Evolve HESI Peds EXAM STUDY GUIDE
2026 COMPLETE QUESTIONS WITH
CORRECT DETAILED ANSWERS ||
100% GUARANTEED PASS
<RECENT VERSION>
1. A 6-month-old infant with congestive heart failure (CHF) is receiving
digoxin elixir. Which observation by the nurse warrants immediate
intervention?
Apical heart rate of 60.
Sweating across the forehead.
Doesn't suck well.
Respiratory rate of 30 breaths per minute. - ANSWER ✔ Apical heart rate of
60.
A heart rate of 60 (A) is much lower than normal for a 6-month-old and
warrants immediate intervention. The normal heart rate for a 6-month-old is
80 to 150 BPM when awake, and a rate of 70 while sleeping is considered
within normal limits. (B and C) are expected symptoms of heart failure in an
infant. (D) is within normal limits for an infant.
2. The nurse is teaching the parents of a 5-year-old with cystic fibrosis about
respiratory treatments. Which statement indicates to the nurse that the
parents understand?
Perform postural drainage before starting aerosol therapy.
Give respiratory treatments when the child is coughing a lot.
Administer aerosol therapy followed by postural drainage before meals.
Ensure respiratory therapy is done daily during any respiratory infection. -
ANSWER ✔ Administer aerosol therapy followed by postural drainage
before meals.
, Postural drainage for a child with cystic fibrosis is most effective when
performed after nebulization and before meals (C) or at least 1 hour after
eating to prevent nausea and vomiting. Postural drainage uses gravity to
promote mucous removal after nebulization (A) treatments which open the
airways. Pulmonary toileting or respiratory treatments should be given 3 to 4
times daily, not episodically (B and D).
3. A female teenager is taking oral tetracycline HCL (Achromycin V) for acne
vulgaris. What is the most important instruction for the nurse to include in
this client's teaching plan?
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. - ANSWER ✔ Use sunscreen
when lying by the pool.
Photosensitivity is a common side effect of tetracycline HCL (Achromycin
V) therapy. Severe sunburn can occur with minimal sun exposure and clients
should be instructed to avoid sunlight and to use sunscreen (A). (B and D)
are not related to tetracycline HCL (Achromycin V) therapy. (C) should be
avoided because dairy products interfere with the absorption of tetracyclines.
4. During a well-child assessment, the parents of a 4-year-old express concern
that their child often chatters while playing alone. What information should
the nurse provide the parents?
a. The child is attempting to formulate a secondary language.
b. This is an attempt by the child to form an imaginary social base.
c. "Private speech" is normal at this age and serves as a problem-solving
tool.
, d. Concern for psychological development is warranted, so further
testing is required. - ANSWER ✔ c. "Private speech" is normal at this
age and serves as a problem-solving tool.
Children chatter to themselves between the ages of 4 and 6 years. This
"private speech" serves as a problem-solving tool as children try new tasks
or work through unfamiliar situations.
5. A nurse reviews the methods for preventing recurring urinary tract infections
(UTI) with the parent of a female child. Which response by the parent
indicates that further teaching is needed in caring for the child?
a. States they will buy the child only nylon underclothes.
b. Increases oral fluids and encourages the child to void frequently.
c. Provides the child with cotton underwear for daily use.
d. Teaches the child to cleanse the perineal area from front to back. -
ANSWER ✔ a. States they will buy the child only nylon underclothes.
Nylon underwear traps moisture and can contribute to bacterial growth, thus
the parent's statement indicates the need for further teaching.
6. The mother of a 2-month-old reports that she often lets the baby cry in the
middle of the night instead of going to pick up or sooth the infant. What
information should the nurse provide the mother?
a. Picking up the infant in the middle of the night fosters dependency on
the mother.
b. A sense of trust is developed in an infant when others respond to the
infant's cry.
c. An infant is learning to manipulate others when the infant is picked up
unnecessarily.
, d. A 2-month-old who does not sleep through the night should be
evaluated further. - ANSWER ✔ b. A sense of trust is developed in an
infant when others respond to the infant's cry.
According to Erikson, a crucial element in the developmental stage of the
infant is "Trust versus mistrust", which is nurtured when the mother or the
primary caregiver is responsive and consistent in responding to the infant's
needs and cries.
7. The parents of a child with autism ask the nurse if they could help them to
better understand the disorder. Which information best describes autism
spectrum disorder?
a. Obsession with moving objects.
b. Repetitive patterns of behavior.
c. A neurobehavioral disorder diagnosed after assessment in two areas:
social communication and interaction and restricted, repetitive
behavior.
d. Stereotypic movements and speech patterns. - ANSWER ✔ c. A
neurobehavioral disorder diagnosed after assessment in two areas:
social communication and interaction and restricted, repetitive
behavior.
Autism spectrum disorder is a neurodevelopmental disorder of unknown
origin. Diagnosis is based on two behavioral domains: difficulties in social
communication and social interaction and unusually restricted, repetitive
behavior, interest, or activities.
8. The low birthweight (LBW) infant requires a neutral thermal environment.
Which action should the nurse implement?
