Pediatric HESI BS Exam Questions and Answers With Verified Solutions 2025
A 10 year old boy is admitted to the ED. He is unresponsive and his laboratory values include a blood
sugar of 800, potassium of 5, and arterial blood gas of pH 7.30, HCO3 15, PaC02 37. Which intervention
has the highest priority?
Administer IV of normal saline and insulin
Frequently assess the child's respiratory effort
Maintain strict intake and output records
Give subq regular insulin by protocol - ✔✔Administer IV of normal saline and insulin
What snack is best to provide a 6 year old child on prescribed bedrest while receiving treatment for
osteomyelitis?
Soup broth
Milkshake
Applesauce
Popsicle - ✔✔Milkshake
The school nurse is assessing a child who reports having an itchy scalp. The nurse has sent home care
instructions for the pediatric child. Which assessment should the nurse implement for this child?
Determine if silvery crusty scales are seen in skin folds
Observe base of neck and forehead for ring-shaped rash
Look for raised, reddened areas and balding on scalp
Inspect hair follicle shafts for adherence of nits - ✔✔Inspect hair follicle shafts for adherence of nits?
An adolescent with pelvic inflammatory disease is admitted to the hospital after 14 days of taking
levofloxacin twice daily. She asks the nurse Why do I have to be in the hospital? Why can't I get my
treatment at home. Which purpose should the nurse provide that supports and effective outcome?
Administration of a supervised parenteral antibiotic protocol
Implementation of contact precautions to prevent spread of infection
Detection of early symptoms of Jarisch-Herxheimer reaction
, Collection of serial anaerobic cultures of vaginal discharge - ✔✔Administration of a supervised
parenteral antibiotic protocol
The nurse administer digoxin to a 9 month old infant with an apical heart rate of 160 beats per minute.
Which indicates the medication effect has been achieved.
60 beats per minute
120 beats per minute
180 beats per minute
80 beats per minute - ✔✔120 beats per minute
A child diagnosed with Kawasaki disease is brought to the clinic. The mother reports that her child is
irritable, refuses to eat, and has skin peeling on both hands and feet. Which intervention should the
nurse instruct the mother to implement first?
Apply lotion to hands and feet
place the child in a quiet environment
Make a list of foods the child likes
Encourage the parents to rest when possible - ✔✔Place the child in a quiet environment
Which nursing problem has the highest priority when providing preoperative care for an infant born
with bladder exstrophy?
Risk for impaired parenting related to appearance of infant
Risk for infection related to impaired skin integrity
Altered urinary elimination related to exposure of bladder
Knowledge deficit related to caring for the infant - ✔✔Risk for infection related to impaired skin
integrity
A 6 year old boy with bronchial asthma takes the beta adrenergic agonist agent albuterol. The child's
mother tells the nurse that she uses this medication to open her son's airway when he is having trouble
breathing. What is the nurses best response?
Recommend that the mother bring the child in for immediate evaluation
Advise the mom that over-use of the drug may cause chronic bronchitis
Assure the mom that she is using the med correctly
A 10 year old boy is admitted to the ED. He is unresponsive and his laboratory values include a blood
sugar of 800, potassium of 5, and arterial blood gas of pH 7.30, HCO3 15, PaC02 37. Which intervention
has the highest priority?
Administer IV of normal saline and insulin
Frequently assess the child's respiratory effort
Maintain strict intake and output records
Give subq regular insulin by protocol - ✔✔Administer IV of normal saline and insulin
What snack is best to provide a 6 year old child on prescribed bedrest while receiving treatment for
osteomyelitis?
Soup broth
Milkshake
Applesauce
Popsicle - ✔✔Milkshake
The school nurse is assessing a child who reports having an itchy scalp. The nurse has sent home care
instructions for the pediatric child. Which assessment should the nurse implement for this child?
Determine if silvery crusty scales are seen in skin folds
Observe base of neck and forehead for ring-shaped rash
Look for raised, reddened areas and balding on scalp
Inspect hair follicle shafts for adherence of nits - ✔✔Inspect hair follicle shafts for adherence of nits?
An adolescent with pelvic inflammatory disease is admitted to the hospital after 14 days of taking
levofloxacin twice daily. She asks the nurse Why do I have to be in the hospital? Why can't I get my
treatment at home. Which purpose should the nurse provide that supports and effective outcome?
Administration of a supervised parenteral antibiotic protocol
Implementation of contact precautions to prevent spread of infection
Detection of early symptoms of Jarisch-Herxheimer reaction
, Collection of serial anaerobic cultures of vaginal discharge - ✔✔Administration of a supervised
parenteral antibiotic protocol
The nurse administer digoxin to a 9 month old infant with an apical heart rate of 160 beats per minute.
Which indicates the medication effect has been achieved.
60 beats per minute
120 beats per minute
180 beats per minute
80 beats per minute - ✔✔120 beats per minute
A child diagnosed with Kawasaki disease is brought to the clinic. The mother reports that her child is
irritable, refuses to eat, and has skin peeling on both hands and feet. Which intervention should the
nurse instruct the mother to implement first?
Apply lotion to hands and feet
place the child in a quiet environment
Make a list of foods the child likes
Encourage the parents to rest when possible - ✔✔Place the child in a quiet environment
Which nursing problem has the highest priority when providing preoperative care for an infant born
with bladder exstrophy?
Risk for impaired parenting related to appearance of infant
Risk for infection related to impaired skin integrity
Altered urinary elimination related to exposure of bladder
Knowledge deficit related to caring for the infant - ✔✔Risk for infection related to impaired skin
integrity
A 6 year old boy with bronchial asthma takes the beta adrenergic agonist agent albuterol. The child's
mother tells the nurse that she uses this medication to open her son's airway when he is having trouble
breathing. What is the nurses best response?
Recommend that the mother bring the child in for immediate evaluation
Advise the mom that over-use of the drug may cause chronic bronchitis
Assure the mom that she is using the med correctly
