2023 Hesi Pediatric (PEDS) Exit Exam Version 1 and 2 (V
n n n n n n n n n n
1 & V2) - All Q&As (Brand New) A++ TB w/Pics
n n n n n n n n n n
1. Thennursenisnreviewingnmedicaln prescriptionsn fornnewlynadmitted nclients.n It n would n
ben an prioritynforn then nursen ton follow n upn withn then physiciann if n an client n with
(a) anpotassiumn leveln of n4.5mEq/Lnhasn Kayexalaten (sodiumn polystyrene)n prescribed
(b) an Dilantinn (phenytoin)n leveln of n 8n mcg/mln isn placed n onn seizuren precautions(c)n sensit
ivityntonAspirinn(acetylsalicylicnacid)nisnprescribed nTylenoln(acetaminophen)
(d)nsensitivityntonPenicillinn isnprescribed n Zithromaxn (azithromycin)
2. Thennursenshould n intervenenif n then nursennotesn anstaff n member
(a) obtainingnanclientsn consent npriorntontheirnoperativen procedurenafternreceivingnAtivann(
lorazepam)
(b) placingnanclient n onnthenaffected n sidenfollowingnsurgicalnrepairnof nanretinaln
detachment
(c) handlingnan wet n cast n withn then palmsn of n then hands
(d) usingnan broad n basenof n support n whilen transferringn an client
3. Then communitynhealthn nursen isn caringn forn then followingn clients.n It n would n bena
prioritynfornthen nursen ton initiaten anmultidisciplinaryn conferencen forn then client n whon is
(a) 12n yearsn old n withnAutismnwhonisn startingnannew nschooln and n recentlynhad n an
URI n (uppern respiratoryn tract n infection)
(b) 16n yearsnold,nhasntypen1n DiabetesnMellitus,nisnunemployed n and nhad nanrecent n
Hemoglobinn A1cn of n 13%
(c) 52nyearsnold,nwithnMyasthenianGravis,nrecentlynprescribed nMestinonn
(pyridostigmine)n and n employed n asn an mailn carrier
(d) 70n yearsn old,n hasnschizophrenia,nlivesn alonen and n reportsnhearingnnonnthreatening
, voices.
4. Thennursenfromn thenpostpartumn unit n hasnbeenntemporarilynassigned n tonthenmedicalns
urgicaln unit.n It n would n ben mostnappropriatenton assignn thisn nursen ton then client n who*
(a) hasnreturned n fromn right n totaln hipn replacement n surgerynfournhoursn ago
(b) isnbeingnobserved n fornincreased n intracranialn pressure
(c) had n surgeryntwon hoursn agon ton removen then appendix
5. isntwonweeksn post n partumnbeingnmaintained nonnanmechanicaln ventilatornfornrespiratoryn f
ailure
Then nursen inn an welln babyn clinicn hasn assessed n severaln childrenn today.n Itnwoul
d n ben an prioritynforn then nursen ton suggest nfollow n upnfornthenchild n whon isn (a)n 2nmonthsn old n
withn an positiven babinskin refln ex
(b) 5nmonthsn old n and n doesn not n hold n theirn ownn bottle
(c) 10nmonthsn old n whon criesn around n strangers
(d) 18nmonthsn old n whon needsn support n whilenambulating
6. Then nursen isn caringn forn an mechanicallynventilated n client nwhon wasndeclared n brainn
dead.nAnn AdvancenDirectiven isn notndocumentedn onn then medicaln record.n Itn wouldn ben
mostnappropriatenton obtainn consent n forn organn donationn fromn the
(a) client‘snprimaryncarenprovider
(b) client‘snnursenmanager
(c) closest n livingn familynmember
(d) hospital‘snethicsncommittee
7. Thennursenhasn received n report n onn fournclients.n Thennursenshould nfinrstnassessn then c
lient n whon has*
(a) ChronicnObstructiven PulmonarynDiseasen(COPD)n withnanpulsenoximetrynreadingnof n
90%
(b) Parkinson‘snDiseasenand n isndemandingntonleaventhenhospitalnagainst nmedicaln advicen (
AMA)
(c) beennadmitted nwithnsuspected nGuillian-Barre´nSyndromenand nhasnbegun
, plasmapheresisn therapy
(d) CongestivenHeart n Failuren (CHF)nwhosenpittingnedeman hasn increased n ton 2(+)
