HESI PEDIATRICS ACTUAL EXAM
2025/2026 VERSION 1 -5 BANK
CURRENTLY TESTING COMPLETE
EXAM QUESTIONS WITH WELL
RESEARCHED DETAILED VERIFIED
AND CORRECT ANSWERS /A+
GRADE ASSURED // BRAND NEW!!
What preoperative nursing intervention should be
included in the plan of care for an infant with pyloric
stenosis?
A. Monitor for signs of metabolic acidosis.
B. estimate the quantity of diarrhea stools.
C. place in a supine position after feeding
D. observe for projectile vomiting. - ....ANSWER...D.
observe for projectile vomiting.
Projectile vomiting which contributes to metabolic
alkalosis, is the classic sign of pyloric stenosis. Estimating
the quantity of diarrhea stools is not indicated. Placing the
child in a supine position is dangerous due to the potential
for aspiration with frequent vomiting.
1
,A six-month-old returns from surgery with elbow
restraints in place. What nursing care should be included
when caring for any restrained child?
A. keep restraints on at all times.
B. remove restraints one at a time and provide range of
motion exercises
C. Remove all restraints simultaneously and provide lay
activities
D. renew the healthcare provider's prescription for
restraints every 72 hours. - ....ANSWER...B. remove
restraints one at a time and provide range of motion
exercises
Removing restraints one at a time is safer than removing
all of them at once. The child needs to exercise and should
not be kept in restraints at all times. The renewal of the
healthcare provider's prescription varies with hospitals
and it does not really answer the question.
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?
2
,A. congenital heart disease
B. fragile x-chromosome
C. trisomy 13
D. pyloric stenosis - ....ANSWER...A. congenital heart
disease
Congenital heart disease is the most common associated
defect in children with Down syndrome. Trisomy 13 my
have seemed possible since Down syndrome is a trisomal
chromosomal abnormality o chromosome 21. Fragile x-
chromosome is a sex-linked abnormality also causing
mental retardation. Pyloric stenosis is not associated with
Down syndrome.
When assessing a child with asthma, the nurse should
expect intercostal retractions during
A. inspiration
B. coughing
C. apneic episodes
D. expiration - ....ANSWER...A. inspiration
Intercostal retractions result from respiratory effort to
draw air into restricted airways.
3
, When planning the care for a child who has had a cleft lip
repair, the nurse knows that crying should be minimized
because it
A. increases salivation
B. increases the respiratory rate
C. leads to vomiting
D. stresses the suture line - ....ANSWER...D. stresses the
suture line
Prevention of stress on the lip suture line is essential for
optimum healing and the cosmetic appearance of a cleft lip
repair. Although crying also causes increased salivation,
increased respiratory rate and may lead to vomiting, these
conditions do not create a problem for the child with a
cleft lip repair.
A multigravida client arrives at the labor and delivery unit
and tell the nurse that her "bag of water" has broken. The
nurse identifies the presence of meconium fluid on the
perineum and determines the fetal heart rate is between
140 to 150 beats/minute. What action should the nurse
implement next?
4
2025/2026 VERSION 1 -5 BANK
CURRENTLY TESTING COMPLETE
EXAM QUESTIONS WITH WELL
RESEARCHED DETAILED VERIFIED
AND CORRECT ANSWERS /A+
GRADE ASSURED // BRAND NEW!!
What preoperative nursing intervention should be
included in the plan of care for an infant with pyloric
stenosis?
A. Monitor for signs of metabolic acidosis.
B. estimate the quantity of diarrhea stools.
C. place in a supine position after feeding
D. observe for projectile vomiting. - ....ANSWER...D.
observe for projectile vomiting.
Projectile vomiting which contributes to metabolic
alkalosis, is the classic sign of pyloric stenosis. Estimating
the quantity of diarrhea stools is not indicated. Placing the
child in a supine position is dangerous due to the potential
for aspiration with frequent vomiting.
1
,A six-month-old returns from surgery with elbow
restraints in place. What nursing care should be included
when caring for any restrained child?
A. keep restraints on at all times.
B. remove restraints one at a time and provide range of
motion exercises
C. Remove all restraints simultaneously and provide lay
activities
D. renew the healthcare provider's prescription for
restraints every 72 hours. - ....ANSWER...B. remove
restraints one at a time and provide range of motion
exercises
Removing restraints one at a time is safer than removing
all of them at once. The child needs to exercise and should
not be kept in restraints at all times. The renewal of the
healthcare provider's prescription varies with hospitals
and it does not really answer the question.
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?
2
,A. congenital heart disease
B. fragile x-chromosome
C. trisomy 13
D. pyloric stenosis - ....ANSWER...A. congenital heart
disease
Congenital heart disease is the most common associated
defect in children with Down syndrome. Trisomy 13 my
have seemed possible since Down syndrome is a trisomal
chromosomal abnormality o chromosome 21. Fragile x-
chromosome is a sex-linked abnormality also causing
mental retardation. Pyloric stenosis is not associated with
Down syndrome.
When assessing a child with asthma, the nurse should
expect intercostal retractions during
A. inspiration
B. coughing
C. apneic episodes
D. expiration - ....ANSWER...A. inspiration
Intercostal retractions result from respiratory effort to
draw air into restricted airways.
3
, When planning the care for a child who has had a cleft lip
repair, the nurse knows that crying should be minimized
because it
A. increases salivation
B. increases the respiratory rate
C. leads to vomiting
D. stresses the suture line - ....ANSWER...D. stresses the
suture line
Prevention of stress on the lip suture line is essential for
optimum healing and the cosmetic appearance of a cleft lip
repair. Although crying also causes increased salivation,
increased respiratory rate and may lead to vomiting, these
conditions do not create a problem for the child with a
cleft lip repair.
A multigravida client arrives at the labor and delivery unit
and tell the nurse that her "bag of water" has broken. The
nurse identifies the presence of meconium fluid on the
perineum and determines the fetal heart rate is between
140 to 150 beats/minute. What action should the nurse
implement next?
4
