2024 PEDS HESI PRACTICE EXAM
QUESTIONS WITH CORRECT
ANSWERS
A nurse is assessing a child admitted to the hospital with a diagnosis of
rheumatic fever. The nurse asks the child's mother which significant question
during the assessment?
a. has your child had difficulty urinating?
b. has any family member had a sore throat within the past few weeks?
c. has any family member had a gastrointestinal disorder in the past few
weeks?
d. has your child been exposed to anyone with chickenpox? - CORRECT
ANSWERS-has any family member had a sore throat within the past few
weeks?
"A mother tells the nurse that her child does not want anything to do with
toilet training and yells "NO!" consistently when she tries to toilet train. The
child is 2 years old. According to Erikson, the nurse interprets that the child
is experiencing which psychosocial crisis?"
a. autonomy vs shame and doubt
b. initiative vs guilt
c. industry vs inferiority
d. trust vs mistrust - CORRECT ANSWERS-Autonomy vs shame and doubt
The community health nurse is providing a yearly summer educational
session to parents in a local community. The topic of the session is
prevention and treatment measures for poison ivy. The nurse instructs the
parents that if the child comes in contact with poison ivy they should:
a. immediately bring the child to the ER
b. not be concerned if a rash is not noted on the skin
c. shower the child immediately, lathering and rinsing the child several times
d. apply calamine lotion immediately to the exposed skin areas - CORRECT
ANSWERS-shower the child immediately, lathering and rinsing the child
several times
A home care nurse visits a 3-year-old child with chickenpox. The child's
mother tells the nurse that the child keeps scratching the skin at night and
asks the nurse what to do. The nurse tells the mother to:
a. apply generous amounts of cortisone cream to prevent itching
b. place soft cotton gloves on the child's hands at night
,c. keep the child in a warm room at night so the covers will not cause the
child to scratch
d. give the child a glass of warm milk at bedtime to help the child sleep -
CORRECT ANSWERS-place soft cotton gloves on the child's hands at night
A clinic nurse is providing home care instructions to the mother of a 3-year-
old child with a diagnosis of vomiting and diarrhea due to gastroenteritis.
The nurse instructs the mother to give the child which of the following to
maintain hydration status?
a. popsicles
b. soda pop
c. apple juice
d. pedialyte - CORRECT ANSWERS-pedialyte (oral electrolyte solution)
A nurse is collecting data on a child suspected of having rheumatic fever.
The nurse plans to obtain specific data regarding recent illnesses in the child
and asks the parent which question?
a. has the child had a recent streptococcal infection of the throat?
b. has the child had a recent ear infection?
c. has the child had a recent case of otitis media?
d. has the child had a recent case of pneumonia - CORRECT ANSWERS-has
the child had a recent streptococcal infection of the throat?
A child is admitted to the hospital with a diagnosis of acute rheumatic fever.
The nurse analyzes the laboratory results and determines that which of the
following findings would confirm the likelihood of acute rheumatic fever?
a. increased leukocyte count
b. decreased hemoglobin count
c. increased antibody level
d. decreased erythrocyte sedimentation rate - CORRECT ANSWERS-increased
antibody level
A child is admitted to the hospital with a diagnosis of acute rheumatic fever.
The nurse reviews the blood laboratory findings knowing that which of the
following will confirm the likelihood of this disorder?
a. increased leukocyte count
b. decreased hemoglobin count
c. increased antistreptolysin-O (ASO)
d. decreased erthrocyte sedimentation rate - CORRECT ANSWERS-increased
antistreptolysin-O (ASO)
A 2-year-old child is admitted to the hospital with juvenile rheumatoid
arthritis (JRA). During the focused assessment, the nurse makes it a priority
to note the presence of which of the following?"
