Evolve HESI PEDIATRICS Practice
Exam (updated 2026) Questions
With Correct Verified And Well
Analyzed Answers
Which should the nurse assess last when examining a 5-year-old
child?
a. Heart.
b. Lungs.
c. Throat.
d. Abdomen.
c. Throat.
Examination of the mouth, throat, and perineum is considered to be
more invasive than other parts of a physical examination. Invasive
procedures should be left for the end of the examination for a
preschooler.
The community health nurse teaches the parents of school-age
children about the need for fluoride as part of a dental health
program. Which statement by the parents indicates that they
understand the teaching?
a. "Excessive amounts of fluoride will make teeth turn brittle and
yellow."
b. "Having our children brush with fluoride toothpaste is not
,effective."
c. "Use of fluoride in water is mostly effective during initial tooth
formation."
d. "Dental caries can be prevented through fluoridation of public
water."
d. "Dental caries can be prevented through fluoridation of public
water."
Dental caries can be prevented through fluoridation of public water.
The nurse is assessing an infant with diarrhea and lethargy. Which
finding should the nurse identify that is consistent with early
dehydration?
a. Tachycardia.
b. Bradycardia.
c. Dry mucous membranes.
d. Increased skin turgor.
a. Tachycardia.
In early dehydration (during the first 2 days), fluid loss occurs first
from the extracellular and intravascular fluid spaces. Blood pressure
falls and heart rate increases in response to a diminished blood
volume.
When conducting a hygiene class for adolescent girls, it is important
for the nurse to include which instruction about preventing toxic
shock syndrome?
a. Wash your hands before inserting a tampon.
b. Use super absorbent tampons.
c. Wear cotton underwear.
d. Douche following menstruation.
a. Wash your hands before inserting a tampon.
The single most effective means of preventing infection is
handwashing.
The nurse is caring for an irritable, lethargic 18-month-old child who
swallowed several over-the-counter (OTC) antihistamines tablets an
hour ago. Which intervention should the nurse implement?
a. Initiate gastric lavage.
,b. Administer naloxone.
c. Give a dose of ipecac syrup.
d. Encourage oral intake of water or milk.
a. Initiate gastric lavage.
Gastric lavage should be implemented within 2 hours of ingestion to
ensure gastric removal of a noncorrosive substance, such as an OTC
antihistamine.
Which sign of malignant hyperthermia should the nurse assess for
during the perioperative period in a child receiving general
anesthesia?
a. Apnea.
b. Tachypnea.
c. Bradycardia.
d. Decreased blood pressure.
b. Tachypnea.
Malignant hyperthermia, a potentially fatal autosomal genetic
myopathy, can cause a change in vital signs that demands immediate
attention in the perioperative period when these individuals are
exposed to anesthetic agents. Early symptoms of the disorder include
tachycardia and tachyarrhythmia, tachypnea, hypercarbia, and
metabolic and respiratory acidosis. An elevated temperature is a late
sign of the disorder.
A child with a penetrating eye injury comes to the school clinic.
Which action should the nurse implement?
a. Remove the object impaled in the eye and then apply a regular eye
patch.
b. Place an ice bag over the eye until the healthcare provider is seen
c. Irrigate the affected eye copiously with a cool sterile saline
solution.
d. Apply a Fox shield to the affected eye and any type of patch to the
other eye.
d. Apply a Fox shield to the affected eye and any type of patch to the
other eye.
The treatment for a penetrating eye injury is not to remove or
manipulate the impaled object, but to apply a Fox shield over the eye,
, if available (not a regular eye patch). Place an eye patch over the
unaffected eye to prevent bilateral eye movement. The child should be
transported to the emergency department immediately. If a Fox shield
is not available, tape a paper cup over the eye and object.
The nurse is triaging a child with a fever brought to the emergency
department by the parents. Which finding requires the nurse's
immediate intervention?
a. Prolonged exhalations.
b. Thick yellow rhinorrhea.
c. Frequent nonproductive cough.
d. Oxygen saturation of 95% by pulse oximeter.
a. Prolonged exhalations.
Prolonged exhalation indicates breathing difficulty and requires
immediate intervention. According to the American Heart
Association's Pediatric Advance Life Support (PALS) algorithm, a
prolonged expiration in a pediatric client is indicative of lower airway
obstruction.
A newborn who is breastfeeding is diagnosed with galactosemia.
Which action should the nurse implement?
a. Stop the infant breastfeeding.
b. Add amino acids to breast milk.
c. Give galactokinase with breast milk.
d. Substitute a lactose-containing formula.
a. Stop the infant breastfeeding.
Galactosemia is a rare genetic disorder that involves an inborn error
of carbohydrate metabolism in which a hepatic enzyme,
galactokinase, involved in the conversion of galactose to glucose is
absent. Treatment consists of eliminating all lactose-containing
foods, including breast milk, so the infant should stop breastfeeding.
Soy protein formula is the feeding of choice during infancy.
A 12-year-old male client tells the nurse that he is happy to be taking
growth hormones because now he can grow to be as tall as his
friends. What response is best for the nurse to provide?
a. "You must remember that this treatment regimen is not always
effective."
