PEDS Hesi Next Gen 2025 | COMPLETE
QUESTIONS WITH 100% RATED
CORRECT ANSWERS | GRADED A+| 2025
LATEST UPDATED
The nurse would suggest genetic counseling for each of the following except:
(A) Sickle cell anemia
(B) B-thalassemia
(C) Hemophilia A
(D) Henoch-Schonlein purpura -
☑️(D) This is an inflammation of the small blood vessels of the skin, joints, bowels, and
kidneys and is common in children. However, it is not genetic
A child with nephrotic syndrome is receiving corticosteroids. Which of the following statements by
the parent would cause the nurse to reinforce the instructions?
(A) "My child's blood pressure is good because of the steroids"
(B) "Steroids reduce inflammation"
(C) "Steroids are making my child's urine have solid particles"
(D) "Steroids prevent my child from getting an infection"
(E) "Steroids make the kidneys work better" -
☑️A, C, D The desired effect of corticosteroids in treating a child with nephrotic
syndrome is to reduce inflammation and cause fluid to be removed from the body. It may increase
blood pressure or make the child more prone to infections, but it is not a desired outcome. An
increase of protein in the urine would suggest that the child is worse and not improving from
treatment
A nurse on the neurology unit is monitoring an 8-year-old child admitted with seizures. The child
experiences a prolonged tonic-clonic seizure. -
☑️The nurse should first ensure proper oxygenation
insert an airway into the client's mouth administer intravenous (IV) or intramuscular (IM)
benzodiazepine
A school nurse is called to the school cafeteria after a 13-year-old child is reported to have sudden
difficulty breathing. The child has a history of asthma and allergies to peanuts. The focused nursing
assessment reveals difficulty breathing, inspiratory and expiratory wheezing, swelling of lips, and a
rash on the face. The child reports feeling nauseated, having chest tightness, and feeling faint. -
☑️The nurse should first address the child's wheezing and swelling of lips
Assessment findings, finding indicates folliculitis. -
☑️erythema
Assessment findings, finding indicates impetigo. -
☑️erythema and lymphedema
Assessment findings, finding indicates cellulitis. -
1
, ☑️erythema, pain, swelling, lymphedema and fever
A 15-year-old female adolescent visits the school nurse. The client appears anxious and states they
have been dating a couple of different friends. The client states that they went to a party the other
night and does not remember the entire night. The client states "I woke up and some of my clothes
were missing. Now I have been experiencing some pain when I pee and there is yellow, green
drainage that smells awful." -
☑️The nurse suspects the client has
a sexually transmitted infection
as evidenced by
yellow, green odorous drainage
A nurse on a pediatric unit finds a 3-year-old child unconscious. The child does not respond to
stimuli. The nurse calls a code and starts to perform cardiopulmonary resuscitation (CPR). -
☑️The nurse should first address the child's
airway followed by the child's breathing, then
perfusion
A nurse in a pediatrician's office is educating a parent of a 2-month-old infant about developmental
milestones. -
☑️The parent requires further education when the parent states"My infant should be able
to sit on their own by 3 months.", "I will be able to play games like peek-a-boo with my infant when
they are 4 months old.", and "At 6 months, my baby should be able to feed themselves."
A nurse working in the emergency department (ED) is caring for a newborn brought to the ED for
increased respiratory rate and subcostal retractions. The nurse performs an assessment on the
newborn. Findings include: awake, alert, periods of irritability, subcostal retractions that increase
when crying, cardiac murmur auscultated. Vital signs: temperature 97.8°F (36.5°C); heart rate, 180
beats/min; blood pressures: left arm, 68/43 mm Hg; right arm, 67/40 mm Hg; left leg, 73/38 mm
Hg; right leg, 75/40 mm Hg; respiratory rate, 62 breaths/min; oxygen saturation, 93% on room air. -
☑️The nurse suspects the client is exhibiting signs of
ventricular septal defect (VSD)
as evidenced by blood pressure and decreased oxygen saturation
The parent of a newborn diagnosed with Turner syndrome asks the nurse about the treatment that
will be required for their newborn. -
☑️The nurse should educate the parents on the primary treatments used in the treatment
of Turner syndrome, which includes growth hormone and estrogen therapy
A 9-month-old child is seen in the well clinic. Which of the following behaviors would the nurse
expect to see?
(A) Plays peek-a-boo
(B) Walks independently
(C) Feeds self with a spoon
(D) Stacks 2 blocks together
(E) Transfers objects from hand to hand -
☑️A, E -walks independently at 15 months -feeds self with spoon at 18 months -stacks 2
blocks together at 18 months
2
, The mother of a six-year-old child arrives at the clinic because the child has been experiencing red
and swollen eyes. The nurse notes a discharge from the eyes and sends a culture to the lab.