a. increased irritability and the child's insistence to be carried out
b. complaints of joint stiffness
,c. history of daily temperature elevations
d. description of how difficult it is to move around after periods of inactivity -
CORRECT ANSWERS-increased irritability and the child's insistence to be
carried out
A mother of a toddler who is hospitalized with mild dehydration must leave
her child to go to work. Which behavior would the nurse expect to observe in
the toddler immediately after the mother's departure?
a. silently curled in bed with a blanket
b. loudly crying and kicking both legs
c. playing quietly with a favorite toy
d. sucking thumb and rocking back and forth - CORRECT ANSWERS-loudly
crying and kicking both legs
"A newborn infant is diagnosed with hypospadias, and the mother asks the
nurse about the disorder. The nurse bases the response on which of the
following?"
a. it is a congenital anomaly in which the actual opening of the urethra
meatus is below the normal placement on the glans penis
b. it occurs when one or both testes fail to descend through the inguinal
canal into the scrotal sac
c. it is a congenital anomaly in which the actual opening of the urethral
meatus is dorsal to the urethral opening
d. it is a congential anomaly characterized by the extrusion of the urinary
bladder to the outside of the body - CORRECT ANSWERS-it is a congenital
anomaly in which the actual opening of the urethra meatus is below the
normal placement on the glans penis
A home care nurse is providing instructions to a child with cystic fibrosis
about how to perform the "huff" maneuver; the child asks the nurse about
the purpose of this type of breathing. The nurse makes which response to
the child?
a. "this type of breathing is used to mobilize secretions so that they can be
easily coughed out"
b. "this type of breathing prolongs inspiration time"
c. "this type of breathing moves air out of the lower lungs"
d. "this type of breathing moves air through the lungs" - CORRECT
ANSWERS-"this type of breathing is used to mobilize secretions so that they
can be easily coughed out"
A home care nurse is instructing the mother of a child with cystic fibrosis
(CF) about the appropriate dietary measures. The nurse tells the mother that
the child needs to consume a:
a. low calorie, low fat diet
b. high calorie, high protein diet
c. low calorie, low protein diet
, d. high calorie, restricted fat - CORRECT ANSWERS-high calorie, high protein
diet
Breathing exercises and postural drainage is prescribed for a child with cystic
fibrosis. A nurse implements these procedures by telling the child to:
a. perform the postural drainage, then the breathing exercises
b. perform the breathing exercises, then the postural drainage
c. schedule the procedures so they are 4 hours apart
d. perform postural drainage in the morning and breathing exercises in the
evening - CORRECT ANSWERS-perform the postural drainage, then the
breathing exercises
A nurse is reviewing the results of a sweat test performed on a child with
cystic fibrosis (CF). The nurse would expect to note which finding?
a. a sweat sodium concentration less than 40 mEq/L
b. a sweat potassium concentration less than 40 mEq/L
c. a sweat potassium concentration greater than 40 mEq/L
d. a sweat sodium concentration greater than 60 mEq/L - CORRECT
ANSWERS-a sweat sodium concentration greater than 60 mEq/L
Methylphenidate (Ritalin) is prescribed for a child with a diagnosis of
attention deficit hyperactivity disorder (ADHD). The nurse provides
instructions to the mother regarding the administration of the medication
and tells the mother to administer the medication:
a. before dinner and at bedtime
b. before breakfast and before the noontime meal
c. in the morning after breakfast and at bedtime
d. at the noontime and evening meals - CORRECT ANSWERS-before breakfast
and before the noontime meal
"Methylphenidate hydrochloride (Ritalin) is prescribed for a 10-year-old child
diagnosed with attention deficit hyperactivity disorder, and the nurse
provides instructions to the mother about administration of the medication.
