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PEDIATRICS HESI EXIT EXAM NEWEST VERIFIED
VERSION 2026 WITH COMPLETE 55 QUESTIONS AND
SOLUTION 100% VERIFIED ANSWERS A+ GRADED
FREE||NEWEST EXAM!!!
The nurse is conducting an initial admission assessment
of a 12-month-old child in celiac crisis. Which action is
most important for the nurse to take first? - ANSWER-
Assess the child's mucous membranes and skin turgor.
An infant having a celiac crisis has severe diarrhea and is
at high risk for fluid volume deficit. The nurse should first
assess for indications of fluid volume deficit and then
implement options B, C, and D.
A newborn is suspected of having an imperforate anus.
What is most important for the nurse to include in the
child's plan of care? - ANSWER-No rectal temperatures
An imperforate anus means that the anus did not form
properly and there may be a membrane over the anal
opening. No objects should be placed in the anal opening
if this condition is suspected. There is no apparent
infection in this case to increase the frequency of taking
the newborn's temperature. A temperature of
100°F/37.7°C is a low-grade fever and is not related to this
condition. While it is important to show mom how to take a
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temperature, it is not as important as the potential trauma
of a probe in an imperforate anus.
A child is recovering from a splenectomy secondary to a
diagnosis of β-Thalassemia major. What is the most
important instruction the nurse must include in the child's
discharge plan? - ANSWER-Report signs of infection.
The child is at risk for sepsis after a splenectomy. Report
to the child's health care provider any signs and symptoms
of infection. Genetic counseling and the pneumococcal
vaccine are important, but do not pose the risk of sepsis.
Weekly hemoglobin levels are not necessary.
Which vital sign is most important to assess in the 6-year-
old child brought to the clinic with reddened, open, and
oozing skin lesions? - ANSWER-Temperature
Temperature is a sign of infection. Alterations in skin
integrity can lead to infection which is most concerning
with a child with open and oozing lesions. The remaining
vital signs may change with infection, but temperature is
the closest sign indicative of infection.
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What information about skincare will the nurse include in
the teaching plan for parent of a 3-month old with
eczema? (Select all that apply.)
A. Bath water should be tepid and use only a mild soap
when needed.
B. Apply a thick layer of corticosteroids to the affected
areas 5 times a day.
C. Apply a cool, wet washcloth to the affected area for 5
minutes at a time.
D. Do not use fabric softener when washing any of your
child's clothes.
E. Keep your baby's nails short, and cover hands with
cotton socks if needed. - ANSWER-A, C, D, & E
Corticosteroids should be applied in a thin layer and
rubbed into the affected area. The remaining instructions
are appropriate for a child with eczema.
The nurse is providing care to a 9-year-old newly admitted
to the emergency department with a closed head injury.
Which of the health care provider's orders will the nurse
question? (Select all that apply.)
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A. Neuro checks every 8 hours
B. Two milligrams of IV morphine x one now
C. Turn off the florescent lighting in the room.
D. Increase the head of the bed to 45 degrees.
E. Parents at the bedside - ANSWER-A, B, & D
Initial neuro checks need to be performed at least hourly
to detect for subtle changes. Sedating medications like
morphine need to be avoided during the initial phase of
assessment of a closed head injury. The head of the bed
should only be elevated 15 to 30 degrees. The goal is to
decrease stimulation in the room by turning off the
florescent lighting. Subtle lighting can be brought into the
room. Parents at the bedside will offer the child
reassurance.
The nurse is reviewing the discharge instructions of the
parents of a 2-year-old who just underwent a
myringotomy. What instructions will the nurse include in
the parent's teaching? (Select all that apply.)
A. Do not immerse the child's head in water when bathing.
B. Administer the Tylenol as prescribed.
C. Do not substitute aspirin for the prescribed Tylenol.
PEDIATRICS HESI EXIT EXAM NEWEST VERIFIED
VERSION 2026 WITH COMPLETE 55 QUESTIONS AND
SOLUTION 100% VERIFIED ANSWERS A+ GRADED
FREE||NEWEST EXAM!!!
The nurse is conducting an initial admission assessment
of a 12-month-old child in celiac crisis. Which action is
most important for the nurse to take first? - ANSWER-
Assess the child's mucous membranes and skin turgor.
An infant having a celiac crisis has severe diarrhea and is
at high risk for fluid volume deficit. The nurse should first
assess for indications of fluid volume deficit and then
implement options B, C, and D.
A newborn is suspected of having an imperforate anus.
What is most important for the nurse to include in the
child's plan of care? - ANSWER-No rectal temperatures
An imperforate anus means that the anus did not form
properly and there may be a membrane over the anal
opening. No objects should be placed in the anal opening
if this condition is suspected. There is no apparent
infection in this case to increase the frequency of taking
the newborn's temperature. A temperature of
100°F/37.7°C is a low-grade fever and is not related to this
condition. While it is important to show mom how to take a
,2|Page
temperature, it is not as important as the potential trauma
of a probe in an imperforate anus.
A child is recovering from a splenectomy secondary to a
diagnosis of β-Thalassemia major. What is the most
important instruction the nurse must include in the child's
discharge plan? - ANSWER-Report signs of infection.
The child is at risk for sepsis after a splenectomy. Report
to the child's health care provider any signs and symptoms
of infection. Genetic counseling and the pneumococcal
vaccine are important, but do not pose the risk of sepsis.
Weekly hemoglobin levels are not necessary.
Which vital sign is most important to assess in the 6-year-
old child brought to the clinic with reddened, open, and
oozing skin lesions? - ANSWER-Temperature
Temperature is a sign of infection. Alterations in skin
integrity can lead to infection which is most concerning
with a child with open and oozing lesions. The remaining
vital signs may change with infection, but temperature is
the closest sign indicative of infection.
,3|Page
What information about skincare will the nurse include in
the teaching plan for parent of a 3-month old with
eczema? (Select all that apply.)
A. Bath water should be tepid and use only a mild soap
when needed.
B. Apply a thick layer of corticosteroids to the affected
areas 5 times a day.
C. Apply a cool, wet washcloth to the affected area for 5
minutes at a time.
D. Do not use fabric softener when washing any of your
child's clothes.
E. Keep your baby's nails short, and cover hands with
cotton socks if needed. - ANSWER-A, C, D, & E
Corticosteroids should be applied in a thin layer and
rubbed into the affected area. The remaining instructions
are appropriate for a child with eczema.
The nurse is providing care to a 9-year-old newly admitted
to the emergency department with a closed head injury.
Which of the health care provider's orders will the nurse
question? (Select all that apply.)
, 4|Page
A. Neuro checks every 8 hours
B. Two milligrams of IV morphine x one now
C. Turn off the florescent lighting in the room.
D. Increase the head of the bed to 45 degrees.
E. Parents at the bedside - ANSWER-A, B, & D
Initial neuro checks need to be performed at least hourly
to detect for subtle changes. Sedating medications like
morphine need to be avoided during the initial phase of
assessment of a closed head injury. The head of the bed
should only be elevated 15 to 30 degrees. The goal is to
decrease stimulation in the room by turning off the
florescent lighting. Subtle lighting can be brought into the
room. Parents at the bedside will offer the child
reassurance.
The nurse is reviewing the discharge instructions of the
parents of a 2-year-old who just underwent a
myringotomy. What instructions will the nurse include in
the parent's teaching? (Select all that apply.)
A. Do not immerse the child's head in water when bathing.
B. Administer the Tylenol as prescribed.
C. Do not substitute aspirin for the prescribed Tylenol.
