Pediatric HESI Practice Questions
6. 6. 6.
The6.mother6.of6.a6.4-year-
old6.child6.asks6.the6.nurse6.what6.she6.can6.do6.to6.help6.her6.other6.children6.cope6.with6.the
ir6.sibling's6.repeated6.hospitalizations.6.Which6.is6.the6.best6.response6.that6.the6.nurse6.sh
ould6.offer?
A.6.Inform6.the6.parent6.that6.the6.child6.is6.too6.young6.to6.visit6.the6.hospital.
B.6.Suggest6.that6.the6.child6.visit6.a6.grandmother6.until6.the6.sibling6.returns6.home.
C.6.Ask6.the6.mother6.if6.the6.child6.asks6.when6.the6.sibling6.will6.be6.discharged.
D.6.Encourage6.the6.mother6.to6.have6.the6.children6.visit6.the6.hospitalized6.sibling.6.-
correct6.answer✔ ✔
6.
D.6.Encourage6.the6.mother6.to6.have6.the6.children6.visit6.the6.hospitalized6.sibling.
When6.planning6.the6.care6.for6.a6.child6.who6.has6.had6.a6.cleft6.lip6.repair6.the6.nurse6.know
s6.that6.crying6.should6.be6.minimized6.because6.it
A.6.Increases6.salivation.
B.6.Increases6.the6.respiratory6.rate.
C.6.Stresses6.the6.suture6.line.
D.6.Leads6.to6.vomiting.6.-6.correct6.answer✔ ✔ C.6.Stresses6.the6.suture6.line.
The6.nurse6.assigning6.care6.for6.a6.5-year-
old6.child6.with6.otitis6.media6.is6.concerned6.about6.the6.child's6.increasing6.temperature6.ov
er6.the6.past6.246.hours.6.Which6.statement6.is6.accurate6.and6.should6.be6.considered6.whe
n6.planning6.care6.for6.the6.remainder6.of6.the6.shift?
A.6.An6.RN6.should6.be6.assigned6.to6.take6.temperatures6.frequently.
B.6.Tympanic6.and6.oral6.temperatures6.are6.equally6.accurate.
C.6.The6.PN6.should6.take6.rectal6.temperatures6.on6.this6.child.
D.6.The6.pediatrician6.should6.decide6.how6.to6.assess6.the6.temperature.6.-
correct6.answer✔ ✔ B.6.Tympanic6.and6.oral6.temperatures6.are6.equally6.accurate.
6.
,A6.2-year-old6.child6.with6.gastro-
esophageal6.reflux6.has6.developed6.a6.fear6.of6.eating.6.What6.instruction6.should6.the6.nurs
e6.include6.in6.the6.parents'6.teaching6.plan?
A.6.Invite6.other6.children6.home6.to6.share6.meals
B.6.Accept6.that6.he6.will6.eat6.when6.he6.is6.hungry.
C.6.Reward6.the6.child6.with6.a6.nap6.after6.eating.
D.6.Consistently6.follow6.a6.set6.mealtime6.routine.6.-6.correct6.answer✔ ✔
D.6.Consistently6.follow6.a6.set6.mealtime6.routine.
What6.preoperative6.nursing6.intervention6.should6.be6.included6.in6.the6.plan6.of6.care6.for6.
an6.infant6.with6.pyloric6.stenosis?
A.6.Monitor6.for6.signs6.of6.metabolic6.acidosis.
B.6.Estimate6.the6.quantity6.of6.diarrhea6.stools.
C.6.Place6.in6.a6.supine6.position6.after6.feeding.
D.6.Observe6.for6.projectile6.vomiting.6.-6.correct6.answer✔ ✔
D.6.Observe6.for6.projectile6.vomiting.
The6.nurse6.is6.assessing6.a6.2-year-
old.6.What6.behavior6.indicates6.that6.the6.child's6.language6.development6.is6.within6.norma
l6.limits?
A.6.Is6.able6.to6.name6.four6.colors.
B.6.Half6.of6.child's6.speech6.is6.understandable.