8. It n would n benappropriatenton assignn whichn of nthesen tasksn ton then CNA?
(a) Feedingnan client n whon isn experiencingn dysphagia
(b) One-on-onenclient n observationn fornsafety
(c) Removalnof n ann indwellingn catheter
(d) Performingnan simplen dressingnchange
9. Thennursenshould n intervenenif n anstaff n membern isn observed
(a) discussingnanclient‘sn diagnosisnwithn visitingnfamilynmembers
(b) collaboratingnwithn anothernnursen ton review n an prescriptionn forn blood n transfusion
(c) interruptingnothern staff n membersn discussingn an client n inn thencafeteria
(d) reviewingnan clientsn labn valuesn withn then nutritionist
10. Thennursenisnpreparingnanstaff npresentationn onnlegaln and n ethicaln issuesn innnursing.n
Then nursen would n ben correctnton includen whichn of n then followingn examples?
(a) Puttingnan client n inn an geriatricn chairn withn thenlapn trayninn front nofnthenclient n inn then dayn r
oomn ton watchn televisionn isn falsen imprisonment
(b) Tellingnan client n that n youn willn put ninnanfeedingntubenif nthenclient ndoesnnot neatn isn ann e
xamplen of n battery
(c) Tellingnan client n withn bipolarndisordernwhon isnsuicidaln that ntheynhavenanright ntonrefusen t
on taken theirn medicationsn isn ann examplen of n malpractice
(d) Placingnhandsnonn anclient n whonsaysn ―donnot ntouchn me‖ nisnannexamplenof nassault
11. Thennursenfromn thenpediatricnunit n hasnbeenntemporarilynassigned n tonthenEmergencyn
Department.n It n would n ben mostnappropriatenton assignn that n nursen ton then client n who*
(a) reportsn epigastricnpainn that n ―feelsnlikenindigestion‖
(b) hasnbackn painn and n an pulsatingnabdominaln mass
(c) isnHIV+n reportingn vomitingn and n diarrhea
(d) presentsnwithn lowern abdominaln painn and nisn sixn weeksn pregnant
, 12. Fournclientsn recentlynreturned ntonthenunit n followingn invasivendiagnosticn testing.n Then
nursen should n immediatelyn intervenenif n onen of n then clients
(a) reportsn blood n tinged n sputumn followingnan bronchoscopy
(b) hasndecreased n abdominaln girthn followingnparacentesis
(c) reportsn anheadachen followingn anlumbarn puncture
(d) isnobserved n flexingn and n extendingnthenlegsn twon hoursn aftern cardiacn catheterization
13. Thennursenisn maden awaren of nthenfollowingnsituations.n Thennursenshould n finrstncheckn t
hen client n who
(a) had nantransurethraln prostatectomyn(TURP)nand n isnreportingnurinaryndribblingntwon
hoursn aftern then indwellingn cathetern isn removed
(b) hasncervicaln tractionn and n isn movingn then legsn bynfln exingn and n extendingn then feet
(c) hasnAlzheimer‘sndiseasen(stagen1)n and nwasnreturned n tonthenroomnafternbeingnfound n
wanderingn inn then hallway
(d) hasnanhistorynof n partialn seizuresn and nisn sittingninn thenbednpickingnat nthenclothingnandn s
mackingn then lips
14. Thennurseninn an communitynhealthn clinicn isn talkingnwithn thenparent n of n an child n withn
CeliacnDisease.n Whichn of nthen followingn statementsn would n requirenfollow-upnbynthe
nursenfornadditionalnteaching?n(a)n―Thisnweekendn wenarengoingntonanseafoodn restaurant.‖
(b) ―I ncannfeed nmynchild noatmealnand neggsn fornbreakfast.‖
(c) ―Mynchild nlovesntoneat nricenand nchickennforndinner.‖
(d) ―Last nnight n wenatenfinshn withn cornnforndinner.‖
15. Thenchargennursenisnobservingnan Licensed nPracticaln Nursen(LPN)nperformingn careforn
assigned n clients.n Follownupnwilln ben required n if n then LPN*:n (a)n assessesn an client‘sn apic
aln pulsen beforen administeringn Digoxinn (lanoxin)
