1
HESI PEDIATRICS & MATERNITY 2026-27
VERSION PRACTICE FINAL EXAM
QUESTIONS AND ANSWERS
The nurse is caring for a 3 year old child who is 2 hours postop from a cardiac
catheritization via the right femoral artery. Which assessment finding is an indication
of arterial obstruction? -
Correct Answer-Right foot is cool to the touch and appears pale and blanched
During fundal massage, place one hand at the fundus, what is the second hand used
for
-
Correct Answer-to anchor fundus
Following a motor vehicle collision, a 3 year old girl has a spica cast applied.
Which toy is best for the nurse for this 3 year old child? -
Correct Answer-Set of cloth and hand puppets
There is a question that has to be put in order -
Correct Answer-*isolate the baby, move mom to private room, collect u/a,
start iv*
An infant with tetralogy of fallot becomes acutely cyanotic and hyperpneic.
Which action should the nurse implement first? -
Correct Answer-Place the infant in a knee-chest position
How do you measure the frequency of contractions -
Correct Answer-from the beginning of one to the beginning of the next
A child admitted with diabetic ketoacidosis is demonstrating Kussmaul respirations.
The nurse determines that the increased respiratory rate is a compensatory
mechanism for which acid base alteration? -
Correct Answer-Metabolic Acidoses
Mothers Hemoglobin A1C -
Correct Answer-give her a consultation to a nutritionist
A 7 year old is admitted to the hospital with persistent vomiting, and a
nasogastric tube attached to low intermittent suction is applied. Which finding is
most important for the nurse to report to the healthcare provider? -
,2
Correct Answer-Serum potassium of 3.0 mg/dL
Baby shows cyanosis in hands and feet and has elevated respirations - Correct
Answer- gradually warm the baby
Cyanotic 3 hour old infant temperature 96.5, 40 breaths/min, 165
beats/minute. Intervention best to implement? -
Correct Answer-gradually warm under heat source
The nurse is evaluating diet teaching for a client who has nontropical sprue
(celiac disease). Choosing which food indicates that the teaching has been
effective? -
Correct Answer-*Creamed corn*
Baby is showing signs of mottling -
Correct Answer-check temperature
During a well-baby check, the nurse hides a block under the baby's blanket,
and the baby looks for the block. Which normal growth and development
milestone is the baby developing? -
Correct Answer-Object Permanence
Mom is at 20 week gestation and has gained 20 lbs, what is of most concern
out of the data of mom -
Correct Answer-increased weight gain
The nurse is measuring he frontal occipital circumference (FOC) of a 3 month old
infant, and notes that the FOC has increased 5 inches since birth and the child's
head appears large in relation to body size. Which action is most important for
the nurse to take next?
-
Correct Answer-Palpate the anterior fontanel for tension and bulging
Mom asks why her baby is being screened for T4 and TSH levels - Correct
Answer-it is state protocol to monitor for metabolic abnormalities
The nurse is preparing a 10 year old with a lacerated forehead for suturing.
Both parents and 12 years old sibling are at the child's bedside. Which
instruction best supports family? -
Correct Answer-Please decide who will stay when the healthcare provider
begins suturing
Patient is having labor back pain -
Correct Answer-counter pressure on lower back (sacrum)
The nurse is planning for a 5 month old with gastroesophageal reflux disease
whose weight has decreased by 3 ounces since the last clinic visit one month
HESI PEDIATRICS & MATERNITY 2026-27
VERSION PRACTICE FINAL EXAM
QUESTIONS AND ANSWERS
The nurse is caring for a 3 year old child who is 2 hours postop from a cardiac
catheritization via the right femoral artery. Which assessment finding is an indication
of arterial obstruction? -
Correct Answer-Right foot is cool to the touch and appears pale and blanched
During fundal massage, place one hand at the fundus, what is the second hand used
for
-
Correct Answer-to anchor fundus
Following a motor vehicle collision, a 3 year old girl has a spica cast applied.
Which toy is best for the nurse for this 3 year old child? -
Correct Answer-Set of cloth and hand puppets
There is a question that has to be put in order -
Correct Answer-*isolate the baby, move mom to private room, collect u/a,
start iv*
An infant with tetralogy of fallot becomes acutely cyanotic and hyperpneic.
Which action should the nurse implement first? -
Correct Answer-Place the infant in a knee-chest position
How do you measure the frequency of contractions -
Correct Answer-from the beginning of one to the beginning of the next
A child admitted with diabetic ketoacidosis is demonstrating Kussmaul respirations.
The nurse determines that the increased respiratory rate is a compensatory
mechanism for which acid base alteration? -
Correct Answer-Metabolic Acidoses
Mothers Hemoglobin A1C -
Correct Answer-give her a consultation to a nutritionist
A 7 year old is admitted to the hospital with persistent vomiting, and a
nasogastric tube attached to low intermittent suction is applied. Which finding is
most important for the nurse to report to the healthcare provider? -
,2
Correct Answer-Serum potassium of 3.0 mg/dL
Baby shows cyanosis in hands and feet and has elevated respirations - Correct
Answer- gradually warm the baby
Cyanotic 3 hour old infant temperature 96.5, 40 breaths/min, 165
beats/minute. Intervention best to implement? -
Correct Answer-gradually warm under heat source
The nurse is evaluating diet teaching for a client who has nontropical sprue
(celiac disease). Choosing which food indicates that the teaching has been
effective? -
Correct Answer-*Creamed corn*
Baby is showing signs of mottling -
Correct Answer-check temperature
During a well-baby check, the nurse hides a block under the baby's blanket,
and the baby looks for the block. Which normal growth and development
milestone is the baby developing? -
Correct Answer-Object Permanence
Mom is at 20 week gestation and has gained 20 lbs, what is of most concern
out of the data of mom -
Correct Answer-increased weight gain
The nurse is measuring he frontal occipital circumference (FOC) of a 3 month old
infant, and notes that the FOC has increased 5 inches since birth and the child's
head appears large in relation to body size. Which action is most important for
the nurse to take next?
-
Correct Answer-Palpate the anterior fontanel for tension and bulging
Mom asks why her baby is being screened for T4 and TSH levels - Correct
Answer-it is state protocol to monitor for metabolic abnormalities
The nurse is preparing a 10 year old with a lacerated forehead for suturing.
Both parents and 12 years old sibling are at the child's bedside. Which
instruction best supports family? -
Correct Answer-Please decide who will stay when the healthcare provider
begins suturing
Patient is having labor back pain -
Correct Answer-counter pressure on lower back (sacrum)
The nurse is planning for a 5 month old with gastroesophageal reflux disease
whose weight has decreased by 3 ounces since the last clinic visit one month
