PEDS HESI ACTUAL EXAM STUDY
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 is 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?
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 ketoacidosis is demonstrating Kussmaul
respirations. The nurse determines that the increased respiratory rate is a
compensatory mechanism for which acid base alteration?
A. Metabolic alkalosis.
B. Respiratory acidosis.
C. Respiratory alkalosis.
D. Metabolic acidosis. - ANSWER-D. Metabolic acidosis.
,7 years 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
During a well-baby check, the nurse hides a block under the baby's blanket,
and the baby looks for the block. Which normal growth and development
milestone is the baby developing?
A. Separation anxiety.
B. Associative play.
C. Object prehension.
D. Object permanence. - ANSWER-D. Object permanence.
The nurse is measuring the frontal occipital circumference (FOC) of a 3-
months old
infant, and notes that the FOC has increased 5 inches since birth and the
child's head
appears large in relation to body size. Which action is most important for the
nurse to
take next?
A. Measure the infant's head-to-toe length.
B. Palpate the anterior fontanel for tension and bulging.
, C. Observe the infant for sunken eyes.
D. Plot the measurement on the infant's growth chart. - ANSWER-B. Palpate
the anterior fontanel for tension and bulging.
The nurse is preparing a 10 year old with a lacerated forehead for suturing.
Both
parents and 12 year old sibling are at the child's bedside. Which instruction
best
supports family?
A. While waiting for the healthcare provider, only one visitor may stay with
the child.
B. All of you should leave while the healthcare provider sutures the child's
forehead.
C. It is best if the sibling goes to the waiting room until the suturing is
completed.
D. Please decide who will stay when the healthcare provider begins suturing.
- ANSWER-D. Please decide who will stay when the healthcare provider
begins suturing.
The nurse is planning for a 5-month old with gastroesophageal reflux disease
whose
weight has decreased by 3 ounces since the last clinic visit one month ago.
To increase
caloric intake and decrease vomiting, what instructions should the nurse
provide this
mother?
A. Give small amounts of baby food with each feeding.
B. Thicken formula with cereal for each feeding.
C. Dilute the childs formula with equal parts of water.
D. Offer 10 % dextrose in water between most feedings. - ANSWER-B.
Thicken formula with cereal for each feeding.
While teaching a parenting class to new parents the nurse describes the
needs of
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 is 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?
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 ketoacidosis is demonstrating Kussmaul
respirations. The nurse determines that the increased respiratory rate is a
compensatory mechanism for which acid base alteration?
A. Metabolic alkalosis.
B. Respiratory acidosis.
C. Respiratory alkalosis.
D. Metabolic acidosis. - ANSWER-D. Metabolic acidosis.
,7 years 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
During a well-baby check, the nurse hides a block under the baby's blanket,
and the baby looks for the block. Which normal growth and development
milestone is the baby developing?
A. Separation anxiety.
B. Associative play.
C. Object prehension.
D. Object permanence. - ANSWER-D. Object permanence.
The nurse is measuring the frontal occipital circumference (FOC) of a 3-
months old
infant, and notes that the FOC has increased 5 inches since birth and the
child's head
appears large in relation to body size. Which action is most important for the
nurse to
take next?
A. Measure the infant's head-to-toe length.
B. Palpate the anterior fontanel for tension and bulging.
, C. Observe the infant for sunken eyes.
D. Plot the measurement on the infant's growth chart. - ANSWER-B. Palpate
the anterior fontanel for tension and bulging.
The nurse is preparing a 10 year old with a lacerated forehead for suturing.
Both
parents and 12 year old sibling are at the child's bedside. Which instruction
best
supports family?
A. While waiting for the healthcare provider, only one visitor may stay with
the child.
B. All of you should leave while the healthcare provider sutures the child's
forehead.
C. It is best if the sibling goes to the waiting room until the suturing is
completed.
D. Please decide who will stay when the healthcare provider begins suturing.
- ANSWER-D. Please decide who will stay when the healthcare provider
begins suturing.
The nurse is planning for a 5-month old with gastroesophageal reflux disease
whose
weight has decreased by 3 ounces since the last clinic visit one month ago.
To increase
caloric intake and decrease vomiting, what instructions should the nurse
provide this
mother?
A. Give small amounts of baby food with each feeding.
B. Thicken formula with cereal for each feeding.
C. Dilute the childs formula with equal parts of water.
D. Offer 10 % dextrose in water between most feedings. - ANSWER-B.
Thicken formula with cereal for each feeding.
While teaching a parenting class to new parents the nurse describes the
needs of