The nurse determines that the mother understands the instructions when the
mother states:"
a. I will give my child the medication at bedtime so that he will be rested and
alert for school the next day
b. I will give my child the medication after meals to obtain the full effects of
the medication
c. I will give my child the medication at breakfast and lunch to prevent
insomnia
d. I will give my child the medication with water to prevent kidney damage -
CORRECT ANSWERS-I will give my child the medication at breakfast and
lunch to prevent insomnia
QUESTIONS WITH CORRECT
ANSWERS
A nurse is assessing a child admitted to the hospital with a diagnosis of
rheumatic fever. The nurse asks the child's mother which significant question
during the assessment?
a. has your child had difficulty urinating?
b. has any family member had a sore throat within the past few weeks?
c. has any family member had a gastrointestinal disorder in the past few
weeks?
d. has your child been exposed to anyone with chickenpox? - CORRECT
ANSWERS-has any family member had a sore throat within the past few
weeks?
"A mother tells the nurse that her child does not want anything to do with
toilet training and yells "NO!" consistently when she tries to toilet train. The
child is 2 years old. According to Erikson, the nurse interprets that the child
is experiencing which psychosocial crisis?"
a. autonomy vs shame and doubt
b. initiative vs guilt
c. industry vs inferiority
d. trust vs mistrust - CORRECT ANSWERS-Autonomy vs shame and doubt
The community health nurse is providing a yearly summer educational
session to parents in a local community. The topic of the session is
prevention and treatment measures for poison ivy. The nurse instructs the
parents that if the child comes in contact with poison ivy they should:
a. immediately bring the child to the ER
b. not be concerned if a rash is not noted on the skin
c. shower the child immediately, lathering and rinsing the child several times
d. apply calamine lotion immediately to the exposed skin areas - CORRECT
ANSWERS-shower the child immediately, lathering and rinsing the child
several times
A home care nurse visits a 3-year-old child with chickenpox. The child's
mother tells the nurse that the child keeps scratching the skin at night and
asks the nurse what to do. The nurse tells the mother to:
a. apply generous amounts of cortisone cream to prevent itching
b. place soft cotton gloves on the child's hands at night
,c. keep the child in a warm room at night so the covers will not cause the
child to scratch
d. give the child a glass of warm milk at bedtime to help the child sleep -
CORRECT ANSWERS-place soft cotton gloves on the child's hands at night
A clinic nurse is providing home care instructions to the mother of a 3-year-
old child with a diagnosis of vomiting and diarrhea due to gastroenteritis.
The nurse instructs the mother to give the child which of the following to
maintain hydration status?
a. popsicles
b. soda pop
c. apple juice
d. pedialyte - CORRECT ANSWERS-pedialyte (oral electrolyte solution)
A nurse is collecting data on a child suspected of having rheumatic fever.
The nurse plans to obtain specific data regarding recent illnesses in the child
and asks the parent which question?
a. has the child had a recent streptococcal infection of the throat?
b. has the child had a recent ear infection?
c. has the child had a recent case of otitis media?
d. has the child had a recent case of pneumonia - CORRECT ANSWERS-has
the child had a recent streptococcal infection of the throat?
A child is admitted to the hospital with a diagnosis of acute rheumatic fever.
The nurse analyzes the laboratory results and determines that which of the
following findings would confirm the likelihood of acute rheumatic fever?
a. increased leukocyte count
b. decreased hemoglobin count
c. increased antibody level
d. decreased erythrocyte sedimentation rate - CORRECT ANSWERS-increased
antibody level
A child is admitted to the hospital with a diagnosis of acute rheumatic fever.
The nurse reviews the blood laboratory findings knowing that which of the
following will confirm the likelihood of this disorder?
a. increased leukocyte count
b. decreased hemoglobin count
c. increased antistreptolysin-O (ASO)
d. decreased erthrocyte sedimentation rate - CORRECT ANSWERS-increased
antistreptolysin-O (ASO)
A 2-year-old child is admitted to the hospital with juvenile rheumatoid
arthritis (JRA). During the focused assessment, the nurse makes it a priority
to note the presence of which of the following?"
a. increased irritability and the child's insistence to be carried out
b. complaints of joint stiffness
,c. history of daily temperature elevations
d. description of how difficult it is to move around after periods of inactivity -
CORRECT ANSWERS-increased irritability and the child's insistence to be
carried out
A mother of a toddler who is hospitalized with mild dehydration must leave
her child to go to work. Which behavior would the nurse expect to observe in
the toddler immediately after the mother's departure?
