PEDS HESI UPDATED EXAMS SCRIPT ALL
QUESTIONS AND ANSWERS SURE A+
✔✔A burned child is brought to the emergency room. In estimating the percentage of
the body burned, the nurse uses a modified "Rule of Nines." Which part of a child's body
is calculated as a larger percentage of total body surface than an adult's?
A. Head and neck.
B. Arms and chest.
C. Legs and abdomen.
D. Back and abdomen. - ✔✔A. Head and neck.
✔✔The nurse receives a lab report stating a child with asthma has a theophylline level
of 15 mcg/dl. What action will the nurse take?
A. Pass the information on in the report.
B. Notify the healthcare provider because the value is high.
C. Repeat the lab study because the value is too high.
D. Hold the next dose of theophylline. - ✔✔A. Pass the information on in the report.
✔✔A 12-month-old boy is admitted with a respiratory infection and possible pneumonia.
He is placed in a mist tent with oxygen. Which nursing intervention has the greatest
priority for this infant?
A. Give small, frequent feedings of fluids.
B. Accurately chart observations regarding breath sounds.
C. Have a bulb syringe readily available to remove secretions.
, D. Encourage older siblings to visit. - ✔✔C. Have a bulb syringe readily available to
remove secretions.
✔✔All of the following interventions can be used to evaluate the effectiveness of nursing
and medical interventions used to treat diarrhea. Which intervention is least useful in the
nurse's evaluation of a 20-month-old child?
A. Weighing diapers.
B. Assessing fontanels.
C. Checking skin turgor.
D. Observing mucous membranes for moisture. - ✔✔B. Assessing fontanels.
✔✔A 5-month-old is admitted to the hospital with vomiting and diarrhea. The
pediatrician prescribes dextrose 5% and 0.25% normal saline with 2 mEq KCl/100 ml to
be infused at 25 ml/hour. Prior to initiating the infusion, the nurse should obtain which
assessment finding?
A. Frequency of emesis in the last 8 hours.
B. Serum BUN and creatinine levels.
C. Current blood sugar level.
D. Appearance of the stool. - ✔✔B. Serum BUN and creatinine levels.
✔✔The nurse is assigning care for a 4-year-old child with otitis media and is concerned
about the child's increasing temperature over the past 24 hours. When planning care for
this child, it is important for the nurse to consider that
A. Only an RN should be assigned to monitor this child's temperature.
B. A tympanic measurement of temperature will provide the most accurate reading.
C. The licensed practical nurse should be instructed to obtain rectal temperatures on
this child.
D. The healthcare provider should be asked to prescribe the method for measurement
of the child's temperatures. - ✔✔B. A tympanic measurement of temperature will
provide the most accurate reading.
✔✔The nurse is assessing an 8-month-old child who has a medical diagnosis of
Tetrology of Fallot. Which symptom is this client most likely to exhibit?
A. Bradycardia.
B. Machinery murmur.
C. Weak pedal pulses.
D. Clubbed fingers. - ✔✔D. Clubbed fingers.
✔✔As part of the physical assessment of children, the nurse observes and palpates the
fontanels. Which child's fontanel finding should be reported to the healthcare provider?
A. A 6-month-old with failure to thrive that has a closed anterior fontanel.
B. A 24-month-old with gastroenteritis that has a closed posterior fontanel.
C. A 2-month-old with chickenpox that has an open posterior fontanel.
D. A 28-month-old with hydrocephalus that has an open anterior fontanel. - ✔✔A. A 6-
month-old with failure to thrive that has a closed anterior fontanel.
QUESTIONS AND ANSWERS SURE A+
✔✔A burned child is brought to the emergency room. In estimating the percentage of
the body burned, the nurse uses a modified "Rule of Nines." Which part of a child's body
is calculated as a larger percentage of total body surface than an adult's?
A. Head and neck.
B. Arms and chest.
C. Legs and abdomen.
D. Back and abdomen. - ✔✔A. Head and neck.
✔✔The nurse receives a lab report stating a child with asthma has a theophylline level
of 15 mcg/dl. What action will the nurse take?
A. Pass the information on in the report.
B. Notify the healthcare provider because the value is high.
C. Repeat the lab study because the value is too high.
D. Hold the next dose of theophylline. - ✔✔A. Pass the information on in the report.
✔✔A 12-month-old boy is admitted with a respiratory infection and possible pneumonia.
He is placed in a mist tent with oxygen. Which nursing intervention has the greatest
priority for this infant?
A. Give small, frequent feedings of fluids.
B. Accurately chart observations regarding breath sounds.
C. Have a bulb syringe readily available to remove secretions.
, D. Encourage older siblings to visit. - ✔✔C. Have a bulb syringe readily available to
remove secretions.
✔✔All of the following interventions can be used to evaluate the effectiveness of nursing
and medical interventions used to treat diarrhea. Which intervention is least useful in the
nurse's evaluation of a 20-month-old child?
A. Weighing diapers.
B. Assessing fontanels.
C. Checking skin turgor.
D. Observing mucous membranes for moisture. - ✔✔B. Assessing fontanels.
✔✔A 5-month-old is admitted to the hospital with vomiting and diarrhea. The
pediatrician prescribes dextrose 5% and 0.25% normal saline with 2 mEq KCl/100 ml to
be infused at 25 ml/hour. Prior to initiating the infusion, the nurse should obtain which
assessment finding?
A. Frequency of emesis in the last 8 hours.
B. Serum BUN and creatinine levels.
C. Current blood sugar level.
D. Appearance of the stool. - ✔✔B. Serum BUN and creatinine levels.
✔✔The nurse is assigning care for a 4-year-old child with otitis media and is concerned
about the child's increasing temperature over the past 24 hours. When planning care for
this child, it is important for the nurse to consider that
A. Only an RN should be assigned to monitor this child's temperature.
B. A tympanic measurement of temperature will provide the most accurate reading.
C. The licensed practical nurse should be instructed to obtain rectal temperatures on
this child.
D. The healthcare provider should be asked to prescribe the method for measurement
of the child's temperatures. - ✔✔B. A tympanic measurement of temperature will
provide the most accurate reading.
✔✔The nurse is assessing an 8-month-old child who has a medical diagnosis of
Tetrology of Fallot. Which symptom is this client most likely to exhibit?
A. Bradycardia.
B. Machinery murmur.
C. Weak pedal pulses.
D. Clubbed fingers. - ✔✔D. Clubbed fingers.
✔✔As part of the physical assessment of children, the nurse observes and palpates the
fontanels. Which child's fontanel finding should be reported to the healthcare provider?
A. A 6-month-old with failure to thrive that has a closed anterior fontanel.
B. A 24-month-old with gastroenteritis that has a closed posterior fontanel.
C. A 2-month-old with chickenpox that has an open posterior fontanel.
D. A 28-month-old with hydrocephalus that has an open anterior fontanel. - ✔✔A. A 6-
month-old with failure to thrive that has a closed anterior fontanel.
