PEDS Hesi final EXAM (2025) QUESTIONS AND
(elaborated) WITH COMPLETE SOLUTIONS
The nurse is caring for a 3 year old child who is 2 hours postop from a cardiac
catheritization via the right femoral artery. Which assessment finding is an
indication of arterial obstruction? - (ANSWER)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? - (ANSWER)Set of cloth
and hand puppets
An infant with tetralogy of fallot becomes acutely cyanotic and hyperpneic. Which
action should the nurse implement first? - (ANSWER)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? - (ANSWER)Metabolic
Acidoses
A 7 year 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? - (ANSWER)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? -
(ANSWER)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? - (ANSWER)Object Permanence
The nurse is measuring he frontal occipital circumference (FOC) of a 3 month 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? - (ANSWER)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 years old sibling are at the child's bedside. Which instruction best
supports family? - (ANSWER)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? - (ANSWER)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
(elaborated) WITH COMPLETE SOLUTIONS
The nurse is caring for a 3 year old child who is 2 hours postop from a cardiac
catheritization via the right femoral artery. Which assessment finding is an
indication of arterial obstruction? - (ANSWER)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? - (ANSWER)Set of cloth
and hand puppets
An infant with tetralogy of fallot becomes acutely cyanotic and hyperpneic. Which
action should the nurse implement first? - (ANSWER)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? - (ANSWER)Metabolic
Acidoses
A 7 year 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? - (ANSWER)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? -
(ANSWER)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? - (ANSWER)Object Permanence
The nurse is measuring he frontal occipital circumference (FOC) of a 3 month 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? - (ANSWER)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 years old sibling are at the child's bedside. Which instruction best
supports family? - (ANSWER)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? - (ANSWER)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
