HESI OB PEDS EXAM 2026 ACTUAL TEST
PAPER COMPLETE SOLUTIONS VERIFIED
◉ The nurse reviews the laboratory results for a child with a suspected
diagnosis of rheumatic fever, knowing that which laboratory study
would assist in confirming the diagnosis?
1.Immunoglobulin
2.Red blood cell count
3.White blood cell count
4.Anti-streptolysin O titer. Answer: Anti-streptolysin O titer
◉ On assessment of a child admitted with a diagnosis of acute-stage
Kawasaki disease, the nurse expects to note which clinical manifestation
of the acute stage of the disease?
1.Cracked lips
2.Normal appearance
3.Conjunctival hyperemia
4.Desquamation of the skin. Answer: Conjunctival hyperemia
◉ The mother of a child being discharged after heart surgery asks the
nurse when the child will be able to return to school. Which is the most
appropriate response to the mother?
,1."The child may return to school in 1 week."
2."The child will not be able to return to school during this academic
year."
3."The child may return to school in 1 week but needs to go half-days
for the first 2 weeks."
4."The child may return to school in 3 weeks but needs to go half-days
for the first few days.". Answer: "The child may return to school in 3
weeks but needs to go half-days for the 1st few days"
◉ Prostaglandin E1 is prescribed for a child with transposition of the
great arteries. The mother of the child is a registered nurse and asks the
nurse why the child needs the medication. What is the most appropriate
response to the mother about the action of the medication?
1.Prevents blue (tet) spells
2.Maintains adequate cardiac output
3.Maintains an adequate hormonal level
4.Maintains the position of the great arteries. Answer: Maintains
adequate CO
◉ The nurse is assessing a newborn with heart failure before
administering the prescribed digoxin. In reviewing the laboratory data,
the nurse notes that the newborn has a digoxin blood level of 1.6 ng/mL
(2.05 mmol/L) and an apical heart rate of 90 beats/min. The mother also
, tells the nurse that the newborn just vomited her formula. Which
intervention should the nurse take?
1.Retake the apical pulse.
2.Administer the medication.
3.Withhold the medication for 1 hour.
4.Withhold the medication and notify the health care provider.. Answer:
Withhold the med and notify HCP
◉ The nurse is preparing to administer digoxin to an infant with heart
failure. Before administering the medication, the nurse double-checks
the dose, counts the apical heart rate for 1 full minute, and obtains a rate
of 80 beats/minute. Based on this finding, which is the appropriate
nursing action?
1.Withhold the medication.
2.Administer the medication.
3.Check the blood pressure and then administer the medication.
4.Check the respiratory rate and then administer the medication..
Answer: Withhold the med
◉ The nurse is creating a plan of care for a child admitted with a
diagnosis of Kawasaki disease. In developing the initial plan of care, the
nurse should include monitoring the child for signs of which condition?
PAPER COMPLETE SOLUTIONS VERIFIED
◉ The nurse reviews the laboratory results for a child with a suspected
diagnosis of rheumatic fever, knowing that which laboratory study
would assist in confirming the diagnosis?
1.Immunoglobulin
2.Red blood cell count
3.White blood cell count
4.Anti-streptolysin O titer. Answer: Anti-streptolysin O titer
◉ On assessment of a child admitted with a diagnosis of acute-stage
Kawasaki disease, the nurse expects to note which clinical manifestation
of the acute stage of the disease?
1.Cracked lips
2.Normal appearance
3.Conjunctival hyperemia
4.Desquamation of the skin. Answer: Conjunctival hyperemia
◉ The mother of a child being discharged after heart surgery asks the
nurse when the child will be able to return to school. Which is the most
appropriate response to the mother?
,1."The child may return to school in 1 week."
2."The child will not be able to return to school during this academic
year."
3."The child may return to school in 1 week but needs to go half-days
for the first 2 weeks."
4."The child may return to school in 3 weeks but needs to go half-days
for the first few days.". Answer: "The child may return to school in 3
weeks but needs to go half-days for the 1st few days"
◉ Prostaglandin E1 is prescribed for a child with transposition of the
great arteries. The mother of the child is a registered nurse and asks the
nurse why the child needs the medication. What is the most appropriate
response to the mother about the action of the medication?
1.Prevents blue (tet) spells
2.Maintains adequate cardiac output
3.Maintains an adequate hormonal level
4.Maintains the position of the great arteries. Answer: Maintains
adequate CO
◉ The nurse is assessing a newborn with heart failure before
administering the prescribed digoxin. In reviewing the laboratory data,
the nurse notes that the newborn has a digoxin blood level of 1.6 ng/mL
(2.05 mmol/L) and an apical heart rate of 90 beats/min. The mother also
, tells the nurse that the newborn just vomited her formula. Which
intervention should the nurse take?
1.Retake the apical pulse.
2.Administer the medication.
3.Withhold the medication for 1 hour.
4.Withhold the medication and notify the health care provider.. Answer:
Withhold the med and notify HCP
◉ The nurse is preparing to administer digoxin to an infant with heart
failure. Before administering the medication, the nurse double-checks
the dose, counts the apical heart rate for 1 full minute, and obtains a rate
of 80 beats/minute. Based on this finding, which is the appropriate
nursing action?
1.Withhold the medication.
2.Administer the medication.
3.Check the blood pressure and then administer the medication.
4.Check the respiratory rate and then administer the medication..
Answer: Withhold the med
◉ The nurse is creating a plan of care for a child admitted with a
diagnosis of Kawasaki disease. In developing the initial plan of care, the
nurse should include monitoring the child for signs of which condition?
