HESI PEDIATRICS (PEDS) LATEST EXAM 2025-2026
TEST BANK 650+ QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES
A nurse instructs a mother on measures to take to reduce the
| | | | | | | | | | |
incidence of gastroesophageal reflux (GER) in a child. Which
| | | | | | | | |
statement by the mother indicates a need for further teaching?
| | | | | | | | | |
a. I will give my child small feedings often throughout the day
| | | | | | | | | |
b. I will buy bottle nipples that have smaller holes for my child
| | | | | | | | | | |
c. I will add a small amount of cereal to my child's formula
| | | | | | | | | | |
d. I will give my child a pacifier and maintain an upright position
| | | | | | | | | | |
after meals - ANSWER-b. I will buy bottle nipples that have
| | | | | | | | | | |
smaller holes for my child
| | | | |
"A client with gastroesophageal reflux disease (GERD) complains of
| | | | | | | |
chest discomfort that feels like heartburn, especially following each
| | | | | | | | |
meal. After teaching the client to take antacids as prescribed, the
| | | | | | | | | | |
nurse suggests that the client lie in which position during sleep?"
| | | | | | | | | | |
a. with the head of the bed elevated 6 to 8 inches
| | | | | | | | | |
b. flat
c. supine with the head of the bed flat | | | | | | |
d. on the stomach with the head of the bed flat - ANSWER-a. with the
| | | | | | | | | | | | |
head of the bed elevated 6 to 8 inches
| | | | | | | | |
"A nurse gathers assessment data from a client admitted to the
| | | | | | | | | |
hospital with gastrointestinal reflux disease (GERD) who is
| | | | | | | |
scheduled for a Nissen fundoplication. Based on an
| | | | | | | |
,understanding of this disease, the nurse determines that the client | | | | | | | | |
may be at risk for which complication?"
| | | | | | |
a. diarrhea
b. belching
c. aspiration
d. abdominal pain - ANSWER-c. aspiration | | | |
A nurse caring for a child with congestive heart failure provides
| | | | | | | | | |
instructions to the parents regarding the administration of digoxin
| | | | | | | | |
(Lanoxin). Which statement by the mother indicates a need for
| | | | | | | | | |
further instructions?
| |
a. if my child vomits after I give the medication, I will not repeat the
| | | | | | | | | | | | |
dose
|
b. I will check my child's pulse before giving the medication
| | | | | | | | |
c. I will check the dose of the medication with my husband before I
| | | | | | | | | | | |
give the medication
| | |
d. I will mix the medication with food - ANSWER-d. I will mix the
| | | | | | | | | | | |
medication with food
| | |
A nurse is preparing a plan of care for a child being admitted to the
| | | | | | | | | | | | | |
hospital with a diagnosis of congestive heart failure (CHF). The
| | | | | | | | | |
nurse avoids including which of the following in the plan?
| | | | | | | | | |
a. limiting the time the child is allowed to bottle-feed
| | | | | | | |
b. elevating the head of the bed | | | | |
,c. walking the child for feeding to ensure adequate nutrition
| | | | | | | |
d. providing oxygen during stressful periods - ANSWER-c. | | | | | |
walking the child for feeding to ensure adequate nutrition
| | | | | | | | |
A nurse is caring for a child with a diagnosis of congestive heart
| | | | | | | | | | | |
failure (CHF). The nurse avoids which action in caring for the child?
| | | | | | | | | | | |
a. allowing uninterrupted rest periods | | |
b. limiting the time the child is allowed to bottle-feed
| | | | | | | |
c. providing oxygen during stressful periods | | | |
d. keeping the head of the bed flat - ANSWER-d. keeping the
| | | | | | | | | |
head of the bed flat
| | | | |
A nurse prepares to administer digoxin (Lanoxin) to a newborn
| | | | | | | | |
infant with a diagnosis of congestive heart failure. The nurse notes
| | | | | | | | | | |
that the apical rate is 140 beats per minute. Which of the following
| | | | | | | | | | | | |
nursing actions is appropriate?
| | | |
a. administer the digoxin because the apical rate is within normal | | | | | | | | |
limits
|
b. recheck the apical rate in 1 hour and administer the medication at
| | | | | | | | | | |
that time
| |
c. notify the physician because the apical rate is lower than the
| | | | | | | | | |
normal range
| |
d. hold the medication, because the apical rate is normal,
| | | | | | | |
indicating that the medication is not needed - ANSWER-a.
| | | | | | | | |
, administer the digoxin because the apical rate is within normal limits
| | | | | | | | | |
"A mother tells the nurse that her child does not want anything to do
| | | | | | | | | | | | |
with toilet training and yells "NO!" consistently when she tries to
| | | | | | | | | | |
toilet train. The child is 2 years old. According to Erikson, the nurse
| | | | | | | | | | | | |
interprets that the child is experiencing which psychosocial crisis?"
| | | | | | | | |
a. autonomy vs shame and doubt | | | |
b. initiative vs guilt | |
c. industry vs inferiority | |
d. trust vs mistrust - ANSWER-Autonomy vs shame and doubt
| | | | | | | |
A 2-year-old child is admitted to the hospital with juvenile
| | | | | | | | |
rheumatoid arthritis (JRA). During the focused assessment, the
| | | | | | | |
nurse makes it a priority to note the presence of which of the
| | | | | | | | | | | | |
following?"
|
a. increased irritability and the child's insistence to be carried out
| | | | | | | | |
b. complaints of joint stiffness | | |
c. history of daily temperature elevations
| | | |
d. description of how difficult it is to move around after periods of | | | | | | | | | | |
inactivity - ANSWER-increased irritability and the child's
| | | | | | |
insistence to be carried out
| | | | |
TEST BANK 650+ QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES
A nurse instructs a mother on measures to take to reduce the
| | | | | | | | | | |
incidence of gastroesophageal reflux (GER) in a child. Which
| | | | | | | | |
statement by the mother indicates a need for further teaching?
