Pediatrics HESI EXAM LATEST
2026/2027 ACTUAL EXAM TEST
BANK| 3 VERSIONS (VERSIONS A, B
AND C) WITH 90 QUESTIONS EACH
AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) ALREADY
GRADED A+ (BRAND NEW!!)
Am6-month-
oldminfantmwithmcongestivemheartmfailurem(CHF)mismreceivingmdigoxinmelixir.mWhichmobservationmby
mthemnursemwarrantsmimmediatemintervention?
m Apicalmheartmratemofm60.
m Sweatingmacrossmthemforehead.
m Doesn'tmsuckmwell.
m Respiratorymratemofm30mbreathsmpermminute.m-mCORRECTmANSWERmApicalmheartmratemofm60.
Amheartmratemofm60m(A)mismmuchmlowermthanmnormalmformam6-month-
oldmandmwarrantsmimmediatemintervention.mThemnormalmheartmratemformam6-month-
oldmism80mtom150mBPMmwhenmawake,mandmamratemofm70mwhilemsleepingmismconsideredmwithinmnor
malmlimits.m(BmandmC)maremexpectedmsymptomsmofmheartmfailureminmanminfant.m(D)mismwithinmnorm
almlimitsmformanminfant.
Themnursemismteachingmthemparentsmofmam5-year-
oldmwithmcysticmfibrosismaboutmrespiratorymtreatments.mWhichmstatementmindicatesmtomthemnursem
thatmthemparentsmunderstand?
m Performmposturalmdrainagembeforemstartingmaerosolmtherapy.
m Givemrespiratorymtreatmentsmwhenmthemchildmismcoughingmamlot.
m Administermaerosolmtherapymfollowedmbymposturalmdrainagembeforemmeals.
,mEnsuremrespiratorymtherapymismdonemdailymduringmanymrespiratoryminfection.m-
mCORRECTmANSWERmAdministermaerosolmtherapymfollowedmbymposturalmdrainagembeforemmeals.
Posturalmdrainagemformamchildmwithmcysticmfibrosismismmostmeffectivemwhenmperformedmaftermnebul
izationmandmbeforemmealsm(C)mormatmleastm1mhourmaftermeatingmtompreventmnauseamandmvomiting.m
Posturalmdrainagemusesmgravitymtompromotemmucousmremovalmaftermnebulizationm(A)mtreatmentsm
whichmopenmthemairways.mPulmonarymtoiletingmormrespiratorymtreatmentsmshouldmbemgivenm3mtom
4mtimesmdaily,mnotmepisodicallym(BmandmD).
AmfemalemteenagermismtakingmoralmtetracyclinemHCLm(AchromycinmV)mformacnemvulgaris.mWhatmismt
hemmostmimportantminstructionmformthemnursemtomincludeminmthismclient'smteachingmplan?
m Usemsunscreenmwhenmlyingmbymthempool.m
m Cleansemthemskinmatmleastm4mtimesmamday.
m Takemthemmedicationmwithmamglassmofmmilk.
mMenstrualmperiodsmmaymbecomemirregular.m-
mCORRECTmANSWERmUsemsunscreenmwhenmlyingmbymthempool.m
PhotosensitivitymismamcommonmsidemeffectmofmtetracyclinemHCLm(AchromycinmV)mtherapy.mSeverems
unburnmcanmoccurmwithmminimalmsunmexposuremandmclientsmshouldmbeminstructedmtomavoidmsunlig
htmandmtomusemsunscreenm(A).m(BmandmD)maremnotmrelatedmtomtetracyclinemHCLm(AchromycinmV)mth
erapy.m(C)mshouldmbemavoidedmbecausemdairymproductsminterferemwithmthemabsorptionmofmtetracy
clines.
Whatmpreoperativemnursingminterventionmshouldmbemincludedminmthemplanmofmcaremformanminfantm
withmpyloricmstenosis?
m Monitormformsignsmofmmetabolicmacidosis.
m Estimatemthemquantitymofmdiarrheamstools.
m Placeminmamsupinempositionmaftermfeeding.
m Observemformprojectilemvomiting.m-mCORRECTmANSWERmObservemformprojectilemvomiting.
,Projectilemvomitingm(D),mwhichmcontributesmtommetabolicmalkalosism(A),mismthemclassicmsignmofmpylo
ricmstenosis.m(B)mismnotmindicated.m(C)mismdangerous,mduemtomthempotentialmformaspirationmwithmfre
quentmvomiting.
