Pediatric HESI latest 2025 exam questions and
100% sure answers
The nurse is caring for a 3-year-old child who is 2 hours post-
B B B B B B B B B B B B
op from a cardiac catheterization via the right femoral artery. which assessment finding is an indicatio
B B B B B B B B B B B B B B B
n of arterial obstruction?
B B B
a. Blood pressure trend is downward and pulse is rapid and irregular.
B B B B B B B B B B B
b. Right foot is cool to the touch and appears pale and blanched.
B B B B B B B B B B B B
c. Pulse distal to the femoral artery is weaker on the left foot than right foot.
B B B B B B B B B B B B B B B
d. The pressure dressing at right femoral area is moist and oozing blood. - ANSWER-B
B B B B B B B B B B B B B B
Right foot is cool to the touch and appears pale and blanched
B B B B B B B B B B B
Following a motor vehicle collision, a 3- B B B B B B
year old girl has a spica cast applied. Which toy is best for the nurse for this 3 year old child?
B B B B B B B B B B B B B B B B B B B B
a. duck that squeaks
B B B
b. fashion doll and clothes
B B B B
c. set of cloth and hand puppets
B B B B B B
d. hand held video game - ANSWER-C
B B B B B B
Set of cloth and hand puppets
B B B B B
An infant with tetralogy of Fallot becomes acutely cyanotic and hyperpneic. Which action should the n
B B B B B B B B B B B B B B B
urse implement first?B B
a. administer morphine sulfate
B B B
b. start IV fluids
B B B
c. place the infant knee to chest
B B B B B B
d. provide 100% oxygen via face mask - ANSWER-C
B B B B B B B B
Place the infant knee to chest
B B B B B
A child admitted with DKAA is demonstrating Kussmaul repsirations. The nurse determines that the in
B B B B B B B B B B B B B B
creased respiratory rate is a compensatory mechanism for which acid base alteration?
B B B B B B B B B B B
a. metabolic alkalosis
B B
b. respiratory acidosis
B B
c. respiratory alkalosis
B B
d. metabolic acidosis - ANSWER-D
B B B B
,metabolic acidosis B
a 7-year-
B
old is admitted to the hospital with persistent vomiting, and a nasogastric tube attached to low interm
B B B B B B B B B B B B B B B B
ittent suction is applied. Which finding is most important for the nurse to report to the healthcare pro
B B B B B B B B B B B B B B B B B
vider?
a. gastric output of 100 mL in the last 8 hours
B B B B B B B B B B
b. shift intake of 640 mL iV fluids plus 30 mL PO ice chips
B B B B B B B B B B B B B
c. serum potassium of 3.0 mg/dL
B B B B B
d. serum pH of 7.45 - ANSWER-C
B B B B B B
serum potassium of 3.0 B B B
The nurse is evaluating diet teaching for a client who has nontropical sprue (celiac disease). Choosing
B B B B B B B B B B B B B B B B
which food indicates that the teaching has been effective?
B B B B B B B B
a. creamed corn
B B
b. pancakes
B
c. rye crackers
B B
d. cooked oatmeal - ANSWER-A
B B B B
creamed corn B
During a well- B B
baby check, the nurse hides a block under the baby's blanket, and the baby looks for the block. Which
B B B B B B B B B B B B B B B B B B B
normal growth and development milestone is the baby developing?
B B B B B B B B
a. separation anxiety
B B
b. associative play
B B
c. object prehension
B B
d. object permanence - ANSWER-D
B B B B
object permanence B
The nurse is measuring the frontal occipital circumference (FOC) of a 3-month-
B B B B B B B B B B B
old infant, and notes that the FOC has increased 5 inches since birth and the child's head appears larg
B B B B B B B B B B B B B B B B B B
e in relation to body size. Which action is most important for the nurse to take next?
B B B B B B B B B B B B B B B B
a. measure the infant head-to-toe
B B B B B
b. palpate the anterior fontanel for tension and bulging
B B B B B B B B
, c. observe the infant for sunken eyes
B B B B B B
d. plot the measurement on the infants growth chart - ANSWER-B
B B B B B B B B B B
palpate the anterior fontanel for tension and bulging
B B B B B B B
The nurse is preparing a 10-year-old with a lacerated forehead for suturing. Both parents and 12-year-
B B B B B B B B B B B B B B B
old sibling are at the child's bedside. Which instruction best supports family?
