PEDS HESI 2025/2026 QUESTIONS AND WELL
DETAILED ANSWERS|A+ guaranteed|
A 3-month-old infant develops oral thrush. Which pharmacologic agent should the nurse plan to
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administer for treatment of this disorder? - ANSWER-Nystatin (antifungal)
B B B B B B B B
Surgery is being delayed for an infant with undescended testes. In collaboration with the
B B B B B B B B B B B B B
healthcare provider and the family, which prescription should the nurse anticipate? - ANSWER-
B B B B B B B B B B B B
A trial of human chorionic gonadotrophic hormone.
B B B B B B
The nurse is teaching the parents of a 5-year-old child with cystic fibrosis about respiratory
B B B B B B B B B B B B B B
treatments. Which statement indicates to the nurse that the parents understand?
B B B B B B B B B B
a. Perform postural drainage before starting the aerosol therapy.
B B B B B B B B
b. Give respiratory treatments when the child is coughing a lot.
B B B B B B B B B B
c. Administer aerosol therapy followed by postural drainage before meals.
B B B B B B B B B
d. Ensure respiratory therapy is done daily during any respiratory infection.
B B B B B B B B B B B
Administer aerosol therapy followed by postural drainage before meal - ANSWER-C
B B B B B B B B B B
The mother of a preschool-aged child asks the nurse if it is all right to administer bismuth
B B B B B B B B B B B B B B B B
subsalicylate (Pepto Bismol, Bismylate) to her son when he "has a tummy ache." After eminding the m
B B B B B B B B B B B B B B B B
other to check the label of all over-the-counter drugs for the presence of
B B B B B B B B B B B B
aspirin, which instruction should the nurse include when replying to this mother's question?
B B B B B B B B B B B B
a. If the child's tongue darkens, discontinue the Pepto Bismol immediately.
B B B B B B B B B B
b. Do not give if the child has chickenpox, the flu, or any other viral illness.
B B B B B B B B B B B B B B B
c. Avoid the use of Pepto Bismol until the child is at least 16 years old.
B B B B B B B B B B B B B B B
d. Pepto Bismol may cause a rebound hyperacidity, worsening the "tummy ache." - ANSWER-b
B B B B B B B B B B B B B
The nurse is assessing an 8-month-old child who has a medical diagnosis of Tetrology of Fallot.
B B B B B B B B B B B B B B B
Which symptom is this client most likely to exhibit?
B B B B B B B B
a. Bradycardia
B
b. Machinery murmur
B B
c. Weak pedal pulses
B B B
d. Clubbed fingers - ANSWER-d
B B B B
,During routine screening at a school clinic, an otoscope examination of a child's ear reveals a
B B B B B B B B B B B B B B B
tympanic membrane that is pearly gray, slightly bulging, and not movable. What action should
B B B B B B B B B B B B B
the nurse take next?
B B B
a. No action required, as this is an expected finding for a school-aged child.
B B B B B B B B B B B B B
b. Ask the child if he/she has had a cold, runny nose, or any ear pain lately.
B B B B B B B B B B B B B B B B
c. Send a note home advising the parents to have the child evaluated by a healthcare provider
B B B B B B B B B B B B B B B B
as soon as possible.
B B B
d. Call the parents and have them take the child home from school for the rest of the day. - ANSWER-b
B B B B B B B B B B B B B B B B B B B B
female teenager is taking oral tetracycline HCL (Achromycin V) for acne vulgaris. What is the
B B B B B B B B B B B B B B
most important instruction for the nurse to include in this client's teaching plan?
B B B B B B B B B B B B
a. "Use sunscreen when lying by the pool."
B B B B B B B
b. "Cleanse the skin at least 4 times a day."
B B B B B B B B B
c. "Take the medication with a glass of milk."
B B B B B B B B
d. "Menstrual periods may become irregular." - answer a. "Use sunscreen when lying by the
B B B B B B B B B B B B B B
pool. - ANSWER-a B B
At 8 a.m. the unlicensed assistive personnel (UAP) informs the charge nurse that a female
B B B B B B B B B B B B B B
adolescent client with acute glomerulonephritis has a blood pressure of 210/110. The 4 a.m.
B B B B B B B B B B B B B
blood pressure reading was 170/88. The client reports to the UAP that she is upset because her
B B B B B B B B B B B B B B B B
boyfriend did not visit last night. What action should the nurse take first?
B B B B B B B B B B B B
a. Give the client her 9 a.m. prescription for an oral diuretic early.
B B B B B B B B B B B B
b. Administer PRN prescription of nifedipine (Procardia) sublingually.
B B B B B B B
c. Notify the healthcare provider and inform the nursing supervisor of the client's condition.
