PEDIATRICS - HESI PRACTICE EXAM. LATEST UPDATE 2026 QUESTIONS
AND ANSWERS GRADED A+/2026 UPDATE/100% CORRECT /INSTANT
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The nurse is giving preoperative instructions to a 14-year old female client who
is scheduled for surgery to correct a spinal curvature. Which statement by the
client best demonstrates that learning has taken place?
A. I will read all the literature you gave me before surgery.
B. I have had surgery before when I broke my wrist in a bike accident, so I know
what to expect.
C. All the things people have told me will help me take care of my back.
D. I understand that I will be in a body cast and I will show you how you taught
me to turn. - CORRECT ANSWERS-D. I understand that I will be in a body cast and I
will show you how you taught me to turn.
Outcome of learning is best demonstrated when the client not only verbalizes an
understanding, but also can provide a return demonstration. A 14-year old may
or may not follow through with reading material and there is no way of
measuring that way of learning. Have a previous surgery may help the client
understand the surgical process, but wrist surgery is very different from spinal
surgery and emergency surgery is different than elective surgery. In (C), the
client may be saying what the nurse wants to hear, without expressing any real
understanding of what to do after surgery.
To take the vital signs of a 4-month old child, which order will give the most
accurate results?
A. Respiratory rate, heart rate, then rectal temperature
B. Heart rate, rectal temperature, then respiratory rate.
C. Rectal temperature, heart rate, then respiratory rate
,D. Rectal temperature, respiratory rate, then heart rate - CORRECT ANSWERS-A.
Respiratory rate, heart rate, then rectal temperature
The respiratory rate should be taken first in infants, since touching them or
performing unpleasant procedures usually makes them cry, elevating the heart
rate and making respirations difficult to count. Rectal temperature is the most
invasive procedure, and is mot likely to precipitate crying, so should be done
last.
During routine screening at a school clinic, an otoscope examination of a child's
ear reveals a tympanic membrane that is pearly gray, slightly bulging, and not
movable. What action should the nurse take next?
A. No action required, as this is an expected finding for a school-aged child
B. Ask the child if he/she has had a cold, runny nose, or any ear pain lately.
C. Send a note home advising the parents to have the child evaluated by a
healthcare provider as soon as possible.
d. Call the parents and have them take the child home from school for the rest
of the day. - CORRECT ANSWERS-B. Ask the child if he/she has had a cold, runny
nose, or any ear pain lately.
More information is needed to interpret these findings. The tympanic
membrane is normally pearly gray, not bulging, and moves when the client
blows against resistance or a small puff of air is blown into the ear canal. Since
this child's findings are not completely normal, further assessment of history
and related signs and symptoms is indicated for accurate interpretation of the
findings. (A), (C), and (D) are inappropriate actions based on the data obtained
from the otoscope examination.
Which restraint should be used for a toddler after a cleft palate repair?
,A. clove hitch
B. Mummy
C. elbow
D. jacket - CORRECT ANSWERS-C. elbow
Elbow restraints
Elbow restraints prevent children from bending their arms and bringing their
hands to the oral surgical site. A clove hitch restrains the hands, but the child
can bend and bring their head to their hands. A mummy restraint is used during
procedures. A jacket restraint restrains the body torso and is not appropriate.
What preoperative nursing intervention should be included in the plan of care
for an infant with pyloric stenosis?
A. Monitor for signs of metabolic acidosis.
B. estimate the quantity of diarrhea stools.
C. place in a supine position after feeding
D. observe for projectile vomiting. - CORRECT ANSWERS-D. observe for projectile
vomiting.
Projectile vomiting which contributes to metabolic alkalosis, is the classic sign of
pyloric stenosis. Estimating the quantity of diarrhea stools is not indicated.
Placing the child in a supine position is dangerous due to the potential for
aspiration with frequent vomiting.
A six-month-old returns from surgery with elbow restraints in place. What
nursing care should be included when caring for any restrained child?
, A. keep restraints on at all times.
B. remove restraints one at a time and provide range of motion exercises
C. Remove all restraints simultaneously and provide lay activities
D. renew the healthcare provider's prescription for restraints every 72 hours. -
CORRECT ANSWERS-B. remove restraints one at a time and provide range of
motion exercises
Removing restraints one at a time is safer than removing all of them at once.
The child needs to exercise and should not be kept in restraints at all times. The
renewal of the healthcare provider's prescription varies with hospitals and it
does not really answer the question.
A 2-year old child with Down syndrome is brought to the clinic for his regular
physical examination. The nurse knows which problem is frequently associated
with Down syndrome?
A. congenital heart disease
B. fragile x-chromosome
C. trisomy 13
D. pyloric stenosis - CORRECT ANSWERS-A. congenital heart disease
Congenital heart disease is the most common associated defect in children with
Down syndrome. Trisomy 13 my have seemed possible since Down syndrome is
a trisomal chromosomal abnormality o chromosome 21. Fragile x-chromosome
is a sex-linked abnormality also causing mental retardation. Pyloric stenosis is
not associated with Down syndrome.
