic, will experience complications during the
first 24 hours after the incident. Hypothermia is common in children due to their
large surface area relative to body mass, decreased subcutaneous fat, and limited
thermoregulation.
The nurse is reviewing the lab values for an eight-year-old client and notes that the
child's absolute neutrophil count (ANC) is below 500 cells/mm3. Which nursing
intervention should the nurse implement first?
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,A. Transfer the child to a negative pressure room
B. Notify the HCP of the lab result
C. Initiate reverse isolation
D. Call the lab and request stat unit of plt - ....ANSWER ...-C. Initiate
reverse isolation precautions for this child
The normal ANC value is considered greater than 1500 cells/mm3. Mild
neutropenia is between 1000-1500 cells/mm3, moderate between 500- 1000
cells/mm3. ANC below 500 cells/mm3 are considered severe neutropenia. Clients
with an ANC below 500 cells/mm3 should be placed on reverse isolation
precautions as soon as detected to prevent acquiring an overwhelming infection.
Reverse isolation consists of being placed in a positive pressure room and generally
no consumption of fresh fruit or vegetables, unless the food is thoroughly washed
and no live plants or flowers in the room.
Which information about toxic shock syndrome should the nurse emphasize when
counseling an adolescent female client?
A. symptoms
B. prevention
C. medication
D. treatment - ....ANSWER ...-B. Prevention
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,Toxic shock syndrome (TSS) occurs from a buildup of toxins produced by
staphylococcus bacteria and can lead to acute multisystem organ failure. Education
should focus on preventive measures, such as the dangers of prolonged tampon
replacement use.
A mother brings in a three-year-old child who has respiratory rate of 36 breathes
per minute; heart rate of 160 beats per minute; weaken and thready pulse; and pale
and sweaty skin. The nurse suspects the child is going into shock which action
should the nurse perform first?
A. obtain ABG's
B. obtain vitals
C. administer O2
D. Establish IV access - ....ANSWER ...-C. Administer oxygen
When providing care to a child in shock, the nurse's priority is to ensure adequate
oxygenation. The nurse should administer oxygen or provide assistance in
establishing an airway. The best way to remember the order of priority of care to
be given is the "ABCs"; airway, bleeding and circulation
The nurse recognizes signs that a 9-month-old toddler may be living in an abusive
home. Which action is the priority for the nurse?
A. encourage the child to speak freely
....COPYRIGHT ©️ 2025 ALL RIGHTS RESERVED...TRUSTED & VERIFIED 3
, B. report the suspected abuse to local authorities
C. document head to toe assessment
D. test the child for STD - ....ANSWER ...-B. report suspected abuse
The nurse's priority in suspected abuse cases is the safety and welfare of the child.
According to national statistics, children under the age of one have the highest
incidences of being abuse. Nurses are mandated reporters and are required to
report suspected cases of abuse to local authorities in order to protect the child
from further abuse
The nurse is assessing a two-month-old in preparation for surgery for coarctation
of the aorta repair. Which best describes the pathophysiology of coarctation of the
aorta?
A. acyanotic defect, increase pulmonary blood flow
B. cyanotic defect, obstructed blood flow from ventricles
C. acyanotic defect, obstructed blood flow from ventricles
D. cyanotic defect, decreased pulmonary blood flow - ....ANSWER ...-C.
acyanotic defect, obstructed blood flow from ventricles
Coarctation of the aorta causes localized narrowing near the insertion of the ductus
arteriosus. This results in increased pressure proximal to the defect (head and
....COPYRIGHT ©️ 2025 ALL RIGHTS RESERVED...TRUSTED & VERIFIED 4
2025 QUESTIONS AND ANSWERS
An alert child has been treated for a submersion injury (near drowning). Which
complication should the nurse anticipate?
