2022 Hesi RN Pediatrics Exam 55 answers
1. 1. The nurse is caring for a 3-year old child who is 2 b.Right foot is cool to the
hours postop from a cardiac catheterization via the touch and appears pale
right femoral artery. Which assessment finding is an and blanched.
indication of arterial obstruction?
a.Blood pressure trend is downward and pulse is rapid
and irregular.
b.Right foot is cool to the touch and appears pale and
blanched.
c.Pulse distal to the femoral artery is weaker on the left
foot than right foot.
d.The pressure dressing at right femoral area is moist
and oozing blood.
2. 2. Following a motor vehicle collision, a 3-year old girl C. Set of cloth and hand
has a spica cast applied. Which toy is best for the nurse puppets.
for this 3-year-old child?
A. Duckthatsqueaks.
B. Fashiondollandclothes.
C. Set of cloth and hand puppets.
D. Hand held video game.
3. 3. An infant with tetralogy of Fallot becomes acute- C. Place the infant in a
ly cyanotic and hyperpneic. Which action should the knee-chest position.
nurse implement first?
A. Administer morphine sulphate.
B. Start IV fluids.
C. Place the infant in a knee-chest position.
D. Provide 100% oxygen by face mask.
4. 4. A child admitted with diabetic ketoacidosis is D. Metabolic acidosis.
demonstrating Kussmaul respirations. The nurse de-
termines that the increased respiratory rate is a com-
, 2022 Hesi RN Pediatrics Exam 55 answers
pensatory mechanism for which acid base alteration?
A. Metabolicalkalosis.
B. Respiratory acidosis.
C. Respiratoryalkalosis.
D. Metabolic acidosis.
5. 5. 7 years old is admitted to the hospital with persis- C. Serum potassium of 3.0
tent vomiting, and a nasogastric tube attached to low mg/dL.
intermittent suction is applied. Which finding is most
important for the nurse to report to the healthcare
provider?
A. Gastric output of 100 mL in the last 8 hours.
B. Shift intake of 640 mL IV fluids plus 30 mL PO ice
chips.
C. Serum potassium of 3.0 mg/dL.
D. Serum pH of 7.45.
6. 6. The nurse is evaluating diet teaching for a client who A. Creamed corn.
has nontropical sprue (celiac disease). Choosing which
food indicates that the teaching has been effective?
A. Creamed corn.
B. Pancakes.
C. Rye crackers.
D. Cooked oatmeal.
7. 7. During a well-baby check, the nurse hides a block D. Object permanence.
under the baby's blanket, and the baby looks for the
block. Which normal growth and development mile-
stone is the baby developing?
A. Separation anxiety.
B. Associativeplay.
, 2022 Hesi RN Pediatrics Exam 55 answers
C. Object prehension.
D. Object permanence.
8. 8. The nurse is measuring the frontal occipital circum- B. Palpate the anterior
ference (FOC) of a 3-months old infant, and notes that fontanel for tension and
the FOC has increased 5 inches since birth and the bulging.
child's head appears large in relation to body size.
Which action is most important for the nurse to take
next?
A. Measuretheinfant'shead-to-toelength.
B. Palpate the anterior fontanel for tension and
bulging.
C. Observe the infant for sunken eyes.
D. Plot the measurement on the infant's growth chart.
9. 9. The nurse is preparing a 10-year-old with a lacerated D. Please decide who will
forehead for suturing. Both parents and 12-year-old stay when the healthcare
sibling are at the child's bedside. Which instruction provider begins suturing.
best supports family?
A. While waiting for the healthcare provider, only one
visitor may stay with the child.
B. All of you should leave while the healthcare provider
sutures the child's forehead.
C. It is best if the sibling goes to the waiting room until
the suturing is completed.
D. Please decide who will stay when the healthcare
provider begins suturing.