C.6.Can6.count6.five6.blocks.
D.6.Is6.capable6.of6.making6.a6.three6.word6.sentence.6.-6.correct6.answer✔ ✔
B.6.Half6.of6.child's6.speech6.is6.understandable.
The6.nurse6.receives6.a6.lab6.report6.stating6.a6.child6.with6.asthma6.has6.a6.theophylline6.lev
el6.of6.156.mcg/dl.6.What6.action6.will6.the6.nurse6.take?
A.6.Pass6.the6.information6.on6.in6.the6.report.
B.6.Notify6.the6.healthcare6.provider6.because6.the6.value6.is6.high.
C.6.Repeat6.the6.lab6.study6.because6.the6.value6.is6.too6.high.
,D.6.Hold6.the6.next6.dose6.of6.theophylline.6.-6.correct6.answer✔ ✔
A.6.Pass6.the6.information6.on6.in6.the6.report.
A6.4-6.year-
6. old6.girl6.continues6.to6.interrupt6.her6.mother6.during6.a6.routine6.clinic6.visit.6.The6.mother6.
appears6.irritated6.with6.the6.child6.and6.asks6.the6.nurse,6."Is6.this6.normal6.behavior6.for6.a6.
child6.this6.age?"6.The6.nurse's6.response6.should6.be6.based6.on6.which6.information?
A.6.Role6.conflict6.is6.a6.common6.problem6.of6.children6.this6.age.6.She6.is6.just6.wondering6.
where6.she6.fits6.into6.society.
B.6.Children6.need6.to6.retain6.a6.sense6.of6.initiative6.without6.impinging6.on6.the6.rights6.and
6. privileges6.of6.others.6.
C.6.Negative6.feelings6.of6.doubt6.and6.shame6.are6.characteristic6.of6.4-year-old6.children.
D.6.At6.this6.age6.children6.compete6.and6.like6.to6.produce6.and6.carry6.through6.with6.tasks.6
She6.is6.just6.competing6.with6.her6.mother.6.-6.correct6.answer✔ ✔
.
B.6.Children6.need6.to6.retain6.a6.sense6.of6.initiative6.without6.impinging6.on6.the6.rights6.an
d6.privileges6.of6.others.
A6.6-month-
old6.infant6.with6.congestive6.heart6.failure6.(CHF)6.is6.receiving6.digoxin6.elixir.6.Which6.obs
ervation6.by6.the6.nurse6.warrants6.immediate6.intervention?
A.6.Sweating6.across6.the6.forehead.
B.6.Doesn't6.suck6.well.
C.6.Apical6.heart6.rate6.of6.60.
D.6.Respiratory6.rate6.of6.306.breaths6.per6.minute.6.-6.correct6.answer✔ ✔
C.6.Apical6.heart6.rate6.of6.60.
Which6.restraint6.should6.be6.used6.for6.a6.toddler6.after6.a6.cleft6.palate6.repair?
A.6.Elbow.
B.6.Clove6.hitch.
C.6.Mummy.
D.6.Jacket.6.-6.correct6.answer✔ ✔ A.6.Elbow.
, When6.taking6.the6.health6.history6.of6.a6.child,6.the6.nurse6.know6.what6.which6.finding6.is6.a
n6.early6.indication6.of6.hypothyroidism6.in6.children?
A.6.Hyperactive6.behavioral6.traits.
B.6.Delay6.in6.the6.eruption6.of6.permanent6.teeth.
C.6.Slow6.sexual6.development,6.but6.within6.normal6.range.
D.6.Cessation6.of6.growth6.in6.a6.child6.that6.had6.been6.normal.6.-6.correct6.answer✔ ✔
D.6.Cessation6.of6.growth6.in6.a6.child6.that6.had6.been6.normal.
The6.mother6.of6.a6.preschool6.aged6.child6.asks6.the6.nurse6.if6.it6.is6.all6.right6.to6.administer
Pepto6.Bismol6.to6.her6.son6.when6.he6.has6.a6."tummy6.ache"6.After6.reminding6.the6.moth
6.
er6.to6.check6.the6.label6.of6.all6.OTC6.drugs6.for6.the6.presence6.of6.aspirin,6.which6.instructio
n6.should6.the6.nurse6.include6.when6.replying6.to6.this6.mother's6.question?