B B B B B B B B B B B B B
d. Attempt to calm the client and retake the blood pressure in thirty minutes - ANSWER-b
B B B B B B B B B B B B B B B
The nurse is assessing a 2-year-old. What behavior indicates that the child's language
B B B B B B B B B B B B
development is within normal limits? B B B B
a. Is able to name four colors.
B B B B B B
b. Can count five blocks.
B B B B
, c. Is capable of making a three word sentence.
B B B B B B B B
d. Half of child's speech is understandable - ANSWER-d
B B B B B B B B
During discharge teaching of a child with juvenile rheumatoid arthritis, the nurse should stress
B B B B B B B B B B B B B
to the parents the importance of obtaining which diagnostic testing
B B B B B B B B B
a. Hearing tests
B B
b. Eye exams
B B
c. CXR
B
d. Fasting blood glucose tests - ANSWER-b
B B B B B B
The nurse is teaching a 12-year-old male adolescent and his family about taking injections of
B B B B B B B B B B B B B B
growth hormone for idiopathic hypopituitarism. Which adverse symptoms, commonly
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associated with growth hormone therapy, should the nurse plan to describe to the child and his
B B B B B B B B B B B B B B B
family?
a. Polyuria and polydipsia
B B B
b. Lethargy and fatigue
B B B
c. Increased facial hair
B B B
d. Facial bone structure changes - ANSWER-a
B B B B B B
A 17-year-old male student reports to the school clinic one morning for a scheduled health
B B B B B B B B B B B B B B
exam. He tells the nurse that he just finished football practice and is on his way to class. The
B B B B B B B B B B B B B B B B B B
nurse assesses his vital signs: temperature 100 F, pulse 80, respirations 20, and blood pressure
B B B B B B B B B B B B B B
122/82. What is the best action for the nurse to take?
B B B B B B B B B B
a. Tell the student to proceed directly to the regularly scheduled class.
B B B B B B B B B B B
b. Call the parent and suggest re-taking the student's temperature at home.
B B B B B B B B B B B
c. Give the student a glass of cool fluids, then retake his temperature.
B B B B B B B B B B B B
d. Send the student to class, but re-verify his temperature after lunch. - ANSWER-a
B B B B B B B B B B B B B
A 3-week-old newborn is brought to the clinic for follow-up after a home birth. The mother
B B B B B B B B B B B B B B B
reports that her child bottle feeds for 5 minutes only and then falls asleep. The nurse
B B B B B B B B B B B B B B B
auscultates a loud murmur characteristic of a ventricular septal defect (VSD), and finds the
B B B B B B B B B B B B B
DETAILED ANSWERS|A+ guaranteed|
A 3-month-old infant develops oral thrush. Which pharmacologic agent should the nurse plan to
B B B B B B B B B B B B B
administer for treatment of this disorder? - ANSWER-Nystatin (antifungal)
B B B B B B B B
Surgery is being delayed for an infant with undescended testes. In collaboration with the
B B B B B B B B B B B B B
healthcare provider and the family, which prescription should the nurse anticipate? - ANSWER-
B B B B B B B B B B B B
A trial of human chorionic gonadotrophic hormone.
B B B B B B
The nurse is teaching the parents of a 5-year-old child with cystic fibrosis about respiratory
B B B B B B B B B B B B B B
treatments. Which statement indicates to the nurse that the parents understand?
B B B B B B B B B B
a. Perform postural drainage before starting the aerosol therapy.
B B B B B B B B
b. Give respiratory treatments when the child is coughing a lot.
B B B B B B B B B B
c. Administer aerosol therapy followed by postural drainage before meals.
B B B B B B B B B
d. Ensure respiratory therapy is done daily during any respiratory infection.
B B B B B B B B B B B
Administer aerosol therapy followed by postural drainage before meal - ANSWER-C
B B B B B B B B B B
The mother of a preschool-aged child asks the nurse if it is all right to administer bismuth
B B B B B B B B B B B B B B B B
subsalicylate (Pepto Bismol, Bismylate) to her son when he "has a tummy ache." After eminding the m
B B B B B B B B B B B B B B B B
other to check the label of all over-the-counter drugs for the presence of
B B B B B B B B B B B B
aspirin, which instruction should the nurse include when replying to this mother's question?
B B B B B B B B B B B B
a. If the child's tongue darkens, discontinue the Pepto Bismol immediately.
B B B B B B B B B B
b. Do not give if the child has chickenpox, the flu, or any other viral illness.
B B B B B B B B B B B B B B B
c. Avoid the use of Pepto Bismol until the child is at least 16 years old.
B B B B B B B B B B B B B B B
d. Pepto Bismol may cause a rebound hyperacidity, worsening the "tummy ache." - ANSWER-b
B B B B B B B B B B B B B
The nurse is assessing an 8-month-old child who has a medical diagnosis of Tetrology of Fallot.
B B B B B B B B B B B B B B B
Which symptom is this client most likely to exhibit?
