1|Page
EVOLVE HESI PEDS PRACTICE -REVISED
ASSESSMENT EXAM WITH CORRECT
ANSWERS 2026
During routine screening at a school clinic, an otoscope examination of a child's
ear reveals a tympanic membrane that is pearly gray, slightly bulging, and not
movable. What action should the nurse take next?
No action required, as this is an expected finding for a school-aged child.
Ask the child if he/she has had a cold, runny nose, or any ear pain lately.
Send a note home advising the parents to have the child evaluated by a
healthcare provider as soon as possible.
Call the parents and have them take the child home from school for the rest of
the day. - correct-answer -Ask the child if he/she has had a cold, runny nose, or
any ear pain lately.
More information is needed to interpret these findings (B). The tympanic
membrane is normally pearly gray, not bulging, and moves when the client blows
against resistance or a small puff of air is blown into the ear canal. Since this
child's findings are not completely normal, further assessment of history and
related signs and symptoms is indicated for accurate interpretation of the
findings. (A, C, and D) are inappropriate actions based on the data obtained from
the otoscope examination.
A child with cystic fibrosis is having stools that float and are foul smelling. Which
descriptive term should the nurse use to document the finding?
,2|Page
Diarrhea.
Rhinorrhea.
Galactorrhea.
Steatorrhea. - correct-answer -Steatorrhea.
Steatorrhea (D) is defined as stools with an abnormally high fat content that are
usually foul smelling and float on water. (A, B, and C) do not describe this finding.
A 4-year-old boy was admitted to the emergency room with a fractured right ulna
and a short arm cast is applied. When preparing the parents to take the child
home, which discharge instruction has the highest priority?
Call the healthcare provider immediately if his nail beds appear blue.
Check his fingers hourly for the first 48 hours to see that he is able to move them
without pain.
Be sure his arm remains above his heart for the first 24 hours.
Take his temperature q4h for the next two days and call if an elevation is noted. -
correct-answer -Call the healthcare provider immediately if his nail beds appear
blue.
Cyanosis (A) indicates impaired circulation to fingers and should be reported
immediately. Although the actions described in (B, C, and D) may be indicated,
they are implemented rather excessively--and might tend to frighten the parents.
It is not necessary to check the child's ability to move his fingers hourly for 2 days
(B). Elevating the arm above the heart will help to decrease swelling but (C) is
stated in a frightening way. It is not necessary to take the child's temperature q4h
unless indicated by other symptoms.
,3|Page
he vital signs of a 4-year-old child with polyuria are: BP 80/40, Pulse 118, and
Respirations 24. The child's pedal pulses are present with a volume of +1, and no
edema is observed. What action should the nurse implement first?
Insert an indwelling urinary catheter.
Start an IV infusion of normal saline.
Send a specimen to the lab for urinalysis.
Document the child's vital signs and pulses. - correct-answer -Start an IV infusion
of normal saline.
The current vital sign readings and the decreased peripheral pulse volume
indicate that the child is experiencing fluid volume deficit due to the polyuria, so
the priority action is to restore fluid volume (B). (A) is useful in obtaining a precise
urine output measure, but is a lower priority than restoring fluid volume at this
time. (C) is not indicated based on the current assessment data, and (D) does not
recognize the need for immediate action to combat the fluid volume deficit.
The mother of a preschool-aged child asks the nurse if it is all right to administer
Pepto Bismol to her son when he "has a tummy ache." After reminding the
mother to check the label of all over-the-counter drugs for the presence of
aspirin, which instruction should the nurse include when replying to this mother's
question?
If the child's tongue darkens, discontinue the Pepto Bismol immediately.
Do not give if the child has chickenpox, the flu, or any other viral illness.
Avoid the use of Pepto Bismol until the child is at least 16 years old.
, 4|Page
Pepto Bismol may cause a rebound hyperacidity, worsening the "tummy ache." -
correct-answer -Do not give if the child has chickenpox, the flu, or any other viral
illness.
Pepto Bismol contains aspirin and there is the potential of Reye's syndrome (B).
(A) is a common effect of Pepto Bismol and does not warrant discontinuation.
Pepto Bismol can be used by children (C). Pepto Bismol does not cause rebound
hyperacidity (D), which is a complication of antacids containing calcium.
Which restraint should be used for a toddler after a cleft palate repair?
Clove hitch.
Mummy.
Elbow.
Jacket. - correct-answer -Elbow
Elbow restraints prevent children from bending their arms and bringing their
hands to the oral surgical site. (A) restrains the hands, but the child can bend and
bring their head to their hands. (B) is used during procedures. (D) restrains the
body torso and is not appropriate.
When planning the care for a child who has had a cleft lip repair, the nurse knows
that crying should be minimized because it
increases salivation.
increases the respiratory rate.
leads to vomiting.