B B B B B B B B B B B
a. while waiting for the healthcare provider, only one visitor may stay with the child
B B B B B B B B B B B B B B
b. all of you should leave while the HCP sutures the kids forehead
B B B B B B B B B B B B
c. it is best if the sibling goes to the waiting room until the suturing is completed
B B B B B B B B B B B B B B B B B
d. please decide who will stay when the HCP begins suturing - ANSWER-D
B B B B B B B B B B B B
please decide who will stay when the HCP begins suturing
B B B B B B B B B
the nurse is planning for a 5-month-
B B B B B B
old with GERD whose weight has decreased by 3 ounces since the last clinic visit one month ago. To in
B B B B B B B B B B B B B B B B B B B
crease caloric intake and decrease vomiting, what instructions should the nurse provide this mother?
B B B B B B B B B B B B B
a. give small amounts of baby food with each feeding
B B B B B B B B B
b. thicken formula with cereal for each feeding
B B B B B B B
c. dilute the child's formula with equal parts of water
B B B B B B B B B
d. offer 10% dextrose in water between most feedings - ANSWER-B
B B B B B B B B B B
thicken formula with cereal for each feeding
B B B B B B
While teaching a parenting class to new parents the nurse describes the needs of infants and toddlers
B B B B B B B B B B B B B B B B B
regarding discipline and limit setting. What is most important reason for implementing such parenting
B B B B B B B B B B B B B
Bbehaviors?
a. children need help in developing social skills
B B B B B B B
b. this age child fears loss of self control
B B B B B B B B
c. they provide the child with a sense of security
B B B B B B B B B
d. children must learn to deal with authority - ANSWER-C
B B B B B B B B B
they provide the child with a sense of security
B B B B B B B B
The parents of a newborn infant with hypospadias are concerned about when the surgical correction s
B B B B B B B B B B B B B B B
hould occur. What information should the nurse provide?
B B B B B B B
a. Repair should be done by one month to prevent bladder infection.
B B B B B B B B B B B
100% sure answers
The nurse is caring for a 3-year-old child who is 2 hours post-
B B B B B B B B B B B B
op from a cardiac catheterization via the right femoral artery. which assessment finding is an indicatio
B B B B B B B B B B B B B B B
n of arterial obstruction?
B B B
a. Blood pressure trend is downward and pulse is rapid and irregular.
B B B B B B B B B B B
b. Right foot is cool to the touch and appears pale and blanched.
B B B B B B B B B B B B
c. Pulse distal to the femoral artery is weaker on the left foot than right foot.
B B B B B B B B B B B B B B B
d. The pressure dressing at right femoral area is moist and oozing blood. - ANSWER-B
B B B B B B B B B B B B B B
Right foot is cool to the touch and appears pale and blanched
B B B B B B B B B B B
Following a motor vehicle collision, a 3- B B B B B B
year old girl has a spica cast applied. Which toy is best for the nurse for this 3 year old child?
B B B B B B B B B B B B B B B B B B B B
a. duck that squeaks
B B B
b. fashion doll and clothes
B B B B
c. set of cloth and hand puppets
B B B B B B
d. hand held video game - ANSWER-C
B B B B B B
Set of cloth and hand puppets
B B B B B
An infant with tetralogy of Fallot becomes acutely cyanotic and hyperpneic. Which action should the n
B B B B B B B B B B B B B B B
urse implement first?B B
a. administer morphine sulfate
B B B
b. start IV fluids
B B B
c. place the infant knee to chest
B B B B B B
d. provide 100% oxygen via face mask - ANSWER-C
B B B B B B B B
Place the infant knee to chest
B B B B B
A child admitted with DKAA is demonstrating Kussmaul repsirations. The nurse determines that the in
B B B B B B B B B B B B B B
creased respiratory rate is a compensatory mechanism for which acid base alteration?
