HESI Pediatric Practice Exam with
Answers
A 9-month-old child is seen in the well clinic. Which of the following behaviors would the nurse
expect to see? SATA
(A) Plays peek-a-boo
(B) Walks independently
(C) Feeds self with a spoon
(D) Stacks 2 blocks together
(E) Transfers objects from hand to hand - ✔✔A, E
-walks independently at 15 months
-feeds self with spoon at 18 months
-stacks 2 blocks together at 18 months
The mother of a six-year-old child arrives at the clinic because the child has been experiencing
red and swollen eyes. The nurse notes a discharge from the eyes and sends a culture to the lab.
Chlamydia conjunctivitis is diagnosed. On the basis of this diagnosis, the nurse determines that
which requires further investigation?
(A) Possible trauma to the eye
(B) Possible sexual abuse
(C) Presence of an allergy
(D) Presence of a respiratory infection - ✔✔(B) Possible sexual abuse
-Chlamydia is sexual transmitted disease. The diagnosis of chlamydia in a child not sexually
active should signal the health care provider to assess the signs of possible sexual abuse
The school nurse determines a group of young women are in early adolescents based on the
following observation. All of the women:
(A) Have decided on their career path
(B) Are dressed in the same-style clothes and have the same hair style
, (C) Broke curfew by staying out late at a party they went to
(D) Brag about drinking beer when their parents were at work - ✔✔(B) Peer identity is
important at this age
The nurse is watching two siblings, ages 7 and 9 years of age, verbally arguing over a toy. The
nurse has counseled the parents before about how to handle the situation. The nurse should
judge that the teaching has been effective when the parent takes which action?
(A) Tell the siblings to stop arguing and shake hands
(B) Ignores the arguing and continues what she is doing
(C) Tells the children they will be punished when they go home
(D) Says they will not go out to lunch now since they have argued - ✔✔(B) The best approach by
the mother is not to interfere. The children need to learn how to solve disagreements on their
own. If the parents always intervenes, when the children do not learn how to do this
The nurse is caring for a newborn with a suspected diagnosis of imperforated anus. Which
clinical manifestation is associated with this defect?
(A) Bile-stained fecal emesis
(B) The passage of current jelly stools
(C) Failure to pass meconium stool in the first 24 hours after birth
(D) Sausage-shaped mass in the upper right quadrant - ✔✔(C) This is a defect where incomplete
development or absence of the anus
Which drug may be given to newborns to close the patent ductus arteriosus (PDA)? -
✔✔Indomethacin (prostaglandin inhibitor)
Which drug may be given to newborns to keep the ductus arteriosus (PDA) open until surgery
can be performed? - ✔✔Prostaglandin E
After receiving change of shift report, which patient should you assess first?
(A) An 18-month-old with coarcation of the aorta who has decreased pedal pulses
Answers
A 9-month-old child is seen in the well clinic. Which of the following behaviors would the nurse
expect to see? SATA
(A) Plays peek-a-boo
(B) Walks independently
(C) Feeds self with a spoon
(D) Stacks 2 blocks together
(E) Transfers objects from hand to hand - ✔✔A, E
-walks independently at 15 months
-feeds self with spoon at 18 months
-stacks 2 blocks together at 18 months
The mother of a six-year-old child arrives at the clinic because the child has been experiencing
red and swollen eyes. The nurse notes a discharge from the eyes and sends a culture to the lab.
Chlamydia conjunctivitis is diagnosed. On the basis of this diagnosis, the nurse determines that
which requires further investigation?
(A) Possible trauma to the eye
(B) Possible sexual abuse
(C) Presence of an allergy
(D) Presence of a respiratory infection - ✔✔(B) Possible sexual abuse
-Chlamydia is sexual transmitted disease. The diagnosis of chlamydia in a child not sexually
active should signal the health care provider to assess the signs of possible sexual abuse
The school nurse determines a group of young women are in early adolescents based on the
following observation. All of the women:
(A) Have decided on their career path
(B) Are dressed in the same-style clothes and have the same hair style
, (C) Broke curfew by staying out late at a party they went to
(D) Brag about drinking beer when their parents were at work - ✔✔(B) Peer identity is
important at this age
The nurse is watching two siblings, ages 7 and 9 years of age, verbally arguing over a toy. The
nurse has counseled the parents before about how to handle the situation. The nurse should
judge that the teaching has been effective when the parent takes which action?
(A) Tell the siblings to stop arguing and shake hands
(B) Ignores the arguing and continues what she is doing
(C) Tells the children they will be punished when they go home
(D) Says they will not go out to lunch now since they have argued - ✔✔(B) The best approach by
the mother is not to interfere. The children need to learn how to solve disagreements on their
own. If the parents always intervenes, when the children do not learn how to do this
The nurse is caring for a newborn with a suspected diagnosis of imperforated anus. Which
clinical manifestation is associated with this defect?
(A) Bile-stained fecal emesis
(B) The passage of current jelly stools
(C) Failure to pass meconium stool in the first 24 hours after birth
(D) Sausage-shaped mass in the upper right quadrant - ✔✔(C) This is a defect where incomplete
development or absence of the anus
Which drug may be given to newborns to close the patent ductus arteriosus (PDA)? -
✔✔Indomethacin (prostaglandin inhibitor)
Which drug may be given to newborns to keep the ductus arteriosus (PDA) open until surgery
can be performed? - ✔✔Prostaglandin E
After receiving change of shift report, which patient should you assess first?
(A) An 18-month-old with coarcation of the aorta who has decreased pedal pulses
