PEDS HESI EXAM
QUESTIONS WITH
DETAILED VERIFIED
ANSWERS AND
RATIONALES\ALREADY
GRADED A+\VERIFIED BY
EXPERT
A child is brought to the clinic complaining of fever and joins pain, and is DX with rheumatic fever.
When planning care for this child what is the goal of nursing care?
Prevent cardiac damage
The nurse working on the pediatric unit takes two 8-year old girls to the playroom. Which activity is
best for the nurse to plan for these girls?
Selecting a board game
The nurse is developing the plan of care for a hospitalized child with Von Willebrand disease. What
priority nursing intervention should be included in this child plan of care
Guard against bleeding injuries
How should the nurse instruct the parents of a 4 month old with seborrheic dermatitis (cradle cap) to
shampoo the child's hair?
Use a soft brush and gently scrub the area
Prior to discharge, the parents of a child with cystic fibrosis are demonstrating chest physiotherapy
(CPT) that they will perform for their child at home. Which action requires intervention by the nurse?
The child is placed in a supine position to begin percussion
,When assessing the breath sounds of an 18-month old child who is crying, what action should the
nurse take?
Allow the child to initially play with stethoscope, and distract during auscultation
The mother of a one-month old calls the clinic to report that the back of her infant is flat. How should
the nurse respond?
Position the infant on the stomach occasionally when awake and active
A 7-year-old child is admitted to the hospital with acute glomerulonephritis (AGN). When obtaining
the nursing history which finding should the nurse expect to obtain?
A recent strep throat infection
In assessing a 10-year-old newly diagnosed with osteomyelitis, which information is most for the
nurse to obtain.
Recent recurrence of infections
A 3-year-old boy in a daycare facility scratches his head frequently and the nurse confirms the
presence if head lice. The nurse washes the child's hair with permethrin(Nix) shampoo and call his
parents. What instructions should the nurse provide to the parents about treatment of head lice?
Wash the child's bed linens and clothing in hot soapy water
The nurse on a pediatric unit observes a distraught mother in the hallwayher 3year old son for wetting
his pants. What initial action should the nurse take?
Inform the mother that toilet training is slower for boys
The RN is palpating the lymph nodes of an 18 month old. Which finding should the RN call to the
attention of the healthcare provider?
Enlarged, warm, tender, pre-auricular node.
A 3-year-old boy was successfully toilet trained prior to his admission to the hospital for injuries
sustained from a fall. His parents are very concerned about this regression in toileting. Which
information should the RN provide to the parents?
Children usually resume their toileting behaviors when they leave the hospital.
A mother brings her 8 mo. old baby boy to clinic because he has been vomiting and had diarrhea for
last 3 days. Which assessment is most important for nurse to make?
Measure the infant's pulse
A mother brings her 3-week old infant to the clinic because the baby vomits after eating and always
seems hungry. Further assessment indicates that the infant's vomiting is projectile, and the child
seems listless. Which additional assessment finding indicates the possibility of a life threatening
complication?
Irregular palpable pulse
,The nurse is performing a routine assessment of a 3-year old at a community health center. Which
behavior by the child should alert the nurse to request a follow-up for a possible autistic spectrum
disorder?
Performs odd repetitive behaviors
Following admission for cardiac catheterization, the nurse is providing discharge teaching to the
parents of a 2-year-old toddler with Tetralogy of Fallot. What instruction should the nurse give the
parents if their child becomes pale, cool, lethargic?
Contact their HCP immediately
The mother of a 4-month-old baby girl asks the nurse when she should introduce solid foods to her
infant. The mother states, "My mother says I should put rice cereal in the baby's bottle now." The
nurse should instruct the mother to introduce solid foods when her child exhibits which behavior?
Opens mouth when food comes her way
A mother brings her school-aged daughter to the pediatric clinic for evaluation of her anti-epileptic
medication regimen. What information should the nurse provide to the mother?
The medication dose will be tapered over a period of 2 weeks when being discontinued
A mother of a 3-year old boy has just given birth to a new baby girl. The little boy asks the nurse, "why
is my baby sister eating my mommy's breast?" how should the nurse respond? Select all that apply
a. Remind him that his mother breastfed him too
c. Reassure the older brother that it does not hurt his mother
d. Explain that newborns get milk from their mothers in this way
The nurse is planning discharge teaching for a client who had an evacuation of
gestational trophoblastic disease (GTD) two days ago. Which information is most important
for the nurse to include in this client's teaching plan?
Oral contraceptive use for at least one year.
The nurse is planning care for a client at 30-weeks gestation who is experiencing
preterm labor. What maternal prescription is most important in preventing this fetus from
developing respiratory distress syndrome?
