Pediatrics HESI Questions and Correct Answers 2025 – 2026 With complete solution New!!

Pediatrics HESI Questions and Correct Answers 2025 –
2026 With complete solution New!!
A 6-month-old infant with congestive heart failure (CHF) is receiving digoxin elixir. Which
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observation by the nurse warrants immediate intervention?
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Il` Apical heart rate of 60. Il` Il` Il` Il`




Il` Sweating across the forehead. Il` Il` Il`




Il` Doesn't suck well. Il` Il`




Il` Respiratory rate of 30 breaths per minute. - Correct Answers Apical heart rate of 60. Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`




A heart rate of 60 (A) is much lower than normal for a 6-month-old and warrants immediate
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intervention. The normal heart rate for a 6-month-old is 80 to 150 BPM when awake, and a rate of
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70 while sleeping is considered within normal limits. (B and C) are expected symptoms of heart
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failure in an infant. (D) is within normal limits for an infant.
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Il` The nurse is teaching the parents of a 5-year-old with cystic fibrosis about respiratory treatments.
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Il` Which statement indicates to the nurse that the parents understand?
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Il` Perform postural drainage before starting aerosol therapy.
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Il` Give respiratory treatments when the child is coughing a lot.
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Il` Administer aerosol therapy followed by postural drainage before meals. Il` Il` Il` Il` Il` Il` Il` Il`




Il` Ensure respiratory therapy is done daily during any respiratory infection. - Correct Answers
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Il` Administer aerosol therapy followed by postural drainage before meals. Il` Il` Il` Il` Il` Il` Il` Il`




Postural drainage for a child with cystic fibrosis is most effective when performed after
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nebulization and before meals (C) or at least 1 hour after eating to prevent nausea and vomiting.
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Postural drainage uses gravity to promote mucous removal after nebulization (A) treatments
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which open the airways. Pulmonary toileting or respiratory treatments should be given 3 to 4
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times daily, not episodically (B and D).
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,Il` A female teenager is taking oral tetracycline HCL (Achromycin V) for acne vulgaris. What is the
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Il` most important instruction for the nurse to include in this client's teaching plan?
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Il` Use sunscreen when lying by the pool.
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Il` Cleanse the skin at least 4 times a day. Il` Il` Il` Il` Il` Il` Il` Il`




Il` Take the medication with a glass of milk.
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Il` Menstrual periods may become irregular. - Correct Answers Use sunscreen when lying by the
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Il` pool. Il`




Photosensitivity is a common side effect of tetracycline HCL (Achromycin V) therapy. Severe Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`




sunburn can occur with minimal sun exposure and clients should be instructed to avoid sunlight
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and to use sunscreen (A). (B and D) are not related to tetracycline HCL (Achromycin V) therapy. (C)
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should be avoided because dairy products interfere with the absorption of tetracyclines.
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Il` What preoperative nursing intervention should be included in the plan of care for an infant with
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Il` pyloric stenosis? Il`




Il` Monitor for signs of metabolic acidosis. Il` Il` Il` Il` Il`




Il` Estimate the quantity of diarrhea stools. Il` Il` Il` Il` Il`




Il` Place in a supine position after feeding.
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Il` Observe for projectile vomiting. - Correct Answers Observe for projectile vomiting.
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Projectile vomiting (D), which contributes to metabolic alkalosis (A), is the classic sign of pyloric
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stenosis. (B) is not indicated. (C) is dangerous, due to the potential for aspiration with frequent
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vomiting.
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Il` An infant is born with a ventricular septal defect (VSD) and surgery is planned to correct the
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Il` defect. The nurse recognizes that surgical correction is designed to achieve which outcome?
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Il` Stop the flow of unoxygenated blood into systemic circulation.
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Il` Increase the flow of unoxygenated blood to the lungs. Il` Il` Il` Il` Il` Il` Il` Il` Il`




Il` Prevent the return of oxygenated blood to the lungs.Il` Il` Il` Il` Il` Il` Il` Il` Il`

,Il` Reduce peripheral tissue hypoxia and nailbed clubbing - Correct Answers Prevent the return of
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Il` oxygenated blood to the lungs. Il` Il` Il` Il` Il`




