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Peds HESI Practice Test |
Comprehensive Q&A For Certification
Success
At 8 a.m. the unlicensed assistive personnel (UAP) informs the charge nurse that a
female adolescent client with acute glomerulonephritis has a blood pressure of
210/110. The 4 a.m. blood pressure reading was 170/88. The client reports to the
UAP that she is upset because her boyfriend did not visit last night. What action
should the nurse take first?
A. Give the client her 9 a.m. prescription for an oral diuretic early.
B. Administer PRN prescription of nifedipine (Procardia) sublingually.
C. Notify the healthcare provider and inform the nursing supervisor of the client's
condition.
D. Attempt to calm the client and retake the blood pressure in thirty minutes. -
correct-answer -B. Administer PRN prescription of nifedipine (Procardia)
sublingually.
A premature newborn girl, born 24 hours ago, is diagnosed with a patent ductus
arteriosus (PDA) and placed under an oxygen hood at 35%. The parents visit the
nursery and ask to hold her. Which response should the nurse provide to the
parents?
A. "Studies have shown that handling a sick newborn is not good for the baby and
upsets the parents."
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B. "The oxygen hood is holding the baby's oxygen level just at the point which is
needed. You may stroke and talk to her."
C. "Since your baby has been doing well under oxygen for 24 hours, I can let you
hold the baby without oxygen."
D. "You can hold the baby with the oxygen blowing in the baby's face since the
level is very close to room air." - correct-answer -B. "The oxygen hood is holding
the baby's oxygen level just at the point which is needed. You may stroke and talk
to her."
The nurse is developing a plan of care for a 3-year-old who is scheduled for a
cardiac catheterization. To assist in decreasing anxiety for the child on the day of
the procedure, which intervention is best for the nurse to implement?
A. Reassure the parents that 3-year-olds are cooperative and therefore are less
likely to be anxious.
B. Obtain a video film of a cardiac catheterization to show to the child prior to the
procedure.
C. Give the child a ride on a gurney to visit the cardiac catheterization lab and
meet a nurse who works there.
D. Obtain a cardiac catheter and demonstrate the procedure by pretending to put
the catheter in a doll or stuffed animal. - correct-answer -C. Give the child a ride
on a gurney to visit the cardiac catheterization lab and meet a nurse who works
there.
When taking the health history of a child, the nurse knows that which finding is an
early indication of hypothyroidism in children?
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A. Hyperactive behavioral traits.
B. Delay in the eruption of permanent teeth.
C. Slow sexual development, but within normal range.
D. Cessation of growth in a child that had been normal. - correct-answer -D.
Cessation of growth in a child that had been normal.
The nurse is teaching a 12-year-old male adolescent and his family about taking
injections of growth hormone for idiopathic hypopituitarism. Which adverse
symptoms, commonly associated with growth hormone therapy, should the nurse
plan to describe to the child and his family?
A. Polyuria and polydipsia.
B. Lethargy and fatigue.
C. Increased facial hair.
D. Facial bone structure changes. - correct-answer -A. Polyuria and polydipsia.
The nurse is caring for a 12-year-old with Syndrome of Inappropriate Antidiuretic
Hormone (SIADH). This child should be carefully assessed for which complication?
A. Poor skin turgor resulting from dehydration.
B. Changes in level of consciousness.
C. Premature aging as the disease progresses.
D. Severe edema from an excess of water and sodium. - correct-answer -B.
Changes in level of consciousness.
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A 4-year-old girl continues to interrupt her mother during a routine clinic visit. The
mother appears irritated with the child and asks the nurse, "Is this normal
behavior for a child this age?" The nurse's response should be based on which
information?
A. Children need to retain a sense of initiative without impinging on the rights and
privileges of others.
B. Negative feelings of doubt and shame are characteristic of 4-year-old children.
C. Role conflict is a common problem of children this age. She is just wondering
where she fits into society.
D. At this age children compete and like to produce and carry through with tasks.
She is just competing with her mother. - correct-answer -A. Children need to
retain a sense of initiative without impinging on the rights and privileges of
others.
The mother of a 2-year-old boy consults the nurse about her son's increased
temper tantrums. The mother states, "Yesterday he threw a fit in the grocery
store, and I did not know what to do. I was so embarrassed. What can I do if this
occurs again?" Which recommendation is best for the nurse to provide this
mother?
A. Paddle him gently as soon as the behavior is initiated.
B. Immediately put him in "time-out."
C. Quietly remind him that others are watching him.
D. Walk away from him and ignore the behavior. - correct-answer -D. Walk away
from him and ignore the behavior.