EVOLVE HESI PEDS PRACTICE -REVISED
ASSESSMENT EXAM WITH CORRECT
ANSWERS 2026
During routine screening at a school clinic, an otoscope examination of a child's
ear reveals a tympanic membrane that is pearly gray, slightly bulging, and not
movable. What action should the nurse take next?
No action required, as this is an expected finding for a school-aged child.
Ask the child if he/she has had a cold, runny nose, or any ear pain lately.
Send a note home advising the parents to have the child evaluated by a
healthcare provider as soon as possible.
Call the parents and have them take the child home from school for the rest of
the day. - correct-answer -Ask the child if he/she has had a cold, runny nose, or
any ear pain lately.
More information is needed to interpret these findings (B). The tympanic
membrane is normally pearly gray, not bulging, and moves when the client blows
against resistance or a small puff of air is blown into the ear canal. Since this
child's findings are not completely normal, further assessment of history and
related signs and symptoms is indicated for accurate interpretation of the
findings. (A, C, and D) are inappropriate actions based on the data obtained from
the otoscope examination.
A child with cystic fibrosis is having stools that float and are foul smelling. Which
descriptive term should the nurse use to document the finding?
,2|Page
Diarrhea.
Rhinorrhea.
Galactorrhea.
Steatorrhea. - correct-answer -Steatorrhea.
Steatorrhea (D) is defined as stools with an abnormally high fat content that are
usually foul smelling and float on water. (A, B, and C) do not describe this finding.
A 4-year-old boy was admitted to the emergency room with a fractured right ulna
and a short arm cast is applied. When preparing the parents to take the child
home, which discharge instruction has the highest priority?
Call the healthcare provider immediately if his nail beds appear blue.
Check his fingers hourly for the first 48 hours to see that he is able to move them
without pain.
Be sure his arm remains above his heart for the first 24 hours.
Take his temperature q4h for the next two days and call if an elevation is noted. -
correct-answer -Call the healthcare provider immediately if his nail beds appear
blue.
Cyanosis (A) indicates impaired circulation to fingers and should be reported
immediately. Although the actions described in (B, C, and D) may be indicated,
they are implemented rather excessively--and might tend to frighten the parents.
It is not necessary to check the child's ability to move his fingers hourly for 2 days
(B). Elevating the arm above the heart will help to decrease swelling but (C) is
stated in a frightening way. It is not necessary to take the child's temperature q4h
unless indicated by other symptoms.
,3|Page
he vital signs of a 4-year-old child with polyuria are: BP 80/40, Pulse 118, and
Respirations 24. The child's pedal pulses are present with a volume of +1, and no
edema is observed. What action should the nurse implement first?
Insert an indwelling urinary catheter.
Start an IV infusion of normal saline.
Send a specimen to the lab for urinalysis.
Document the child's vital signs and pulses. - correct-answer -Start an IV infusion
of normal saline.
The current vital sign readings and the decreased peripheral pulse volume
indicate that the child is experiencing fluid volume deficit due to the polyuria, so
the priority action is to restore fluid volume (B). (A) is useful in obtaining a precise
urine output measure, but is a lower priority than restoring fluid volume at this
time. (C) is not indicated based on the current assessment data, and (D) does not
recognize the need for immediate action to combat the fluid volume deficit.
The mother of a preschool-aged child asks the nurse if it is all right to administer
Pepto Bismol to her son when he "has a tummy ache." After reminding the
mother to check the label of all over-the-counter drugs for the presence of
aspirin, which instruction should the nurse include when replying to this mother's
question?
If the child's tongue darkens, discontinue the Pepto Bismol immediately.
Do not give if the child has chickenpox, the flu, or any other viral illness.
Avoid the use of Pepto Bismol until the child is at least 16 years old.
, 4|Page
Pepto Bismol may cause a rebound hyperacidity, worsening the "tummy ache." -
correct-answer -Do not give if the child has chickenpox, the flu, or any other viral
illness.
Pepto Bismol contains aspirin and there is the potential of Reye's syndrome (B).
(A) is a common effect of Pepto Bismol and does not warrant discontinuation.
Pepto Bismol can be used by children (C). Pepto Bismol does not cause rebound
hyperacidity (D), which is a complication of antacids containing calcium.
Which restraint should be used for a toddler after a cleft palate repair?
Clove hitch.
Mummy.
Elbow.
Jacket. - correct-answer -Elbow
Elbow restraints prevent children from bending their arms and bringing their
hands to the oral surgical site. (A) restrains the hands, but the child can bend and
bring their head to their hands. (B) is used during procedures. (D) restrains the
body torso and is not appropriate.
When planning the care for a child who has had a cleft lip repair, the nurse knows
that crying should be minimized because it
increases salivation.
increases the respiratory rate.
leads to vomiting.