Anminfantmismbornmwithmamventricularmseptalmdefectm(VSD)mandmsurgerymismplannedmtomcorrectmthe
mdefect.mThemnursemrecognizesmthatmsurgicalmcorrectionmismdesignedmtomachievemwhichmoutcome?
m Stopmthemflowmofmunoxygenatedmbloodmintomsystemicmcirculation.
m Increasemthemflowmofmunoxygenatedmbloodmtomthemlungs.m
m Preventmthemreturnmofmoxygenatedmbloodmtomthemlungs.m
mReducemperipheralmtissuemhypoxiamandmnailbedmclubbingm-
mCORRECTmANSWERmPreventmthemreturnmofmoxygenatedmbloodmtomthemlungs.m
ClosuremofmVSDsmstopsmoxygenatedmbloodmfrommbeingmshuntedmfrommthemleftmventriclemtomthemri
ghtmventriclem(C).mVSDsmaremacyanoticmdefects,mwhichmmeansmthatmnomunoxygenatedmbloodmente
rsmthemsystemicmcirculationm(AmandmB).m(D)mismcommonmwithmTetrologymofmFallot,mwhichmismamcyan
oticmdefect.
Am3-week-oldmnewbornmismbroughtmtomthemclinicmformfollow-
upmaftermamhomembirth.mThemmothermreportsmthatmhermchildmbottlemfeedsmform5mminutesmonlymand
mthenmfallsmasleep.mThemnursemauscultatesmamloudmmurmurmcharacteristicmofmamventricularmseptalm
defectm(VSD),mandmfindsmthemnewbornmismacyanoticmwithmamrespiratorymratemofm64mbreathsmpermm
inute.mWhatminstructionmshouldmthemnursemprovidemthemmothermtomensuremtheminfantmismreceivin
gmadequatemintake?m(Selectmallmthatmapply.)
A.mMonitormthemtheminfant'smweightmandmnumbermofmwetmdiapersmpermday.m
B.mIncreasemtheminfant'smintakempermfeedingmbym1mtom2mouncesmpermweek.m
C.mMixmthemdosemofmprophylacticmantibioticminmamfullmbottlemofmformula.
D.mAllowmtheminfantmtomrestmandmrefeedmonmdemandmormeverym2mhours.
E.mUsemamsoftermnipplemormincreasemthemsizemofmthemnipplemopening.m-
mCORRECTmANSWERmA.mMonitormthemtheminfant'smweightmandmnumbermofmwetmdiapersmpermday.
B.mIncreasemtheminfant'smintakempermfeedingmbym1mtom2mouncesmpermweek.m
, D.mAllowmtheminfantmtomrestmandmrefeedmonmdemandmormeverym2mhours.
E.mUsemamsoftermnipplemormincreasemthemsizemofmthemnipplemopening.
AntibioticmprophylaxismismrecommendedmforminfantsmwithmVSDs,mbutmshouldmnotmbemmixedminmamb
ottlemofmformulam(C)mbecausemitmismdifficultmtomensuremthatmthemtotalmdosemismconsumed.
Theymshouldmbemmonitoredmformweightmgainmandmatmleastm6mwetmdiapersmpermdaym(A).mAmone-
monthmoldminfantmshouldmingestm2mtom4mouncesmofmformulampermfeedingmandmprogressmtomaboutm
30mouncesmpermdaymbym4-monthsmofmagem(B)
PreoperativemnursingmcaremformamchildmwithmWilms'mtumormshouldmincludemwhichmintervention?
m Gentlympercussmthemabdomenmformevidencemofmtrappedmair.
m Observemthemabdomenmformanymnoticeablemdiscolorations.
m Applymcoldmcompressesmtomthemabdomenmtomreducemedema.
mPutmamsignmonmthembedmreading,m"DOmNOTmPALPATEmABDOMEN."m-
mCORRECTmANSWERmPutmamsignmonmthembedmreading,m"DOmNOTmPALPATEmABDOMEN."
Preventionmofmabdominalmpalpationm(D)mminimizesmthemriskmofmrupturingmthemencapsulatedmtum
ormandmsubsequentmmetastasis.m(A)mismunnecessary,mandmthismactionmcouldmtraumatizemthemtumo
rminmthemsamemmannermasmpalpation.m(BmandmC)maremincorrectmsincemthemabdomenmismnotmdiscolo
redmandmcoldmcompressesmaremnotmindicated.
Atm8ma.m.mthemunlicensedmassistivempersonnelm(UAP)minformsmthemchargemnursemthatmamfemalema
dolescentmclientmwithmacutemglomerulonephritismhasmambloodmpressuremofm210/110.mThem4ma.m.m
bloodmpressuremreadingmwasm170/88.mThemclientmreportsmtomthemUAPmthatmshemismupsetmbecausem
hermboyfriendmdidmnotmvisitmlastmnight.mWhatmactionmshouldmthemnursemtakemfirst?
m Givemthemclientmherm9ma.m.mprescriptionmformanmoralmdiureticmearly.
m AdministermPRNmprescriptionmofmnifedipinem(Procardia)msublingually.m
m Notifymthemhealthcaremprovidermandminformmthemnursingmsupervisormofmthemclient'smcondition.
