1|Page
HESI OB PEDS LATEST 2025/ 2026 ACTUAL EXAM
WITH COMPLETE QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES|| (100%
VERIFIED ANSWERS) |ALREADY GRADED A+| ||
VERIFIED EXAMS!!!
A 6-month-old infant with congestive heart failure (CHF) is
receiving digoxin elixir. Which observation by the nurse
warrants immediate intervention?
Apical heart rate of 60.
Sweating across the forehead.
Doesn't suck well.
Respiratory rate of 30 breaths per minute. - Answer-
Apical heart rate of 60.
A heart rate of 60 (A) is much lower than normal for a 6-
month-old and warrants immediate intervention. The
normal heart rate for a 6-month-old is 80 to 150 BPM
when awake, and a rate of 70 while sleeping is considered
within normal limits. (B and C) are expected symptoms of
heart failure in an infant. (D) is within normal limits for an
infant.
,2|Page
The nurse is teaching the parents of a 5-year-old with
cystic fibrosis about respiratory treatments. Which
statement indicates to the nurse that the parents
understand?
Perform postural drainage before starting aerosol therapy.
Give respiratory treatments when the child is coughing a
lot.
Administer aerosol therapy followed by postural drainage
before meals.
Ensure respiratory therapy is done daily during any
respiratory infection. - Answer-Administer aerosol therapy
followed by postural drainage before meals.
Postural drainage for a child with cystic fibrosis is most
effective when performed after nebulization and before
meals (C) or at least 1 hour after eating to prevent nausea
and vomiting. Postural drainage uses gravity to promote
mucous removal after nebulization (A) treatments which
open the airways. Pulmonary toileting or respiratory
treatments should be given 3 to 4 times daily, not
episodically (B and D).
A female teenager is taking oral tetracycline HCL
(Achromycin V) for acne vulgaris. What is the most
,3|Page
important instruction for the nurse to include in this client's
teaching plan?
Use sunscreen when lying by the pool.
Cleanse the skin at least 4 times a day.
Take the medication with a glass of milk.
Menstrual periods may become irregular. - Answer-Use
sunscreen when lying by the pool.
Photosensitivity is a common side effect of tetracycline
HCL (Achromycin V) therapy. Severe sunburn can occur
with minimal sun exposure and clients should be
instructed to avoid sunlight and to use sunscreen (A). (B
and D) are not related to tetracycline HCL (Achromycin V)
therapy. (C) should be avoided because dairy products
interfere with the absorption of tetracyclines.
What preoperative nursing intervention should be included
in the plan of care for an infant with pyloric stenosis?
Monitor for signs of metabolic acidosis.
Estimate the quantity of diarrhea stools.
Place in a supine position after feeding.
Observe for projectile vomiting. - Answer-Observe for
projectile vomiting.
, 4|Page
Projectile vomiting (D), which contributes to metabolic
alkalosis (A), is the classic sign of pyloric stenosis. (B) is
not indicated. (C) is dangerous, due to the potential for
aspiration with frequent vomiting.
An infant is born with a ventricular septal defect (VSD) and
surgery is planned to correct the defect. The nurse
recognizes that surgical correction is designed to achieve
which outcome?
Stop the flow of unoxygenated blood into systemic
circulation.
Increase the flow of unoxygenated blood to the lungs.
Prevent the return of oxygenated blood to the lungs.
Reduce peripheral tissue hypoxia and nailbed clubbing -
Answer-Prevent the return of oxygenated blood to the
lungs.
Closure of VSDs stops oxygenated blood from being
shunted from the left ventricle to the right ventricle (C).
VSDs are acyanotic defects, which means that no
unoxygenated blood enters the systemic circulation (A and
B). (D) is common with Tetrology of Fallot, which is a
cyanotic defect.
HESI OB PEDS LATEST 2025/ 2026 ACTUAL EXAM
WITH COMPLETE QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES|| (100%
VERIFIED ANSWERS) |ALREADY GRADED A+| ||
VERIFIED EXAMS!!!
A 6-month-old infant with congestive heart failure (CHF) is
receiving digoxin elixir. Which observation by the nurse
warrants immediate intervention?
Apical heart rate of 60.
Sweating across the forehead.
Doesn't suck well.
Respiratory rate of 30 breaths per minute. - Answer-
Apical heart rate of 60.
A heart rate of 60 (A) is much lower than normal for a 6-
month-old and warrants immediate intervention. The
normal heart rate for a 6-month-old is 80 to 150 BPM
when awake, and a rate of 70 while sleeping is considered
within normal limits. (B and C) are expected symptoms of
heart failure in an infant. (D) is within normal limits for an
infant.
,2|Page
The nurse is teaching the parents of a 5-year-old with
cystic fibrosis about respiratory treatments. Which
statement indicates to the nurse that the parents
understand?
Perform postural drainage before starting aerosol therapy.
Give respiratory treatments when the child is coughing a
lot.
Administer aerosol therapy followed by postural drainage
before meals.
Ensure respiratory therapy is done daily during any
respiratory infection. - Answer-Administer aerosol therapy
followed by postural drainage before meals.
Postural drainage for a child with cystic fibrosis is most
effective when performed after nebulization and before
meals (C) or at least 1 hour after eating to prevent nausea
and vomiting. Postural drainage uses gravity to promote
mucous removal after nebulization (A) treatments which
open the airways. Pulmonary toileting or respiratory
treatments should be given 3 to 4 times daily, not
episodically (B and D).
A female teenager is taking oral tetracycline HCL
(Achromycin V) for acne vulgaris. What is the most
,3|Page
important instruction for the nurse to include in this client's
teaching plan?
Use sunscreen when lying by the pool.
Cleanse the skin at least 4 times a day.
Take the medication with a glass of milk.
Menstrual periods may become irregular. - Answer-Use
sunscreen when lying by the pool.
Photosensitivity is a common side effect of tetracycline
HCL (Achromycin V) therapy. Severe sunburn can occur
with minimal sun exposure and clients should be
instructed to avoid sunlight and to use sunscreen (A). (B
and D) are not related to tetracycline HCL (Achromycin V)
therapy. (C) should be avoided because dairy products
interfere with the absorption of tetracyclines.
What preoperative nursing intervention should be included
in the plan of care for an infant with pyloric stenosis?
Monitor for signs of metabolic acidosis.
Estimate the quantity of diarrhea stools.
Place in a supine position after feeding.
Observe for projectile vomiting. - Answer-Observe for
projectile vomiting.
, 4|Page
Projectile vomiting (D), which contributes to metabolic
alkalosis (A), is the classic sign of pyloric stenosis. (B) is
not indicated. (C) is dangerous, due to the potential for
aspiration with frequent vomiting.
An infant is born with a ventricular septal defect (VSD) and
surgery is planned to correct the defect. The nurse
recognizes that surgical correction is designed to achieve
which outcome?
Stop the flow of unoxygenated blood into systemic
circulation.
Increase the flow of unoxygenated blood to the lungs.
Prevent the return of oxygenated blood to the lungs.
Reduce peripheral tissue hypoxia and nailbed clubbing -
Answer-Prevent the return of oxygenated blood to the
lungs.
Closure of VSDs stops oxygenated blood from being
shunted from the left ventricle to the right ventricle (C).
VSDs are acyanotic defects, which means that no
unoxygenated blood enters the systemic circulation (A and
B). (D) is common with Tetrology of Fallot, which is a
cyanotic defect.