Closure of VSDs stops oxygenated blood from being shunted from the left ventricle to the right
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ventricle (C). VSDs are acyanotic defects, which means that no unoxygenated blood enters the
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systemic circulation (A and B). (D) is common with Tetrology of Fallot, which is a cyanotic defect.
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Il` A 3-week-old newborn is brought to the clinic for follow-up after a home birth. The mother
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Il` reports that her child bottle feeds for 5 minutes only and then falls asleep. The nurse auscultates a
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Il` loud murmur characteristic of a ventricular septal defect (VSD), and finds the newborn is
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Il` acyanotic with a respiratory rate of 64 breaths per minute. What instruction should the nurse
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Il` provide the mother to ensure the infant is receiving adequate intake? (Select all that apply.)
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A. Monitor the the infant's weight and number of wet diapers per day.
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B. Increase the infant's intake per feeding by 1 to 2 ounces per week.
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C. Mix the dose of prophylactic antibiotic in a full bottle of formula.
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D. Allow the infant to rest and refeed on demand or every 2 hours.
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E. Use a softer nipple or increase the size of the nipple opening. - Correct Answers A. Monitor
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the the infant's weight and number of wet diapers per day.
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B. Increase the infant's intake per feeding by 1 to 2 ounces per week.
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D. Allow the infant to rest and refeed on demand or every 2 hours.
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E. Use a softer nipple or increase the size of the nipple opening.
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Antibiotic prophylaxis is recommended for infants with VSDs, but should not be mixed in a bottle
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of formula (C) because it is difficult to ensure that the total dose is consumed.
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They should be monitored for weight gain and at least 6 wet diapers per day (A). A one-month old
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infant should ingest 2 to 4 ounces of formula per feeding and progress to about 30 ounces per day
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by 4-months of age (B)
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, Il` Preoperative nursing care for a child with Wilms' tumor should include which intervention? Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`




Il` Gently percuss the abdomen for evidence of trapped air.
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Il` Observe the abdomen for any noticeable discolorations. Il` Il` Il` Il` Il` Il`




Il` Apply cold compresses to the abdomen to reduce edema.
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Il` Put a sign on the bed reading, "DO NOT PALPATE ABDOMEN." - Correct Answers Put a sign on
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Il` the bed reading, "DO NOT PALPATE ABDOMEN."
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Prevention of abdominal palpation (D) minimizes the risk of rupturing the encapsulated tumor Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`




and subsequent metastasis. (A) is unnecessary, and this action could traumatize the tumor in the
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same manner as palpation. (B and C) are incorrect since the abdomen is not discolored and cold
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compresses are not indicated.
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Il` At 8 a.m. the unlicensed assistive personnel (UAP) informs the charge nurse that a female
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Il` adolescent client with acute glomerulonephritis has a blood pressure of 210/110. The 4 a.m. Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`




Il` blood pressure reading was 170/88. The client reports to the UAP that she is upset because her
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Il` boyfriend did not visit last night. What action should the nurse take first? Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`




Il` Give the client her 9 a.m. prescription for an oral diuretic early.
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Il` Administer PRN prescription of nifedipine (Procardia) sublingually. Il` Il` Il` Il` Il` Il` Il`




Il` Notify the healthcare provider and inform the nursing supervisor of the client's condition.
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Il` Attempt to calm the client and retake the blood pressure in thirty minutes. - Correct Answers
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Il` Administer PRN prescription of nifedipine (Procardia) sublingually. Il` Il` Il` Il` Il` Il`




Sublingual Procardia (B) lowers blood pressure very quickly, and this should be done first. (A) may
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also be done, but oral diuretics do not work as rapidly as the sublingual antihypertensive. When
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notifying the healthcare provider, the first thing he/she will want to know is if the PRN
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antihypertensive has been administered (C). (D) does not consider the seriousness of this finding.
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The nurse should stay with the client until the blood pressure is reduced.
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Il` The nurse is assessing an 8-month-old child who has a medical diagnosis of Tetrology of Fallot.
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Il` Which symptom is this client most likely to exhibit?
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