B B B B B B B B
a. Bradycardia
B
b. Machinery murmur
B B
c. Weak pedal pulses
B B B
d. Clubbed fingers - ANSWER-d
B B B B
,During routine screening at a school clinic, an otoscope examination of a child's ear reveals a
B B B B B B B B B B B B B B B
tympanic membrane that is pearly gray, slightly bulging, and not movable. What action should
B B B B B B B B B B B B B
the nurse take next?
B B B
a. No action required, as this is an expected finding for a school-aged child.
B B B B B B B B B B B B B
b. Ask the child if he/she has had a cold, runny nose, or any ear pain lately.
B B B B B B B B B B B B B B B B
c. Send a note home advising the parents to have the child evaluated by a healthcare provider
B B B B B B B B B B B B B B B B
as soon as possible.
B B B
d. Call the parents and have them take the child home from school for the rest of the day. - ANSWER-b
B B B B B B B B B B B B B B B B B B B B
female teenager is taking oral tetracycline HCL (Achromycin V) for acne vulgaris. What is the
B B B B B B B B B B B B B B
most important instruction for the nurse to include in this client's teaching plan?
B B B B B B B B B B B B
a. "Use sunscreen when lying by the pool."
B B B B B B B
b. "Cleanse the skin at least 4 times a day."
B B B B B B B B B
c. "Take the medication with a glass of milk."
B B B B B B B B
d. "Menstrual periods may become irregular." - answer a. "Use sunscreen when lying by the
B B B B B B B B B B B B B B
pool. - ANSWER-a B B
At 8 a.m. the unlicensed assistive personnel (UAP) informs the charge nurse that a female
B B B B B B B B B B B B B B
adolescent client with acute glomerulonephritis has a blood pressure of 210/110. The 4 a.m.
B B B B B B B B B B B B B
blood pressure reading was 170/88. The client reports to the UAP that she is upset because her
B B B B B B B B B B B B B B B B
boyfriend did not visit last night. What action should the nurse take first?
B B B B B B B B B B B B
a. Give the client her 9 a.m. prescription for an oral diuretic early.
B B B B B B B B B B B B
b. Administer PRN prescription of nifedipine (Procardia) sublingually.
B B B B B B B
c. Notify the healthcare provider and inform the nursing supervisor of the client's condition.
B B B B B B B B B B B B B
d. Attempt to calm the client and retake the blood pressure in thirty minutes - ANSWER-b
B B B B B B B B B B B B B B B
The nurse is assessing a 2-year-old. What behavior indicates that the child's language
B B B B B B B B B B B B
development is within normal limits? B B B B
a. Is able to name four colors.
B B B B B B
b. Can count five blocks.
B B B B
, c. Is capable of making a three word sentence.
B B B B B B B B
d. Half of child's speech is understandable - ANSWER-d
B B B B B B B B
During discharge teaching of a child with juvenile rheumatoid arthritis, the nurse should stress
B B B B B B B B B B B B B
to the parents the importance of obtaining which diagnostic testing
B B B B B B B B B
a. Hearing tests
B B
b. Eye exams
B B
c. CXR
B
d. Fasting blood glucose tests - ANSWER-b
B B B B B B
The nurse is teaching a 12-year-old male adolescent and his family about taking injections of
B B B B B B B B B B B B B B
growth hormone for idiopathic hypopituitarism. Which adverse symptoms, commonly
B B B B B B B B
associated with growth hormone therapy, should the nurse plan to describe to the child and his
B B B B B B B B B B B B B B B
family?
a. Polyuria and polydipsia
B B B
b. Lethargy and fatigue
B B B
c. Increased facial hair
B B B
d. Facial bone structure changes - ANSWER-a
B B B B B B
A 17-year-old male student reports to the school clinic one morning for a scheduled health
B B B B B B B B B B B B B B
exam. He tells the nurse that he just finished football practice and is on his way to class. The
B B B B B B B B B B B B B B B B B B
nurse assesses his vital signs: temperature 100 F, pulse 80, respirations 20, and blood pressure
B B B B B B B B B B B B B B
122/82. What is the best action for the nurse to take?
B B B B B B B B B B
a. Tell the student to proceed directly to the regularly scheduled class.
B B B B B B B B B B B
b. Call the parent and suggest re-taking the student's temperature at home.
B B B B B B B B B B B
c. Give the student a glass of cool fluids, then retake his temperature.
B B B B B B B B B B B B
d. Send the student to class, but re-verify his temperature after lunch. - ANSWER-a
B B B B B B B B B B B B B
A 3-week-old newborn is brought to the clinic for follow-up after a home birth. The mother
B B B B B B B B B B B B B B B
reports that her child bottle feeds for 5 minutes only and then falls asleep. The nurse
B B B B B B B B B B B B B B B
auscultates a loud murmur characteristic of a ventricular septal defect (VSD), and finds the
B B B B B B B B B B B B B
