8/13/25, 4:03 PM Pediatrics HESI 2023
Pediatrics HESI 2023 STUDY GUIDE EXAM 2025 -2026
\NEWEST VERSION WITH COMPLETE QUESTIONS AND
ACCURATE DETAILED ANSWERS \VERIFIED SOLUTIONS
\LATEST UPDATE
A 6-month-old infant with Apical heart rate of 60.
congestive heart failure
(CHF) is receiving digoxin A heart rate of 60 (A) is much lower than normal for a
elixir. 6-month-old and warrants immediate intervention. The
Which observation by the normal heart rate for a 6-month-old is 80 to 150 BPM
nurse warrants immediate when awake, and a rate of 70 while sleeping is
intervention? considered within normal limits. (B
Apical heart rate of 60. and C) are expected symptoms of heart failure in an
Sweating across the infant. (D) is within normal limits for an infant.
forehead. Doesn't suck
well.
Respiratory rate of 30 breaths
per minute.
The nurse is teaching the Administer aerosol therapy followed by postural drainage before
parents of a 5- year-old meals.
with cystic fibrosis about
Postural drainage for a child with cystic fibrosis is most
respiratory treatments. Which
effective when performed after nebulization and before
statement indicates to the
meals (C) or at least 1 hour after eating to prevent
nurse that the parents
understand? nausea and vomiting. Postural drainage uses gravity to
Perform postural drainage promote mucous removal after nebulization (A)
before starting aerosol treatments which open the airways. Pulmonary toileting
therapy. or
Give respiratory treatments respiratory treatments should be given 3 to 4 times daily, not
episodically (B and D).
when the child is coughing
a lot.
Administer aerosol therapy
followed by postural
1/183
,8/13/25, 4:03 PM Pediatrics HESI 2023
drainage before meals.
Ensure respiratory
therapy is done daily
during any respiratory
infection.
A female teenager is Use sunscreen when lying by the pool.
taking oral
Photosensitivity is a common side effect of tetracycline HCL
tetracycline HCL
(Achromycin V) therapy.
(Achromycin V) for acne Severe sunburn can occur with minimal sun exposure and clients
vulgaris. What is the most should be
important instruction for instructed to avoid sunlight and to use sunscreen (A). (B and D)
are not related to tetracycline HCL (Achromycin V) therapy. (C)
the nurse to include in should be avoided because dairy
this client's teaching plan? products interfere with the absorption of tetracyclines.
Use sunscreen when lying
by the pool. Cleanse the
skin at least 4 times a
day. Take the medication
with a glass of milk.
Menstrual periods may
become irregular.
2/183
,8/13/25, 4:03 PM Pediatrics HESI 2023
What preoperative nursing Observe for projectile vomiting.
intervention
should be included in the Projectile vomiting (D), which contributes to metabolic
plan of care for an infant alkalosis (A), is the classic sign of pyloric stenosis. (B) is
with pyloric stenosis? not indicated. (C) is dangerous, due to the potential for
Monitor for signs of aspiration with frequent vomiting.
metabolic acidosis.
Estimate the quantity of
diarrhea stools. Place in a
supine position after
feeding. Observe for
projectile vomiting.
600 calories per day.
A three-month old boy
weighing 10 lbs 15 oz has
10 lbs 15 oz = 10.9 lbs. Convert lbs to kg by dividing
an axillary temperature of
pounds by 2.2; 10.9/2.2 = 4.954 kg, rounded to 5 kg. An
98.9° F.
infant requires 108 calories/kg/day (108 × 5 = 540
The nurse determines the
calories/day).
daily caloric need for this However, this infant requires 10% more calories because he has
child is approximately one degree
temperature elevation. 10% of 540 is 54 and 540 + 54 = 594. This
400 calories
infant will require
per day. 500
approximately 600 calories/day. Tough question! You
calories per
know that 400 calories are too few and 700 are too
day. 600
much, and a temperature elevation necessitates
calories per
consumption of more calories, so choose the higher
day. 700
of the two choices left!
calories per
day.
