Hesi RN Peds Exam Comprehensive Resource To Help You Ace 2026-2027 Includes
Frequently Tested Questions With ELABORATED 100% Correct COMPLETE SOLUTIONS
Guaranteed Pass First Attempt!! Current Update!!
The nurse is giving pre-op instructions to a 14 yr old
female scheduled for surgery to correct a spinal curva- "I understand that I will be in a body cast and I will show
ture. Which stmt best demonstrates that leaning has taken you how you taught me to turn"
place?
To take the v/s of a 4 month old, which ordered will give
RR - HR - rectal temp
the most accurate results?
During routine screening at a school clinic, an otoscope
exam reveals a tympanic mb that is pearly gray, slightly Ask the child if they have had a cold, runny nose, or any ear
bulging, and not movable. What action should the nurse pain lately
take next?
Which restraint should be used for a toddler after a cleft
Elbow
palate repair?
Observe for projectile vomiting
What pre-op nsg intervention should be included in the
POC for an infant w/ pyloric stenosis? (remember that projectile vomiting leads to metabolic
alkalosis)
Remove the restraints one at a time and provide ROM
A 6 month old returns from surgery w/ elbow restraints in
exercises
place. What nsg care should be included when caring for
any restrained child?
(Removing them 1 at a time is safer than all at once)
Congenital heart disease
A 2 yr old w/ Down syndrome is brought to the clinic for his
regular physical exam. The nurse knows which problem is (CHD is the most common associated defect w/ Downs. -
requently associated w/ Downs? also, remember Professor Moore said that heart and ear
problems go hand in hand)
When assessing a child w/ asthma, the nurse should
Inspriation
expect intercostal retractions during
Stresses the suture line
, Hesi RN Peds Exam Comprehensive Resource To Help You Ace 2026-2027 Includes
Frequently Tested Questions With ELABORATED 100% Correct COMPLETE SOLUTIONS
Guaranteed Pass First Attempt!! Current Update!!
When planning the care for a child who has had a cleft lip
repair, the nurse know that crying should be minimized
because it
A full-term infant is admitted to the newborn nursery. After Choking , coughing, and cyanosis
careful assessment, the nurse suspects that the infant may
have an esophageal atresia. Which sx's is this newborn (this answer includes the 3 "C"s of esophageal atresia
likely to have exhibited? caused by the overflow of secretions to the trachea)
Display possessiveness of toys
Which behavior would the nurse expect a 2 yr old to
exhibit?
(they are egocentric and unable to share w/ others)
the other of a preschool-aged child asks the nurse if it is
all right to administer Pepto Bismol to her son when he Do not give if they have chicken pox, the flue, or any other
has a tummy ache. After reminding her to check the label viral illness
of all OTC meds for the presence of ASA, which instruction
should the nurse include when replying to the mom's (ASA can cause Reye's syndrome)
question?
the nurse observes a 4 yr old boy in a daycare. Which Demonstrates aggressiveness by boasting when telling a
behavior should the nurse consider normal for this child? story
A burned child is brought to the ER. In estimating the % of Head and neck
body burned, the nurse uses a modified "Rule of Nines."
Which part of the body is calculated as a larger % of total (a child's head and neck are proportionately larger to their
body surface than an adult? body than an adult's)
The nurse receives a lab report stating a child w/ asthma Pass the info on in the report
has a theophylline level of 15mcg/dL. What action will the
nurse take? (therapeutic level is 10-20)
A 12 month old is admitted w/ a respiratory infection and Have a bulb syringe readily available to remove secre-
possible pneumonia. He is placed in a mist tent w/ O2. tions
Which nsg intervention has the greatest priority?