A.6.If6.the6.child's6.tongue6.darkens,6.discontinue6.the6.Pepto6.Bismol6.immediately.
B.6.Do6.not6.give6.if6.the6.child6.has6.chickenpox,6.the6.flu,6.or6.any6.other6.viral6.illness.
C.6.Avoid6.the6.use6.of6.Pepto6.Bismol6.until6.the6.child6.is6.at6.least6.166.years6.old.
D.6.Pepto6.Bismol6.may6.cause6.a6.rebound6.hyperacidity,6.worsening6.the6."tummy6.ache."6.
-6.correct6.answer✔ ✔
B.6.Do6.not6.give6.if6.the6.child6.has6.chickenpox,6.the6.flu,6.or6.any6.other6.viral6.illness.
Which6.growth6.and6.development6.characteristic6.should6.the6.nurse6.consider6.when6.mon
itoring6.the6.effects6.of6.a6.topical6.medication6.for6.an6.infant?
A.6.A6.thin6.stratum6.corneum6.that6.increases6.topical6.absorption.
B.6.A6.lower6.sensitivity6.reactions6.to6.skin6.irritants.
C.6.A6.smaller6.percentage6.of6.muscle6.mass.
D.6.A6.greater6.body6.surface6.area6.that6.requires6.larger6.dosages.6.-6.correct6.answer✔
✔ A.6.A6.thin6.stratum6.corneum6.that6.increases6.topical6.absorption.
The6.nurse6.is6.preparing6.a6.health6.teaching6.program6.for6.parents6.of6.toddlers6.and6.pres
choolers6.and6.plans6.to6.include6.information6.about6.prevention6.of6.accidental6.poisonings
.6.It6.is6.most6.important6.for6.the6.nurse6.to6.include6.which6.instruction?
6. 6. 6.
The6.mother6.of6.a6.4-year-
old6.child6.asks6.the6.nurse6.what6.she6.can6.do6.to6.help6.her6.other6.children6.cope6.with6.the
ir6.sibling's6.repeated6.hospitalizations.6.Which6.is6.the6.best6.response6.that6.the6.nurse6.sh
ould6.offer?
A.6.Inform6.the6.parent6.that6.the6.child6.is6.too6.young6.to6.visit6.the6.hospital.
B.6.Suggest6.that6.the6.child6.visit6.a6.grandmother6.until6.the6.sibling6.returns6.home.
C.6.Ask6.the6.mother6.if6.the6.child6.asks6.when6.the6.sibling6.will6.be6.discharged.
D.6.Encourage6.the6.mother6.to6.have6.the6.children6.visit6.the6.hospitalized6.sibling.6.-
correct6.answer✔ ✔
6.
D.6.Encourage6.the6.mother6.to6.have6.the6.children6.visit6.the6.hospitalized6.sibling.
When6.planning6.the6.care6.for6.a6.child6.who6.has6.had6.a6.cleft6.lip6.repair6.the6.nurse6.know
s6.that6.crying6.should6.be6.minimized6.because6.it
A.6.Increases6.salivation.
B.6.Increases6.the6.respiratory6.rate.
C.6.Stresses6.the6.suture6.line.
D.6.Leads6.to6.vomiting.6.-6.correct6.answer✔ ✔ C.6.Stresses6.the6.suture6.line.
The6.nurse6.assigning6.care6.for6.a6.5-year-
old6.child6.with6.otitis6.media6.is6.concerned6.about6.the6.child's6.increasing6.temperature6.ov
er6.the6.past6.246.hours.6.Which6.statement6.is6.accurate6.and6.should6.be6.considered6.whe
n6.planning6.care6.for6.the6.remainder6.of6.the6.shift?
A.6.An6.RN6.should6.be6.assigned6.to6.take6.temperatures6.frequently.