Chlamydia conjunctivitis is diagnosed. On the basis of this diagnosis, the nurse determines that
which requires further investigation?
(A) Possible trauma to the eye
(B) Possible sexual abuse
(C) Presence of an allergy
(D) Presence of a respiratory infection -
☑️(B) Possible sexual abuse -Chlamydia is sexual transmitted disease. The diagnosis of
chlamydia in a child not sexually active should signal the health care provider to assess the signs of
possible sexual abuse
The school nurse determines a group of young women are in early adolescents based on the
following observation. All of the women:
(A) Have decided on their career path
(B) Are dressed in the same-style clothes and have the same hair style (C) Broke curfew by staying
out late at a party they went to
(D) Brag about drinking beer when their parents were at work -
☑️(B) Peer identity is important at this age
The nurse is watching two siblings, ages 7 and 9 years of age, verbally arguing over a toy. The
nurse has counseled the parents before about how to handle the situation. The nurse should judge
that the teaching has been effective when the parent takes which action?
(A) Tell the siblings to stop arguing and shake hands
(B) Ignores the arguing and continues what she is doing
(C) Tells the children they will be punished when they go home
(D) Says they will not go out to lunch now since they have argued -
☑️(B) The best approach by the mother is not to interfere. The children need to learn
how to solve disagreements on their own. If the parents always intervenes, when the children do not
learn how to do this
The nurse is caring for a newborn with a suspected diagnosis of imperforated anus. Which clinical
manifestation is associated with this defect?
(A) Bile-stained fecal emesis
(B) The passage of current jelly stools (C) Failure to pass meconium stool in the first 24 hours after
birth
(D) Sausage-shaped mass in the upper right quadrant -
☑️(C) This is a defect where incomplete development or absence of the anus
Which drug may be given to newborns to close the patent ductus arteriosus (PDA)? -
☑️Indomethacin (prostaglandin inhibitor)
Which drug may be given to newborns to keep the ductus arteriosus (PDA) open until surgery can
be performed? -
☑️Prostaglandin E
After receiving change of shift report, which patient should you assess first? (A) An 18-month-old
with coarcation of the aorta who has decreased pedal pulses
(B) A 3-year-old with rheumatic fever who reports severe knee pain
(C) A 5-year-old with endocarditis who has crackles throughout both lungs
3
QUESTIONS WITH 100% RATED
CORRECT ANSWERS | GRADED A+| 2025
LATEST UPDATED
The nurse would suggest genetic counseling for each of the following except:
(A) Sickle cell anemia
(B) B-thalassemia
(C) Hemophilia A
(D) Henoch-Schonlein purpura -
☑️(D) This is an inflammation of the small blood vessels of the skin, joints, bowels, and
kidneys and is common in children. However, it is not genetic
A child with nephrotic syndrome is receiving corticosteroids. Which of the following statements by
the parent would cause the nurse to reinforce the instructions?
(A) "My child's blood pressure is good because of the steroids"
(B) "Steroids reduce inflammation"
(C) "Steroids are making my child's urine have solid particles"
(D) "Steroids prevent my child from getting an infection"
(E) "Steroids make the kidneys work better" -
☑️A, C, D The desired effect of corticosteroids in treating a child with nephrotic
syndrome is to reduce inflammation and cause fluid to be removed from the body. It may increase
blood pressure or make the child more prone to infections, but it is not a desired outcome. An
increase of protein in the urine would suggest that the child is worse and not improving from
treatment
A nurse on the neurology unit is monitoring an 8-year-old child admitted with seizures. The child
experiences a prolonged tonic-clonic seizure. -
☑️The nurse should first ensure proper oxygenation
insert an airway into the client's mouth administer intravenous (IV) or intramuscular (IM)
benzodiazepine
A school nurse is called to the school cafeteria after a 13-year-old child is reported to have sudden
difficulty breathing. The child has a history of asthma and allergies to peanuts. The focused nursing
assessment reveals difficulty breathing, inspiratory and expiratory wheezing, swelling of lips, and a
rash on the face. The child reports feeling nauseated, having chest tightness, and feeling faint. -
☑️The nurse should first address the child's wheezing and swelling of lips
Assessment findings, finding indicates folliculitis. -
☑️erythema
Assessment findings, finding indicates impetigo. -
☑️erythema and lymphedema
Assessment findings, finding indicates cellulitis. -
1
, ☑️erythema, pain, swelling, lymphedema and fever
A 15-year-old female adolescent visits the school nurse. The client appears anxious and states they
have been dating a couple of different friends. The client states that they went to a party the other
night and does not remember the entire night. The client states "I woke up and some of my clothes
were missing. Now I have been experiencing some pain when I pee and there is yellow, green
drainage that smells awful." -
☑️The nurse suspects the client has
a sexually transmitted infection
as evidenced by
yellow, green odorous drainage
A nurse on a pediatric unit finds a 3-year-old child unconscious. The child does not respond to
stimuli. The nurse calls a code and starts to perform cardiopulmonary resuscitation (CPR). -
☑️The nurse should first address the child's
airway followed by the child's breathing, then
perfusion
A nurse in a pediatrician's office is educating a parent of a 2-month-old infant about developmental
milestones. -
☑️The parent requires further education when the parent states"My infant should be able
to sit on their own by 3 months.", "I will be able to play games like peek-a-boo with my infant when
they are 4 months old.", and "At 6 months, my baby should be able to feed themselves."
