PEDIATRICS HESI EXIT EXAM NEWEST 2025/2026 ACTUAL EXAM
WITH COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS
(100% VERIFIED ANSWERS) |ALREADY GRADED A+| ||PROFESSOR
VERIFIED||
The nurse in the emergency room is reviewing the prescriptions
for a child admitted with diabetic ketoacidosis. Which
prescriptions will the nurse question as they are concerning?
(Select all that apply.)
A. IV of 0.9% normal saline
B. Regular insulin
C. Clear liquid diet
D. Glasgow coma scale assessment
E. Restrict parents from visiting. - ANSWER-C & E
The child should be NPO until the condition stabilizes and the
blood glucose readings approach the acceptable range. Parents
can be a source of comfort and support. Increased anxiety can
make the child's condition worse. The remaining are acceptable
treatments for DKA.
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When caring for a child with congenital heart disease and
polycythemia, which nursing action has the highest priority? -
ANSWER-Maintaining adequate hydration
The key word in this question is polycythemia. Hydration
decreases blood viscosity and the risk for thrombus formation, the
most common complication of polycythemia. Options A and D are
nursing interventions for the cardiac client but do not treat
polycythemia. Fluid intake should be increased, not restricted.
What assessment will the nurse include in a child's care plan who
is admitted with rheumatic fever? - ANSWER-Sore throat in the
past 2 to 6 weeks
Rheumatic fever often results form an untreated β-hemolytic
streptococcal upper respiratory infection. Bruising of the knees is
related to hemophilia. Recurring headaches can be associated
with many neurological disorders. Rusty colored urine is seen with
kidney problems such as glomerulonephritis.
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The nurse is teaching a group of new first-time parents about
sudden infant death syndrome (SIDS). What will the nurse include
in the teaching plan? (Select all that apply.)
A. Boys are at higher risk for SIDS than girls.
B. The high-risk period is after 9 months of age.
C. Do not place the baby to sleep on its tummy.
D. Napping on the sofa is acceptable.
E. Sleeping with your newborn is encouraged. - ANSWER-A & C
The high-risk period for SIDS is 2 to 3 months of age. Place
infants in a supine position for sleep. Sleeping in soft, overstuffed
furniture places an infant at higher risk for SIDS. Co-sleeping is
discouraged, and it places the infant at higher risk for SIDS. The
remaining statements are true.
A father of a 5-year-old calls the nurse to report that his child, who
has had an upper respiratory infection, is complaining of a
headache, with a rectal temperature of 103°F/39.4°C. Which
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action has the highest priority? - ANSWER-Tell the parent to take
the child to the emergency department.
The child is exhibiting symptoms that may indicate possible
meningitis, and the parents should be encouraged to get
immediate evaluation. Options A, B, and C are all valuable
interventions after the client is assessed and diagnosed.
The nurse observes a 4-year-old boy in a day care setting. Which
behavior should the nurse expect this child to exhibit? -
ANSWER-Boasts aggressively when telling a story.
Four-year-old children are aggressive in their behavior and enjoy
telling tales. Options A and D are typical toddler behaviors. A
preschooler's play is usually cooperative, so playing alone is not
typical.
A 10-month-old is admitted for a tetralogy of Fallot repair. Which
postoperative finding indicates that the repair is successful?
(Select all that apply.)