HESI Pediatric Practice Exam with
Answers
A female 14 year-old child presents to the family practice clinic with the following
measurements:
Weight:62kg
Stature: 1.6m
BMI: 24
Which of the following is the *MOST* appropriate assessment of this child?
*A.* Normal weight
*B.* Overweight
*C.* Obese
*D.* Severely obese - ✔✔*B.* Overweight (Patient falls in 85th-90th percentile on the chart)
On the first day or so of life, which of the following supplemental vitamins should be
administered to a term newborn, regardless of future plans to breastfeed or offer formula?
*A.* Vitamin D
*B.* Vitamin E
*C.* Vitamin K
*D.* Iron - ✔✔*C.* Vitamin K (Couldn't find in our handout...)
Which of the following infant formulas is lactose-free and is recommended for infants
intolerant (fussiness, abdominal distention) of hypoalergenic formulas?
*A.* Premature infant formula
*B.* Soy formula
*C.* Traditional formula
, *D.* Elemental formula - ✔✔*B.* Soy formula (No lactose, but not recommended if they don't
tolerate the hypoalergenic formula)
*D.* Elemental formula (Not sure if it doesn't contain lactose because it wasn't mentioned in
the handout, but this is what is recommended if the hypoalergenic formula isn't tolerated)
Which of the following drugs should be avoided in a mother exclusively breastfeeding a
newborn?
*A.* Coumadin (warfarin)
*B.* Natazia (estradiol valerate and dienogest)
*C.* Imitrex (sumatriptan)
*D.* Welchol (colesevelam) - ✔✔*B.* Natazia (estradiol valerate and dienogest) (estradiol may
supress lactation)
You bump into a new father in the pediatric nutrition aisle of your pharmacy which is within a
large grocery store. He's looking at the infant cereals and wants to know if he should buy some.
Which represents the *MOST* important parameters to assess in order to answer his question
accurately?
*A.* Can you baby sit unsupported and is he/she at least 6 months old?
*B.* Is your baby receiving formula which contains vitamin D?
*C.* Does your baby havev reflux and is he/she less than 6 months old?
*D.* Can your baby hold his/her head upright and roll over? - ✔✔*A.* Can you baby sit
unsupported and is he/she at least 6 months old?
JH is a 9 month-old male who is in the pharmcy today with his father who has been asked to
pick up baby food. JH exclusively received breast milk from birth to 7 months of age. Pureed
table foods and fortified cereals were added to his diet after that. When his mom returned to
work at 8 months, breast milk was replaced with soy-based infant formula in his diet. His dad's
been coming to this pharmacy for a long time and feels comfortable asking questions. His
question is as follows:
Does JH still need the vitamin D he started taking shortly after he was born,, and if so, why?
Answers
A female 14 year-old child presents to the family practice clinic with the following
measurements:
Weight:62kg
Stature: 1.6m
BMI: 24
Which of the following is the *MOST* appropriate assessment of this child?
*A.* Normal weight
*B.* Overweight
*C.* Obese
*D.* Severely obese - ✔✔*B.* Overweight (Patient falls in 85th-90th percentile on the chart)
On the first day or so of life, which of the following supplemental vitamins should be
administered to a term newborn, regardless of future plans to breastfeed or offer formula?
*A.* Vitamin D
*B.* Vitamin E
*C.* Vitamin K
*D.* Iron - ✔✔*C.* Vitamin K (Couldn't find in our handout...)
Which of the following infant formulas is lactose-free and is recommended for infants
intolerant (fussiness, abdominal distention) of hypoalergenic formulas?
*A.* Premature infant formula
*B.* Soy formula
*C.* Traditional formula
, *D.* Elemental formula - ✔✔*B.* Soy formula (No lactose, but not recommended if they don't
tolerate the hypoalergenic formula)
*D.* Elemental formula (Not sure if it doesn't contain lactose because it wasn't mentioned in
the handout, but this is what is recommended if the hypoalergenic formula isn't tolerated)
Which of the following drugs should be avoided in a mother exclusively breastfeeding a
newborn?
*A.* Coumadin (warfarin)
*B.* Natazia (estradiol valerate and dienogest)
*C.* Imitrex (sumatriptan)
*D.* Welchol (colesevelam) - ✔✔*B.* Natazia (estradiol valerate and dienogest) (estradiol may
supress lactation)
You bump into a new father in the pediatric nutrition aisle of your pharmacy which is within a
large grocery store. He's looking at the infant cereals and wants to know if he should buy some.
Which represents the *MOST* important parameters to assess in order to answer his question
accurately?
*A.* Can you baby sit unsupported and is he/she at least 6 months old?
*B.* Is your baby receiving formula which contains vitamin D?
*C.* Does your baby havev reflux and is he/she less than 6 months old?
*D.* Can your baby hold his/her head upright and roll over? - ✔✔*A.* Can you baby sit
unsupported and is he/she at least 6 months old?
JH is a 9 month-old male who is in the pharmcy today with his father who has been asked to
pick up baby food. JH exclusively received breast milk from birth to 7 months of age. Pureed
table foods and fortified cereals were added to his diet after that. When his mom returned to
work at 8 months, breast milk was replaced with soy-based infant formula in his diet. His dad's
been coming to this pharmacy for a long time and feels comfortable asking questions. His
question is as follows:
Does JH still need the vitamin D he started taking shortly after he was born,, and if so, why?
