Page 1 of 249
PEDIATRICS HESI PN EXAM TEST BANK NEWEST
VERSION ALL WITH 600 QUESTIONS AND
CORRECT ANSWERS JUST RELEASED
Question: When assessing a child with asthma, the nurse should expect intercostal retractions
during...
A. Inspiration
B. Coughing
C. Apneic episodes
D. Expiration - CORRECT ANSWER✔✔A.
Intercostal retractions result from respiratory effort to draw air into restricted airways
Question: Which behavior would the nurse expect a 2 y/o child to exhibit?
A. Build a house with blocks
B. Ride a tricycle
C. Display possessiveness of toys
D. Look at a picture book for 15 minutes - CORRECT ANSWER✔✔C
Remember 2 y/o are egocentric aka everything is about them so they are unable to share with
other children
, Page 2 of 249
ABC are behaviors of a preschooler
Question: The mother of a preschool-aged child asks the nurse if it 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 OTC drugs for prescence of aspirin, which instruction should the nurse include when
replying to this mother's question?
A. If the child's tongue darkens, d/c the Pepto Bismol immediately
B. Don't give if the child has chicken pox, the flu, or any other viral illness
C. Avoid the use of Pepto Bismol until the child is at least 16 y/o
D. Pepto Bismol may cause a rebound hyperacidity, worsening the tummy ache - CORRECT
ANSWER✔✔B
Pepto Bismol contains aspirin and there is the potential of Reye's syndrome.
A: Is a common effect of Pepto bismol doesn't warrant d/c
C: Pepto Bismol doesn't cause rebound hyperacidity
D: Complication of antacids containing calcium
Question: The nurse observes a 4 y/o boy in a daycare setting. Which behavior should the nurse
consider normal for this child?
A. Has a temper tantrum when told he must shares his toys
B. Plays by himself most of the day
, Page 3 of 249
C. Demonstrates aggressiveness by boasting when telling a story
D. Begins to cry & is fearful when separated from his parents - CORRECT ANSWER✔✔C
4 y/o children are aggressive in their behavior and enjoy "tale telling".
AD: Typical of toddlers. The play of preschooler is cooperative, so playing B is not typical
Question: A burned child is brought to the ER. In estimating the % of the body burned, the
nurse uses a modified "rule of nines". Which part of a child's body is calculated as a larger
percentage of total body surface than an adult's?
A. Head & Neck
B. Arms & Chest
C. Legs & abs
D. Back & Abdomen - CORRECT ANSWER✔✔A
Question: The nurse receives a lab report stating a child with asthma has theophyline level of
15 mcg/dl. Which action will the nurse take?
A. Pass the information on in the report
B. Notify the healthcare provider bc the value is high
C. Repeat the lab study because the value is too high
D. Hold the next dose of theophyline - CORRECT ANSWER✔✔A.
, Page 4 of 249
Therapeutic level of theophyline is 10-20 mcg/dl, so the child's level is within the therapeutic
range. This information evaluates the prescribed therapy & should be communicated in the
nurse's report
Question: A 12 month old boy is admitted with a respiratory infection and possible pneumonia.
He is place din 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 - CORRECT ANSWER✔✔C
Airways is always the priority. A: maintains hydration & prevent tiring but an open airway has a
higher priority
B: Important for evaluation of therapy. When asked priority questions, remember Maslow!
Physical needs usually have a higher priority than psychosocial needs
D: Open airway is the highest physiological need
Question: All of the following interventions can be used to evaluate the effectiveness of nursing
and medical interventions used to treat diarrhea. Which intervention is least useful in the
nurse's evaluation of a 20 month old child?
A. Weight diapers
B. Assessing fontanels
PEDIATRICS HESI PN EXAM TEST BANK NEWEST
VERSION ALL WITH 600 QUESTIONS AND
CORRECT ANSWERS JUST RELEASED
Question: When assessing a child with asthma, the nurse should expect intercostal retractions
during...
A. Inspiration
B. Coughing
C. Apneic episodes
D. Expiration - CORRECT ANSWER✔✔A.
Intercostal retractions result from respiratory effort to draw air into restricted airways
Question: Which behavior would the nurse expect a 2 y/o child to exhibit?
A. Build a house with blocks
B. Ride a tricycle
C. Display possessiveness of toys
D. Look at a picture book for 15 minutes - CORRECT ANSWER✔✔C
Remember 2 y/o are egocentric aka everything is about them so they are unable to share with
other children
, Page 2 of 249
ABC are behaviors of a preschooler
Question: The mother of a preschool-aged child asks the nurse if it 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 OTC drugs for prescence of aspirin, which instruction should the nurse include when
replying to this mother's question?
A. If the child's tongue darkens, d/c the Pepto Bismol immediately
B. Don't give if the child has chicken pox, the flu, or any other viral illness
C. Avoid the use of Pepto Bismol until the child is at least 16 y/o
D. Pepto Bismol may cause a rebound hyperacidity, worsening the tummy ache - CORRECT
ANSWER✔✔B
Pepto Bismol contains aspirin and there is the potential of Reye's syndrome.
A: Is a common effect of Pepto bismol doesn't warrant d/c
C: Pepto Bismol doesn't cause rebound hyperacidity
D: Complication of antacids containing calcium
Question: The nurse observes a 4 y/o boy in a daycare setting. Which behavior should the nurse
consider normal for this child?
A. Has a temper tantrum when told he must shares his toys
B. Plays by himself most of the day
, Page 3 of 249
C. Demonstrates aggressiveness by boasting when telling a story
D. Begins to cry & is fearful when separated from his parents - CORRECT ANSWER✔✔C
4 y/o children are aggressive in their behavior and enjoy "tale telling".
AD: Typical of toddlers. The play of preschooler is cooperative, so playing B is not typical
Question: A burned child is brought to the ER. In estimating the % of the body burned, the
nurse uses a modified "rule of nines". Which part of a child's body is calculated as a larger
percentage of total body surface than an adult's?
A. Head & Neck
B. Arms & Chest
C. Legs & abs
D. Back & Abdomen - CORRECT ANSWER✔✔A
Question: The nurse receives a lab report stating a child with asthma has theophyline level of
15 mcg/dl. Which action will the nurse take?
A. Pass the information on in the report
B. Notify the healthcare provider bc the value is high
C. Repeat the lab study because the value is too high
D. Hold the next dose of theophyline - CORRECT ANSWER✔✔A.
, Page 4 of 249
Therapeutic level of theophyline is 10-20 mcg/dl, so the child's level is within the therapeutic
range. This information evaluates the prescribed therapy & should be communicated in the
nurse's report
Question: A 12 month old boy is admitted with a respiratory infection and possible pneumonia.
He is place din 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 - CORRECT ANSWER✔✔C
Airways is always the priority. A: maintains hydration & prevent tiring but an open airway has a
higher priority
B: Important for evaluation of therapy. When asked priority questions, remember Maslow!
Physical needs usually have a higher priority than psychosocial needs
D: Open airway is the highest physiological need
Question: All of the following interventions can be used to evaluate the effectiveness of nursing
and medical interventions used to treat diarrhea. Which intervention is least useful in the
nurse's evaluation of a 20 month old child?
A. Weight diapers
B. Assessing fontanels
