HESI RN PEDS EXAM SCRIPT 2026
NGN COMPLETE QUESTIONS AND
ACCURATE ANSWERS
◉ To take the v/s of a 4 month old, which ordered will give the most
accurate results? Answer: RR - HR - rectal temp
◉ During routine screening at a school clinic, an otoscope exam reveals
a tympanic mb that is pearly gray, slightly bulging, and not movable.
What action should the nurse take next? Answer: Ask the child if they
have had a cold, runny nose, or any ear pain lately
◉ Which restraint should be used for a toddler after a cleft palate repair?
Answer: Elbow
◉ What pre-op nsg intervention should be included in the POC for an
infant w/ pyloric stenosis? Answer: Observe for projectile vomiting
(remember that projectile vomiting leads to metabolic alkalosis)
◉ A 6 month old returns from surgery w/ elbow restraints in place.
What nsg care should be included when caring for any restrained child?
Answer: Remove the restraints one at a time and provide ROM exercises
(Removing them 1 at a time is safer than all at once)
,◉ A 2 yr old w/ Down syndrome is brought to the clinic for his regular
physical exam. The nurse knows which problem is requently associated
w/ Downs? Answer: Congenital heart disease
(CHD is the most common associated defect w/ Downs. - also,
remember Professor Moore said that heart and ear problems go hand in
hand)
◉ When assessing a child w/ asthma, the nurse should expect intercostal
retractions during Answer: Inspriation
◉ When planning the care for a child who has had a cleft lip repair, the
nurse know that crying should be minimized because it Answer: Stresses
the suture line
◉ A full-term infant is admitted to the newborn nursery. After careful
assessment, the nurse suspects that the infant may have an esophageal
atresia. Which sx's is this newborn likely to have exhibited? Answer:
Choking , coughing, and cyanosis
(this answer includes the 3 "C"s of esophageal atresia caused by the
overflow of secretions to the trachea)
◉ Which behavior would the nurse expect a 2 yr old to exhibit? Answer:
Display possessiveness of toys
, (they are egocentric and unable to share w/ others)
◉ the other 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 her to check the label of all OTC meds for the presence of
ASA, which instruction should the nurse include when replying to the
mom's question? Answer: Do not give if they have chicken pox, the flue,
or any other viral illness
(ASA can cause Reye's syndrome)
◉ the nurse observes a 4 yr old boy in a daycare. Which behavior should
the nurse consider normal for this child? Answer: Demonstrates
aggressiveness by boasting when telling a story
◉ A burned child is brought to the ER. In estimating the % of body
burned, the nurse uses a modified "Rule of Nines." Which part of the
body is calculated as a larger % of total body surface than an adult?
Answer: Head and neck
(a child's head and neck are proportionately larger to their body than an
adult's)
◉ The nurse receives a lab report stating a child w/ asthma has a
theophylline level of 15mcg/dL. What action will the nurse take?
Answer: Pass the info on in the report
NGN COMPLETE QUESTIONS AND
ACCURATE ANSWERS
◉ To take the v/s of a 4 month old, which ordered will give the most
accurate results? Answer: RR - HR - rectal temp
◉ During routine screening at a school clinic, an otoscope exam reveals
a tympanic mb that is pearly gray, slightly bulging, and not movable.
What action should the nurse take next? Answer: Ask the child if they
have had a cold, runny nose, or any ear pain lately
◉ Which restraint should be used for a toddler after a cleft palate repair?
Answer: Elbow
◉ What pre-op nsg intervention should be included in the POC for an
infant w/ pyloric stenosis? Answer: Observe for projectile vomiting
(remember that projectile vomiting leads to metabolic alkalosis)
◉ A 6 month old returns from surgery w/ elbow restraints in place.
What nsg care should be included when caring for any restrained child?
Answer: Remove the restraints one at a time and provide ROM exercises
(Removing them 1 at a time is safer than all at once)
,◉ A 2 yr old w/ Down syndrome is brought to the clinic for his regular
physical exam. The nurse knows which problem is requently associated
w/ Downs? Answer: Congenital heart disease
(CHD is the most common associated defect w/ Downs. - also,
remember Professor Moore said that heart and ear problems go hand in
hand)
◉ When assessing a child w/ asthma, the nurse should expect intercostal
retractions during Answer: Inspriation
◉ When planning the care for a child who has had a cleft lip repair, the
nurse know that crying should be minimized because it Answer: Stresses
the suture line
◉ A full-term infant is admitted to the newborn nursery. After careful
assessment, the nurse suspects that the infant may have an esophageal
atresia. Which sx's is this newborn likely to have exhibited? Answer:
Choking , coughing, and cyanosis
(this answer includes the 3 "C"s of esophageal atresia caused by the
overflow of secretions to the trachea)
◉ Which behavior would the nurse expect a 2 yr old to exhibit? Answer:
Display possessiveness of toys
, (they are egocentric and unable to share w/ others)
◉ the other 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 her to check the label of all OTC meds for the presence of
ASA, which instruction should the nurse include when replying to the
mom's question? Answer: Do not give if they have chicken pox, the flue,
or any other viral illness
(ASA can cause Reye's syndrome)
◉ the nurse observes a 4 yr old boy in a daycare. Which behavior should
the nurse consider normal for this child? Answer: Demonstrates
aggressiveness by boasting when telling a story
◉ A burned child is brought to the ER. In estimating the % of body
burned, the nurse uses a modified "Rule of Nines." Which part of the
body is calculated as a larger % of total body surface than an adult?
Answer: Head and neck
(a child's head and neck are proportionately larger to their body than an
adult's)
◉ The nurse receives a lab report stating a child w/ asthma has a
theophylline level of 15mcg/dL. What action will the nurse take?
Answer: Pass the info on in the report