B.6.Tympanic6.and6.oral6.temperatures6.are6.equally6.accurate.
C.6.The6.PN6.should6.take6.rectal6.temperatures6.on6.this6.child.
D.6.The6.pediatrician6.should6.decide6.how6.to6.assess6.the6.temperature.6.-
correct6.answer✔ ✔ B.6.Tympanic6.and6.oral6.temperatures6.are6.equally6.accurate.
6.
,A6.2-year-old6.child6.with6.gastro-
esophageal6.reflux6.has6.developed6.a6.fear6.of6.eating.6.What6.instruction6.should6.the6.nurs
e6.include6.in6.the6.parents'6.teaching6.plan?
A.6.Invite6.other6.children6.home6.to6.share6.meals
B.6.Accept6.that6.he6.will6.eat6.when6.he6.is6.hungry.
C.6.Reward6.the6.child6.with6.a6.nap6.after6.eating.
D.6.Consistently6.follow6.a6.set6.mealtime6.routine.6.-6.correct6.answer✔ ✔
D.6.Consistently6.follow6.a6.set6.mealtime6.routine.
What6.preoperative6.nursing6.intervention6.should6.be6.included6.in6.the6.plan6.of6.care6.for6.
an6.infant6.with6.pyloric6.stenosis?
A.6.Monitor6.for6.signs6.of6.metabolic6.acidosis.
B.6.Estimate6.the6.quantity6.of6.diarrhea6.stools.
C.6.Place6.in6.a6.supine6.position6.after6.feeding.
D.6.Observe6.for6.projectile6.vomiting.6.-6.correct6.answer✔ ✔
D.6.Observe6.for6.projectile6.vomiting.
The6.nurse6.is6.assessing6.a6.2-year-
old.6.What6.behavior6.indicates6.that6.the6.child's6.language6.development6.is6.within6.norma
l6.limits?
A.6.Is6.able6.to6.name6.four6.colors.
B.6.Half6.of6.child's6.speech6.is6.understandable.
C.6.Can6.count6.five6.blocks.
D.6.Is6.capable6.of6.making6.a6.three6.word6.sentence.6.-6.correct6.answer✔ ✔
B.6.Half6.of6.child's6.speech6.is6.understandable.
The6.nurse6.receives6.a6.lab6.report6.stating6.a6.child6.with6.asthma6.has6.a6.theophylline6.lev
el6.of6.156.mcg/dl.6.What6.action6.will6.the6.nurse6.take?
A.6.Pass6.the6.information6.on6.in6.the6.report.
B.6.Notify6.the6.healthcare6.provider6.because6.the6.value6.is6.high.
C.6.Repeat6.the6.lab6.study6.because6.the6.value6.is6.too6.high.
,D.6.Hold6.the6.next6.dose6.of6.theophylline.6.-6.correct6.answer✔ ✔
A.6.Pass6.the6.information6.on6.in6.the6.report.
A6.4-6.year-
6. old6.girl6.continues6.to6.interrupt6.her6.mother6.during6.a6.routine6.clinic6.visit.6.The6.mother6.
appears6.irritated6.with6.the6.child6.and6.asks6.the6.nurse,6."Is6.this6.normal6.behavior6.for6.a6.
child6.this6.age?"6.The6.nurse's6.response6.should6.be6.based6.on6.which6.information?
A.6.Role6.conflict6.is6.a6.common6.problem6.of6.children6.this6.age.6.She6.is6.just6.wondering6.
where6.she6.fits6.into6.society.
B.6.Children6.need6.to6.retain6.a6.sense6.of6.initiative6.without6.impinging6.on6.the6.rights6.and
6. privileges6.of6.others.6.
C.6.Negative6.feelings6.of6.doubt6.and6.shame6.are6.characteristic6.of6.4-year-old6.children.
D.6.At6.this6.age6.children6.compete6.and6.like6.to6.produce6.and6.carry6.through6.with6.tasks.6
She6.is6.just6.competing6.with6.her6.mother.6.-6.correct6.answer✔ ✔
.
