HESI PEDIATRIC EXAM (2025/2026) LATEST
|COMPLETE QUESTIONS AND VERIFIED ANSWERS
(GRADED A+) DETAILED ANSWERS!!
The nurse is planning postoperative care for a child who has had a cleft lip repair.
What is the most important reason to minimize this child's crying during the
recovery period?
A. Tear formation increases salivation.
B. This behavior increases respirations.
C. Excessive hysteria can lead to vomiting.
D. Crying stresses the suture line - (ANSWER)D. Crying stresses the suture line
Rationale:
Prevention of stress on the lip suture line is essential for optimum healing and the
cosmetic appearance of a cleft lip repair.
An infant is receiving digoxin for congestive heart failure. The apical heart rate is
assessed at 80 beats/min. What intervention should the nurse implement?
A. Call for a portable chest radiograph.
B. Obtain a therapeutic drug level.
C. Reassess the heart rate in 30 minutes.
D. Administer digoxin immune Fab stat. - (ANSWER)B. Obtain a therapeutic drug
level.
Rationale:
,Sinus bradycardia (heart rate <90 to 110 beats/min in an infant) is an indication of
digoxin toxicity, so assessment of the client's digoxin level has the highest priority
The nurse admits a child to the intensive care unit with a possible diagnosis of
Wilms tumor - What is the most safety precaution for child?
A. maintain NPO status
B. Limit visitors to the immediate family
C. Place a do not palpate abdomen sign on head of bed
D. Encourage ambulation in the pre-operative period - (ANSWER)C. Place a do
not palpate abdomen sign on head of bed
Rationale:
Protect child from injury; place a sign on bed stating "no abdominal palpation" (to
prevent accidental fragmentation and dislodging into the abdominal cavity).
The nurse is preparing a teaching plan for the mother of a child who has been
diagnosed with celiac disease. Choosing which lunch will be within the
therapeutic management of a child with celiac disease?
A. Turkey salad, milk, and oatmeal cookies
B. Baked chicken, coleslaw, soda, and frozen fruit dessert
C. Tuna salad sandwich on whole wheat bread, milk, and ice cream
D. Turkey sandwich on rye bread, orange juice, and fresh fruit - (ANSWER)B.
Baked chicken, coleslaw, soda, and frozen fruit dessert
, Rationale:
A child with celiac disease is managed on a gluten-free diet, which eliminates food
products containing oats, wheat, rye, or barley.
A 6-month-old male infant is admitted to the postanesthesia care unit with elbow
restraints in place. He has an endotracheal tube and is ventilator-dependent but
will be extubated soon following recovery from anesthesia. Which nursing
intervention should be included in this child's plan of care?
A. Keep restraints on at all times to prevent unplanned extubation.
B. Remove restraints one at a time and provide range-of-motion exercises. C.
Remove all restraints simultaneously and provide play activities.
D. Document the reason for application of the restraints every 72 hours. -
(ANSWER)B. Remove restraints one at a time and provide range-of-motion
Rationale:
Removing restraints one at a time is safer than option C. The infant should have
the restrained extremities assessed frequently for signs of neurologic or vascular
impairment, and range-of-motion exercises should be performed with these
assessments. Under no circumstances should restraints be applied to the client
continuously. Documentation of assessment findings regarding the restrained
extremities must occur much more frequently than every 72 hours; however, the
reason for using restraints must be justified and should be stated in the medical
record
The nurse assigns an unlicensed assistive personnel (UAP) to provide morning
care to a newly admitted child with bacterial meningitis. What is the most
important instruction for the nurse to review with the UAP?
|COMPLETE QUESTIONS AND VERIFIED ANSWERS
(GRADED A+) DETAILED ANSWERS!!
The nurse is planning postoperative care for a child who has had a cleft lip repair.
What is the most important reason to minimize this child's crying during the
recovery period?
A. Tear formation increases salivation.
B. This behavior increases respirations.
C. Excessive hysteria can lead to vomiting.
D. Crying stresses the suture line - (ANSWER)D. Crying stresses the suture line
Rationale:
Prevention of stress on the lip suture line is essential for optimum healing and the
cosmetic appearance of a cleft lip repair.
An infant is receiving digoxin for congestive heart failure. The apical heart rate is
assessed at 80 beats/min. What intervention should the nurse implement?
A. Call for a portable chest radiograph.
B. Obtain a therapeutic drug level.
C. Reassess the heart rate in 30 minutes.
D. Administer digoxin immune Fab stat. - (ANSWER)B. Obtain a therapeutic drug
level.
Rationale:
,Sinus bradycardia (heart rate <90 to 110 beats/min in an infant) is an indication of
digoxin toxicity, so assessment of the client's digoxin level has the highest priority
The nurse admits a child to the intensive care unit with a possible diagnosis of
Wilms tumor - What is the most safety precaution for child?
A. maintain NPO status
B. Limit visitors to the immediate family
C. Place a do not palpate abdomen sign on head of bed
D. Encourage ambulation in the pre-operative period - (ANSWER)C. Place a do
not palpate abdomen sign on head of bed
Rationale:
Protect child from injury; place a sign on bed stating "no abdominal palpation" (to
prevent accidental fragmentation and dislodging into the abdominal cavity).
The nurse is preparing a teaching plan for the mother of a child who has been
diagnosed with celiac disease. Choosing which lunch will be within the
therapeutic management of a child with celiac disease?
A. Turkey salad, milk, and oatmeal cookies
B. Baked chicken, coleslaw, soda, and frozen fruit dessert
C. Tuna salad sandwich on whole wheat bread, milk, and ice cream
D. Turkey sandwich on rye bread, orange juice, and fresh fruit - (ANSWER)B.
Baked chicken, coleslaw, soda, and frozen fruit dessert
, Rationale:
A child with celiac disease is managed on a gluten-free diet, which eliminates food
products containing oats, wheat, rye, or barley.
A 6-month-old male infant is admitted to the postanesthesia care unit with elbow
restraints in place. He has an endotracheal tube and is ventilator-dependent but
will be extubated soon following recovery from anesthesia. Which nursing
intervention should be included in this child's plan of care?
A. Keep restraints on at all times to prevent unplanned extubation.
B. Remove restraints one at a time and provide range-of-motion exercises. C.
Remove all restraints simultaneously and provide play activities.
D. Document the reason for application of the restraints every 72 hours. -
(ANSWER)B. Remove restraints one at a time and provide range-of-motion
Rationale:
Removing restraints one at a time is safer than option C. The infant should have
the restrained extremities assessed frequently for signs of neurologic or vascular
impairment, and range-of-motion exercises should be performed with these
assessments. Under no circumstances should restraints be applied to the client
continuously. Documentation of assessment findings regarding the restrained
extremities must occur much more frequently than every 72 hours; however, the
reason for using restraints must be justified and should be stated in the medical
record
The nurse assigns an unlicensed assistive personnel (UAP) to provide morning
care to a newly admitted child with bacterial meningitis. What is the most
important instruction for the nurse to review with the UAP?
