HESI PEDIATRIC TEST BANK 2025 EXIT ACTUAL
EXAM COMPLETE 250 QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED A+
A newborn has just been delievered via C-Section with a myelomeningocele which was detected pre-
B B B B B B B B B B B B B B
natally via amniocentecic. The child is scheduled to have surgery within the first 48 hours. Which of th
B B B B B B B B B B B B B B B B B
e following nursing actions is appropriate?
B B B B B
A. Place child in semi-fowlers position to decrease pressure on the spinal cord
B B B B B B B B B B B B
B. Apply heat lamp to facilitate drying and toughening of the sac
B B B B B B B B B B B
C. Apply soft restraints to prevent disruption of the sac
B B B B B B B B B
D. Assess head circumference and fontenals for signs of ICP. - ANSWER-D
B B B B B B B B B B B
A child with autism spectrum disorder (ASD) is admitted to the hospital with pneuomonia. The nurse s
B B B B B B B B B B B B B B B B
hould plan which priority intervention when caring for this child?
B B B B B B B B B
A. Maintain a structured routine and keep stimulation to a minimim
B B B B B B B B B B
B. Communicate at child;s level and maintain eye contact
B B B B B B B B
C. Use therapeutic touch to calm child with procedures
B B B B B B B B
D. Switch from one assessment activity to another quickly? - ANSWER-A
B B B B B B B B B B
A child is admitted with acute glomerularnephritis. The nurse would expect the UA during this acute p
B B B B B B B B B B B B B B B B
hase to show which of the following?
B B B B B B
A. Bacteruria, hematuria
B B
B. Hematuria, proteinuria
B B
C. Bacteruria, increase specific gravity
B B B B
D. Proteinuria, decreased specific gravity - ANSWER-B
B B B B B B
A child has been admitted to the pedatric unit with suspected meningitis. The CSF aanalysis reveals th
B B B B B B B B B B B B B B B B
e following: Apperance: Clear, WBC: within normal limits, Protein: within normal limits, Glucose: withi
B B B B B B B B B B B B B
n normal limits, Culture: negative. Based on the results, the nurse suspects that the child has:
B B B B B B B B B B B B B B B
A. Bacertial Meningitis
B B
B. Meningococcal meningitis
B B
C. Viral meningitis
B B
D. Hydrocephalous - ANSWER-C
B B B
,A two year old has had one bout of nephrosis (nephrotic syndrome) His mother suspected a recurrenc
B B B B B B B B B B B B B B B B
e when she observed swelling around his eyes. The nurse helps to confirrm the condition by recognizi
B B B B B B B B B B B B B B B B
ng what additional sympton?
B B B
A. Blood presssure 140/90
B B B
B. Marked proteinuria
B B
C. Tea colored urine
B B B
D. A history of positive strep infections - ANSWER-B
B B B B B B B B
The mother of a 1 month old infant tells the nurse she worries that her baby will get meningitits like h
B B B B B B B B B B B B B B B B B B B B
er oldest son did when he was an infant. The nurse should base her response on which statement?
B B B B B B B B B B B B B B B B B
A. Meningitis rarely occurs during infancy, however after the first year of life, it is more common.
B B B B B B B B B B B B B B B B
B. Often a genetic predisposition to meningitis is found and family members are more likely to get it.
B B B B B B B B B B B B B B B B B
C. Vaccination to prevent all types of meningitits is now avaliable and should be administered at 6 mo
B B B B B B B B B B B B B B B B B
nths.
D. Vaccination to prevent Haemophilus influenzae type B meningitits has decreased the frequency of t
B B B B B B B B B B B B B B
his disease in children. - ANSWER-D
B B B B B
A six week old infant is brought to the pediatricians office for a well-
B B B B B B B B B B B B B
baby visit. During examinations the physcian displaces the femoral head and reduces it back into place
B B B B B B B B B B B B B B B
by manipulation of the thighs and hips. The nurse recognizes that the physcian is assessing:
B B B B B B B B B B B B B B B
A. Barlow and ortalani tests for developmental dysplasia of the hip
B B B B B B B B B B
B. Gower test for developmental dysplasia of the hip
B B B B B B B B
C. Pavlik test for developmental dysplasia of the hip
B B B B B B B B
D. Trendelenburg test for developmental dysplasia of the hip - ANSWER-A
B B B B B B B B B B
A 10 year old is admitted with possible appendicitis. The doctor's history and physical indicates a WBC
B B B B B B B B B B B B B B B B B
count of 17,000, increased segmented neutrophils, decreased lymphocytes, and 6% bands. The patien
B B B B B B B B B B B B
t complains of abdominal pain, localized at Mcberney's point. Which statement most accurately descri
B B B B B B B B B B B B B
bes the data? B B
A. Lab work revels a left shift and pain localized in the right lower quadrant
B B B B B B B B B B B B B B
B. Lab work reveals a right shift and pain localized in the left upper quadrant
B B B B B B B B B B B B B B
C. Lab work reveals normal findings with pain localized in the epigastric area.
B B B B B B B B B B B B
D. Lab work reveals a possible viral infection with pain localized in the left upper quadrant. - ANSWER-
B B B B B B B B B B B B B B B B B
A
, A nurse is caring for a boy with probable intusseception. He had diarrhea before admission but while
B B B B B B B B B B B B B B B B B
waiting for administration of air pressure to reduce the intusseception he produced a normal brown st
B B B B B B B B B B B B B B B
ool. Which nursing action is the most appropriete.