A nurse working in the emergency department (ED) is caring for a newborn brought to the ED for
increased respiratory rate and subcostal retractions. The nurse performs an assessment on the
newborn. Findings include: awake, alert, periods of irritability, subcostal retractions that increase
when crying, cardiac murmur auscultated. Vital signs: temperature 97.8°F (36.5°C); heart rate, 180
beats/min; blood pressures: left arm, 68/43 mm Hg; right arm, 67/40 mm Hg; left leg, 73/38 mm
Hg; right leg, 75/40 mm Hg; respiratory rate, 62 breaths/min; oxygen saturation, 93% on room air. -
☑️The nurse suspects the client is exhibiting signs of
ventricular septal defect (VSD)
as evidenced by blood pressure and decreased oxygen saturation
The parent of a newborn diagnosed with Turner syndrome asks the nurse about the treatment that
will be required for their newborn. -
☑️The nurse should educate the parents on the primary treatments used in the treatment
of Turner syndrome, which includes growth hormone and estrogen therapy
A 9-month-old child is seen in the well clinic. Which of the following behaviors would the nurse
expect to see?
(A) Plays peek-a-boo
(B) Walks independently
(C) Feeds self with a spoon
(D) Stacks 2 blocks together
(E) Transfers objects from hand to hand -
☑️A, E -walks independently at 15 months -feeds self with spoon at 18 months -stacks 2
blocks together at 18 months
2
, The mother of a six-year-old child arrives at the clinic because the child has been experiencing red
and swollen eyes. The nurse notes a discharge from the eyes and sends a culture to the lab.
Chlamydia conjunctivitis is diagnosed. On the basis of this diagnosis, the nurse determines that
which requires further investigation?
(A) Possible trauma to the eye
(B) Possible sexual abuse
(C) Presence of an allergy
(D) Presence of a respiratory infection -
☑️(B) Possible sexual abuse -Chlamydia is sexual transmitted disease. The diagnosis of
chlamydia in a child not sexually active should signal the health care provider to assess the signs of
possible sexual abuse
The school nurse determines a group of young women are in early adolescents based on the
following observation. All of the women:
(A) Have decided on their career path
(B) Are dressed in the same-style clothes and have the same hair style (C) Broke curfew by staying
out late at a party they went to
(D) Brag about drinking beer when their parents were at work -
☑️(B) Peer identity is important at this age
The nurse is watching two siblings, ages 7 and 9 years of age, verbally arguing over a toy. The
nurse has counseled the parents before about how to handle the situation. The nurse should judge
that the teaching has been effective when the parent takes which action?
(A) Tell the siblings to stop arguing and shake hands
(B) Ignores the arguing and continues what she is doing
(C) Tells the children they will be punished when they go home
(D) Says they will not go out to lunch now since they have argued -
☑️(B) The best approach by the mother is not to interfere. The children need to learn
how to solve disagreements on their own. If the parents always intervenes, when the children do not
learn how to do this
The nurse is caring for a newborn with a suspected diagnosis of imperforated anus. Which clinical
manifestation is associated with this defect?
(A) Bile-stained fecal emesis
(B) The passage of current jelly stools (C) Failure to pass meconium stool in the first 24 hours after
birth
(D) Sausage-shaped mass in the upper right quadrant -
☑️(C) This is a defect where incomplete development or absence of the anus
Which drug may be given to newborns to close the patent ductus arteriosus (PDA)? -
☑️Indomethacin (prostaglandin inhibitor)
Which drug may be given to newborns to keep the ductus arteriosus (PDA) open until surgery can
be performed? -
☑️Prostaglandin E
After receiving change of shift report, which patient should you assess first? (A) An 18-month-old
with coarcation of the aorta who has decreased pedal pulses
(B) A 3-year-old with rheumatic fever who reports severe knee pain
(C) A 5-year-old with endocarditis who has crackles throughout both lungs
3