Child's height
Which measurements and weight.
should be used to accurately Body surface
calculate a pediatric area of child.
medication dosage? (Select Nomogram determined mathematical constant.
all that apply.)
Correct selections are (A, C, and F). The most accurate
Child's height
calculations of pediatric
and weight. Adult
dosages use the child's height and weight (A). The
dosage of
child's BSA is calculated using the square root of weight
3/183
, 8/13/25, 4:03 PM Pediatrics HESI 2023
medication. Body in kg times height in cm divided by 3600 or the square
surface area of root of weight in lb times height in inches divided by
child. 3131 (C), then the child's BSA is
Average adult's body surface multiplied by the recommended published dose per
area.
Average pediatric dosage of BSA. The nomogram (F) is used to plot the child's height
medication. Nomogram and weight, and the point at which they intersect is the
determined mathematical BSA mathematical constant used to calculate the child's
constant. dose. (B, D, and E) are not used to calculate pediatric
dosages.
The nurse is assessing a 2- Half of child's speech is understandable.
year-old. What
behavior indicates that the Between approximately 15 and 24 months of age, a child's
child's language speech is only half
development is within understandable (D). (A and B) usually occur between 3
normal limits? and 5 years of age. (C) is usually accomplished by 18
Is able to name months of age.
four colors. Can
count five
blocks.
Is capable of making a
three word sentence.
Half of child's speech is
understandable.
The nurse reviews the Risk for infection.
latest laboratory results
for a child who received Chemotherapy (CT) suppresses phagocytotic
chemotherapy last week neutrophils and places the child at risk for infection (A),
and identifies a reduced which is the priority nursing diagnosis. (B, C, and D)
neutrophil count. Which may be related to the care of a child receiving CT are
nursing diagnosis has the not related to neutropenia.
highest priority for this
child?
Risk for
infection.
Risk for
hemorrhage.
Altered skin
integrity.
Disturbance in body image.
4/183
Pediatrics HESI 2023 STUDY GUIDE EXAM 2025 -2026
\NEWEST VERSION WITH COMPLETE QUESTIONS AND
ACCURATE DETAILED ANSWERS \VERIFIED SOLUTIONS
\LATEST UPDATE
A 6-month-old infant with Apical heart rate of 60.
congestive heart failure
(CHF) is receiving digoxin A heart rate of 60 (A) is much lower than normal for a
elixir. 6-month-old and warrants immediate intervention. The
Which observation by the normal heart rate for a 6-month-old is 80 to 150 BPM
nurse warrants immediate when awake, and a rate of 70 while sleeping is
intervention? considered within normal limits. (B
Apical heart rate of 60. and C) are expected symptoms of heart failure in an
Sweating across the infant. (D) is within normal limits for an infant.
forehead. Doesn't suck
well.
Respiratory rate of 30 breaths
per minute.
The nurse is teaching the Administer aerosol therapy followed by postural drainage before
parents of a 5- year-old meals.
with cystic fibrosis about
Postural drainage for a child with cystic fibrosis is most
respiratory treatments. Which
effective when performed after nebulization and before
statement indicates to the
meals (C) or at least 1 hour after eating to prevent
nurse that the parents
understand? nausea and vomiting. Postural drainage uses gravity to
Perform postural drainage promote mucous removal after nebulization (A)
before starting aerosol treatments which open the airways. Pulmonary toileting
therapy. or
Give respiratory treatments respiratory treatments should be given 3 to 4 times daily, not
episodically (B and D).
when the child is coughing
a lot.
Administer aerosol therapy
followed by postural
1/183
,8/13/25, 4:03 PM Pediatrics HESI 2023
drainage before meals.
Ensure respiratory
therapy is done daily
during any respiratory
infection.
A female teenager is Use sunscreen when lying by the pool.
taking oral
Photosensitivity is a common side effect of tetracycline HCL
tetracycline HCL
(Achromycin V) therapy.