(patent airway has the highest priority. Humidification will
, Hesi RN Peds Exam Comprehensive Resource To Help You Ace 2026-2027 Includes
Frequently Tested Questions With ELABORATED 100% Correct COMPLETE SOLUTIONS
Guaranteed Pass First Attempt!! Current Update!!
liquefy the nasal secretions - thereby increasing the amt
of secretions and making that a priority)
Assessing the fontanels
All of the following interventions can be used to eval the
ettectiveness of nsg and medical interventions used to (Weighing diapers, checking skin turgor, and observing
tx diarrhea. Which intervention is the least useful in the mucous mb's for moisture evaluate fluid status in infants.
nurse's eval of a 20 month old child? But how old is this child? Posterior fontanel closes at 2
months and anterior closes by 18 months)
A 5 month old is admitted to the hospital w/ vomiting
Serum BUN and creatinine levels
and diarrhea. The dr. prescribes dextrose 5% and 0.25%
NS w/ 2 mEq KCl/ 100ml to be infused at 25mL/hr. Prior
(Regardless of the age, adequate renal fxn must be pre-
to initiating the infusion, the nurse should obtain which
sent b/f adding K+ IVF)
assessment finding?
a tympanic measurement of temp will provide the most
accurate reading
(A tympanic mb sensor is an excellent site because both
The nurse is assigning care for a 4 yr old w/ otitis media
the eardrum and hypothalamus (temp regulating center)
and is concerned about the child's increasing temp over
are perfused by the same circulation. the sensor is unaf-
the last 24 hrs. When planning care for this child, it is
fected by the cerumen and the presence of suppurative or
important for the nurse to consider that
unsuppurative otitis media does not ettect measurement.
RULE OF THUMB: for mgmt -sterile procedures should be
assigned to licensed personnel. Mgmg skills be be tested
on the NCLEX. An RN is not required)
The nurse is assessing an 8 month old who has a medical Clubbed fingers
dx of Tetrology of Fallow. Which sx is this client likely to OF is a cyanotic defect, it causes clubbing of fingers and
exhibit? toes)
A 6 month old w/ FTT that has a closed anterior fontanel
As part of the physical assessment of children, the
nurse observes and palpates the fontanels. Which child's
(At 6 months of age, the anterior fontanel should be open,
fontanel finding should be reported to the HCP?
and it should not be closed until about 18 months old)
Frequently Tested Questions With ELABORATED 100% Correct COMPLETE SOLUTIONS
Guaranteed Pass First Attempt!! Current Update!!
The nurse is giving pre-op instructions to a 14 yr old
female scheduled for surgery to correct a spinal curva- "I understand that I will be in a body cast and I will show
ture. Which stmt best demonstrates that leaning has taken you how you taught me to turn"
place?
To take the v/s of a 4 month old, which ordered will give
RR - HR - rectal temp
the most accurate results?
During routine screening at a school clinic, an otoscope
exam reveals a tympanic mb that is pearly gray, slightly Ask the child if they have had a cold, runny nose, or any ear
bulging, and not movable. What action should the nurse pain lately
take next?
Which restraint should be used for a toddler after a cleft
Elbow
palate repair?
Observe for projectile vomiting
What pre-op nsg intervention should be included in the
POC for an infant w/ pyloric stenosis? (remember that projectile vomiting leads to metabolic
alkalosis)
Remove the restraints one at a time and provide ROM
A 6 month old returns from surgery w/ elbow restraints in
exercises
place. What nsg care should be included when caring for
any restrained child?
(Removing them 1 at a time is safer than all at once)
Congenital heart disease
A 2 yr old w/ Down syndrome is brought to the clinic for his
regular physical exam. The nurse knows which problem is (CHD is the most common associated defect w/ Downs. -
requently associated w/ Downs? also, remember Professor Moore said that heart and ear
problems go hand in hand)
When assessing a child w/ asthma, the nurse should
Inspriation
expect intercostal retractions during
Stresses the suture line
, Hesi RN Peds Exam Comprehensive Resource To Help You Ace 2026-2027 Includes
Frequently Tested Questions With ELABORATED 100% Correct COMPLETE SOLUTIONS
Guaranteed Pass First Attempt!! Current Update!!