B.6.Children6.need6.to6.retain6.a6.sense6.of6.initiative6.without6.impinging6.on6.the6.rights6.an
d6.privileges6.of6.others.
A6.6-month-
old6.infant6.with6.congestive6.heart6.failure6.(CHF)6.is6.receiving6.digoxin6.elixir.6.Which6.obs
ervation6.by6.the6.nurse6.warrants6.immediate6.intervention?
A.6.Sweating6.across6.the6.forehead.
B.6.Doesn't6.suck6.well.
C.6.Apical6.heart6.rate6.of6.60.
D.6.Respiratory6.rate6.of6.306.breaths6.per6.minute.6.-6.correct6.answer✔ ✔
C.6.Apical6.heart6.rate6.of6.60.
Which6.restraint6.should6.be6.used6.for6.a6.toddler6.after6.a6.cleft6.palate6.repair?
A.6.Elbow.
B.6.Clove6.hitch.
C.6.Mummy.
D.6.Jacket.6.-6.correct6.answer✔ ✔ A.6.Elbow.
, When6.taking6.the6.health6.history6.of6.a6.child,6.the6.nurse6.know6.what6.which6.finding6.is6.a
n6.early6.indication6.of6.hypothyroidism6.in6.children?
A.6.Hyperactive6.behavioral6.traits.
B.6.Delay6.in6.the6.eruption6.of6.permanent6.teeth.
C.6.Slow6.sexual6.development,6.but6.within6.normal6.range.
D.6.Cessation6.of6.growth6.in6.a6.child6.that6.had6.been6.normal.6.-6.correct6.answer✔ ✔
D.6.Cessation6.of6.growth6.in6.a6.child6.that6.had6.been6.normal.
The6.mother6.of6.a6.preschool6.aged6.child6.asks6.the6.nurse6.if6.it6.is6.all6.right6.to6.administer
Pepto6.Bismol6.to6.her6.son6.when6.he6.has6.a6."tummy6.ache"6.After6.reminding6.the6.moth
6.
er6.to6.check6.the6.label6.of6.all6.OTC6.drugs6.for6.the6.presence6.of6.aspirin,6.which6.instructio
n6.should6.the6.nurse6.include6.when6.replying6.to6.this6.mother's6.question?
A.6.If6.the6.child's6.tongue6.darkens,6.discontinue6.the6.Pepto6.Bismol6.immediately.
B.6.Do6.not6.give6.if6.the6.child6.has6.chickenpox,6.the6.flu,6.or6.any6.other6.viral6.illness.
C.6.Avoid6.the6.use6.of6.Pepto6.Bismol6.until6.the6.child6.is6.at6.least6.166.years6.old.
D.6.Pepto6.Bismol6.may6.cause6.a6.rebound6.hyperacidity,6.worsening6.the6."tummy6.ache."6.
-6.correct6.answer✔ ✔
B.6.Do6.not6.give6.if6.the6.child6.has6.chickenpox,6.the6.flu,6.or6.any6.other6.viral6.illness.
Which6.growth6.and6.development6.characteristic6.should6.the6.nurse6.consider6.when6.mon
itoring6.the6.effects6.of6.a6.topical6.medication6.for6.an6.infant?
A.6.A6.thin6.stratum6.corneum6.that6.increases6.topical6.absorption.
B.6.A6.lower6.sensitivity6.reactions6.to6.skin6.irritants.
C.6.A6.smaller6.percentage6.of6.muscle6.mass.
D.6.A6.greater6.body6.surface6.area6.that6.requires6.larger6.dosages.6.-6.correct6.answer✔
✔ A.6.A6.thin6.stratum6.corneum6.that6.increases6.topical6.absorption.
The6.nurse6.is6.preparing6.a6.health6.teaching6.program6.for6.parents6.of6.toddlers6.and6.pres
choolers6.and6.plans6.to6.include6.information6.about6.prevention6.of6.accidental6.poisonings
.6.It6.is6.most6.important6.for6.the6.nurse6.to6.include6.which6.instruction?