(b) elevatesnthen client‘sn stumpnonnanpillow n eight n hoursn aftern amputation
n n n n n n n n n n
1 & V2) - All Q&As (Brand New) A++ TB w/Pics
n n n n n n n n n n
1. Thennursenisnreviewingnmedicaln prescriptionsn fornnewlynadmitted nclients.n It n would n
ben an prioritynforn then nursen ton follow n upn withn then physiciann if n an client n with
(a) anpotassiumn leveln of n4.5mEq/Lnhasn Kayexalaten (sodiumn polystyrene)n prescribed
(b) an Dilantinn (phenytoin)n leveln of n 8n mcg/mln isn placed n onn seizuren precautions(c)n sensit
ivityntonAspirinn(acetylsalicylicnacid)nisnprescribed nTylenoln(acetaminophen)
(d)nsensitivityntonPenicillinn isnprescribed n Zithromaxn (azithromycin)
2. Thennursenshould n intervenenif n then nursennotesn anstaff n member
(a) obtainingnanclientsn consent npriorntontheirnoperativen procedurenafternreceivingnAtivann(
lorazepam)
(b) placingnanclient n onnthenaffected n sidenfollowingnsurgicalnrepairnof nanretinaln
detachment
(c) handlingnan wet n cast n withn then palmsn of n then hands
(d) usingnan broad n basenof n support n whilen transferringn an client
3. Then communitynhealthn nursen isn caringn forn then followingn clients.n It n would n bena
prioritynfornthen nursen ton initiaten anmultidisciplinaryn conferencen forn then client n whon is
(a) 12n yearsn old n withnAutismnwhonisn startingnannew nschooln and n recentlynhad n an
URI n (uppern respiratoryn tract n infection)
(b) 16n yearsnold,nhasntypen1n DiabetesnMellitus,nisnunemployed n and nhad nanrecent n
Hemoglobinn A1cn of n 13%
(c) 52nyearsnold,nwithnMyasthenianGravis,nrecentlynprescribed nMestinonn
(pyridostigmine)n and n employed n asn an mailn carrier
(d) 70n yearsn old,n hasnschizophrenia,nlivesn alonen and n reportsnhearingnnonnthreatening
, voices.
4. Thennursenfromn thenpostpartumn unit n hasnbeenntemporarilynassigned n tonthenmedicalns
urgicaln unit.n It n would n ben mostnappropriatenton assignn thisn nursen ton then client n who*
(a) hasnreturned n fromn right n totaln hipn replacement n surgerynfournhoursn ago
(b) isnbeingnobserved n fornincreased n intracranialn pressure
(c) had n surgeryntwon hoursn agon ton removen then appendix
5. isntwonweeksn post n partumnbeingnmaintained nonnanmechanicaln ventilatornfornrespiratoryn f
ailure
Then nursen inn an welln babyn clinicn hasn assessed n severaln childrenn today.n Itnwoul
d n ben an prioritynforn then nursen ton suggest nfollow n upnfornthenchild n whon isn (a)n 2nmonthsn old n
withn an positiven babinskin refln ex
(b) 5nmonthsn old n and n doesn not n hold n theirn ownn bottle
(c) 10nmonthsn old n whon criesn around n strangers
(d) 18nmonthsn old n whon needsn support n whilenambulating
6. Then nursen isn caringn forn an mechanicallynventilated n client nwhon wasndeclared n brainn
dead.nAnn AdvancenDirectiven isn notndocumentedn onn then medicaln record.n Itn wouldn ben
mostnappropriatenton obtainn consent n forn organn donationn fromn the
(a) client‘snprimaryncarenprovider
(b) client‘snnursenmanager
(c) closest n livingn familynmember
(d) hospital‘snethicsncommittee
7. Thennursenhasn received n report n onn fournclients.n Thennursenshould nfinrstnassessn then c
lient n whon has*
(a) ChronicnObstructiven PulmonarynDiseasen(COPD)n withnanpulsenoximetrynreadingnof n
90%
(b) Parkinson‘snDiseasenand n isndemandingntonleaventhenhospitalnagainst nmedicaln advicen (
AMA)
(c) beennadmitted nwithnsuspected nGuillian-Barre´nSyndromenand nhasnbegun
, plasmapheresisn therapy
(d) CongestivenHeart n Failuren (CHF)nwhosenpittingnedeman hasn increased n ton 2(+)