B B B B B B B B B B B
a. metabolic alkalosis
B B
b. respiratory acidosis
B B
c. respiratory alkalosis
B B
d. metabolic acidosis - ANSWER-D
B B B B
,metabolic acidosis B
a 7-year-
B
old is admitted to the hospital with persistent vomiting, and a nasogastric tube attached to low interm
B B B B B B B B B B B B B B B B
ittent suction is applied. Which finding is most important for the nurse to report to the healthcare pro
B B B B B B B B B B B B B B B B B
vider?
a. gastric output of 100 mL in the last 8 hours
B B B B B B B B B B
b. shift intake of 640 mL iV fluids plus 30 mL PO ice chips
B B B B B B B B B B B B B
c. serum potassium of 3.0 mg/dL
B B B B B
d. serum pH of 7.45 - ANSWER-C
B B B B B B
serum potassium of 3.0 B B B
The nurse is evaluating diet teaching for a client who has nontropical sprue (celiac disease). Choosing
B B B B B B B B B B B B B B B B
which food indicates that the teaching has been effective?
B B B B B B B B
a. creamed corn
B B
b. pancakes
B
c. rye crackers
B B
d. cooked oatmeal - ANSWER-A
B B B B
creamed corn B
During a well- B B
baby check, the nurse hides a block under the baby's blanket, and the baby looks for the block. Which
B B B B B B B B B B B B B B B B B B B
normal growth and development milestone is the baby developing?
B B B B B B B B
a. separation anxiety
B B
b. associative play
B B
c. object prehension
B B
d. object permanence - ANSWER-D
B B B B
object permanence B
The nurse is measuring the frontal occipital circumference (FOC) of a 3-month-
B B B B B B B B B B B
old infant, and notes that the FOC has increased 5 inches since birth and the child's head appears larg
B B B B B B B B B B B B B B B B B B
e in relation to body size. Which action is most important for the nurse to take next?
B B B B B B B B B B B B B B B B
a. measure the infant head-to-toe
B B B B B
b. palpate the anterior fontanel for tension and bulging
B B B B B B B B
, c. observe the infant for sunken eyes
B B B B B B
d. plot the measurement on the infants growth chart - ANSWER-B
B B B B B B B B B B
palpate the anterior fontanel for tension and bulging
B B B B B B B
The nurse is preparing a 10-year-old with a lacerated forehead for suturing. Both parents and 12-year-
B B B B B B B B B B B B B B B
old sibling are at the child's bedside. Which instruction best supports family?
B B B B B B B B B B B
a. while waiting for the healthcare provider, only one visitor may stay with the child
B B B B B B B B B B B B B B
b. all of you should leave while the HCP sutures the kids forehead
B B B B B B B B B B B B
c. it is best if the sibling goes to the waiting room until the suturing is completed
B B B B B B B B B B B B B B B B B
d. please decide who will stay when the HCP begins suturing - ANSWER-D
B B B B B B B B B B B B
please decide who will stay when the HCP begins suturing
B B B B B B B B B
the nurse is planning for a 5-month-
B B B B B B
old with GERD whose weight has decreased by 3 ounces since the last clinic visit one month ago. To in
B B B B B B B B B B B B B B B B B B B
crease caloric intake and decrease vomiting, what instructions should the nurse provide this mother?
B B B B B B B B B B B B B
a. give small amounts of baby food with each feeding
B B B B B B B B B
b. thicken formula with cereal for each feeding
B B B B B B B
c. dilute the child's formula with equal parts of water
B B B B B B B B B
d. offer 10% dextrose in water between most feedings - ANSWER-B
B B B B B B B B B B
thicken formula with cereal for each feeding
B B B B B B
While teaching a parenting class to new parents the nurse describes the needs of infants and toddlers
B B B B B B B B B B B B B B B B B
regarding discipline and limit setting. What is most important reason for implementing such parenting
B B B B B B B B B B B B B
Bbehaviors?
a. children need help in developing social skills
B B B B B B B
b. this age child fears loss of self control
B B B B B B B B
c. they provide the child with a sense of security
B B B B B B B B B
d. children must learn to deal with authority - ANSWER-C
B B B B B B B B B
they provide the child with a sense of security
B B B B B B B B
The parents of a newborn infant with hypospadias are concerned about when the surgical correction s
B B B B B B B B B B B B B B B
hould occur. What information should the nurse provide?
B B B B B B B
a. Repair should be done by one month to prevent bladder infection.
B B B B B B B B B B B
