PEDS HESI practice test questions
WITH Answers 100% Pass
The nurse is assessing a 2-year-old. What behavior indicates that the child's
language development is within normal limits? - ANSWER-Half of child's speech
is understandable.
Rationale:
Between approximately 15 and 24 months of age, a child's speech is only half
understandable. A child can begin counting and name colors usually between 3 and
5 years of age. And a child is capable of two - four word sentences between 18
months to 24 months of age.
As part of the physical assessment of children, the nurse observes and palpates the
fontanels. Which child's fontanel finding should be reported to the healthcare
provider? - ANSWER-A 6-month-old with failure to thrive that has a closed
anterior fontanel.
Rationale:
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,At six months of age the anterior fontanel should be open, and it should not be
closed until approximately 18 months of age. Premature closure of the fontanels is
a condition called "craniosynostosis". The only treatment for this condition is
surgery to reopen the fontanels, to allow and accommodate the infant's growing
brain, otherwise if not surgical corrected, the infant will suffer severe neurological
damage.
The nurse must prevent a 2-year-old with severe eczema on the face, neck, and
scalp from scratching the affected areas. Which nursing intervention is most
effective in preventing further excoriation due to the pruritis? - ANSWER-Place
elbow restraints on the child's arms.
Rationale:
Elbow restraints prevent arm flexion and the ability to reach to scratch the
involved areas, but do not inhibit use of the hands for play activities.
The nurse observes a 4-year-old boy in a daycare setting. Which behavior should
the nurse consider normal for this child? - ANSWER-Demonstrates aggressiveness
by boasting when telling a story.
Rationale:
Four-year-old children are aggressive in their behavior and enjoy "tale telling"
©️COPYRIGHT 2025, ALL RIGHTS RESERVED. 2
,The clinic nurse is taking the history for a new 6-month-old client. The mother
reports that she took a great deal of aspirin while pregnant. Which assessment
should the nurse obtain? - ANSWER-Type of reaction to loud noises.
Rationale:
Ototoxicity diminishes hearing acuity and causes symptoms of tinnitus and vertigo
in older children who can express subjective symptoms, so assessing an infant's
reaction to loud noises helps to determine an infant's risk for a hearing deficit
related to a history of the mother taking an ototoxic drug, such as aspirin, while
pregnant.
When evaluating the effectiveness of interventions to improve the nutritional
status of an infant with gastro-esophageal reflux, which intervention is most
important for the nurse to implement? - ANSWER-Record weight daily.
Rationale:
The most definitive measure of improved nutrition in an infant is obtaining the
infant's daily weight at the same time and ideally using the same scale and the
infant fully naked.
©️COPYRIGHT 2025, ALL RIGHTS RESERVED. 3
, When taking the health history of a child, the nurse knows that which finding is an
early indication of hypothyroidism in children? - ANSWER-Cessation of growth in
a child that had been normal.
Rationale:
Since the thyroid gland is responsible for metabolism, cessation of growth which
was previously within normal range, is the most common sign for hypothyroidism
in children.
Which measurements should be used to accurately calculate a pediatric medication
dosage? (Select all that apply.) - ANSWER-1. Child's height and weight.
2. Nomogram determined mathematical constant.
Rationale:
The most accurate calculations of pediatric dosages use the child's height and
weight. The child's BSA is calculated using the square root of weight in kg times
height in cm divided by 3600 or the square root of weight in pounds times height
in inches divided by 3131, then the child's BSA is multiplied by the recommended
published dose per BSA. The nomogram is used to plot the child's height and
weight, and the point at which they intersect is the BSA mathematical constant
used to calculate the child's dose.
©️COPYRIGHT 2025, ALL RIGHTS RESERVED. 4
WITH Answers 100% Pass
The nurse is assessing a 2-year-old. What behavior indicates that the child's
language development is within normal limits? - ANSWER-Half of child's speech
is understandable.
Rationale:
Between approximately 15 and 24 months of age, a child's speech is only half
understandable. A child can begin counting and name colors usually between 3 and
5 years of age. And a child is capable of two - four word sentences between 18
months to 24 months of age.
As part of the physical assessment of children, the nurse observes and palpates the
fontanels. Which child's fontanel finding should be reported to the healthcare
provider? - ANSWER-A 6-month-old with failure to thrive that has a closed
anterior fontanel.
Rationale:
©️COPYRIGHT 2025, ALL RIGHTS RESERVED. 1
,At six months of age the anterior fontanel should be open, and it should not be
closed until approximately 18 months of age. Premature closure of the fontanels is
a condition called "craniosynostosis". The only treatment for this condition is
surgery to reopen the fontanels, to allow and accommodate the infant's growing
brain, otherwise if not surgical corrected, the infant will suffer severe neurological
damage.
The nurse must prevent a 2-year-old with severe eczema on the face, neck, and
scalp from scratching the affected areas. Which nursing intervention is most
effective in preventing further excoriation due to the pruritis? - ANSWER-Place
elbow restraints on the child's arms.
Rationale:
Elbow restraints prevent arm flexion and the ability to reach to scratch the
involved areas, but do not inhibit use of the hands for play activities.
The nurse observes a 4-year-old boy in a daycare setting. Which behavior should
the nurse consider normal for this child? - ANSWER-Demonstrates aggressiveness
by boasting when telling a story.
Rationale:
Four-year-old children are aggressive in their behavior and enjoy "tale telling"
©️COPYRIGHT 2025, ALL RIGHTS RESERVED. 2
,The clinic nurse is taking the history for a new 6-month-old client. The mother
reports that she took a great deal of aspirin while pregnant. Which assessment
should the nurse obtain? - ANSWER-Type of reaction to loud noises.
Rationale:
Ototoxicity diminishes hearing acuity and causes symptoms of tinnitus and vertigo
in older children who can express subjective symptoms, so assessing an infant's
reaction to loud noises helps to determine an infant's risk for a hearing deficit
related to a history of the mother taking an ototoxic drug, such as aspirin, while
pregnant.
When evaluating the effectiveness of interventions to improve the nutritional
status of an infant with gastro-esophageal reflux, which intervention is most
important for the nurse to implement? - ANSWER-Record weight daily.
Rationale:
The most definitive measure of improved nutrition in an infant is obtaining the
infant's daily weight at the same time and ideally using the same scale and the
infant fully naked.
©️COPYRIGHT 2025, ALL RIGHTS RESERVED. 3
, When taking the health history of a child, the nurse knows that which finding is an
early indication of hypothyroidism in children? - ANSWER-Cessation of growth in
a child that had been normal.
Rationale:
Since the thyroid gland is responsible for metabolism, cessation of growth which
was previously within normal range, is the most common sign for hypothyroidism
in children.
Which measurements should be used to accurately calculate a pediatric medication
dosage? (Select all that apply.) - ANSWER-1. Child's height and weight.
2. Nomogram determined mathematical constant.
Rationale:
The most accurate calculations of pediatric dosages use the child's height and
weight. The child's BSA is calculated using the square root of weight in kg times
height in cm divided by 3600 or the square root of weight in pounds times height
in inches divided by 3131, then the child's BSA is multiplied by the recommended
published dose per BSA. The nomogram is used to plot the child's height and
weight, and the point at which they intersect is the BSA mathematical constant
used to calculate the child's dose.
©️COPYRIGHT 2025, ALL RIGHTS RESERVED. 4