When assessing a child with asthma, the nurse should expect intercostal
retractions during
AND ANSWERS GRADED A+/2026 UPDATE/100% CORRECT /INSTANT
DOWNLOAD
The nurse is giving preoperative instructions to a 14-year old female client who
is scheduled for surgery to correct a spinal curvature. Which statement by the
client best demonstrates that learning has taken place?
A. I will read all the literature you gave me before surgery.
B. I have had surgery before when I broke my wrist in a bike accident, so I know
what to expect.
C. All the things people have told me will help me take care of my back.
D. I understand that I will be in a body cast and I will show you how you taught
me to turn. - CORRECT ANSWERS-D. I understand that I will be in a body cast and I
will show you how you taught me to turn.
Outcome of learning is best demonstrated when the client not only verbalizes an
understanding, but also can provide a return demonstration. A 14-year old may
or may not follow through with reading material and there is no way of
measuring that way of learning. Have a previous surgery may help the client
understand the surgical process, but wrist surgery is very different from spinal
surgery and emergency surgery is different than elective surgery. In (C), the
client may be saying what the nurse wants to hear, without expressing any real
understanding of what to do after surgery.
To take the vital signs of a 4-month old child, which order will give the most
accurate results?
A. Respiratory rate, heart rate, then rectal temperature
B. Heart rate, rectal temperature, then respiratory rate.
C. Rectal temperature, heart rate, then respiratory rate
,D. Rectal temperature, respiratory rate, then heart rate - CORRECT ANSWERS-A.
Respiratory rate, heart rate, then rectal temperature
The respiratory rate should be taken first in infants, since touching them or
performing unpleasant procedures usually makes them cry, elevating the heart
rate and making respirations difficult to count. Rectal temperature is the most
invasive procedure, and is mot likely to precipitate crying, so should be done
last.
During routine screening at a school clinic, an otoscope examination of a child's
ear reveals a tympanic membrane that is pearly gray, slightly bulging, and not
movable. What action should the nurse take next?
A. No action required, as this is an expected finding for a school-aged child
B. Ask the child if he/she has had a cold, runny nose, or any ear pain lately.
C. Send a note home advising the parents to have the child evaluated by a
healthcare provider as soon as possible.
d. Call the parents and have them take the child home from school for the rest
of the day. - CORRECT ANSWERS-B. Ask the child if he/she has had a cold, runny
nose, or any ear pain lately.
More information is needed to interpret these findings. The tympanic
membrane is normally pearly gray, not bulging, and moves when the client
blows against resistance or a small puff of air is blown into the ear canal. Since
this child's findings are not completely normal, further assessment of history
and related signs and symptoms is indicated for accurate interpretation of the
findings. (A), (C), and (D) are inappropriate actions based on the data obtained
from the otoscope examination.
Which restraint should be used for a toddler after a cleft palate repair?
,A. clove hitch
B. Mummy
C. elbow
D. jacket - CORRECT ANSWERS-C. elbow
Elbow restraints
Elbow restraints prevent children from bending their arms and bringing their
hands to the oral surgical site. A clove hitch restrains the hands, but the child
can bend and bring their head to their hands. A mummy restraint is used during
procedures. A jacket restraint restrains the body torso and is not appropriate.
What preoperative nursing intervention should be included in the plan of care
for an infant with pyloric stenosis?
A. Monitor for signs of metabolic acidosis.
B. estimate the quantity of diarrhea stools.
C. place in a supine position after feeding
D. observe for projectile vomiting. - CORRECT ANSWERS-D. observe for projectile
vomiting.
Projectile vomiting which contributes to metabolic alkalosis, is the classic sign of
pyloric stenosis. Estimating the quantity of diarrhea stools is not indicated.
Placing the child in a supine position is dangerous due to the potential for
aspiration with frequent vomiting.
A six-month-old returns from surgery with elbow restraints in place. What
nursing care should be included when caring for any restrained child?
, A. keep restraints on at all times.
B. remove restraints one at a time and provide range of motion exercises
C. Remove all restraints simultaneously and provide lay activities
D. renew the healthcare provider's prescription for restraints every 72 hours. -
CORRECT ANSWERS-B. remove restraints one at a time and provide range of
motion exercises
Removing restraints one at a time is safer than removing all of them at once.
The child needs to exercise and should not be kept in restraints at all times. The
renewal of the healthcare provider's prescription varies with hospitals and it
does not really answer the question.
A 2-year old child with Down syndrome is brought to the clinic for his regular
physical examination. The nurse knows which problem is frequently associated
with Down syndrome?
A. congenital heart disease
B. fragile x-chromosome
C. trisomy 13
D. pyloric stenosis - CORRECT ANSWERS-A. congenital heart disease
Congenital heart disease is the most common associated defect in children with
Down syndrome. Trisomy 13 my have seemed possible since Down syndrome is
a trisomal chromosomal abnormality o chromosome 21. Fragile x-chromosome
is a sex-linked abnormality also causing mental retardation. Pyloric stenosis is
not associated with Down syndrome.
When assessing a child with asthma, the nurse should expect intercostal
retractions during