A. hypertension
B. Edema
C. Oliguria
D. Hypothermia - ....ANSWER ...-D. Hypothermia
Almost half of all children who experience near drowning, whether they are
asymptomatic or minimally symptomatic, will experience complications during the
first 24 hours after the incident. Hypothermia is common in children due to their
large surface area relative to body mass, decreased subcutaneous fat, and limited
thermoregulation.
The nurse is reviewing the lab values for an eight-year-old client and notes that the
child's absolute neutrophil count (ANC) is below 500 cells/mm3. Which nursing
intervention should the nurse implement first?
....COPYRIGHT ©️ 2025 ALL RIGHTS RESERVED...TRUSTED & VERIFIED 1
,A. Transfer the child to a negative pressure room
B. Notify the HCP of the lab result
C. Initiate reverse isolation
D. Call the lab and request stat unit of plt - ....ANSWER ...-C. Initiate
reverse isolation precautions for this child
The normal ANC value is considered greater than 1500 cells/mm3. Mild
neutropenia is between 1000-1500 cells/mm3, moderate between 500- 1000
cells/mm3. ANC below 500 cells/mm3 are considered severe neutropenia. Clients
with an ANC below 500 cells/mm3 should be placed on reverse isolation
precautions as soon as detected to prevent acquiring an overwhelming infection.
Reverse isolation consists of being placed in a positive pressure room and generally
no consumption of fresh fruit or vegetables, unless the food is thoroughly washed
and no live plants or flowers in the room.
Which information about toxic shock syndrome should the nurse emphasize when
counseling an adolescent female client?
A. symptoms
B. prevention
C. medication
D. treatment - ....ANSWER ...-B. Prevention
....COPYRIGHT ©️ 2025 ALL RIGHTS RESERVED...TRUSTED & VERIFIED 2
,Toxic shock syndrome (TSS) occurs from a buildup of toxins produced by
staphylococcus bacteria and can lead to acute multisystem organ failure. Education
should focus on preventive measures, such as the dangers of prolonged tampon
replacement use.
A mother brings in a three-year-old child who has respiratory rate of 36 breathes
per minute; heart rate of 160 beats per minute; weaken and thready pulse; and pale
and sweaty skin. The nurse suspects the child is going into shock which action
should the nurse perform first?
A. obtain ABG's
B. obtain vitals
C. administer O2
D. Establish IV access - ....ANSWER ...-C. Administer oxygen
When providing care to a child in shock, the nurse's priority is to ensure adequate
oxygenation. The nurse should administer oxygen or provide assistance in
establishing an airway. The best way to remember the order of priority of care to
be given is the "ABCs"; airway, bleeding and circulation
The nurse recognizes signs that a 9-month-old toddler may be living in an abusive
home. Which action is the priority for the nurse?
A. encourage the child to speak freely
....COPYRIGHT ©️ 2025 ALL RIGHTS RESERVED...TRUSTED & VERIFIED 3
, B. report the suspected abuse to local authorities
C. document head to toe assessment
D. test the child for STD - ....ANSWER ...-B. report suspected abuse
The nurse's priority in suspected abuse cases is the safety and welfare of the child.
According to national statistics, children under the age of one have the highest
incidences of being abuse. Nurses are mandated reporters and are required to
report suspected cases of abuse to local authorities in order to protect the child
from further abuse
The nurse is assessing a two-month-old in preparation for surgery for coarctation
of the aorta repair. Which best describes the pathophysiology of coarctation of the
aorta?
A. acyanotic defect, increase pulmonary blood flow
B. cyanotic defect, obstructed blood flow from ventricles
C. acyanotic defect, obstructed blood flow from ventricles
D. cyanotic defect, decreased pulmonary blood flow - ....ANSWER ...-C.
acyanotic defect, obstructed blood flow from ventricles
Coarctation of the aorta causes localized narrowing near the insertion of the ductus
arteriosus. This results in increased pressure proximal to the defect (head and
....COPYRIGHT ©️ 2025 ALL RIGHTS RESERVED...TRUSTED & VERIFIED 4