(Achromycin V) for acne Severe sunburn can occur with minimal sun exposure and clients
vulgaris. What is the most should be
important instruction for instructed to avoid sunlight and to use sunscreen (A). (B and D)
are not related to tetracycline HCL (Achromycin V) therapy. (C)
the nurse to include in should be avoided because dairy
this client's teaching plan? products interfere with the absorption of tetracyclines.
Use sunscreen when lying
by the pool. Cleanse the
skin at least 4 times a
day. Take the medication
with a glass of milk.
Menstrual periods may
become irregular.
2/183
,8/13/25, 4:03 PM Pediatrics HESI 2023
What preoperative nursing Observe for projectile vomiting.
intervention
should be included in the Projectile vomiting (D), which contributes to metabolic
plan of care for an infant alkalosis (A), is the classic sign of pyloric stenosis. (B) is
with pyloric stenosis? not indicated. (C) is dangerous, due to the potential for
Monitor for signs of aspiration with frequent vomiting.
metabolic acidosis.
Estimate the quantity of
diarrhea stools. Place in a
supine position after
feeding. Observe for
projectile vomiting.
600 calories per day.
A three-month old boy
weighing 10 lbs 15 oz has
10 lbs 15 oz = 10.9 lbs. Convert lbs to kg by dividing
an axillary temperature of
pounds by 2.2; 10.9/2.2 = 4.954 kg, rounded to 5 kg. An
98.9° F.
infant requires 108 calories/kg/day (108 × 5 = 540
The nurse determines the
calories/day).
daily caloric need for this However, this infant requires 10% more calories because he has
child is approximately one degree
temperature elevation. 10% of 540 is 54 and 540 + 54 = 594. This
400 calories
infant will require
per day. 500
approximately 600 calories/day. Tough question! You
calories per
know that 400 calories are too few and 700 are too
day. 600
much, and a temperature elevation necessitates
calories per
consumption of more calories, so choose the higher
day. 700
of the two choices left!
calories per
day.
Child's height
Which measurements and weight.
should be used to accurately Body surface
calculate a pediatric area of child.
medication dosage? (Select Nomogram determined mathematical constant.
all that apply.)
Correct selections are (A, C, and F). The most accurate
Child's height
calculations of pediatric
and weight. Adult
dosages use the child's height and weight (A). The
dosage of
child's BSA is calculated using the square root of weight
3/183
, 8/13/25, 4:03 PM Pediatrics HESI 2023
medication. Body in kg times height in cm divided by 3600 or the square
surface area of root of weight in lb times height in inches divided by
child. 3131 (C), then the child's BSA is
Average adult's body surface multiplied by the recommended published dose per
area.
Average pediatric dosage of BSA. The nomogram (F) is used to plot the child's height
medication. Nomogram and weight, and the point at which they intersect is the
determined mathematical BSA mathematical constant used to calculate the child's
constant. dose. (B, D, and E) are not used to calculate pediatric
dosages.
The nurse is assessing a 2- Half of child's speech is understandable.
year-old. What
behavior indicates that the Between approximately 15 and 24 months of age, a child's
child's language speech is only half
development is within understandable (D). (A and B) usually occur between 3
normal limits? and 5 years of age. (C) is usually accomplished by 18
Is able to name months of age.
four colors. Can
count five
blocks.
Is capable of making a
three word sentence.
Half of child's speech is
understandable.
The nurse reviews the Risk for infection.
latest laboratory results
for a child who received Chemotherapy (CT) suppresses phagocytotic
chemotherapy last week neutrophils and places the child at risk for infection (A),
and identifies a reduced which is the priority nursing diagnosis. (B, C, and D)
neutrophil count. Which may be related to the care of a child receiving CT are
nursing diagnosis has the not related to neutropenia.
highest priority for this
child?
Risk for
infection.
Risk for
hemorrhage.
Altered skin
integrity.
Disturbance in body image.
4/183