Exam (updated 2026) Questions
With Correct Verified And Well
Analyzed Answers
Which should the nurse assess last when examining a 5-year-old
child?
a. Heart.
b. Lungs.
c. Throat.
d. Abdomen.
c. Throat.
Examination of the mouth, throat, and perineum is considered to be
more invasive than other parts of a physical examination. Invasive
procedures should be left for the end of the examination for a
preschooler.
The community health nurse teaches the parents of school-age
children about the need for fluoride as part of a dental health
program. Which statement by the parents indicates that they
understand the teaching?
a. "Excessive amounts of fluoride will make teeth turn brittle and
yellow."
b. "Having our children brush with fluoride toothpaste is not
,effective."
c. "Use of fluoride in water is mostly effective during initial tooth
formation."
d. "Dental caries can be prevented through fluoridation of public
water."
d. "Dental caries can be prevented through fluoridation of public
water."
Dental caries can be prevented through fluoridation of public water.
The nurse is assessing an infant with diarrhea and lethargy. Which
finding should the nurse identify that is consistent with early
dehydration?
a. Tachycardia.
b. Bradycardia.
c. Dry mucous membranes.
d. Increased skin turgor.
a. Tachycardia.
In early dehydration (during the first 2 days), fluid loss occurs first
from the extracellular and intravascular fluid spaces. Blood pressure
falls and heart rate increases in response to a diminished blood
volume.
When conducting a hygiene class for adolescent girls, it is important
for the nurse to include which instruction about preventing toxic
shock syndrome?
a. Wash your hands before inserting a tampon.
b. Use super absorbent tampons.
c. Wear cotton underwear.
d. Douche following menstruation.
a. Wash your hands before inserting a tampon.
The single most effective means of preventing infection is
handwashing.
The nurse is caring for an irritable, lethargic 18-month-old child who
swallowed several over-the-counter (OTC) antihistamines tablets an
hour ago. Which intervention should the nurse implement?
a. Initiate gastric lavage.
,b. Administer naloxone.
c. Give a dose of ipecac syrup.
d. Encourage oral intake of water or milk.
a. Initiate gastric lavage.
Gastric lavage should be implemented within 2 hours of ingestion to
ensure gastric removal of a noncorrosive substance, such as an OTC
antihistamine.
Which sign of malignant hyperthermia should the nurse assess for
during the perioperative period in a child receiving general
anesthesia?
a. Apnea.
b. Tachypnea.
c. Bradycardia.
d. Decreased blood pressure.
b. Tachypnea.
Malignant hyperthermia, a potentially fatal autosomal genetic
myopathy, can cause a change in vital signs that demands immediate
attention in the perioperative period when these individuals are
exposed to anesthetic agents. Early symptoms of the disorder include
tachycardia and tachyarrhythmia, tachypnea, hypercarbia, and
metabolic and respiratory acidosis. An elevated temperature is a late
sign of the disorder.
A child with a penetrating eye injury comes to the school clinic.
Which action should the nurse implement?
a. Remove the object impaled in the eye and then apply a regular eye
patch.
b. Place an ice bag over the eye until the healthcare provider is seen
c. Irrigate the affected eye copiously with a cool sterile saline
solution.
d. Apply a Fox shield to the affected eye and any type of patch to the
other eye.
d. Apply a Fox shield to the affected eye and any type of patch to the
other eye.
The treatment for a penetrating eye injury is not to remove or
manipulate the impaled object, but to apply a Fox shield over the eye,
, if available (not a regular eye patch). Place an eye patch over the
unaffected eye to prevent bilateral eye movement. The child should be
transported to the emergency department immediately. If a Fox shield
is not available, tape a paper cup over the eye and object.
The nurse is triaging a child with a fever brought to the emergency
department by the parents. Which finding requires the nurse's
immediate intervention?
a. Prolonged exhalations.
b. Thick yellow rhinorrhea.
c. Frequent nonproductive cough.
d. Oxygen saturation of 95% by pulse oximeter.
a. Prolonged exhalations.
Prolonged exhalation indicates breathing difficulty and requires
immediate intervention. According to the American Heart
Association's Pediatric Advance Life Support (PALS) algorithm, a
prolonged expiration in a pediatric client is indicative of lower airway
obstruction.
A newborn who is breastfeeding is diagnosed with galactosemia.
Which action should the nurse implement?
a. Stop the infant breastfeeding.
b. Add amino acids to breast milk.
c. Give galactokinase with breast milk.
d. Substitute a lactose-containing formula.
a. Stop the infant breastfeeding.
Galactosemia is a rare genetic disorder that involves an inborn error
of carbohydrate metabolism in which a hepatic enzyme,
galactokinase, involved in the conversion of galactose to glucose is
absent. Treatment consists of eliminating all lactose-containing
foods, including breast milk, so the infant should stop breastfeeding.
Soy protein formula is the feeding of choice during infancy.
A 12-year-old male client tells the nurse that he is happy to be taking
growth hormones because now he can grow to be as tall as his
friends. What response is best for the nurse to provide?
a. "You must remember that this treatment regimen is not always
effective."