Peds HESI Practice Test |
Comprehensive Q&A For Certification
Success
At 8 a.m. the unlicensed assistive personnel (UAP) informs the charge nurse that a
female adolescent client with acute glomerulonephritis has a blood pressure of
210/110. The 4 a.m. blood pressure reading was 170/88. The client reports to the
UAP that she is upset because her boyfriend did not visit last night. What action
should the nurse take first?
A. Give the client her 9 a.m. prescription for an oral diuretic early.
B. Administer PRN prescription of nifedipine (Procardia) sublingually.
C. Notify the healthcare provider and inform the nursing supervisor of the client's
condition.
D. Attempt to calm the client and retake the blood pressure in thirty minutes. -
correct-answer -B. Administer PRN prescription of nifedipine (Procardia)
sublingually.
A premature newborn girl, born 24 hours ago, is diagnosed with a patent ductus
arteriosus (PDA) and placed under an oxygen hood at 35%. The parents visit the
nursery and ask to hold her. Which response should the nurse provide to the
parents?
A. "Studies have shown that handling a sick newborn is not good for the baby and
upsets the parents."
,2|Page
B. "The oxygen hood is holding the baby's oxygen level just at the point which is
needed. You may stroke and talk to her."
C. "Since your baby has been doing well under oxygen for 24 hours, I can let you
hold the baby without oxygen."
D. "You can hold the baby with the oxygen blowing in the baby's face since the
level is very close to room air." - correct-answer -B. "The oxygen hood is holding
the baby's oxygen level just at the point which is needed. You may stroke and talk
to her."
The nurse is developing a plan of care for a 3-year-old who is scheduled for a
cardiac catheterization. To assist in decreasing anxiety for the child on the day of
the procedure, which intervention is best for the nurse to implement?
A. Reassure the parents that 3-year-olds are cooperative and therefore are less
likely to be anxious.
B. Obtain a video film of a cardiac catheterization to show to the child prior to the
procedure.
C. Give the child a ride on a gurney to visit the cardiac catheterization lab and
meet a nurse who works there.
D. Obtain a cardiac catheter and demonstrate the procedure by pretending to put
the catheter in a doll or stuffed animal. - correct-answer -C. Give the child a ride
on a gurney to visit the cardiac catheterization lab and meet a nurse who works
there.
When taking the health history of a child, the nurse knows that which finding is an
early indication of hypothyroidism in children?
,3|Page
A. Hyperactive behavioral traits.
B. Delay in the eruption of permanent teeth.
C. Slow sexual development, but within normal range.
D. Cessation of growth in a child that had been normal. - correct-answer -D.
Cessation of growth in a child that had been normal.
The nurse is teaching a 12-year-old male adolescent and his family about taking
injections of growth hormone for idiopathic hypopituitarism. Which adverse
symptoms, commonly associated with growth hormone therapy, should the nurse
plan to describe to the child and his family?
A. Polyuria and polydipsia.
B. Lethargy and fatigue.
C. Increased facial hair.
D. Facial bone structure changes. - correct-answer -A. Polyuria and polydipsia.
The nurse is caring for a 12-year-old with Syndrome of Inappropriate Antidiuretic
Hormone (SIADH). This child should be carefully assessed for which complication?
A. Poor skin turgor resulting from dehydration.
B. Changes in level of consciousness.
C. Premature aging as the disease progresses.
D. Severe edema from an excess of water and sodium. - correct-answer -B.
Changes in level of consciousness.
, 4|Page
A 4-year-old girl continues to interrupt her mother during a routine clinic visit. The
mother appears irritated with the child and asks the nurse, "Is this normal
behavior for a child this age?" The nurse's response should be based on which
information?
A. Children need to retain a sense of initiative without impinging on the rights and
privileges of others.
B. Negative feelings of doubt and shame are characteristic of 4-year-old children.
C. Role conflict is a common problem of children this age. She is just wondering
where she fits into society.
D. At this age children compete and like to produce and carry through with tasks.
She is just competing with her mother. - correct-answer -A. Children need to
retain a sense of initiative without impinging on the rights and privileges of
others.
The mother of a 2-year-old boy consults the nurse about her son's increased
temper tantrums. The mother states, "Yesterday he threw a fit in the grocery
store, and I did not know what to do. I was so embarrassed. What can I do if this
occurs again?" Which recommendation is best for the nurse to provide this
mother?
A. Paddle him gently as soon as the behavior is initiated.
B. Immediately put him in "time-out."
C. Quietly remind him that others are watching him.
D. Walk away from him and ignore the behavior. - correct-answer -D. Walk away
from him and ignore the behavior.
