HESI RN PEDS EXIT EXAM WITH QUESTIONS AND
ANSWERS (VERSION 1,2,3,4,5) LATEST UPDATE
2024/2025
The nurse is assessing a 9 year old bow who has been admitted to the
hospital with possible acute poststreptoccocal glomerulonephritis
(APSGN). In obtaining his history, what info is MOST significant?
A - a sore throat last week
B - hx of HTN
C - diuresis during the night
D - back pain for a few days - CORRECT ANSWER A
The nurse is measuring the frontal occipital circumference (FOC) of a 3-
month-old infant, and notes that the FOC has increased 5 inches
(12.7cm) since birth and the child's head appears large in relation to
body size. Which action is MOST important for the nurse to take next?
A - plot the measurement on the infant's growth chart
B - observe the infant for sunset eyes
C - measure the infant's head-to-heel length
D - palpate the anterior fontanel for tension and bulging - CORRECT
ANSWER D
A female infant recently admitted with vomiting and diarrhea now
weighs 10 kg. Her weigh at a previous well-baby visit was 11 kg. What
is the percentage of body weight loss for this infant?
,A - 4%
B - 9%
C - 10%
D - 5% - CORRECT ANSWER B
A male high school student with Type 1 diabetes tests his blood glucose
level before playing a game of soccer and he obtains a reading of 180
mg/dL (10 mmol/L). Based on the reading, which action should the
nurse take?
A - tell him to eat a sandwich and fruit before beginning the game
B - Check his urine for ketones
C -give him permission to go ahead and play soccer
D- call the healthcare provider - CORRECT ANSWER A
A 7-year-old child is admitted to the hospital with a diagnosis of acute
rheumatic fever. In obtaining a health hx from the child's mother, the
recent occurrence of which illness is MOST significant?
A - sore throat
B - chickenpox
C - mumps
D - influenza - CORRECT ANSWER A
A mother brings her 2-month-old son to the clinic for a well baby exam.
During the assessment, the nurse finds that the right testicle is not
,descended into the scrotum, but the left is palpable. Which action should
the nurse take?
A- prepare to obtain a catheterized urine specimen for culture
B - address possible concerns about the child's future fertility
C - ask if the right teste has been seen in the scrotum before
D - schedule an IV pyelogram to validate presence of testeicle -
CORRECT ANSWER C
The nurse is assessing a 6-month-old infant. Which response requires
further evaluation by the nurse?
A - has doubled birth weight
B - turns head to locate sound
C - plays "peek-a-boo"
D- demonstrates startle reflex - CORRECT ANSWER D
A 4-year-old girl returns to the pediatrician's office for a postoperative
visit following hospitalization for minor surgery. When observing the
child in the waiting area, which behavior should the nurse consider
normal for this age child?
A - ignores other children in the play area
B - draws picture of self with facial features
C - "talks" to imaginary friend
D - sits quietly in her mother's lap - CORRECT ANSWER C
, A preschool-aged child is experiencing respiratory distress is brought to
the emergency department by the parents. the child is anxious, has a
temperature of 102.8 F (39.3 C), and is drooling from the mouth while
leaning forward when sitting. Which action should the nurse prepare the
child for next?
A - obtain bedside trays for intubation or tracheotomy by the healthcare
provider
B - begin prescribed intravenous antibiotic administration
C - provide a nebulizer treatment with bronchodilators
D - schedule the child for a stat MRI of the neck - CORRECT
ANSWER A
The nurse is caring for a preschool-aged child with a congenital heart
defect who is admitted with intermittent low-grade fever, fatigue, and
weight loss. Further physical assessment findings include a new
murmur, splinter hemorrhages under the nails, and painless red lesions
on the palms of the hands. Which diagnostic procedure should the nurse
prepare the parents to expect the healthcare provider to prescribe?
A - echocardiogram
B - electrocardiogram
C - chest radiography
D - CT scan - CORRECT ANSWER A
A 6 year old male with a BMI in the 95th percentile for gender and age
arrives at the clinic after a referral from the school nurse. His laboratory
findings include hemoglobin A1c of 5.5%, BP in the 50th percentile for
age, height in the 75th percentile, and an LDL cholesterol of 90 mg/dL
ANSWERS (VERSION 1,2,3,4,5) LATEST UPDATE
2024/2025
The nurse is assessing a 9 year old bow who has been admitted to the
hospital with possible acute poststreptoccocal glomerulonephritis
(APSGN). In obtaining his history, what info is MOST significant?
