PEDS Hesi final (2026/2027) EXAM || MOST RECENT
EXAM ACTUAL COMPLETE REAL VERIFIED EXAM
QUESTIONS AND CORRECT ANSWERS (VERIFIED
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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. - Answer-D. observe for
projectile vomiting.
Projectile vomiting which contributes to metabolic
alkalosis, is the classic sign of pyloric stenosis. Estimating
the quantity of diarrhea stools is not indicated. Placing the
child in a supine position is dangerous due to the potential
for aspiration with frequent 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?
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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 lay
activities
D. renew the healthcare provider's prescription for
restraints every 72 hours. - Answer-B. remove restraints
one at a time and provide range of motion exercises
Removing restraints one at a time is safer than removing
all of them at once. The child needs to exercise and
should not be kept in restraints at all times. The renewal of
the healthcare provider's prescription varies with hospitals
and it does not really answer the question.
A 2-year old child with Down syndrome is brought to the
clinic for his regular physical examination. The nurse
knows which problem is frequently associated with Down
syndrome?
A. congenital heart disease
B. fragile x-chromosome
C. trisomy 13
D. pyloric stenosis - Answer-A. congenital heart disease
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Congenital heart disease is the most common associated
defect in children with Down syndrome. Trisomy 13 my
have seemed possible since Down syndrome is a trisomal
chromosomal abnormality o chromosome 21. Fragile x-
chromosome is a sex-linked abnormality also causing
mental retardation. Pyloric stenosis is not associated with
Down syndrome.
When assessing a child with asthma, the nurse should
expect intercostal retractions during
A. inspiration
B. coughing
C. apneic episodes
D. expiration - Answer-A. inspiration
Intercostal retractions result from respiratory effort to draw
air into restricted airways.
When planning the care for a child who has had a cleft lip
repair, the nurse knows that crying should be minimized
because it
A. increases salivation
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B. increases the respiratory rate
C. leads to vomiting
D. stresses the suture line - Answer-D. stresses the suture
line
Prevention of stress on the lip suture line is essential for
optimum healing and the cosmetic appearance of a cleft
lip repair. Although crying also causes increased
salivation, increased respiratory rate and may lead to
vomiting, these conditions do not create a problem for the
child with a cleft lip repair.
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 - Answer-A. choking,
coughing, and cyanosis