PEDIATRICS HESI PRACTICE TEST
QUESTIONS AND ANSWERS GRADED A+
A full-term infant is admitted to the newborn nursery.
After careful assessment, the nurse suspects that the
infant may have an esophageal atresia. Which
symptoms is this newborn likely to have exhibited? A.
Choking, coughing, and cyanosis.
B. Projectile vomiting and cyanosis.
C. Apneic spells and grunting.
D.Scaphoid abdomen and anorexia. - CORRECT
ANSWER -A. Choking, coughing, and cyanosis.
The nurse is giving preoperative instructions to a 14-
year-old female client who is scheduled for surgery to
correct a spinal curvature. Which statement by the
client best demonstrates that learning has taken
place?
A. "I will read all the literature you gave me before
surgery."
B. "I have had surgery before when I broke my wrist in
a bike accident, so I know what to expect."
,C. "All the things people have told me will help me take
care of my back."
"I understand that I will be in a body cast and I will
D.
show you how you taught me to turn." - CORRECT
ANSWER -D. "I understand that I will be in a body cast
and I will show you how you taught me to turn."
To take the vital signs of a 4-month-old child,
which order will give the most accurate results?
A. Respiratory rate, heart rate, then rectal
temperature.
B. Heart rate, rectal temperature, then respiratory
rate.
C. Rectal temperature, heart rate, then respiratory
rate.
D. Rectal temperature, respiratory rate, then heart
rate. - CORRECT ANSWER -A. Respiratory rate,
heart rate, then rectal temperature.
During routine screening at a school clinic, an
otoscope examination of a child's ear reveals a
,tympanic membrane that is pearly gray, slightly
bulging, and not movable. What action should the
nurse take next?
A. No action required, as this is an expected finding for
a school-aged child.
B. Ask the child if he/she has had a cold, runny nose,
or any ear pain lately.
C. Send a note home advising the parents to have the
child evaluated by a healthcare provider as soon as
possible.
D. Call the parents and have them take the child home
from school for the rest of the day. - CORRECT
ANSWER -B. Ask the child if he/she has had a cold,
runny nose, or any ear pain lately.
Which restraint should be used for a
toddler after a cleft palate repair? A.
Clove hitch.
B. Mummy.
C. Elbow.
D. Jacket. - CORRECT ANSWER -C. Elbow.
, What preoperative nursing intervention should be
included in the plan of care for an infant with pyloric
stenosis?
A. Monitor for signs of metabolic acidosis.
B. Estimate the quantity of diarrhea stools.
C. Place in a supine position after feeding.
D. Observe for projectile vomiting. - CORRECT
ANSWER -D. Observe for projectile vomiting.
A six-month-old returns from surgery with elbow
restraints in place. What nursing care should be
included when caring for any restrained child? A.
Keep restraints on at all times.
B. Remove restraints one at a time and provide range
of motion exercises.
C. Remove all restraints simultaneously and provide
play activities.
D. Renew the healthcare provider's prescription for
restraints every 72 hours. - CORRECT ANSWER -B.
Remove restraints one at a time and provide range
of motion exercises.
QUESTIONS AND ANSWERS GRADED A+
A full-term infant is admitted to the newborn nursery.
After careful assessment, the nurse suspects that the
infant may have an esophageal atresia. Which
symptoms is this newborn likely to have exhibited? A.
Choking, coughing, and cyanosis.
B. Projectile vomiting and cyanosis.
C. Apneic spells and grunting.
D.Scaphoid abdomen and anorexia. - CORRECT
ANSWER -A. Choking, coughing, and cyanosis.
The nurse is giving preoperative instructions to a 14-
year-old female client who is scheduled for surgery to
correct a spinal curvature. Which statement by the
client best demonstrates that learning has taken
place?
A. "I will read all the literature you gave me before
surgery."
B. "I have had surgery before when I broke my wrist in
a bike accident, so I know what to expect."
,C. "All the things people have told me will help me take
care of my back."
"I understand that I will be in a body cast and I will
D.
show you how you taught me to turn." - CORRECT
ANSWER -D. "I understand that I will be in a body cast
and I will show you how you taught me to turn."
To take the vital signs of a 4-month-old child,
which order will give the most accurate results?
A. Respiratory rate, heart rate, then rectal
temperature.
B. Heart rate, rectal temperature, then respiratory
rate.
C. Rectal temperature, heart rate, then respiratory
rate.
D. Rectal temperature, respiratory rate, then heart
rate. - CORRECT ANSWER -A. Respiratory rate,
heart rate, then rectal temperature.
During routine screening at a school clinic, an
otoscope examination of a child's ear reveals a
,tympanic membrane that is pearly gray, slightly
bulging, and not movable. What action should the
nurse take next?
A. No action required, as this is an expected finding for
a school-aged child.
B. Ask the child if he/she has had a cold, runny nose,
or any ear pain lately.
C. Send a note home advising the parents to have the
child evaluated by a healthcare provider as soon as
possible.
D. Call the parents and have them take the child home
from school for the rest of the day. - CORRECT
ANSWER -B. Ask the child if he/she has had a cold,
runny nose, or any ear pain lately.
Which restraint should be used for a
toddler after a cleft palate repair? A.
Clove hitch.
B. Mummy.
C. Elbow.
D. Jacket. - CORRECT ANSWER -C. Elbow.
, What preoperative nursing intervention should be
included in the plan of care for an infant with pyloric
stenosis?
A. Monitor for signs of metabolic acidosis.
B. Estimate the quantity of diarrhea stools.
C. Place in a supine position after feeding.
D. Observe for projectile vomiting. - CORRECT
ANSWER -D. Observe for projectile vomiting.
A six-month-old returns from surgery with elbow
restraints in place. What nursing care should be
included when caring for any restrained child? A.
Keep restraints on at all times.
B. Remove restraints one at a time and provide range
of motion exercises.
C. Remove all restraints simultaneously and provide
play activities.
D. Renew the healthcare provider's prescription for
restraints every 72 hours. - CORRECT ANSWER -B.
Remove restraints one at a time and provide range
of motion exercises.
