PEDs HESI Practice Test
A 12-month-old boy is admitted with a respiratory infection and possible pneumonia. He is
placed in a mist tent with oxygen. Which nursing intervention has the greatest priority for this
infant?
A. Give small, frequent feedings of fluids.
B. Accurately chart observations regarding breath sounds.
C. Have a bulb syringe readily available to remove secretions.
D. Encourage older siblings to visit. - ANS-C. Have a bulb syringe readily available to remove
secretions.
A 14-year-old female client tells the nurse that she is concerned about the acne she has
recently developed. Which recommendation should the nurse provide?
A. Remove all blackheads and follow with an alcohol scrub.
B. Use medicated cosmetics only to help hide the blemishes.
C. Wash the hair and skin frequently with soap and hot water.
D. Encourage her to see a dermatologist as soon as possible. - ANS-C. Wash the hair and skin
frequently with soap and hot water.
A 15-year-old girl tells the school nurse that all of her friends have started their periods and she
feels abnormal because she has not. Which response is best for the nurse provide?
A. Refer the adolescent to the healthcare provider for a pregnancy screen.
B. Schedule a conference with her parents to recommend hormone therapy.
C. Explain that menarche varies and occurs between the ages of 12 and 18 years.
D. Suggest that she use diversions to help her not worry about delayed menarche. - ANS-C.
Explain that menarche varies and occurs between the ages of 12 and 18 years.
A 16-year-old is brought to the Emergency Center with a crushed leg after falling off a horse.
The adolescent's last tetanus toxoid booster was received eight years ago. What action should
the nurse take?
A. Dispense a tetanus antitoxin.
B. Prepare human tetanus immune globulin.
C. Administer tetanus toxoid booster.
D. Delay the tetanus toxoid booster until due. - ANS-C. Administer tetanus toxoid booster.
A 17-year-old male student reports to the school clinic one morning for a scheduled health
exam. He tells the nurse that he just finished football practice and is on his way to class. The
nurse assesses his vital signs: temperature 100 F, pulse 80, respirations 20, and blood pressure
122/82. What is the best action for the nurse to take?
A. Tell the student to proceed directly to his regularly scheduled class.
B. Call the parent and suggest re-taking the student's temperature at home.
C. Give the student a glass of cool fluids, then retake his temperature.
D. Send the student to class, but re-verify his temperature after lunch. - ANS-A. Tell the student
to proceed directly to his regularly scheduled class.
, A 2-year-old child recently diagnosed with hemophilia A is discharged home. What information
should the nurse include in a teaching plan about home care?
A. Minimize interactive play with other children to lessen chances for injury.
B. Give low-dose children's chewable aspirin in orange flavor for joint discomfort.
C. Use a firm and dry toothbrush to clean teeth at least twice per day.
D. Apply pressure and ice for bleeding while elevating and resting the extremity. - ANS-D. Apply
pressure and ice for bleeding while elevating and resting the extremity.
A 2-year-old child with Down syndrome is brought to the clinic for his regular physical
examination. The nurse knows which problem is frequently associated with Down syndrome?
A. Congenital heart disease.
B. Fragile X chromosome.
C. Trisomy 13.
D. Pyloric stenosis. - ANS-A. Congenital heart disease.
A 2-year-old child with gastro-esophageal reflux has developed a fear of eating. What
instruction should the nurse include in the parents' teaching plan?
A. Invite other children home to share meals.
B. Accept that he will eat when he is hungry.
C. Reward the child with a nap after eating.
D. Consistently follow a set mealtime routine. - ANS-D. Consistently follow a set mealtime
routine.
A 3-month-old infant develops oral thrush. Which pharmacologic agent should the nurse plan to
administer for treatment of this disorder?
A. Nystatin (Mycostatin).
B. Nitrofurantoin (Macrodantin).
C. Norfloxacin (Noroxin).
D. Neomycin sulfate (Mycifradin). - ANS-A. Nystatin (Mycostatin).
A 3-week-old newborn is brought to the clinic for follow-up after a home birth. The mother
reports that her child bottle feeds for 5 minutes only and then falls asleep. The nurse
auscultates a loud murmur characteristic of a ventricular septal defect (VSD), and finds the
newborn is acyanotic with a respiratory rate of 64 breaths per minute. What instruction should
the nurse provide the mother to ensure the infant is receiving adequate intake? (Select all that
apply.)
A. Monitor the the infant's weight and number of wet diapers per day.
B. Increase the infant's intake per feeding by 1 to 2 ounces per week.
C. Mix the dose of prophylactic antibiotic in a full bottle of formula.
D. Allow the infant to rest and refeed on demand or every 2 hours.
E. Use a softer nipple or increase the size of the nipple opening. - ANS-A. Monitor the the
infant's weight and number of wet diapers per day.
B. Increase the infant's intake per feeding by 1 to 2 ounces per week.
D. Allow the infant to rest and refeed on demand or every 2 hours.
E. Use a softer nipple or increase the size of the nipple opening.
A 3-year-old boy is brought to the emergency room because he swallowed an entire bottle of
children's vitamin pills. Which intervention should the nurse implement first?