B B B B B B B
A. Notify practitioner
B B
B. Measure abdomnial girth
B B B
C. Auscultate for bowel sounds
B B B B
D. Take vital signs, including blood pressure. - ANSWER-A
B B B B B B B B
The nurse is evaluating a child who is being treated for nephrotic syndrome. Which observation indica
B B B B B B B B B B B B B B B
ted successful treatment of nephrosis?
B B B B
A. Diuresis and weight loss
B B B B
B. improved appetitie and weight gain
B B B B B
C. Increase in urine specific gravity
B B B B B
D. Return of temperature and pulse to normal - ANSWER-A
B B B B B B B B B
A young child is brought to the emergency room with suspected meningitis. Blood work with cultures,
B B B B B B B B B B B B B B B B
a urine specimen with a culture and sensitivity, and the spinal tap were completed in the ER and he is
B B B B B B B B B B B B B B B B B B B B
being admitted to the pedatric unit for continued care. Which of the following is a major priority of nu
B B B B B B B B B B B B B B B B B B
rsing care? B
A. Encourage oral intake of clear liquids. Progress diet as tolerated
B B B B B B B B B B
B. Inititate isolation procedure if warranted after the CSF analysis is completed.
B B B B B B B B B B B
C. Inititate isolation procedire immediatly and administer ordered antibiotics
B B B B B B B B
D. Administer sedatives/analgesic on a prescribed schedule to manage pain. - ANSWER-C
B B B B B B B B B B B
The nurse is caring for a 4-
B B B B B B
year old child immobilized by a fractured leg. Which complication should the nurse monitor related to
B B B B B B B B B B B B B B B B
the childs immobilzation status.
B B B
A. The metabolic rate increases.
B B B B
B. Increased joint mobility leading to contractures
B B B B B B
C. Hypocalcemia due to release of excess calcium
B B B B B B B
D. Venous stasis leading to thrombi or emboli formation. - ANSWER-D
B B B B B B B B B B
EXAM COMPLETE 250 QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED A+
A newborn has just been delievered via C-Section with a myelomeningocele which was detected pre-
B B B B B B B B B B B B B B
natally via amniocentecic. The child is scheduled to have surgery within the first 48 hours. Which of th
B B B B B B B B B B B B B B B B B
e following nursing actions is appropriate?
B B B B B
A. Place child in semi-fowlers position to decrease pressure on the spinal cord
B B B B B B B B B B B B
B. Apply heat lamp to facilitate drying and toughening of the sac
B B B B B B B B B B B
C. Apply soft restraints to prevent disruption of the sac
B B B B B B B B B
D. Assess head circumference and fontenals for signs of ICP. - ANSWER-D
B B B B B B B B B B B
A child with autism spectrum disorder (ASD) is admitted to the hospital with pneuomonia. The nurse s
B B B B B B B B B B B B B B B B
hould plan which priority intervention when caring for this child?
B B B B B B B B B
A. Maintain a structured routine and keep stimulation to a minimim
B B B B B B B B B B
B. Communicate at child;s level and maintain eye contact
B B B B B B B B
C. Use therapeutic touch to calm child with procedures
B B B B B B B B
D. Switch from one assessment activity to another quickly? - ANSWER-A
B B B B B B B B B B
A child is admitted with acute glomerularnephritis. The nurse would expect the UA during this acute p
B B B B B B B B B B B B B B B B
hase to show which of the following?
B B B B B B
A. Bacteruria, hematuria
B B
B. Hematuria, proteinuria
B B
C. Bacteruria, increase specific gravity
B B B B
D. Proteinuria, decreased specific gravity - ANSWER-B
B B B B B B
A child has been admitted to the pedatric unit with suspected meningitis. The CSF aanalysis reveals th
B B B B B B B B B B B B B B B B
e following: Apperance: Clear, WBC: within normal limits, Protein: within normal limits, Glucose: withi
B B B B B B B B B B B B B
n normal limits, Culture: negative. Based on the results, the nurse suspects that the child has:
B B B B B B B B B B B B B B B
A. Bacertial Meningitis
B B
B. Meningococcal meningitis
B B
C. Viral meningitis
B B
D. Hydrocephalous - ANSWER-C
B B B
,A two year old has had one bout of nephrosis (nephrotic syndrome) His mother suspected a recurrenc
B B B B B B B B B B B B B B B B
e when she observed swelling around his eyes. The nurse helps to confirrm the condition by recognizi
B B B B B B B B B B B B B B B B
ng what additional sympton?
