Peds HESI practice Exam Questions and Answers With Verified Solutions 2025
The nurse is assessing a 3-year-old presenting to the emergency department with agitation, a cherry red
and edematous epiglottis, and a high fever. What focuses assessments will the nurse include in this
child's plan of care? (Select all that apply.)
A. Respiratory rate
B. Use of accessory muscles when breathing
C. Babinski reflex
D. Bowel sounds
E. Breath sounds - ✔✔Correct Answer: A,B,E
This child is presenting with signs of epiglottitis. The hallmark sign is the cherry red and edematous
epiglottis. This can lead to a severely restricted or occluded airway. The focused assessment is of the
respiratory system. The Babinski reflex is a neurologic sign. Bowel sounds are a gastrointestinal sign. The
remaining assessments are included in a focused respiratory assessment.
The clinic nurse is preparing a teaching plan for a child just diagnosed with lactose intolerance. What
sources of calcium will the nurse include in the child's plan? (Select all that apply.)
A. Skim milk
B. Sorbet
C. Cheddar Cheese
D. Yogurt
E. Provolone cheese
F. Cottage cheese - ✔✔Correct Answer: C,D,E,F
Skim milk contains an active lactose enzyme. If given to a client with lactose intolerance it needs to be
accompanied by an enzyme replacement tablet. Sorbet is permissible for the client who is lactose
intolerant, but it contains no calcium. The remaining selections contain calcium, but they contain
inactive lactose.
, A woman is being discharged following the birth of her second child. Her first child died at 6 weeks of
age because of sudden infant death syndrome (SIDS). The mother tells the nurse that she is fearful that
this infant will also develop SIDS. What is the nurse's best response?
A. "You can prevent SIDS if your baby sleeps on the side or back. You will have to monitor the baby
carefully."
B. "The fear of losing another child to SIDS is very realistic. Have you thought about what support you
may need?"
C. "An apnea monitor will alert you if the baby stops breathing. This will give you the peace of mind that
you need."
D. "My neighbor's baby died of SIDS last year and she went to a SIDS support group. That really helped
her." - ✔✔B. "The fear of losing another child to SIDS is very realistic. Have you thought about what
support you may need?"
The most effective way to provide emotional support is to acknowledge what clients may be feeling, be
a sounding board for them so they can listen to themselves, and allow them to discover their own
solutions. Option A implies to the mother that she can prevent SIDS from occurring, which is an
unrealistic expectation. Offering a personal opinion about what will help this client or about what has
helped a neighbor is not as effective as helping the client discover what would be best for her.
The nurse is examining a male child experiencing an exacerbation of juvenile rheumatoid arthritis (JRA)
and notes that mobility is greatly reduced. What is the most likely cause of the child's impaired mobility?
A. Pathologic fractures
B. Poor alignment of joints
C. Dyspnea on exertion
D. Joint inflammation - ✔✔D. Joint inflammation
Joint inflammation and pain are the typical manifestations of an exacerbation of JRA. Options A, B, and C
are not specifically related to JRA.
Ampicillin, 75 mg/kg, is prescribed for a 22-lb child. It is available in a solution that contains 250 mg/5
mL. How many milliliters should the nurse administer in one dose? _____ - ✔✔Correct Answer: 15
The nurse is assessing a 3-year-old presenting to the emergency department with agitation, a cherry red
and edematous epiglottis, and a high fever. What focuses assessments will the nurse include in this
child's plan of care? (Select all that apply.)
A. Respiratory rate
B. Use of accessory muscles when breathing
C. Babinski reflex
D. Bowel sounds
E. Breath sounds - ✔✔Correct Answer: A,B,E
This child is presenting with signs of epiglottitis. The hallmark sign is the cherry red and edematous
epiglottis. This can lead to a severely restricted or occluded airway. The focused assessment is of the
respiratory system. The Babinski reflex is a neurologic sign. Bowel sounds are a gastrointestinal sign. The
remaining assessments are included in a focused respiratory assessment.
The clinic nurse is preparing a teaching plan for a child just diagnosed with lactose intolerance. What
sources of calcium will the nurse include in the child's plan? (Select all that apply.)
A. Skim milk
B. Sorbet
C. Cheddar Cheese
D. Yogurt
E. Provolone cheese
F. Cottage cheese - ✔✔Correct Answer: C,D,E,F
Skim milk contains an active lactose enzyme. If given to a client with lactose intolerance it needs to be
accompanied by an enzyme replacement tablet. Sorbet is permissible for the client who is lactose
intolerant, but it contains no calcium. The remaining selections contain calcium, but they contain
inactive lactose.
, A woman is being discharged following the birth of her second child. Her first child died at 6 weeks of
age because of sudden infant death syndrome (SIDS). The mother tells the nurse that she is fearful that
this infant will also develop SIDS. What is the nurse's best response?
A. "You can prevent SIDS if your baby sleeps on the side or back. You will have to monitor the baby
carefully."
B. "The fear of losing another child to SIDS is very realistic. Have you thought about what support you
may need?"
C. "An apnea monitor will alert you if the baby stops breathing. This will give you the peace of mind that
you need."
D. "My neighbor's baby died of SIDS last year and she went to a SIDS support group. That really helped
her." - ✔✔B. "The fear of losing another child to SIDS is very realistic. Have you thought about what
support you may need?"
The most effective way to provide emotional support is to acknowledge what clients may be feeling, be
a sounding board for them so they can listen to themselves, and allow them to discover their own
solutions. Option A implies to the mother that she can prevent SIDS from occurring, which is an
unrealistic expectation. Offering a personal opinion about what will help this client or about what has
helped a neighbor is not as effective as helping the client discover what would be best for her.
The nurse is examining a male child experiencing an exacerbation of juvenile rheumatoid arthritis (JRA)
and notes that mobility is greatly reduced. What is the most likely cause of the child's impaired mobility?
A. Pathologic fractures
B. Poor alignment of joints
C. Dyspnea on exertion
D. Joint inflammation - ✔✔D. Joint inflammation
Joint inflammation and pain are the typical manifestations of an exacerbation of JRA. Options A, B, and C
are not specifically related to JRA.
Ampicillin, 75 mg/kg, is prescribed for a 22-lb child. It is available in a solution that contains 250 mg/5
mL. How many milliliters should the nurse administer in one dose? _____ - ✔✔Correct Answer: 15