10. 10. The nurse is planning for a 5-month old with gas- B. Thicken formula with ce-
troesophageal reflux disease whose weight has de- real for each feeding.
creased by 3 ounces since the last clinic visit one month
ago. To increase caloric intake and decrease vomiting,
1. 1. The nurse is caring for a 3-year old child who is 2 b.Right foot is cool to the
hours postop from a cardiac catheterization via the touch and appears pale
right femoral artery. Which assessment finding is an and blanched.
indication of arterial obstruction?
a.Blood pressure trend is downward and pulse is rapid
and irregular.
b.Right foot is cool to the touch and appears pale and
blanched.
c.Pulse distal to the femoral artery is weaker on the left
foot than right foot.
d.The pressure dressing at right femoral area is moist
and oozing blood.
2. 2. Following a motor vehicle collision, a 3-year old girl C. Set of cloth and hand
has a spica cast applied. Which toy is best for the nurse puppets.
for this 3-year-old child?
A. Duckthatsqueaks.
B. Fashiondollandclothes.
C. Set of cloth and hand puppets.
D. Hand held video game.
3. 3. An infant with tetralogy of Fallot becomes acute- C. Place the infant in a
ly cyanotic and hyperpneic. Which action should the knee-chest position.
nurse implement first?
A. Administer morphine sulphate.
B. Start IV fluids.
C. Place the infant in a knee-chest position.
D. Provide 100% oxygen by face mask.
4. 4. A child admitted with diabetic ketoacidosis is D. Metabolic acidosis.
demonstrating Kussmaul respirations. The nurse de-
termines that the increased respiratory rate is a com-
, 2022 Hesi RN Pediatrics Exam 55 answers
pensatory mechanism for which acid base alteration?
A. Metabolicalkalosis.
B. Respiratory acidosis.
C. Respiratoryalkalosis.
D. Metabolic acidosis.
5. 5. 7 years old is admitted to the hospital with persis- C. Serum potassium of 3.0
tent vomiting, and a nasogastric tube attached to low mg/dL.
intermittent suction is applied. Which finding is most
important for the nurse to report to the healthcare
provider?
A. Gastric output of 100 mL in the last 8 hours.
B. Shift intake of 640 mL IV fluids plus 30 mL PO ice
chips.
C. Serum potassium of 3.0 mg/dL.
D. Serum pH of 7.45.
6. 6. The nurse is evaluating diet teaching for a client who A. Creamed corn.
has nontropical sprue (celiac disease). Choosing which
food indicates that the teaching has been effective?
A. Creamed corn.
B. Pancakes.
C. Rye crackers.
D. Cooked oatmeal.
7. 7. During a well-baby check, the nurse hides a block D. Object permanence.
under the baby's blanket, and the baby looks for the
block. Which normal growth and development mile-
stone is the baby developing?
A. Separation anxiety.
B. Associativeplay.
, 2022 Hesi RN Pediatrics Exam 55 answers
C. Object prehension.
D. Object permanence.
8. 8. The nurse is measuring the frontal occipital circum- B. Palpate the anterior
ference (FOC) of a 3-months old infant, and notes that fontanel for tension and
the FOC has increased 5 inches since birth and the bulging.
child's head appears large in relation to body size.
Which action is most important for the nurse to take
next?
A. Measuretheinfant'shead-to-toelength.
B. Palpate the anterior fontanel for tension and
bulging.
C. Observe the infant for sunken eyes.
D. Plot the measurement on the infant's growth chart.
9. 9. The nurse is preparing a 10-year-old with a lacerated D. Please decide who will
forehead for suturing. Both parents and 12-year-old stay when the healthcare
sibling are at the child's bedside. Which instruction provider begins suturing.
best supports family?
A. While waiting for the healthcare provider, only one
visitor may stay with the child.
B. All of you should leave while the healthcare provider
sutures the child's forehead.
C. It is best if the sibling goes to the waiting room until
the suturing is completed.
D. Please decide who will stay when the healthcare
provider begins suturing.
10. 10. The nurse is planning for a 5-month old with gas- B. Thicken formula with ce-
troesophageal reflux disease whose weight has de- real for each feeding.
creased by 3 ounces since the last clinic visit one month
ago. To increase caloric intake and decrease vomiting,