B B B
A. Blood presssure 140/90
B B B
B. Marked proteinuria
B B
C. Tea colored urine
B B B
D. A history of positive strep infections - ANSWER-B
B B B B B B B B
The mother of a 1 month old infant tells the nurse she worries that her baby will get meningitits like h
B B B B B B B B B B B B B B B B B B B B
er oldest son did when he was an infant. The nurse should base her response on which statement?
B B B B B B B B B B B B B B B B B
A. Meningitis rarely occurs during infancy, however after the first year of life, it is more common.
B B B B B B B B B B B B B B B B
B. Often a genetic predisposition to meningitis is found and family members are more likely to get it.
B B B B B B B B B B B B B B B B B
C. Vaccination to prevent all types of meningitits is now avaliable and should be administered at 6 mo
B B B B B B B B B B B B B B B B B
nths.
D. Vaccination to prevent Haemophilus influenzae type B meningitits has decreased the frequency of t
B B B B B B B B B B B B B B
his disease in children. - ANSWER-D
B B B B B
A six week old infant is brought to the pediatricians office for a well-
B B B B B B B B B B B B B
baby visit. During examinations the physcian displaces the femoral head and reduces it back into place
B B B B B B B B B B B B B B B
by manipulation of the thighs and hips. The nurse recognizes that the physcian is assessing:
B B B B B B B B B B B B B B B
A. Barlow and ortalani tests for developmental dysplasia of the hip
B B B B B B B B B B
B. Gower test for developmental dysplasia of the hip
B B B B B B B B
C. Pavlik test for developmental dysplasia of the hip
B B B B B B B B
D. Trendelenburg test for developmental dysplasia of the hip - ANSWER-A
B B B B B B B B B B
A 10 year old is admitted with possible appendicitis. The doctor's history and physical indicates a WBC
B B B B B B B B B B B B B B B B B
count of 17,000, increased segmented neutrophils, decreased lymphocytes, and 6% bands. The patien
B B B B B B B B B B B B
t complains of abdominal pain, localized at Mcberney's point. Which statement most accurately descri
B B B B B B B B B B B B B
bes the data? B B
A. Lab work revels a left shift and pain localized in the right lower quadrant
B B B B B B B B B B B B B B
B. Lab work reveals a right shift and pain localized in the left upper quadrant
B B B B B B B B B B B B B B
C. Lab work reveals normal findings with pain localized in the epigastric area.
B B B B B B B B B B B B
D. Lab work reveals a possible viral infection with pain localized in the left upper quadrant. - ANSWER-
B B B B B B B B B B B B B B B B B
A
, A nurse is caring for a boy with probable intusseception. He had diarrhea before admission but while
B B B B B B B B B B B B B B B B B
waiting for administration of air pressure to reduce the intusseception he produced a normal brown st
B B B B B B B B B B B B B B B
ool. Which nursing action is the most appropriete.
B B B B B B B
A. Notify practitioner
B B
B. Measure abdomnial girth
B B B
C. Auscultate for bowel sounds
B B B B
D. Take vital signs, including blood pressure. - ANSWER-A
B B B B B B B B
The nurse is evaluating a child who is being treated for nephrotic syndrome. Which observation indica
B B B B B B B B B B B B B B B
ted successful treatment of nephrosis?
B B B B
A. Diuresis and weight loss
B B B B
B. improved appetitie and weight gain
B B B B B
C. Increase in urine specific gravity
B B B B B
D. Return of temperature and pulse to normal - ANSWER-A
B B B B B B B B B
A young child is brought to the emergency room with suspected meningitis. Blood work with cultures,
B B B B B B B B B B B B B B B B
a urine specimen with a culture and sensitivity, and the spinal tap were completed in the ER and he is
B B B B B B B B B B B B B B B B B B B B
being admitted to the pedatric unit for continued care. Which of the following is a major priority of nu
B B B B B B B B B B B B B B B B B B
rsing care? B
A. Encourage oral intake of clear liquids. Progress diet as tolerated
B B B B B B B B B B
B. Inititate isolation procedure if warranted after the CSF analysis is completed.
B B B B B B B B B B B
C. Inititate isolation procedire immediatly and administer ordered antibiotics
B B B B B B B B
D. Administer sedatives/analgesic on a prescribed schedule to manage pain. - ANSWER-C
B B B B B B B B B B B
The nurse is caring for a 4-
B B B B B B
year old child immobilized by a fractured leg. Which complication should the nurse monitor related to
B B B B B B B B B B B B B B B B
the childs immobilzation status.
B B B
A. The metabolic rate increases.
B B B B
B. Increased joint mobility leading to contractures
B B B B B B
C. Hypocalcemia due to release of excess calcium
B B B B B B B
D. Venous stasis leading to thrombi or emboli formation. - ANSWER-D
B B B B B B B B B B