2026/2027 ACTUAL EXAM TEST
BANK| 3 VERSIONS (VERSIONS A, B
AND C) WITH 90 QUESTIONS EACH
AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) ALREADY
GRADED A+ (BRAND NEW!!)
Am6-month-
oldminfantmwithmcongestivemheartmfailurem(CHF)mismreceivingmdigoxinmelixir.mWhichmobservationmby
mthemnursemwarrantsmimmediatemintervention?
m Apicalmheartmratemofm60.
m Sweatingmacrossmthemforehead.
m Doesn'tmsuckmwell.
m Respiratorymratemofm30mbreathsmpermminute.m-mCORRECTmANSWERmApicalmheartmratemofm60.
Amheartmratemofm60m(A)mismmuchmlowermthanmnormalmformam6-month-
oldmandmwarrantsmimmediatemintervention.mThemnormalmheartmratemformam6-month-
oldmism80mtom150mBPMmwhenmawake,mandmamratemofm70mwhilemsleepingmismconsideredmwithinmnor
malmlimits.m(BmandmC)maremexpectedmsymptomsmofmheartmfailureminmanminfant.m(D)mismwithinmnorm
almlimitsmformanminfant.
Themnursemismteachingmthemparentsmofmam5-year-
oldmwithmcysticmfibrosismaboutmrespiratorymtreatments.mWhichmstatementmindicatesmtomthemnursem
thatmthemparentsmunderstand?
m Performmposturalmdrainagembeforemstartingmaerosolmtherapy.
m Givemrespiratorymtreatmentsmwhenmthemchildmismcoughingmamlot.
m Administermaerosolmtherapymfollowedmbymposturalmdrainagembeforemmeals.
,mEnsuremrespiratorymtherapymismdonemdailymduringmanymrespiratoryminfection.m-
mCORRECTmANSWERmAdministermaerosolmtherapymfollowedmbymposturalmdrainagembeforemmeals.
Posturalmdrainagemformamchildmwithmcysticmfibrosismismmostmeffectivemwhenmperformedmaftermnebul
izationmandmbeforemmealsm(C)mormatmleastm1mhourmaftermeatingmtompreventmnauseamandmvomiting.m
Posturalmdrainagemusesmgravitymtompromotemmucousmremovalmaftermnebulizationm(A)mtreatmentsm
whichmopenmthemairways.mPulmonarymtoiletingmormrespiratorymtreatmentsmshouldmbemgivenm3mtom
4mtimesmdaily,mnotmepisodicallym(BmandmD).
AmfemalemteenagermismtakingmoralmtetracyclinemHCLm(AchromycinmV)mformacnemvulgaris.mWhatmismt
hemmostmimportantminstructionmformthemnursemtomincludeminmthismclient'smteachingmplan?
m Usemsunscreenmwhenmlyingmbymthempool.m
m Cleansemthemskinmatmleastm4mtimesmamday.
m Takemthemmedicationmwithmamglassmofmmilk.
mMenstrualmperiodsmmaymbecomemirregular.m-
mCORRECTmANSWERmUsemsunscreenmwhenmlyingmbymthempool.m
PhotosensitivitymismamcommonmsidemeffectmofmtetracyclinemHCLm(AchromycinmV)mtherapy.mSeverems
unburnmcanmoccurmwithmminimalmsunmexposuremandmclientsmshouldmbeminstructedmtomavoidmsunlig
htmandmtomusemsunscreenm(A).m(BmandmD)maremnotmrelatedmtomtetracyclinemHCLm(AchromycinmV)mth
erapy.m(C)mshouldmbemavoidedmbecausemdairymproductsminterferemwithmthemabsorptionmofmtetracy
clines.
Whatmpreoperativemnursingminterventionmshouldmbemincludedminmthemplanmofmcaremformanminfantm
withmpyloricmstenosis?
m Monitormformsignsmofmmetabolicmacidosis.
m Estimatemthemquantitymofmdiarrheamstools.
m Placeminmamsupinempositionmaftermfeeding.
m Observemformprojectilemvomiting.m-mCORRECTmANSWERmObservemformprojectilemvomiting.
,Projectilemvomitingm(D),mwhichmcontributesmtommetabolicmalkalosism(A),mismthemclassicmsignmofmpylo
ricmstenosis.m(B)mismnotmindicated.m(C)mismdangerous,mduemtomthempotentialmformaspirationmwithmfre
quentmvomiting.
