2025 HESI PEDIATRICS EXIT/HESI EXIT PEDIATRICS EXAM LATEST 2024
REAL EXAM ALL QUESTIONS AND CORRECT ANSWERS|ALREADY
GRADED A+
Question 1:
A nurse is caring for a 4-year-old child who is receiving a blood
transfusion. The nurse observes the child is becoming agitated, and
the skin is slightly flushed. The child’s temperature is 100.4°F (38°C),
and the heart rate is 120 bpm. What should the nurse do next?
A) Stop the transfusion and notify the healthcare provider
B) Administer acetaminophen for fever
C) Decrease the rate of the transfusion
D) Continue the transfusion and reassess in 30 minutes
Answer: A) Stop the transfusion and notify the healthcare provider.
Rationale: The signs of fever, agitation, and flushed skin could indicate a
transfusion reaction, such as a febrile non-hemolytic reaction. The
nurse should immediately stop the transfusion, maintain an intravenous
(IV) line with normal saline, and notify the healthcare provider. Further
action, such as administering acetaminophen, would be taken after the
transfusion has been stopped.
Question 2:
A 6-year-old child is admitted with acute asthma exacerbation. The
nurse notes that the child is using accessory muscles to breathe and
has audible wheezing. The child is anxious. Which intervention should
the nurse implement first?
,A) Administer a short-acting beta agonist (SABA)
B) Administer a corticosteroid
C) Obtain a peak flow reading
D) Encourage the child to use pursed-lip breathing
Answer: A) Administer a short-acting beta agonist (SABA).
Rationale: The priority intervention in an acute asthma exacerbation is
to administer a short-acting beta agonist (e.g., albuterol) to relieve
bronchoconstriction and improve airflow. Corticosteroids may be used
later, but the immediate priority is bronchodilation.
Question 3:
A nurse is caring for a child who has just had a tonsillectomy. Which of
the following should the nurse include in the plan of care?
A) Administering acetaminophen for pain management
B) Placing the child in a supine position after surgery
C) Offering red-colored liquids to the child
D) Encouraging the child to cough and clear the throat
Answer: A) Administering acetaminophen for pain management.
Rationale: Acetaminophen is a safe analgesic for children post-
tonsillectomy to manage pain. The child should be placed in a side-lying
or prone position to facilitate drainage and reduce the risk of aspiration.
Red-colored liquids should be avoided, as they can be mistaken for
blood. The child should not be encouraged to cough or clear the throat,
as this can increase the risk of bleeding.
Question 4:
,A nurse is caring for a 3-year-old child who is diagnosed with
chickenpox. The nurse is teaching the parents how to prevent the
spread of the infection. Which of the following statements by the
parent indicates an understanding of the teaching?
A) "I will give my child antibiotics to treat the infection."
B) "I will keep my child away from other children until the blisters crust
over."
C) "I will keep my child in a cold environment to prevent fever."
D) "I will allow my child to return to daycare when the rash first
appears."
Answer: B) "I will keep my child away from other children until the
blisters crust over."
Rationale: Chickenpox is highly contagious, and children should be kept
away from others until all the lesions have crusted over. Antibiotics are
not effective for viral infections like chickenpox. Fever management and
comfort measures should be addressed but in ways that do not involve
cold environments.
Question 5:
A nurse is caring for a child who is receiving chemotherapy. The child’s
white blood cell count is low, and the nurse notices signs of infection.
Which of the following actions is the priority?
A) Administer a dose of acetaminophen
B) Initiate contact precautions
C) Start an intravenous (IV) antibiotic as prescribed
D) Encourage increased fluid intake
Answer: C) Start an intravenous (IV) antibiotic as prescribed.
, Rationale: In a child receiving chemotherapy with signs of infection, the
priority is to start IV antibiotics promptly to treat the infection, as the
child is immunocompromised. This is critical to prevent sepsis or further
complications.
Question 6:
A nurse is assessing a 5-year-old child with a suspected foreign body
aspiration. Which of the following signs and symptoms should the
nurse expect to observe?
A) Sudden onset of coughing and wheezing
B) High fever and fatigue
C) Unilateral chest pain and cyanosis
D) Gradual onset of hoarseness and drooling
Answer: A) Sudden onset of coughing and wheezing.
Rationale: Foreign body aspiration typically causes sudden coughing,
wheezing, or choking as the body attempts to expel the object. Cyanosis
and unilateral chest pain can occur if the airway is significantly
obstructed, but coughing and wheezing are the hallmark signs.
Question 7:
A nurse is teaching the parents of a 1-year-old child about introducing
solid foods. Which of the following statements indicates that the
parents need further teaching?
A) "I will introduce a variety of single-ingredient foods first."
B) "I will avoid honey until my child is 2 years old."
C) "I will introduce whole milk when my child is 10 months old."