When planning the care for a child who has had a cleft lip
repair, the nurse know that crying should be minimized
because it
A full-term infant is admitted to the newborn nursery. After Choking , coughing, and cyanosis
careful assessment, the nurse suspects that the infant may
have an esophageal atresia. Which sx's is this newborn (this answer includes the 3 "C"s of esophageal atresia
likely to have exhibited? caused by the overflow of secretions to the trachea)
Display possessiveness of toys
Which behavior would the nurse expect a 2 yr old to
exhibit?
(they are egocentric and unable to share w/ others)
the other of a preschool-aged child asks the nurse if it is
all right to administer Pepto Bismol to her son when he Do not give if they have chicken pox, the flue, or any other
has a tummy ache. After reminding her to check the label viral illness
of all OTC meds for the presence of ASA, which instruction
should the nurse include when replying to the mom's (ASA can cause Reye's syndrome)
question?
the nurse observes a 4 yr old boy in a daycare. Which Demonstrates aggressiveness by boasting when telling a
behavior should the nurse consider normal for this child? story
A burned child is brought to the ER. In estimating the % of Head and neck
body burned, the nurse uses a modified "Rule of Nines."
Which part of the body is calculated as a larger % of total (a child's head and neck are proportionately larger to their
body surface than an adult? body than an adult's)
The nurse receives a lab report stating a child w/ asthma Pass the info on in the report
has a theophylline level of 15mcg/dL. What action will the
nurse take? (therapeutic level is 10-20)
A 12 month old is admitted w/ a respiratory infection and Have a bulb syringe readily available to remove secre-
possible pneumonia. He is placed in a mist tent w/ O2. tions
Which nsg intervention has the greatest priority?
(patent airway has the highest priority. Humidification will
, Hesi RN Peds Exam Comprehensive Resource To Help You Ace 2026-2027 Includes
Frequently Tested Questions With ELABORATED 100% Correct COMPLETE SOLUTIONS
Guaranteed Pass First Attempt!! Current Update!!
liquefy the nasal secretions - thereby increasing the amt
of secretions and making that a priority)
Assessing the fontanels
All of the following interventions can be used to eval the
ettectiveness of nsg and medical interventions used to (Weighing diapers, checking skin turgor, and observing
tx diarrhea. Which intervention is the least useful in the mucous mb's for moisture evaluate fluid status in infants.
nurse's eval of a 20 month old child? But how old is this child? Posterior fontanel closes at 2
months and anterior closes by 18 months)
A 5 month old is admitted to the hospital w/ vomiting
Serum BUN and creatinine levels
and diarrhea. The dr. prescribes dextrose 5% and 0.25%
NS w/ 2 mEq KCl/ 100ml to be infused at 25mL/hr. Prior
(Regardless of the age, adequate renal fxn must be pre-
to initiating the infusion, the nurse should obtain which
sent b/f adding K+ IVF)
assessment finding?
a tympanic measurement of temp will provide the most
accurate reading
(A tympanic mb sensor is an excellent site because both
The nurse is assigning care for a 4 yr old w/ otitis media
the eardrum and hypothalamus (temp regulating center)
and is concerned about the child's increasing temp over
are perfused by the same circulation. the sensor is unaf-
the last 24 hrs. When planning care for this child, it is
fected by the cerumen and the presence of suppurative or
important for the nurse to consider that
unsuppurative otitis media does not ettect measurement.
RULE OF THUMB: for mgmt -sterile procedures should be
assigned to licensed personnel. Mgmg skills be be tested
on the NCLEX. An RN is not required)
The nurse is assessing an 8 month old who has a medical Clubbed fingers
dx of Tetrology of Fallow. Which sx is this client likely to OF is a cyanotic defect, it causes clubbing of fingers and
exhibit? toes)
A 6 month old w/ FTT that has a closed anterior fontanel
As part of the physical assessment of children, the
nurse observes and palpates the fontanels. Which child's
(At 6 months of age, the anterior fontanel should be open,
fontanel finding should be reported to the HCP?
and it should not be closed until about 18 months old)