a. silently curled in bed with a blanket
b. loudly crying and kicking both legs
c. playing quietly with a favorite toy
d. sucking thumb and rocking back and forth - CORRECT ANSWERS-loudly
crying and kicking both legs
"A newborn infant is diagnosed with hypospadias, and the mother asks the
nurse about the disorder. The nurse bases the response on which of the
following?"
a. it is a congenital anomaly in which the actual opening of the urethra
meatus is below the normal placement on the glans penis
b. it occurs when one or both testes fail to descend through the inguinal
canal into the scrotal sac
c. it is a congenital anomaly in which the actual opening of the urethral
meatus is dorsal to the urethral opening
d. it is a congential anomaly characterized by the extrusion of the urinary
bladder to the outside of the body - CORRECT ANSWERS-it is a congenital
anomaly in which the actual opening of the urethra meatus is below the
normal placement on the glans penis
A home care nurse is providing instructions to a child with cystic fibrosis
about how to perform the "huff" maneuver; the child asks the nurse about
the purpose of this type of breathing. The nurse makes which response to
the child?
a. "this type of breathing is used to mobilize secretions so that they can be
easily coughed out"
b. "this type of breathing prolongs inspiration time"
c. "this type of breathing moves air out of the lower lungs"
d. "this type of breathing moves air through the lungs" - CORRECT
ANSWERS-"this type of breathing is used to mobilize secretions so that they
can be easily coughed out"
A home care nurse is instructing the mother of a child with cystic fibrosis
(CF) about the appropriate dietary measures. The nurse tells the mother that
the child needs to consume a:
a. low calorie, low fat diet
b. high calorie, high protein diet
c. low calorie, low protein diet
, d. high calorie, restricted fat - CORRECT ANSWERS-high calorie, high protein
diet
Breathing exercises and postural drainage is prescribed for a child with cystic
fibrosis. A nurse implements these procedures by telling the child to:
a. perform the postural drainage, then the breathing exercises
b. perform the breathing exercises, then the postural drainage
c. schedule the procedures so they are 4 hours apart
d. perform postural drainage in the morning and breathing exercises in the
evening - CORRECT ANSWERS-perform the postural drainage, then the
breathing exercises
A nurse is reviewing the results of a sweat test performed on a child with
cystic fibrosis (CF). The nurse would expect to note which finding?
a. a sweat sodium concentration less than 40 mEq/L
b. a sweat potassium concentration less than 40 mEq/L
c. a sweat potassium concentration greater than 40 mEq/L
d. a sweat sodium concentration greater than 60 mEq/L - CORRECT
ANSWERS-a sweat sodium concentration greater than 60 mEq/L
Methylphenidate (Ritalin) is prescribed for a child with a diagnosis of
attention deficit hyperactivity disorder (ADHD). The nurse provides
instructions to the mother regarding the administration of the medication
and tells the mother to administer the medication:
a. before dinner and at bedtime
b. before breakfast and before the noontime meal
c. in the morning after breakfast and at bedtime
d. at the noontime and evening meals - CORRECT ANSWERS-before breakfast
and before the noontime meal
"Methylphenidate hydrochloride (Ritalin) is prescribed for a 10-year-old child
diagnosed with attention deficit hyperactivity disorder, and the nurse
provides instructions to the mother about administration of the medication.
The nurse determines that the mother understands the instructions when the
mother states:"
a. I will give my child the medication at bedtime so that he will be rested and
alert for school the next day
b. I will give my child the medication after meals to obtain the full effects of
the medication
c. I will give my child the medication at breakfast and lunch to prevent
insomnia
d. I will give my child the medication with water to prevent kidney damage -
CORRECT ANSWERS-I will give my child the medication at breakfast and
lunch to prevent insomnia
