Pediatrics HESI Exam 2025 | HESI Pediatrics
Exam | All Questions and Correct Answers |
Graded A+ | Verified Answers
The nurse reviews the latest laboratory results for a child who received
chemotherapy last week and identifies a reduced neutrophil count. Which nursing
diagnosis has the highest priority for this child?
Risk for infection.
Risk for hemorrhage.
Altered skin integrity.
Disturbance in body image. ---------CORRECT ANSWER-----------------Risk for
infection.
Chemotherapy (CT) suppresses phagocytotic neutrophils and places the child at
risk for infection (A), which is the priority nursing diagnosis. (B, C, and D) may be
related to the care of a child receiving CT are not related to neutropenia.
A child falls on the playground and is brought to the school nurse with a small
laceration on the forearm. Which action should the nurse implement first?
Slowly pour hydrogen peroxide over the open wound.
Apply ice to the area before rinsing with cold water.
Wash the wound gently with mild soap and water.
Gently cleanse with a sterile pad using povidone-iodine. ---------CORRECT
ANSWER-----------------Wash the wound gently with mild soap and water.
,A small, superficial laceration to the skin should be washed gently with mild
soap and water (C) for several minutes, followed by thorough rinsing. (A and D)
are antiseptics that can be traumatic (painful) when cleaning fresh, open
wounds. Applying ice (B) may reduce or prevent further edema, but the wound
should be washed with mild soap and water first.
The nurse observes a 4-year-old boy in a daycare setting. Which behavior would
the nurse consider normal for this child?
Has a temper tantrum when told he must share his toys.
Plays by himself most of the day.
Demonstrates aggressiveness by boasting when telling a story.
Begins to cry and is fearful when separated from his parents. ---------CORRECT
ANSWER-----------------Demonstrates aggressiveness by boasting when telling a
story.
Four-year-old children are aggressive in their behavior and enjoy "tale telling"
(C). Behaviors in (A and D) are typical of toddlers. The play of a preschooler is
cooperative, so playing alone (B) is not typical.
The nurse is developing a plan of care for a 3-year-old who is scheduled for a
cardiac catheterization. To assist in decreasing anxiety for the child on the day of
the procedure, which intervention is best for the nurse to implement?
Reassure the parents that 3-year-olds are cooperative and therefore are less
likely to be anxious.
Obtain a video film of a cardiac catheterization to show to the child prior to the
procedure.
,Give the child a ride on a gurney to visit the cardiac catheterization lab and meet
a nurse who works there.
Obtain a cardiac catheter and demonstrate the procedure by pretending to put
the catheter in a doll or stuffed animal. ---------CORRECT ANSWER-----------------
Give the child a ride on a gurney to visit the cardiac catheterization lab and meet
a nurse who works there.
Familiarizing the child and mother with the department (C) will help decrease
anxiety of the child and mother (who may have more anxiety than the child).
Three is a difficult age to undergo a procedure that requires cooperation.
Restraints and possibly sedation may be required (A). At three, the child is too
young to understand why this must be done, and (B) is not indicated. (D) is also
not indicated because it is likely to be interpreted as painful.
A 6-month-old boy and his mother are at the healthcare provider's office for a
well-baby check-up and routine immunizations. The healthcare provider
recommends to the mother that the child receive an influenza vaccine. What
medications should the nurse plan to administer today?
The routine immunizations and schedule another appointment to administer the
influenza vaccine. Incorrect
All the immunizations with the influenza vaccine given at a separate site from any
other injection.
The influenza vaccine and schedule another appointment to administer the
immunizations.
The influenza vaccine and the polio vaccine and schedule another appointment
to administer the remaining immunizations. ---------CORRECT ANSWER----------------
-All the immunizations with the influenza vaccine given at a separate site from
any other injection.
, At 6-months of age, the routine immunizations include Hepatitis B, DTaP, Hib
(Haemophilus influenza type b), PCV (Pneumococcal), IPV (inactivated
poliovirus) and influenza. The influenza vaccine should be given at a separate
site from any other injection (B). Scheduling a return visit (A, B, or C) increases
the risk that the mother will not bring the child back for the immunizations.
When discussing discipline with the mother of a 4-year-old child, the nurse should
include which guideline?
Parental control should be consistent.
Children as young as 4 years rarely need reprimand or punishment.
Withdrawal of approval is effective.
Parents should enforce rigid rules to be followed without question. ---------
CORRECT ANSWER-----------------Parental control should be consistent.
Discipline should be a positive and necessary component of childrearing that is
started in infancy and should teach socially acceptable behavior, help children
protect themselves from danger, and channel undesirable behavior into
constructive activity. Misbehavior may result from inconsistent rules or
messages, so parental attention should be clear, reasonable, and consistent (A).
(B and C) are not helpful to the child. Children need boundaries that are firm but
not rigid (D).
The nurse is teaching a mother to give 4 ml of a liquid antibiotic to a 10-month-
old infant. Which statement by the parent indicates a need for further teaching?
I will give this antibiotic to my child until it is finished.