D) "I will offer soft, mashed foods to start with."
REAL EXAM ALL QUESTIONS AND CORRECT ANSWERS|ALREADY
GRADED A+
Question 1:
A nurse is caring for a 4-year-old child who is receiving a blood
transfusion. The nurse observes the child is becoming agitated, and
the skin is slightly flushed. The child’s temperature is 100.4°F (38°C),
and the heart rate is 120 bpm. What should the nurse do next?
A) Stop the transfusion and notify the healthcare provider
B) Administer acetaminophen for fever
C) Decrease the rate of the transfusion
D) Continue the transfusion and reassess in 30 minutes
Answer: A) Stop the transfusion and notify the healthcare provider.
Rationale: The signs of fever, agitation, and flushed skin could indicate a
transfusion reaction, such as a febrile non-hemolytic reaction. The
nurse should immediately stop the transfusion, maintain an intravenous
(IV) line with normal saline, and notify the healthcare provider. Further
action, such as administering acetaminophen, would be taken after the
transfusion has been stopped.
Question 2:
A 6-year-old child is admitted with acute asthma exacerbation. The
nurse notes that the child is using accessory muscles to breathe and
has audible wheezing. The child is anxious. Which intervention should
the nurse implement first?
,A) Administer a short-acting beta agonist (SABA)
B) Administer a corticosteroid
C) Obtain a peak flow reading
D) Encourage the child to use pursed-lip breathing
Answer: A) Administer a short-acting beta agonist (SABA).
Rationale: The priority intervention in an acute asthma exacerbation is
to administer a short-acting beta agonist (e.g., albuterol) to relieve
bronchoconstriction and improve airflow. Corticosteroids may be used
later, but the immediate priority is bronchodilation.
Question 3:
A nurse is caring for a child who has just had a tonsillectomy. Which of
the following should the nurse include in the plan of care?
A) Administering acetaminophen for pain management
B) Placing the child in a supine position after surgery
C) Offering red-colored liquids to the child
D) Encouraging the child to cough and clear the throat
Answer: A) Administering acetaminophen for pain management.
Rationale: Acetaminophen is a safe analgesic for children post-
tonsillectomy to manage pain. The child should be placed in a side-lying
or prone position to facilitate drainage and reduce the risk of aspiration.
Red-colored liquids should be avoided, as they can be mistaken for
blood. The child should not be encouraged to cough or clear the throat,
as this can increase the risk of bleeding.
Question 4:
,A nurse is caring for a 3-year-old child who is diagnosed with
chickenpox. The nurse is teaching the parents how to prevent the
spread of the infection. Which of the following statements by the
parent indicates an understanding of the teaching?
A) "I will give my child antibiotics to treat the infection."
B) "I will keep my child away from other children until the blisters crust
over."
C) "I will keep my child in a cold environment to prevent fever."
D) "I will allow my child to return to daycare when the rash first
appears."
Answer: B) "I will keep my child away from other children until the
blisters crust over."
Rationale: Chickenpox is highly contagious, and children should be kept
away from others until all the lesions have crusted over. Antibiotics are
not effective for viral infections like chickenpox. Fever management and
comfort measures should be addressed but in ways that do not involve
cold environments.
Question 5:
A nurse is caring for a child who is receiving chemotherapy. The child’s
white blood cell count is low, and the nurse notices signs of infection.
Which of the following actions is the priority?
A) Administer a dose of acetaminophen
B) Initiate contact precautions
C) Start an intravenous (IV) antibiotic as prescribed
D) Encourage increased fluid intake
Answer: C) Start an intravenous (IV) antibiotic as prescribed.
, Rationale: In a child receiving chemotherapy with signs of infection, the
priority is to start IV antibiotics promptly to treat the infection, as the
child is immunocompromised. This is critical to prevent sepsis or further
complications.
Question 6:
A nurse is assessing a 5-year-old child with a suspected foreign body
aspiration. Which of the following signs and symptoms should the
nurse expect to observe?
A) Sudden onset of coughing and wheezing
B) High fever and fatigue
C) Unilateral chest pain and cyanosis
D) Gradual onset of hoarseness and drooling
Answer: A) Sudden onset of coughing and wheezing.
Rationale: Foreign body aspiration typically causes sudden coughing,
wheezing, or choking as the body attempts to expel the object. Cyanosis
and unilateral chest pain can occur if the airway is significantly
obstructed, but coughing and wheezing are the hallmark signs.
Question 7:
A nurse is teaching the parents of a 1-year-old child about introducing
solid foods. Which of the following statements indicates that the
parents need further teaching?
A) "I will introduce a variety of single-ingredient foods first."
B) "I will avoid honey until my child is 2 years old."
C) "I will introduce whole milk when my child is 10 months old."
D) "I will offer soft, mashed foods to start with."