A - a sore throat last week
B - hx of HTN
C - diuresis during the night
D - back pain for a few days - CORRECT ANSWER A
The nurse is measuring the frontal occipital circumference (FOC) of a 3-
month-old infant, and notes that the FOC has increased 5 inches
(12.7cm) since birth and the child's head appears large in relation to
body size. Which action is MOST important for the nurse to take next?
A - plot the measurement on the infant's growth chart
B - observe the infant for sunset eyes
C - measure the infant's head-to-heel length
D - palpate the anterior fontanel for tension and bulging - CORRECT
ANSWER D
A female infant recently admitted with vomiting and diarrhea now
weighs 10 kg. Her weigh at a previous well-baby visit was 11 kg. What
is the percentage of body weight loss for this infant?
,A - 4%
B - 9%
C - 10%
D - 5% - CORRECT ANSWER B
A male high school student with Type 1 diabetes tests his blood glucose
level before playing a game of soccer and he obtains a reading of 180
mg/dL (10 mmol/L). Based on the reading, which action should the
nurse take?
A - tell him to eat a sandwich and fruit before beginning the game
B - Check his urine for ketones
C -give him permission to go ahead and play soccer
D- call the healthcare provider - CORRECT ANSWER A
A 7-year-old child is admitted to the hospital with a diagnosis of acute
rheumatic fever. In obtaining a health hx from the child's mother, the
recent occurrence of which illness is MOST significant?
A - sore throat
B - chickenpox
C - mumps
D - influenza - CORRECT ANSWER A
A mother brings her 2-month-old son to the clinic for a well baby exam.
During the assessment, the nurse finds that the right testicle is not
,descended into the scrotum, but the left is palpable. Which action should
the nurse take?
A- prepare to obtain a catheterized urine specimen for culture
B - address possible concerns about the child's future fertility
C - ask if the right teste has been seen in the scrotum before
D - schedule an IV pyelogram to validate presence of testeicle -
CORRECT ANSWER C
The nurse is assessing a 6-month-old infant. Which response requires
further evaluation by the nurse?
A - has doubled birth weight
B - turns head to locate sound
C - plays "peek-a-boo"
D- demonstrates startle reflex - CORRECT ANSWER D
A 4-year-old girl returns to the pediatrician's office for a postoperative
visit following hospitalization for minor surgery. When observing the
child in the waiting area, which behavior should the nurse consider
normal for this age child?
A - ignores other children in the play area
B - draws picture of self with facial features
C - "talks" to imaginary friend
D - sits quietly in her mother's lap - CORRECT ANSWER C
, A preschool-aged child is experiencing respiratory distress is brought to
the emergency department by the parents. the child is anxious, has a
temperature of 102.8 F (39.3 C), and is drooling from the mouth while
leaning forward when sitting. Which action should the nurse prepare the
child for next?
A - obtain bedside trays for intubation or tracheotomy by the healthcare
provider
B - begin prescribed intravenous antibiotic administration
C - provide a nebulizer treatment with bronchodilators
D - schedule the child for a stat MRI of the neck - CORRECT
ANSWER A
The nurse is caring for a preschool-aged child with a congenital heart
defect who is admitted with intermittent low-grade fever, fatigue, and
weight loss. Further physical assessment findings include a new
murmur, splinter hemorrhages under the nails, and painless red lesions
on the palms of the hands. Which diagnostic procedure should the nurse
prepare the parents to expect the healthcare provider to prescribe?
A - echocardiogram
B - electrocardiogram
C - chest radiography
D - CT scan - CORRECT ANSWER A
A 6 year old male with a BMI in the 95th percentile for gender and age
arrives at the clinic after a referral from the school nurse. His laboratory
findings include hemoglobin A1c of 5.5%, BP in the 50th percentile for
age, height in the 75th percentile, and an LDL cholesterol of 90 mg/dL