Using a teaspoon will help me measure this correctly.
Exam | All Questions and Correct Answers |
Graded A+ | Verified Answers
The nurse reviews the latest laboratory results for a child who received
chemotherapy last week and identifies a reduced neutrophil count. Which nursing
diagnosis has the highest priority for this child?
Risk for infection.
Risk for hemorrhage.
Altered skin integrity.
Disturbance in body image. ---------CORRECT ANSWER-----------------Risk for
infection.
Chemotherapy (CT) suppresses phagocytotic neutrophils and places the child at
risk for infection (A), which is the priority nursing diagnosis. (B, C, and D) may be
related to the care of a child receiving CT are not related to neutropenia.
A child falls on the playground and is brought to the school nurse with a small
laceration on the forearm. Which action should the nurse implement first?
Slowly pour hydrogen peroxide over the open wound.
Apply ice to the area before rinsing with cold water.
Wash the wound gently with mild soap and water.
Gently cleanse with a sterile pad using povidone-iodine. ---------CORRECT
ANSWER-----------------Wash the wound gently with mild soap and water.
,A small, superficial laceration to the skin should be washed gently with mild
soap and water (C) for several minutes, followed by thorough rinsing. (A and D)
are antiseptics that can be traumatic (painful) when cleaning fresh, open
wounds. Applying ice (B) may reduce or prevent further edema, but the wound
should be washed with mild soap and water first.
The nurse observes a 4-year-old boy in a daycare setting. Which behavior would
the nurse consider normal for this child?
Has a temper tantrum when told he must share his toys.
Plays by himself most of the day.
Demonstrates aggressiveness by boasting when telling a story.
Begins to cry and is fearful when separated from his parents. ---------CORRECT
ANSWER-----------------Demonstrates aggressiveness by boasting when telling a
story.
Four-year-old children are aggressive in their behavior and enjoy "tale telling"
(C). Behaviors in (A and D) are typical of toddlers. The play of a preschooler is
cooperative, so playing alone (B) is not typical.
The nurse is developing a plan of care for a 3-year-old who is scheduled for a
cardiac catheterization. To assist in decreasing anxiety for the child on the day of
the procedure, which intervention is best for the nurse to implement?
Reassure the parents that 3-year-olds are cooperative and therefore are less
likely to be anxious.
Obtain a video film of a cardiac catheterization to show to the child prior to the
procedure.
,Give the child a ride on a gurney to visit the cardiac catheterization lab and meet
a nurse who works there.
Obtain a cardiac catheter and demonstrate the procedure by pretending to put
the catheter in a doll or stuffed animal. ---------CORRECT ANSWER-----------------
Give the child a ride on a gurney to visit the cardiac catheterization lab and meet
a nurse who works there.
Familiarizing the child and mother with the department (C) will help decrease
anxiety of the child and mother (who may have more anxiety than the child).
Three is a difficult age to undergo a procedure that requires cooperation.
Restraints and possibly sedation may be required (A). At three, the child is too
young to understand why this must be done, and (B) is not indicated. (D) is also
not indicated because it is likely to be interpreted as painful.
A 6-month-old boy and his mother are at the healthcare provider's office for a
well-baby check-up and routine immunizations. The healthcare provider
recommends to the mother that the child receive an influenza vaccine. What
medications should the nurse plan to administer today?
The routine immunizations and schedule another appointment to administer the
influenza vaccine. Incorrect
All the immunizations with the influenza vaccine given at a separate site from any
other injection.
The influenza vaccine and schedule another appointment to administer the
immunizations.
The influenza vaccine and the polio vaccine and schedule another appointment
to administer the remaining immunizations. ---------CORRECT ANSWER----------------
-All the immunizations with the influenza vaccine given at a separate site from
any other injection.
, At 6-months of age, the routine immunizations include Hepatitis B, DTaP, Hib
(Haemophilus influenza type b), PCV (Pneumococcal), IPV (inactivated
poliovirus) and influenza. The influenza vaccine should be given at a separate
site from any other injection (B). Scheduling a return visit (A, B, or C) increases
the risk that the mother will not bring the child back for the immunizations.
When discussing discipline with the mother of a 4-year-old child, the nurse should
include which guideline?
Parental control should be consistent.
Children as young as 4 years rarely need reprimand or punishment.
Withdrawal of approval is effective.
Parents should enforce rigid rules to be followed without question. ---------
CORRECT ANSWER-----------------Parental control should be consistent.
Discipline should be a positive and necessary component of childrearing that is
started in infancy and should teach socially acceptable behavior, help children
protect themselves from danger, and channel undesirable behavior into
constructive activity. Misbehavior may result from inconsistent rules or
messages, so parental attention should be clear, reasonable, and consistent (A).
(B and C) are not helpful to the child. Children need boundaries that are firm but
not rigid (D).
The nurse is teaching a mother to give 4 ml of a liquid antibiotic to a 10-month-
old infant. Which statement by the parent indicates a need for further teaching?
I will give this antibiotic to my child until it is finished.
Using a teaspoon will help me measure this correctly.