Betamethasone (Celestone) 12 mg deep IM.
The nurse places one hand above the symphysis while massaging the fundus of a
multiparous client whose uterine tone is boggy 15 minutes after delivering a 7 pound 10
ounce infant. Which information should the nurse provide the client about this finding?
Both the lower uterine segment and the fundus must be massaged.
Which instruction should the nurse include in the discharge teaching plan of a 7-year-
old girl with a history of frequent urinary tract infections?
Monitor for changes in urinary odor.
, A pregnant woman in the first trimester of pregnancy has a hemoglobin of 8.6 mg/dl
and a hematocrit of 25.1%. What foot should the nurse encourage this client to include in her
diet?
Chicken.
The newborn nursery admission protocol includes a prescption for phytonadione (Vitamin
K1, AquaMEPHYTON) 0.5 mg IM to newborns upon admission. The ampoule provides 2
mg/ml. How many ml should the nurse administer?
0.3
The nurse is preparing to administer methylergonovine maleate (Methergine) to a
postpartum client. Based on what assessment finding should the nurse withhold the drug?
Blood pressure 149/90.
A full-term, 24-hour-old infant in the nursery regurgitates and suddenly turns cyanotic.
What should the nurse do first?
Stimulate the infant to cry.
At 6-weeks gestation, the rubella titer of a client indicates she is non-immune. When is the best time
to administer a rubella vaccine to this client?
Early postpartum, within 72 hours of delivery.
A client is receiving oxytocin (Pitocin) to augment early labor. Which assessment is most important for
the nurse to obtain each time the infusion rate is increased?
Contraction pattern.
A client delivers a viable infant, but begins to have excessive uncontrolled vaginal bleeding
after the IV Pitocin is infused. When notifying the healthcare provider of the client's
condition, what information is most important for the nurse to provide?
Maternal blood pressure.
While obtaining the vital signs of a 10-year-old who had a tonsillectomy this morning, the
nurse observes the child swallowing every 2 to 3 minutes. Which assessment should the
nurse implement?
Inspect the posterior oropharynx.
A neonate who has congenital adrenal hyperplasia (CAH) presents with ambiguous genitalia.
What is the primary nursing consideration when supporting the parents of a child with this
anomaly?
Offer information about ultrasonography and genotyping to determine sex assignment.
QUESTIONS WITH
DETAILED VERIFIED
ANSWERS AND
RATIONALES\ALREADY
GRADED A+\VERIFIED BY
EXPERT
A child is brought to the clinic complaining of fever and joins pain, and is DX with rheumatic fever.
When planning care for this child what is the goal of nursing care?
Prevent cardiac damage
The nurse working on the pediatric unit takes two 8-year old girls to the playroom. Which activity is
best for the nurse to plan for these girls?
Selecting a board game
The nurse is developing the plan of care for a hospitalized child with Von Willebrand disease. What
priority nursing intervention should be included in this child plan of care
Guard against bleeding injuries
How should the nurse instruct the parents of a 4 month old with seborrheic dermatitis (cradle cap) to
shampoo the child's hair?
Use a soft brush and gently scrub the area
Prior to discharge, the parents of a child with cystic fibrosis are demonstrating chest physiotherapy
(CPT) that they will perform for their child at home. Which action requires intervention by the nurse?
The child is placed in a supine position to begin percussion
,When assessing the breath sounds of an 18-month old child who is crying, what action should the
nurse take?
Allow the child to initially play with stethoscope, and distract during auscultation
The mother of a one-month old calls the clinic to report that the back of her infant is flat. How should
the nurse respond?
Position the infant on the stomach occasionally when awake and active
A 7-year-old child is admitted to the hospital with acute glomerulonephritis (AGN). When obtaining
the nursing history which finding should the nurse expect to obtain?
A recent strep throat infection
In assessing a 10-year-old newly diagnosed with osteomyelitis, which information is most for the
nurse to obtain.
Recent recurrence of infections
A 3-year-old boy in a daycare facility scratches his head frequently and the nurse confirms the
presence if head lice. The nurse washes the child's hair with permethrin(Nix) shampoo and call his
parents. What instructions should the nurse provide to the parents about treatment of head lice?
Wash the child's bed linens and clothing in hot soapy water
The nurse on a pediatric unit observes a distraught mother in the hallwayher 3year old son for wetting
his pants. What initial action should the nurse take?
Inform the mother that toilet training is slower for boys
The RN is palpating the lymph nodes of an 18 month old. Which finding should the RN call to the
attention of the healthcare provider?
Enlarged, warm, tender, pre-auricular node.