Anminfantmismbornmwithmamventricularmseptalmdefectm(VSD)mandmsurgerymismplannedmtomcorrectmthe
mdefect.mThemnursemrecognizesmthatmsurgicalmcorrectionmismdesignedmtomachievemwhichmoutcome?
m Stopmthemflowmofmunoxygenatedmbloodmintomsystemicmcirculation.
m Increasemthemflowmofmunoxygenatedmbloodmtomthemlungs.m
m Preventmthemreturnmofmoxygenatedmbloodmtomthemlungs.m
mReducemperipheralmtissuemhypoxiamandmnailbedmclubbingm-
mCORRECTmANSWERmPreventmthemreturnmofmoxygenatedmbloodmtomthemlungs.m
ClosuremofmVSDsmstopsmoxygenatedmbloodmfrommbeingmshuntedmfrommthemleftmventriclemtomthemri
ghtmventriclem(C).mVSDsmaremacyanoticmdefects,mwhichmmeansmthatmnomunoxygenatedmbloodmente
rsmthemsystemicmcirculationm(AmandmB).m(D)mismcommonmwithmTetrologymofmFallot,mwhichmismamcyan
oticmdefect.
Am3-week-oldmnewbornmismbroughtmtomthemclinicmformfollow-
upmaftermamhomembirth.mThemmothermreportsmthatmhermchildmbottlemfeedsmform5mminutesmonlymand
mthenmfallsmasleep.mThemnursemauscultatesmamloudmmurmurmcharacteristicmofmamventricularmseptalm
defectm(VSD),mandmfindsmthemnewbornmismacyanoticmwithmamrespiratorymratemofm64mbreathsmpermm
inute.mWhatminstructionmshouldmthemnursemprovidemthemmothermtomensuremtheminfantmismreceivin
gmadequatemintake?m(Selectmallmthatmapply.)
A.mMonitormthemtheminfant'smweightmandmnumbermofmwetmdiapersmpermday.m
B.mIncreasemtheminfant'smintakempermfeedingmbym1mtom2mouncesmpermweek.m
C.mMixmthemdosemofmprophylacticmantibioticminmamfullmbottlemofmformula.
D.mAllowmtheminfantmtomrestmandmrefeedmonmdemandmormeverym2mhours.
E.mUsemamsoftermnipplemormincreasemthemsizemofmthemnipplemopening.m-
mCORRECTmANSWERmA.mMonitormthemtheminfant'smweightmandmnumbermofmwetmdiapersmpermday.
B.mIncreasemtheminfant'smintakempermfeedingmbym1mtom2mouncesmpermweek.m
, D.mAllowmtheminfantmtomrestmandmrefeedmonmdemandmormeverym2mhours.
E.mUsemamsoftermnipplemormincreasemthemsizemofmthemnipplemopening.
AntibioticmprophylaxismismrecommendedmforminfantsmwithmVSDs,mbutmshouldmnotmbemmixedminmamb
ottlemofmformulam(C)mbecausemitmismdifficultmtomensuremthatmthemtotalmdosemismconsumed.
Theymshouldmbemmonitoredmformweightmgainmandmatmleastm6mwetmdiapersmpermdaym(A).mAmone-
monthmoldminfantmshouldmingestm2mtom4mouncesmofmformulampermfeedingmandmprogressmtomaboutm
30mouncesmpermdaymbym4-monthsmofmagem(B)
PreoperativemnursingmcaremformamchildmwithmWilms'mtumormshouldmincludemwhichmintervention?
m Gentlympercussmthemabdomenmformevidencemofmtrappedmair.
m Observemthemabdomenmformanymnoticeablemdiscolorations.
m Applymcoldmcompressesmtomthemabdomenmtomreducemedema.
mPutmamsignmonmthembedmreading,m"DOmNOTmPALPATEmABDOMEN."m-
mCORRECTmANSWERmPutmamsignmonmthembedmreading,m"DOmNOTmPALPATEmABDOMEN."
Preventionmofmabdominalmpalpationm(D)mminimizesmthemriskmofmrupturingmthemencapsulatedmtum
ormandmsubsequentmmetastasis.m(A)mismunnecessary,mandmthismactionmcouldmtraumatizemthemtumo
rminmthemsamemmannermasmpalpation.m(BmandmC)maremincorrectmsincemthemabdomenmismnotmdiscolo
redmandmcoldmcompressesmaremnotmindicated.
Atm8ma.m.mthemunlicensedmassistivempersonnelm(UAP)minformsmthemchargemnursemthatmamfemalema
dolescentmclientmwithmacutemglomerulonephritismhasmambloodmpressuremofm210/110.mThem4ma.m.m
bloodmpressuremreadingmwasm170/88.mThemclientmreportsmtomthemUAPmthatmshemismupsetmbecausem
hermboyfriendmdidmnotmvisitmlastmnight.mWhatmactionmshouldmthemnursemtakemfirst?
m Givemthemclientmherm9ma.m.mprescriptionmformanmoralmdiureticmearly.
m AdministermPRNmprescriptionmofmnifedipinem(Procardia)msublingually.m
m Notifymthemhealthcaremprovidermandminformmthemnursingmsupervisormofmthemclient'smcondition.
