TEST BANKS FOR HESI PEDIATRIC PRACTICE EXAM QUESTIONS AND ANSWERS | 100% CORRECT |A+ |LATEST 2025/2026

TEST BANKS FOR HESI PEDIATRIC PRACTICE
EXAM QUESTIONS AND ANSWERS | 100%
CORRECT |A+ |LATEST 2025/2026
The nurse is giving pre-
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op instructions to a 14 yr old female scheduled for surgery to correct a spinal curvature. Which stmt b
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est demonstrates that leaning has taken place? - ANSWER-
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"I understand that I will be in a body cast and I will show you how you taught me to turn"
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To take the v/s of a 4 month old, which ordered will give the most accurate results? - ANSWER-RR -
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HR - rectal temp
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During routine screening at a school clinic, an otoscope exam reveals a tympanic mb that is pearly gray
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, slightly bulging, and not movable. What action should the nurse take next? - ANSWER-
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Ask the child if they have had a cold, runny nose, or any ear pain lately
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Which restraint should be used for a toddler after a cleft palate repair? - ANSWER-Elbow
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What pre-op nsg intervention should be included in the POC for an infant w/ pyloric stenosis? -
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ANSWER-Observe for projectile vomiting
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(remember that projectile vomiting leads to metabolic alkalosis)B B B B B B B




A 6 month old returns from surgery w/ elbow restraints in place. What nsg care should be included wh
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en caring for any restrained child? - ANSWER-
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Remove the restraints one at a time and provide ROM exercises
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(Removing them 1 at a time is safer than all at once) B B B B B B B B B B B




A 2 yr old w/ Down syndrome is brought to the clinic for his regular physical exam. The nurse knows w
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hich problem is requently associated w/ Downs? - ANSWER-Congenital heart disease
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(CHD is the most common associated defect w/ Downs. -
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Balso, remember Professor Moore said that heart and ear problems go hand in hand)
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,When assessing a child w/ asthma, the nurse should expect intercostal retractions during - ANSWER-
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Inspriation



When planning the care for a child who has had a cleft lip repair, the nurse know that crying should be
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minimized because it - ANSWER-Stresses the suture line
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A full-
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term infant is admitted to the newborn nursery. After careful assessment, the nurse suspects that the
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infant may have an esophageal atresia. Which sx's is this newborn likely to have exhibited? - ANSWER-
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Choking , coughing, and cyanosis B B B B




(this answer includes the 3 "C"s of esophageal atresia caused by the overflow of secretions to the trac
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hea)



Which behavior would the nurse expect a 2 yr old to exhibit? - ANSWER-Display possessiveness of toys
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(they are egocentric and unable to share w/ others)
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the other of a preschool-
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aged child asks the nurse if it is all right to administer Pepto Bismol to her son when he has a tummy a
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che. After reminding her to check the label of all OTC meds for the presence of ASA, which instruction
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should the nurse include when replying to the mom's question? - ANSWER-
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Do not give if they have chicken pox, the flue, or any other viral illness
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(ASA can cause Reye's syndrome)
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the nurse observes a 4 yr old boy in a daycare. Which behavior should the nurse consider normal for t
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his child? - ANSWER-Demonstrates aggressiveness by boasting when telling a story
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A burned child is brought to the ER. In estimating the % of body burned, the nurse uses a modified "Ru
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le of Nines." Which part of the body is calculated as a larger % of total body surface than an adult? -
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BANSWER-Head and neck B B




(a child's head and neck are proportionately larger to their body than an adult's)
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, The nurse receives a lab report stating a child w/ asthma has a theophylline level of 15mcg/dL. What a
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ction will the nurse take? - ANSWER-Pass the info on in the report
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(therapeutic level is 10-20) B B B




A 12 month old is admitted w/ a respiratory infection and possible pneumonia. He is placed in a mist t
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ent w/ O2. Which nsg intervention has the greatest priority? - ANSWER-
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Have a bulb syringe readily available to remove secretions
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(patent airway has the highest priority. Humidification will liquefy the nasal secretions -
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Bthereby increasing the amt of secretions and making that a priority)
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All of the following interventions can be used to eval the effectiveness of nsg and medical intervention
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s used to tx diarrhea. Which intervention is the least useful in the nurse's eval of a 20 month old child?
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- ANSWER-Assessing the fontanels
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(Weighing diapers, checking skin turgor, and observing mucous mb's for moisture evaluate fluid status
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Bin infants. But how old is this child? Posterior fontanel closes at 2 months and anterior closes by 18 m
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onths)



A 5 month old is admitted to the hospital w/ vomiting and diarrhea. The dr. prescribes dextrose 5% an
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d 0.25% NS w/ 2 mEq KCl/ 100ml to be infused at 25mL/hr. Prior to initiating the infusion, the nurse sh
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ould obtain which assessment finding? - ANSWER-Serum BUN and creatinine levels
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(Regardless of the age, adequate renal fxn must be present b/f adding K+ IVF)
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The nurse is assigning care for a 4 yr old w/ otitis media and is concerned about the child's increasing t
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emp over the last 24 hrs. When planning care for this child, it is important for the nurse to consider th
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at - ANSWER-a tympanic measurement of temp will provide the most accurate reading
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(A tympanic mb sensor is an excellent site because both the eardrum and hypothalamus (temp regula
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ting center) are perfused by the same circulation. the sensor is unaffected by the cerumen and the pre
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sence of suppurative or unsuppurative otitis media does not effect measurement. RULE OF THUMB: f
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or mgmt -
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sterile procedures should be assigned to licensed personnel. Mgmg skills be be tested on the NCLEX. A
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n RN is not required)
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