2026 COMPLETE QUESTIONS WITH
CORRECT DETAILED ANSWERS ||
100% GUARANTEED PASS
<RECENT VERSION>
1. A 6-month-old infant with congestive heart failure (CHF) is receiving
digoxin elixir. Which observation by the nurse warrants immediate
intervention?
Apical heart rate of 60.
Sweating across the forehead.
Doesn't suck well.
Respiratory rate of 30 breaths per minute. - ANSWER ✔ Apical heart rate of
60.
A heart rate of 60 (A) is much lower than normal for a 6-month-old and
warrants immediate intervention. The normal heart rate for a 6-month-old is
80 to 150 BPM when awake, and a rate of 70 while sleeping is considered
within normal limits. (B and C) are expected symptoms of heart failure in an
infant. (D) is within normal limits for an infant.
2. The nurse is teaching the parents of a 5-year-old with cystic fibrosis about
respiratory treatments. Which statement indicates to the nurse that the
parents understand?
Perform postural drainage before starting aerosol therapy.
Give respiratory treatments when the child is coughing a lot.
Administer aerosol therapy followed by postural drainage before meals.
Ensure respiratory therapy is done daily during any respiratory infection. -
ANSWER ✔ Administer aerosol therapy followed by postural drainage
before meals.
, Postural drainage for a child with cystic fibrosis is most effective when
performed after nebulization and before meals (C) or at least 1 hour after
eating to prevent nausea and vomiting. Postural drainage uses gravity to
promote mucous removal after nebulization (A) treatments which open the
airways. Pulmonary toileting or respiratory treatments should be given 3 to 4
times daily, not episodically (B and D).
3. A female teenager is taking oral tetracycline HCL (Achromycin V) for acne
vulgaris. What is the most important instruction for the nurse to include in
this client's teaching plan?
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. - ANSWER ✔ Use sunscreen
when lying by the pool.
Photosensitivity is a common side effect of tetracycline HCL (Achromycin
V) therapy. Severe sunburn can occur with minimal sun exposure and clients
should be instructed to avoid sunlight and to use sunscreen (A). (B and D)
are not related to tetracycline HCL (Achromycin V) therapy. (C) should be
avoided because dairy products interfere with the absorption of tetracyclines.
4. During a well-child assessment, the parents of a 4-year-old express concern
that their child often chatters while playing alone. What information should
the nurse provide the parents?
a. The child is attempting to formulate a secondary language.
b. This is an attempt by the child to form an imaginary social base.
c. "Private speech" is normal at this age and serves as a problem-solving
tool.
, d. Concern for psychological development is warranted, so further
testing is required. - ANSWER ✔ c. "Private speech" is normal at this
age and serves as a problem-solving tool.
Children chatter to themselves between the ages of 4 and 6 years. This
"private speech" serves as a problem-solving tool as children try new tasks
or work through unfamiliar situations.
5. A nurse reviews the methods for preventing recurring urinary tract infections
(UTI) with the parent of a female child. Which response by the parent
indicates that further teaching is needed in caring for the child?
a. States they will buy the child only nylon underclothes.
b. Increases oral fluids and encourages the child to void frequently.
c. Provides the child with cotton underwear for daily use.
d. Teaches the child to cleanse the perineal area from front to back. -
ANSWER ✔ a. States they will buy the child only nylon underclothes.
Nylon underwear traps moisture and can contribute to bacterial growth, thus
the parent's statement indicates the need for further teaching.
6. The mother of a 2-month-old reports that she often lets the baby cry in the
middle of the night instead of going to pick up or sooth the infant. What
information should the nurse provide the mother?
a. Picking up the infant in the middle of the night fosters dependency on
the mother.
b. A sense of trust is developed in an infant when others respond to the
infant's cry.
c. An infant is learning to manipulate others when the infant is picked up
unnecessarily.
, d. A 2-month-old who does not sleep through the night should be
evaluated further. - ANSWER ✔ b. A sense of trust is developed in an
infant when others respond to the infant's cry.
According to Erikson, a crucial element in the developmental stage of the
infant is "Trust versus mistrust", which is nurtured when the mother or the
primary caregiver is responsive and consistent in responding to the infant's
needs and cries.
7. The parents of a child with autism ask the nurse if they could help them to
better understand the disorder. Which information best describes autism
spectrum disorder?
a. Obsession with moving objects.
b. Repetitive patterns of behavior.
c. A neurobehavioral disorder diagnosed after assessment in two areas:
social communication and interaction and restricted, repetitive
behavior.
d. Stereotypic movements and speech patterns. - ANSWER ✔ c. A
neurobehavioral disorder diagnosed after assessment in two areas:
social communication and interaction and restricted, repetitive
behavior.
Autism spectrum disorder is a neurodevelopmental disorder of unknown
origin. Diagnosis is based on two behavioral domains: difficulties in social
communication and social interaction and unusually restricted, repetitive
behavior, interest, or activities.
8. The low birthweight (LBW) infant requires a neutral thermal environment.
Which action should the nurse implement?