| | | | | | | | | |
a. I will give my child small feedings often throughout the day
| | | | | | | | | |
b. I will buy bottle nipples that have smaller holes for my child
| | | | | | | | | | |
c. I will add a small amount of cereal to my child's formula
| | | | | | | | | | |
d. I will give my child a pacifier and maintain an upright position
| | | | | | | | | | |
after meals - ANSWER-b. I will buy bottle nipples that have
| | | | | | | | | | |
smaller holes for my child
| | | | |
"A client with gastroesophageal reflux disease (GERD) complains of
| | | | | | | |
chest discomfort that feels like heartburn, especially following each
| | | | | | | | |
meal. After teaching the client to take antacids as prescribed, the
| | | | | | | | | | |
nurse suggests that the client lie in which position during sleep?"
| | | | | | | | | | |
a. with the head of the bed elevated 6 to 8 inches
| | | | | | | | | |
b. flat
c. supine with the head of the bed flat | | | | | | |
d. on the stomach with the head of the bed flat - ANSWER-a. with the
| | | | | | | | | | | | |
head of the bed elevated 6 to 8 inches
| | | | | | | | |
"A nurse gathers assessment data from a client admitted to the
| | | | | | | | | |
hospital with gastrointestinal reflux disease (GERD) who is
| | | | | | | |
scheduled for a Nissen fundoplication. Based on an
| | | | | | | |
,understanding of this disease, the nurse determines that the client | | | | | | | | |
may be at risk for which complication?"
| | | | | | |
a. diarrhea
b. belching
c. aspiration
d. abdominal pain - ANSWER-c. aspiration | | | |
A nurse caring for a child with congestive heart failure provides
| | | | | | | | | |
instructions to the parents regarding the administration of digoxin
| | | | | | | | |
(Lanoxin). Which statement by the mother indicates a need for
| | | | | | | | | |
further instructions?
| |
a. if my child vomits after I give the medication, I will not repeat the
| | | | | | | | | | | | |
dose
|
b. I will check my child's pulse before giving the medication
| | | | | | | | |
c. I will check the dose of the medication with my husband before I
| | | | | | | | | | | |
give the medication
| | |
d. I will mix the medication with food - ANSWER-d. I will mix the
| | | | | | | | | | | |
medication with food
| | |
A nurse is preparing a plan of care for a child being admitted to the
| | | | | | | | | | | | | |
hospital with a diagnosis of congestive heart failure (CHF). The
| | | | | | | | | |
nurse avoids including which of the following in the plan?
| | | | | | | | | |
a. limiting the time the child is allowed to bottle-feed
| | | | | | | |
b. elevating the head of the bed | | | | |
,c. walking the child for feeding to ensure adequate nutrition
| | | | | | | |
d. providing oxygen during stressful periods - ANSWER-c. | | | | | |
walking the child for feeding to ensure adequate nutrition
| | | | | | | | |
A nurse is caring for a child with a diagnosis of congestive heart
| | | | | | | | | | | |
failure (CHF). The nurse avoids which action in caring for the child?
| | | | | | | | | | | |
a. allowing uninterrupted rest periods | | |
b. limiting the time the child is allowed to bottle-feed
| | | | | | | |
c. providing oxygen during stressful periods | | | |
d. keeping the head of the bed flat - ANSWER-d. keeping the
| | | | | | | | | |
head of the bed flat
| | | | |
A nurse prepares to administer digoxin (Lanoxin) to a newborn
| | | | | | | | |
infant with a diagnosis of congestive heart failure. The nurse notes
| | | | | | | | | | |
that the apical rate is 140 beats per minute. Which of the following
| | | | | | | | | | | | |
nursing actions is appropriate?
| | | |
a. administer the digoxin because the apical rate is within normal | | | | | | | | |
limits
|
b. recheck the apical rate in 1 hour and administer the medication at
| | | | | | | | | | |
that time
| |
c. notify the physician because the apical rate is lower than the
| | | | | | | | | |
normal range
| |
d. hold the medication, because the apical rate is normal,
| | | | | | | |
indicating that the medication is not needed - ANSWER-a.
| | | | | | | | |
, administer the digoxin because the apical rate is within normal limits
| | | | | | | | | |
"A mother tells the nurse that her child does not want anything to do
| | | | | | | | | | | | |
with toilet training and yells "NO!" consistently when she tries to
| | | | | | | | | | |
toilet train. The child is 2 years old. According to Erikson, the nurse
| | | | | | | | | | | | |
interprets that the child is experiencing which psychosocial crisis?"
| | | | | | | | |
a. autonomy vs shame and doubt | | | |
b. initiative vs guilt | |
c. industry vs inferiority | |
d. trust vs mistrust - ANSWER-Autonomy vs shame and doubt
| | | | | | | |
A 2-year-old child is admitted to the hospital with juvenile
| | | | | | | | |
rheumatoid arthritis (JRA). During the focused assessment, the
| | | | | | | |
nurse makes it a priority to note the presence of which of the
| | | | | | | | | | | | |
following?"
|
a. increased irritability and the child's insistence to be carried out
| | | | | | | | |
b. complaints of joint stiffness | | |
c. history of daily temperature elevations
| | | |
d. description of how difficult it is to move around after periods of | | | | | | | | | | |
inactivity - ANSWER-increased irritability and the child's
| | | | | | |
insistence to be carried out
| | | | |