8. It n would n benappropriatenton assignn whichn of nthesen tasksn ton then CNA?
(a) Feedingnan client n whon isn experiencingn dysphagia
(b) One-on-onenclient n observationn fornsafety
(c) Removalnof n ann indwellingn catheter
(d) Performingnan simplen dressingnchange
9. Thennursenshould n intervenenif n anstaff n membern isn observed
(a) discussingnanclient‘sn diagnosisnwithn visitingnfamilynmembers
(b) collaboratingnwithn anothernnursen ton review n an prescriptionn forn blood n transfusion
(c) interruptingnothern staff n membersn discussingn an client n inn thencafeteria
(d) reviewingnan clientsn labn valuesn withn then nutritionist
10. Thennursenisnpreparingnanstaff npresentationn onnlegaln and n ethicaln issuesn innnursing.n
Then nursen would n ben correctnton includen whichn of n then followingn examples?
(a) Puttingnan client n inn an geriatricn chairn withn thenlapn trayninn front nofnthenclient n inn then dayn r
oomn ton watchn televisionn isn falsen imprisonment
(b) Tellingnan client n that n youn willn put ninnanfeedingntubenif nthenclient ndoesnnot neatn isn ann e
xamplen of n battery
(c) Tellingnan client n withn bipolarndisordernwhon isnsuicidaln that ntheynhavenanright ntonrefusen t
on taken theirn medicationsn isn ann examplen of n malpractice
(d) Placingnhandsnonn anclient n whonsaysn ―donnot ntouchn me‖ nisnannexamplenof nassault
11. Thennursenfromn thenpediatricnunit n hasnbeenntemporarilynassigned n tonthenEmergencyn
Department.n It n would n ben mostnappropriatenton assignn that n nursen ton then client n who*
(a) reportsn epigastricnpainn that n ―feelsnlikenindigestion‖
(b) hasnbackn painn and n an pulsatingnabdominaln mass
(c) isnHIV+n reportingn vomitingn and n diarrhea
(d) presentsnwithn lowern abdominaln painn and nisn sixn weeksn pregnant
, 12. Fournclientsn recentlynreturned ntonthenunit n followingn invasivendiagnosticn testing.n Then
nursen should n immediatelyn intervenenif n onen of n then clients
(a) reportsn blood n tinged n sputumn followingnan bronchoscopy
(b) hasndecreased n abdominaln girthn followingnparacentesis
(c) reportsn anheadachen followingn anlumbarn puncture
(d) isnobserved n flexingn and n extendingnthenlegsn twon hoursn aftern cardiacn catheterization
13. Thennursenisn maden awaren of nthenfollowingnsituations.n Thennursenshould n finrstncheckn t
hen client n who
(a) had nantransurethraln prostatectomyn(TURP)nand n isnreportingnurinaryndribblingntwon
hoursn aftern then indwellingn cathetern isn removed
(b) hasncervicaln tractionn and n isn movingn then legsn bynfln exingn and n extendingn then feet
(c) hasnAlzheimer‘sndiseasen(stagen1)n and nwasnreturned n tonthenroomnafternbeingnfound n
wanderingn inn then hallway
(d) hasnanhistorynof n partialn seizuresn and nisn sittingninn thenbednpickingnat nthenclothingnandn s
mackingn then lips
14. Thennurseninn an communitynhealthn clinicn isn talkingnwithn thenparent n of n an child n withn
CeliacnDisease.n Whichn of nthen followingn statementsn would n requirenfollow-upnbynthe
nursenfornadditionalnteaching?n(a)n―Thisnweekendn wenarengoingntonanseafoodn restaurant.‖
(b) ―I ncannfeed nmynchild noatmealnand neggsn fornbreakfast.‖
(c) ―Mynchild nlovesntoneat nricenand nchickennforndinner.‖
(d) ―Last nnight n wenatenfinshn withn cornnforndinner.‖
15. Thenchargennursenisnobservingnan Licensed nPracticaln Nursen(LPN)nperformingn careforn
assigned n clients.n Follownupnwilln ben required n if n then LPN*:n (a)n assessesn an client‘sn apic
aln pulsen beforen administeringn Digoxinn (lanoxin)
(b) elevatesnthen client‘sn stumpnonnanpillow n eight n hoursn aftern amputation