A. Insert N/G tube for gastric lavage.
A 12-month-old boy is admitted with a respiratory infection and possible pneumonia. He is
placed in a mist tent with oxygen. Which nursing intervention has the greatest priority for this
infant?
A. Give small, frequent feedings of fluids.
B. Accurately chart observations regarding breath sounds.
C. Have a bulb syringe readily available to remove secretions.
D. Encourage older siblings to visit. - ANS-C. Have a bulb syringe readily available to remove
secretions.
A 14-year-old female client tells the nurse that she is concerned about the acne she has
recently developed. Which recommendation should the nurse provide?
A. Remove all blackheads and follow with an alcohol scrub.
B. Use medicated cosmetics only to help hide the blemishes.
C. Wash the hair and skin frequently with soap and hot water.
D. Encourage her to see a dermatologist as soon as possible. - ANS-C. Wash the hair and skin
frequently with soap and hot water.
A 15-year-old girl tells the school nurse that all of her friends have started their periods and she
feels abnormal because she has not. Which response is best for the nurse provide?
A. Refer the adolescent to the healthcare provider for a pregnancy screen.
B. Schedule a conference with her parents to recommend hormone therapy.
C. Explain that menarche varies and occurs between the ages of 12 and 18 years.
D. Suggest that she use diversions to help her not worry about delayed menarche. - ANS-C.
Explain that menarche varies and occurs between the ages of 12 and 18 years.
A 16-year-old is brought to the Emergency Center with a crushed leg after falling off a horse.
The adolescent's last tetanus toxoid booster was received eight years ago. What action should
the nurse take?
A. Dispense a tetanus antitoxin.
B. Prepare human tetanus immune globulin.
C. Administer tetanus toxoid booster.
D. Delay the tetanus toxoid booster until due. - ANS-C. Administer tetanus toxoid booster.
A 17-year-old male student reports to the school clinic one morning for a scheduled health
exam. He tells the nurse that he just finished football practice and is on his way to class. The
nurse assesses his vital signs: temperature 100 F, pulse 80, respirations 20, and blood pressure
122/82. What is the best action for the nurse to take?
A. Tell the student to proceed directly to his regularly scheduled class.
B. Call the parent and suggest re-taking the student's temperature at home.
C. Give the student a glass of cool fluids, then retake his temperature.
D. Send the student to class, but re-verify his temperature after lunch. - ANS-A. Tell the student
to proceed directly to his regularly scheduled class.
, A 2-year-old child recently diagnosed with hemophilia A is discharged home. What information
should the nurse include in a teaching plan about home care?
A. Minimize interactive play with other children to lessen chances for injury.
B. Give low-dose children's chewable aspirin in orange flavor for joint discomfort.
C. Use a firm and dry toothbrush to clean teeth at least twice per day.
D. Apply pressure and ice for bleeding while elevating and resting the extremity. - ANS-D. Apply
pressure and ice for bleeding while elevating and resting the extremity.
A 2-year-old child with Down syndrome is brought to the clinic for his regular physical
examination. The nurse knows which problem is frequently associated with Down syndrome?
A. Congenital heart disease.
B. Fragile X chromosome.
C. Trisomy 13.
D. Pyloric stenosis. - ANS-A. Congenital heart disease.
A 2-year-old child with gastro-esophageal reflux has developed a fear of eating. What
instruction should the nurse include in the parents' teaching plan?
A. Invite other children home to share meals.
B. Accept that he will eat when he is hungry.
C. Reward the child with a nap after eating.
D. Consistently follow a set mealtime routine. - ANS-D. Consistently follow a set mealtime
routine.
A 3-month-old infant develops oral thrush. Which pharmacologic agent should the nurse plan to
administer for treatment of this disorder?
A. Nystatin (Mycostatin).
B. Nitrofurantoin (Macrodantin).
C. Norfloxacin (Noroxin).
D. Neomycin sulfate (Mycifradin). - ANS-A. Nystatin (Mycostatin).
A 3-week-old newborn is brought to the clinic for follow-up after a home birth. The mother
reports that her child bottle feeds for 5 minutes only and then falls asleep. The nurse
auscultates a loud murmur characteristic of a ventricular septal defect (VSD), and finds the
newborn is acyanotic with a respiratory rate of 64 breaths per minute. What instruction should
the nurse provide the mother to ensure the infant is receiving adequate intake? (Select all that
apply.)
A. Monitor the the infant's weight and number of wet diapers per day.
B. Increase the infant's intake per feeding by 1 to 2 ounces per week.
C. Mix the dose of prophylactic antibiotic in a full bottle of formula.
D. Allow the infant to rest and refeed on demand or every 2 hours.
E. Use a softer nipple or increase the size of the nipple opening. - ANS-A. Monitor the the
infant's weight and number of wet diapers per day.
B. Increase the infant's intake per feeding by 1 to 2 ounces per week.
D. Allow the infant to rest and refeed on demand or every 2 hours.
E. Use a softer nipple or increase the size of the nipple opening.
A 3-year-old boy is brought to the emergency room because he swallowed an entire bottle of
children's vitamin pills. Which intervention should the nurse implement first?
A. Insert N/G tube for gastric lavage.