A 3-year-old boy was successfully toilet trained prior to his admission to the hospital for injuries
sustained from a fall. His parents are very concerned about this regression in toileting. Which
information should the RN provide to the parents?
Children usually resume their toileting behaviors when they leave the hospital.
A mother brings her 8 mo. old baby boy to clinic because he has been vomiting and had diarrhea for
last 3 days. Which assessment is most important for nurse to make?
Measure the infant's pulse
A mother brings her 3-week old infant to the clinic because the baby vomits after eating and always
seems hungry. Further assessment indicates that the infant's vomiting is projectile, and the child
seems listless. Which additional assessment finding indicates the possibility of a life threatening
complication?
Irregular palpable pulse
,The nurse is performing a routine assessment of a 3-year old at a community health center. Which
behavior by the child should alert the nurse to request a follow-up for a possible autistic spectrum
disorder?
Performs odd repetitive behaviors
Following admission for cardiac catheterization, the nurse is providing discharge teaching to the
parents of a 2-year-old toddler with Tetralogy of Fallot. What instruction should the nurse give the
parents if their child becomes pale, cool, lethargic?
Contact their HCP immediately
The mother of a 4-month-old baby girl asks the nurse when she should introduce solid foods to her
infant. The mother states, "My mother says I should put rice cereal in the baby's bottle now." The
nurse should instruct the mother to introduce solid foods when her child exhibits which behavior?
Opens mouth when food comes her way
A mother brings her school-aged daughter to the pediatric clinic for evaluation of her anti-epileptic
medication regimen. What information should the nurse provide to the mother?
The medication dose will be tapered over a period of 2 weeks when being discontinued
A mother of a 3-year old boy has just given birth to a new baby girl. The little boy asks the nurse, "why
is my baby sister eating my mommy's breast?" how should the nurse respond? Select all that apply
a. Remind him that his mother breastfed him too
c. Reassure the older brother that it does not hurt his mother
d. Explain that newborns get milk from their mothers in this way
The nurse is planning discharge teaching for a client who had an evacuation of
gestational trophoblastic disease (GTD) two days ago. Which information is most important
for the nurse to include in this client's teaching plan?
Oral contraceptive use for at least one year.
The nurse is planning care for a client at 30-weeks gestation who is experiencing
preterm labor. What maternal prescription is most important in preventing this fetus from
developing respiratory distress syndrome?
Betamethasone (Celestone) 12 mg deep IM.
The nurse places one hand above the symphysis while massaging the fundus of a
multiparous client whose uterine tone is boggy 15 minutes after delivering a 7 pound 10
ounce infant. Which information should the nurse provide the client about this finding?
Both the lower uterine segment and the fundus must be massaged.
Which instruction should the nurse include in the discharge teaching plan of a 7-year-
old girl with a history of frequent urinary tract infections?
Monitor for changes in urinary odor.
, A pregnant woman in the first trimester of pregnancy has a hemoglobin of 8.6 mg/dl
and a hematocrit of 25.1%. What foot should the nurse encourage this client to include in her
diet?
Chicken.
The newborn nursery admission protocol includes a prescption for phytonadione (Vitamin
K1, AquaMEPHYTON) 0.5 mg IM to newborns upon admission. The ampoule provides 2
mg/ml. How many ml should the nurse administer?
0.3
The nurse is preparing to administer methylergonovine maleate (Methergine) to a
postpartum client. Based on what assessment finding should the nurse withhold the drug?
Blood pressure 149/90.
A full-term, 24-hour-old infant in the nursery regurgitates and suddenly turns cyanotic.
What should the nurse do first?
Stimulate the infant to cry.
At 6-weeks gestation, the rubella titer of a client indicates she is non-immune. When is the best time
to administer a rubella vaccine to this client?
Early postpartum, within 72 hours of delivery.
A client is receiving oxytocin (Pitocin) to augment early labor. Which assessment is most important for
the nurse to obtain each time the infusion rate is increased?
Contraction pattern.
A client delivers a viable infant, but begins to have excessive uncontrolled vaginal bleeding
after the IV Pitocin is infused. When notifying the healthcare provider of the client's
condition, what information is most important for the nurse to provide?
Maternal blood pressure.
While obtaining the vital signs of a 10-year-old who had a tonsillectomy this morning, the
nurse observes the child swallowing every 2 to 3 minutes. Which assessment should the
nurse implement?
Inspect the posterior oropharynx.
A neonate who has congenital adrenal hyperplasia (CAH) presents with ambiguous genitalia.
What is the primary nursing consideration when supporting the parents of a child with this
anomaly?
Offer information about ultrasonography and genotyping to determine sex assignment.
