PEDS HESI NEWEST 2024 ACTUAL EXAM TEST BANK COMPLETE 450 QUESTIONS AND CORRECT DETAILED
ANSWERS
The nurse is caring for a 3-year old child who is 2 hours postop from a cardiac catheterization via the
right femoral artery. Which assessment finding is an indication of arterial obstruction?
A. Blood pressure trend is downward and pulse is rapid and irregular.
B. Right foot is cool to the touch and appears pale and blanched.
C. Pulse distal to the femoral artery is weaker on the left foot than right foot.
D. The pressure dressing at right femoral area is moist and oozing blood. - (answer) B. Right foot is cool
to the touch and appears pale and blanched.
Following a motor vehicle collision, a 3-year old girl has a spica cast applied. Which toy is best for the
nurse for this 3 year old child?
A. Duck that squeaks.
B. Fashion doll and clothes. C. Set of cloth and hand puppets.
D. Hand held video game. - (answer) C. Set of cloth and hand puppets.
An infant with tetralogy of Fallot becomes acutely cyanotic and hyperpneic. Which action should the
nurse implement first?
A. Administer morphine sulphate.
B. Start IV fluids.
C. Place the infant in a knee-chest position.
D. Provide 100% oxygen by face mask. - (answer) C. Place the infant in a knee-chest position.
A child admitted with diabetic ketoacidosis is demonstrating Kussmaul respirations. The nurse
determines that the increased respiratory rate is a compensatory mechanism for which acid base
alteration?
A. Metabolic alkalosis.
B. Respiratory acidosis.
C. Respiratory alkalosis.
D. Metabolic acidosis. - (answer) D. Metabolic acidosis.
,PEDS HESI NEWEST 2024 ACTUAL EXAM TEST BANK COMPLETE 450 QUESTIONS AND CORRECT DETAILED
ANSWERS
7 years old is admitted to the hospital with persistent vomiting, and a nasogastric tube attached to low
intermittent suction is applied. Which finding is most important for the nurse to report to the healthcare
provider?
A. Gastric output of 100 mL in the last 8 hours.
B. Shift intake of 640 mL IV fluids plus 30 mL PO ice chips.
C. Serum potassium of 3.0 mg/dL.
D. Serum pH of 7.45 - (answer) C. Serum potassium of 3.0 mg/dL.
The nurse is evaluating diet teaching for a client who has nontropical sprue (celiac disease). Choosing
which food indicates that the teaching has been effective?
A. Creamed corn
B. Pancakes.
C. Rye crackers.
D. Cooked oatmeal. - (answer) A. Creamed corn
During a well-baby check, the nurse hides a block under the baby's blanket, and the baby looks for the
block. Which normal growth and development milestone is the baby developing?
A. Separation anxiety.
B. Associative play.
C. Object prehension.
D. Object permanence. - (answer) D. Object permanence.
The nurse is measuring the frontal occipital circumference (FOC) of a 3-months old
infant, and notes that the FOC has increased 5 inches since birth and the child's head
appears large in relation to body size. Which action is most important for the nurse to
take next?
A. Measure the infant's head-to-toe length.
B. Palpate the anterior fontanel for tension and bulging.
C. Observe the infant for sunken eyes.
, PEDS HESI NEWEST 2024 ACTUAL EXAM TEST BANK COMPLETE 450 QUESTIONS AND CORRECT DETAILED
ANSWERS
D. Plot the measurement on the infant's growth chart. - (answer) B. Palpate the anterior fontanel for
tension and bulging.
The nurse is preparing a 10 year old with a lacerated forehead for suturing. Both
parents and 12 year old sibling are at the child's bedside. Which instruction best
supports family?
A. While waiting for the healthcare provider, only one visitor may stay with the child.
B. All of you should leave while the healthcare provider sutures the child's forehead.
C. It is best if the sibling goes to the waiting room until the suturing is completed.
D. Please decide who will stay when the healthcare provider begins suturing. - (answer) D. Please
decide who will stay when the healthcare provider begins suturing.
The nurse is planning for a 5-month old with gastroesophageal reflux disease whose
weight has decreased by 3 ounces since the last clinic visit one month ago. To increase
caloric intake and decrease vomiting, what instructions should the nurse provide this
mother?
A. Give small amounts of baby food with each feeding.
B. Thicken formula with cereal for each feeding.
C. Dilute the childs formula with equal parts of water.
D. Offer 10 % dextrose in water between most feedings. - (answer) B. Thicken formula with cereal for
each feeding.
While teaching a parenting class to new parents the nurse describes the needs of
infants and toddlers regarding discipline and limit setting. What is the most important
reason for implementing such parenting behaviors?
