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OB/PEDS HESI PRACTICE EXAM –
COMPREHENSIVE Q&A FOR CERTIFICATION
SUCCESS 2026
The mother of an 18-month-old child tells the clinic nurse that the child has been
having some mild diarrhea and describes the child's stools as "mushy." The
mother tells the nurse that the child is tolerating fluids and solid foods. The most
appropriate suggestion regarding the child's diet would be to give the child which
items?
1.Applesauce, bananas, wheat toast
2.Mashed potatoes with baked chicken
3.Gelatin, strained cabbage, and custard
4.Fluids only until the "mushy" stools stop - correct-answer -2. mashed potatoes
w/ baked chicken
RATIONALE:
The continued feeding of a normal diet can prevent dehydration, reduce stool
freq and vol, and hasten recovery. Common foods that are especially well
tolerated during diarrhea are bland but nutritional foods, including complex carbs
(rice, wheat, potatoes, cereals), yogurt containing live cultures, cooked veggies,
and lean meats.
The nurse is preparing to care for an infant who has esophageal atresia with
tracheoesophageal fistula. Surgery is scheduled to be performed in 1 hour.
Intravenous fluids have been initiated, and a nasogastric (NG) tube has been
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inserted by the health care provider. The nurse plans care, knowing that which
intervention is of highest priority during this preoperative period?
1.Monitor the temperature.
2.Monitor the blood pressure.
3.Reposition the infant frequently.
4.Aspirate the NG tube every 5 to 10 minutes. - correct-answer -4. aspirate the
NGT q5-10min
RATIONALE:
Esophageal atresia w/ tracheoesophageal fistula represents a critical neonatal
surgical emergency. While the infant is awaiting transfer to surgery, management
centers on prevention of aspiration. The infant is kept supine or prone w/ the
HOB elevated to decrease the chance that gastric secretions will enter the lungs.
IVF are essential. An NGT must be in place and aspirated q5-10min to keep the
proximal pouch clear of secretions. Monitoring the temp and BP are standard
nursing interventions
A mother brings her child to the well-child clinic and expresses concern to the
nurse because the child has been playing with another child diagnosed with
hepatitis. The nurse prepares to perform an assessment on the child, knowing
that which finding would be of least concern for hepatitis?
1.
Jaundice
2.
Hepatomegaly
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3.
Dark-colored, frothy urine
4.
Left upper abdominal quadrant pain - correct-answer -4. LUQ pain
RATIONALE:
Assessment findings in a child w/ hepatitis include RUQ tenderness and
hepatomegaly. The stools will be pale and clay colored, and urine will be dark and
frothy. Jaundice may present and will be best assessed in the sclera, nail beds,
and mucous membranes
The nurse is reviewing the laboratory results for an infant with suspected
hypertrophic pyloric stenosis. What should the nurse expect to note as the most
likely finding in this infant?
1.Metabolic acidosis
2.Metabolic alkalosis
3.Respiratory acidosis
4.Respiratory alkalosis - correct-answer -2. metabolic alkalosis
RATIONALE:
Lab findings in an infant w/ hypertrophic pyloric stenosis include metabolic
alkalosis as a result of the vomiting that occurs in this d/o. Additional findings
include decreased serum K and Na levels, increased pH and bicarb levels, and
decreased Cl level.
OB/PEDS HESI PRACTICE EXAM –
COMPREHENSIVE Q&A FOR CERTIFICATION
SUCCESS 2026
The mother of an 18-month-old child tells the clinic nurse that the child has been
having some mild diarrhea and describes the child's stools as "mushy." The
mother tells the nurse that the child is tolerating fluids and solid foods. The most
appropriate suggestion regarding the child's diet would be to give the child which
items?
1.Applesauce, bananas, wheat toast
2.Mashed potatoes with baked chicken
3.Gelatin, strained cabbage, and custard
4.Fluids only until the "mushy" stools stop - correct-answer -2. mashed potatoes
w/ baked chicken
RATIONALE:
The continued feeding of a normal diet can prevent dehydration, reduce stool
freq and vol, and hasten recovery. Common foods that are especially well
tolerated during diarrhea are bland but nutritional foods, including complex carbs
(rice, wheat, potatoes, cereals), yogurt containing live cultures, cooked veggies,
and lean meats.
The nurse is preparing to care for an infant who has esophageal atresia with
tracheoesophageal fistula. Surgery is scheduled to be performed in 1 hour.
Intravenous fluids have been initiated, and a nasogastric (NG) tube has been
,2|Page
inserted by the health care provider. The nurse plans care, knowing that which
intervention is of highest priority during this preoperative period?
1.Monitor the temperature.
2.Monitor the blood pressure.
3.Reposition the infant frequently.
4.Aspirate the NG tube every 5 to 10 minutes. - correct-answer -4. aspirate the
NGT q5-10min
RATIONALE:
Esophageal atresia w/ tracheoesophageal fistula represents a critical neonatal
surgical emergency. While the infant is awaiting transfer to surgery, management
centers on prevention of aspiration. The infant is kept supine or prone w/ the
HOB elevated to decrease the chance that gastric secretions will enter the lungs.
IVF are essential. An NGT must be in place and aspirated q5-10min to keep the
proximal pouch clear of secretions. Monitoring the temp and BP are standard
nursing interventions
A mother brings her child to the well-child clinic and expresses concern to the
nurse because the child has been playing with another child diagnosed with
hepatitis. The nurse prepares to perform an assessment on the child, knowing
that which finding would be of least concern for hepatitis?
1.
Jaundice
2.
Hepatomegaly
, 3|Page
3.
Dark-colored, frothy urine
4.
Left upper abdominal quadrant pain - correct-answer -4. LUQ pain
RATIONALE:
Assessment findings in a child w/ hepatitis include RUQ tenderness and
hepatomegaly. The stools will be pale and clay colored, and urine will be dark and
frothy. Jaundice may present and will be best assessed in the sclera, nail beds,
and mucous membranes
The nurse is reviewing the laboratory results for an infant with suspected
hypertrophic pyloric stenosis. What should the nurse expect to note as the most
likely finding in this infant?
1.Metabolic acidosis
2.Metabolic alkalosis
3.Respiratory acidosis
4.Respiratory alkalosis - correct-answer -2. metabolic alkalosis
RATIONALE:
Lab findings in an infant w/ hypertrophic pyloric stenosis include metabolic
alkalosis as a result of the vomiting that occurs in this d/o. Additional findings
include decreased serum K and Na levels, increased pH and bicarb levels, and
decreased Cl level.
