PEDS HESI FINAL EXAM 2025
QUESTIONS AND ANSWERS
The nurse is caring for a 3 year old child who is 2 hours postop from a cardiac
catheterization via the right femoral artery. Which assessment finding is an
indication of arterial obstruction?
A. Blood pressure trend is downward and pulse is rapid and irregular
B. Right foot I cool to the touch and appears pale and blanched
C. Pulse distal to the femoral artery is weaker on the left foot than right foot
D. The pressure dressing at right femoral area is moist and oozing blood -
....ANSWER ...-B. Right foot is cool to the touch and appears pale and
blanched
Following a motor vehicle collision, a 3 year old girl has a spica cast applied. Which
toy is best for the nurse for this 3 year old child?
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,A. Duck that squeaks
B. Fashion doll and clothes
C. Set of cloth and hand puppets
D. Hand held video game - ....ANSWER ...-C. Set of cloth and hand
puppets
An infant with tetralogy of Fallot becomes acutely cyanotic and hyperpneic. Which
action should the nurse implement first?
A. Administer morphine sulphate
B. Start IV fluids
C. Place the infant in a knee-chest position
D. Provide 100% oxygen by face mask - ....ANSWER ...-C. Place the infant
in a knee-chest position
A child admitted with diabetic keto acidosis is demonstrating Kussmaul
respirations. The nurse determines that the increased respiratory rate is a
compensatory mechanism for which acid baed alteration?
A. Metabolic alkalosis
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, B. Respiratory acidosis
C. Respiratory alkalosis
D. Metabolic acidosis - ....ANSWER ...-D. Metabolic acidosis
A 7 year old is admitted to the hospital with persistent vomiting, and a nasogastric
tube attached to low intermittent suction is applied. Which finding is most
important for the nurse to report to the healthcare provider?
A. Gastric output of 100 mL in the last 8 hours
B. Shift intake of 640 mL IV fluids plus 30 mL PO ice chips
C. Serum potassium of 3.0 mg/dL
D. Serum pH of 7.45 - ....ANSWER ...-C. serum potassium of 3.0 mg/dL
The nurse is evaluating diet teaching for a client who has nontropical sprue (celiac
disease). Choosing which food indicates that the teaching has been effective?
A. Creamed corn
B. Pancakes
C. Rye crackers
D. Cooked oatmeal - ....ANSWER ...-A. Creamed corn
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QUESTIONS AND ANSWERS
The nurse is caring for a 3 year old child who is 2 hours postop from a cardiac
catheterization via the right femoral artery. Which assessment finding is an
indication of arterial obstruction?
A. Blood pressure trend is downward and pulse is rapid and irregular
B. Right foot I cool to the touch and appears pale and blanched
C. Pulse distal to the femoral artery is weaker on the left foot than right foot
D. The pressure dressing at right femoral area is moist and oozing blood -
....ANSWER ...-B. Right foot is cool to the touch and appears pale and
blanched
Following a motor vehicle collision, a 3 year old girl has a spica cast applied. Which
toy is best for the nurse for this 3 year old child?
....COPYRIGHT ©️ 2025 ALL RIGHTS RESERVED...TRUSTED & VERIFIED 1
,A. Duck that squeaks
B. Fashion doll and clothes
C. Set of cloth and hand puppets
D. Hand held video game - ....ANSWER ...-C. Set of cloth and hand
puppets
An infant with tetralogy of Fallot becomes acutely cyanotic and hyperpneic. Which
action should the nurse implement first?
A. Administer morphine sulphate
B. Start IV fluids
C. Place the infant in a knee-chest position
D. Provide 100% oxygen by face mask - ....ANSWER ...-C. Place the infant
in a knee-chest position
A child admitted with diabetic keto acidosis is demonstrating Kussmaul
respirations. The nurse determines that the increased respiratory rate is a
compensatory mechanism for which acid baed alteration?
A. Metabolic alkalosis
....COPYRIGHT ©️ 2025 ALL RIGHTS RESERVED...TRUSTED & VERIFIED 2
, B. Respiratory acidosis
C. Respiratory alkalosis
D. Metabolic acidosis - ....ANSWER ...-D. Metabolic acidosis
A 7 year old is admitted to the hospital with persistent vomiting, and a nasogastric
tube attached to low intermittent suction is applied. Which finding is most
important for the nurse to report to the healthcare provider?
A. Gastric output of 100 mL in the last 8 hours
B. Shift intake of 640 mL IV fluids plus 30 mL PO ice chips
C. Serum potassium of 3.0 mg/dL
D. Serum pH of 7.45 - ....ANSWER ...-C. serum potassium of 3.0 mg/dL
The nurse is evaluating diet teaching for a client who has nontropical sprue (celiac
disease). Choosing which food indicates that the teaching has been effective?
A. Creamed corn
B. Pancakes
C. Rye crackers
D. Cooked oatmeal - ....ANSWER ...-A. Creamed corn
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