A. Children need help in developing social skills.
B. This age child fears loss of self control.
C. They provide the child with a sense of security.
ANSWERS
The nurse is caring for a 3-year old child who is 2 hours postop from a cardiac catheterization via the
right femoral artery. Which assessment finding is an indication of arterial obstruction?
A. Blood pressure trend is downward and pulse is rapid and irregular.
B. Right foot is cool to the touch and appears pale and blanched.
C. Pulse distal to the femoral artery is weaker on the left foot than right foot.
D. The pressure dressing at right femoral area is moist and oozing blood. - (answer) B. Right foot is cool
to the touch and appears pale and blanched.
Following a motor vehicle collision, a 3-year old girl has a spica cast applied. Which toy is best for the
nurse for this 3 year old child?
A. Duck that squeaks.
B. Fashion doll and clothes. C. Set of cloth and hand puppets.
D. Hand held video game. - (answer) C. Set of cloth and hand puppets.
An infant with tetralogy of Fallot becomes acutely cyanotic and hyperpneic. Which action should the
nurse implement first?
A. Administer morphine sulphate.
B. Start IV fluids.
C. Place the infant in a knee-chest position.
D. Provide 100% oxygen by face mask. - (answer) C. Place the infant in a knee-chest position.
A child admitted with diabetic ketoacidosis is demonstrating Kussmaul respirations. The nurse
determines that the increased respiratory rate is a compensatory mechanism for which acid base
alteration?
A. Metabolic alkalosis.
B. Respiratory acidosis.
C. Respiratory alkalosis.
D. Metabolic acidosis. - (answer) D. Metabolic acidosis.
,PEDS HESI NEWEST 2024 ACTUAL EXAM TEST BANK COMPLETE 450 QUESTIONS AND CORRECT DETAILED
ANSWERS
7 years old is admitted to the hospital with persistent vomiting, and a nasogastric tube attached to low
intermittent suction is applied. Which finding is most important for the nurse to report to the healthcare
provider?
A. Gastric output of 100 mL in the last 8 hours.
B. Shift intake of 640 mL IV fluids plus 30 mL PO ice chips.
C. Serum potassium of 3.0 mg/dL.
D. Serum pH of 7.45 - (answer) C. Serum potassium of 3.0 mg/dL.
The nurse is evaluating diet teaching for a client who has nontropical sprue (celiac disease). Choosing
which food indicates that the teaching has been effective?
A. Creamed corn
B. Pancakes.
C. Rye crackers.
D. Cooked oatmeal. - (answer) A. Creamed corn
During a well-baby check, the nurse hides a block under the baby's blanket, and the baby looks for the
block. Which normal growth and development milestone is the baby developing?
A. Separation anxiety.
B. Associative play.
C. Object prehension.
D. Object permanence. - (answer) D. Object permanence.
The nurse is measuring the frontal occipital circumference (FOC) of a 3-months old
infant, and notes that the FOC has increased 5 inches since birth and the child's head
appears large in relation to body size. Which action is most important for the nurse to
take next?
A. Measure the infant's head-to-toe length.
B. Palpate the anterior fontanel for tension and bulging.
C. Observe the infant for sunken eyes.
, PEDS HESI NEWEST 2024 ACTUAL EXAM TEST BANK COMPLETE 450 QUESTIONS AND CORRECT DETAILED
ANSWERS
D. Plot the measurement on the infant's growth chart. - (answer) B. Palpate the anterior fontanel for
tension and bulging.
The nurse is preparing a 10 year old with a lacerated forehead for suturing. Both
parents and 12 year old sibling are at the child's bedside. Which instruction best
supports family?
A. While waiting for the healthcare provider, only one visitor may stay with the child.
B. All of you should leave while the healthcare provider sutures the child's forehead.
C. It is best if the sibling goes to the waiting room until the suturing is completed.
D. Please decide who will stay when the healthcare provider begins suturing. - (answer) D. Please
decide who will stay when the healthcare provider begins suturing.
The nurse is planning for a 5-month old with gastroesophageal reflux disease whose
weight has decreased by 3 ounces since the last clinic visit one month ago. To increase
caloric intake and decrease vomiting, what instructions should the nurse provide this
mother?
A. Give small amounts of baby food with each feeding.
B. Thicken formula with cereal for each feeding.
C. Dilute the childs formula with equal parts of water.
D. Offer 10 % dextrose in water between most feedings. - (answer) B. Thicken formula with cereal for
each feeding.
While teaching a parenting class to new parents the nurse describes the needs of
infants and toddlers regarding discipline and limit setting. What is the most important
reason for implementing such parenting behaviors?
A. Children need help in developing social skills.
B. This age child fears loss of self control.
C. They provide the child with a sense of security.
