PEDS HESI ACTUAL FINAL EXAM RECENT
QUESTIONS AND ANSWERS SURE A+
✔✔The nurse is developing a plan of care for a 3-year-old who is scheduled for a
cardiac catheterization. To assist in decreasing anxiety for the child on the day of the
procedure, which intervention is best for the nurse to implement?
A. Reassure the parents that 3-year-olds are cooperative and therefore are less likely to
be anxious.
B. Obtain a video film of a cardiac catheterization to show to the child prior to the
procedure.
C. Give the child a ride on a gurney to visit the cardiac catheterization lab and meet a
nurse who works there.
D. Obtain a cardiac catheter and demonstrate the procedure by pretending to put the
catheter in a doll or stuffed animal. - ✔✔C. Give the child a ride on a gurney to visit the
cardiac catheterization lab and meet a nurse who works there.
✔✔When taking the health history of a child, the nurse knows that which finding is an
early indication of hypothyroidism in children?
A. Hyperactive behavioral traits.
B. Delay in the eruption of permanent teeth.
C. Slow sexual development, but within normal range.
D. Cessation of growth in a child that had been normal. - ✔✔D. Cessation of growth in a
child that had been normal.
, ✔✔The nurse is teaching a 12-year-old male adolescent and his family about taking
injections of growth hormone for idiopathic hypopituitarism. Which adverse symptoms,
commonly associated with growth hormone therapy, should the nurse plan to describe
to the child and his family?
A. Polyuria and polydipsia.
B. Lethargy and fatigue.
C. Increased facial hair.
D. Facial bone structure changes. - ✔✔A. Polyuria and polydipsia.
✔✔The nurse is caring for a 12-year-old with Syndrome of Inappropriate Antidiuretic
Hormone (SIADH). This child should be carefully assessed for which complication?
A. Poor skin turgor resulting from dehydration.
B. Changes in level of consciousness.
C. Premature aging as the disease progresses.
D. Severe edema from an excess of water and sodium. - ✔✔B. Changes in level of
consciousness.
✔✔A 4-year-old girl continues to interrupt her mother during a routine clinic visit. The
mother appears irritated with the child and asks the nurse, "Is this normal behavior for a
child this age?" The nurse's response should be based on which information?
A. Children need to retain a sense of initiative without impinging on the rights and
privileges of others.
B. Negative feelings of doubt and shame are characteristic of 4-year-old children.
C. Role conflict is a common problem of children this age. She is just wondering where
she fits into society.
D. At this age children compete and like to produce and carry through with tasks. She is
just competing with her mother. - ✔✔A. Children need to retain a sense of initiative
without impinging on the rights and privileges of others.
✔✔The mother of a 2-year-old boy consults the nurse about her son's increased temper
tantrums. The mother states, "Yesterday he threw a fit in the grocery store, and I did not
know what to do. I was so embarrassed. What can I do if this occurs again?" Which
recommendation is best for the nurse to provide this mother?
A. Paddle him gently as soon as the behavior is initiated.
B. Immediately put him in "time-out."
C. Quietly remind him that others are watching him.
D. Walk away from him and ignore the behavior. - ✔✔D. Walk away from him and
ignore the behavior.
✔✔A 14-year-old female client tells the nurse that she is concerned about the acne she
has recently developed. Which recommendation should the nurse provide?
A. Remove all blackheads and follow with an alcohol scrub.
B. Use medicated cosmetics only to help hide the blemishes.
C. Wash the hair and skin frequently with soap and hot water.
QUESTIONS AND ANSWERS SURE A+
✔✔The nurse is developing a plan of care for a 3-year-old who is scheduled for a
cardiac catheterization. To assist in decreasing anxiety for the child on the day of the
procedure, which intervention is best for the nurse to implement?
A. Reassure the parents that 3-year-olds are cooperative and therefore are less likely to
be anxious.
B. Obtain a video film of a cardiac catheterization to show to the child prior to the
procedure.
C. Give the child a ride on a gurney to visit the cardiac catheterization lab and meet a
nurse who works there.
D. Obtain a cardiac catheter and demonstrate the procedure by pretending to put the
catheter in a doll or stuffed animal. - ✔✔C. Give the child a ride on a gurney to visit the
cardiac catheterization lab and meet a nurse who works there.
✔✔When taking the health history of a child, the nurse knows that which finding is an
early indication of hypothyroidism in children?
A. Hyperactive behavioral traits.
B. Delay in the eruption of permanent teeth.
C. Slow sexual development, but within normal range.
D. Cessation of growth in a child that had been normal. - ✔✔D. Cessation of growth in a
child that had been normal.
, ✔✔The nurse is teaching a 12-year-old male adolescent and his family about taking
injections of growth hormone for idiopathic hypopituitarism. Which adverse symptoms,
commonly associated with growth hormone therapy, should the nurse plan to describe
to the child and his family?
A. Polyuria and polydipsia.
B. Lethargy and fatigue.
C. Increased facial hair.
D. Facial bone structure changes. - ✔✔A. Polyuria and polydipsia.
✔✔The nurse is caring for a 12-year-old with Syndrome of Inappropriate Antidiuretic
Hormone (SIADH). This child should be carefully assessed for which complication?
A. Poor skin turgor resulting from dehydration.
B. Changes in level of consciousness.
C. Premature aging as the disease progresses.
D. Severe edema from an excess of water and sodium. - ✔✔B. Changes in level of
consciousness.
✔✔A 4-year-old girl continues to interrupt her mother during a routine clinic visit. The
mother appears irritated with the child and asks the nurse, "Is this normal behavior for a
child this age?" The nurse's response should be based on which information?
A. Children need to retain a sense of initiative without impinging on the rights and
privileges of others.
B. Negative feelings of doubt and shame are characteristic of 4-year-old children.
C. Role conflict is a common problem of children this age. She is just wondering where
she fits into society.
D. At this age children compete and like to produce and carry through with tasks. She is
just competing with her mother. - ✔✔A. Children need to retain a sense of initiative
without impinging on the rights and privileges of others.
✔✔The mother of a 2-year-old boy consults the nurse about her son's increased temper
tantrums. The mother states, "Yesterday he threw a fit in the grocery store, and I did not
know what to do. I was so embarrassed. What can I do if this occurs again?" Which
recommendation is best for the nurse to provide this mother?
A. Paddle him gently as soon as the behavior is initiated.
B. Immediately put him in "time-out."
C. Quietly remind him that others are watching him.
D. Walk away from him and ignore the behavior. - ✔✔D. Walk away from him and
ignore the behavior.
✔✔A 14-year-old female client tells the nurse that she is concerned about the acne she
has recently developed. Which recommendation should the nurse provide?
A. Remove all blackheads and follow with an alcohol scrub.
B. Use medicated cosmetics only to help hide the blemishes.
C. Wash the hair and skin frequently with soap and hot water.
