HESI PEDS Final Exam Questions and
Answers
1. The nurse is caring for a 3 year old child who is 2 hours postop from a
cardiac catheritization via the right femoral artery. Which assessment
finding is an indication of arterial obstruction?: Right foot is cool to the touch and
appears pale and blanched
2. Following a motor vehicle collision, a 3 year old girl has a spica
cast applied. Which toy is best for the nurse for this 3 year old child?:
Set of cloth and hand puppets
3. An infant with tetralogy of fallot becomes acutely cyanotic and
hyperpneic. Which action should the nurse implement first?: Place the infant
in a knee-chest position
4. A child admitted with diabetic ketoacidosis is demonstrating
Kussmaul respi- rations. The nurse determines that the increased
respiratory rate is a compen- satory mechanism for which acid base
alteration?: Metabolic Acidoses
5. A 7 year old is admitted to the hospital with persistent vomiting,
and a nasogastric tube attached to low intermittent suction is
applied. Which finding is most important for the nurse to report to
1/
12
, the healthcare provider?: Serum potassium of 3.0 mg/Dl
6. The nurse is evaluating diet teaching for a client who has
nontropical sprue (celiac disease). Choosing which food indicates
that the teaching has been effective?: Creamed corn
7. During a well-baby check, the nurse hides a block under the
baby's blanket, and the baby looks for the block. Which normal
growth and development milestone is the baby developing?: Object
Permanence
8. The nurse is measuring he frontal occipital circumference (FOC) of
a 3 month old infant, and notes that the FOC has increased 5
inches since birth and
the child's head appears large in relation to body size. Which action is
most important for the nurse to take next?: Palpate the anterior fontanel for tension
and bulging
9. The nurse is preparing a 10 year old with a lacerated forehead for
suturing. Both parents and 12 years old sibling are at the child's
bedside. Which instruc- tion best supports family?: Please decide who will stay
when the healthcare provider begins suturing
10. The nurse is planning for a 5 month old with
gastroesophageal reflux disease whose weight has decreased by 3
2/
12
Answers
1. The nurse is caring for a 3 year old child who is 2 hours postop from a
cardiac catheritization via the right femoral artery. Which assessment
finding is an indication of arterial obstruction?: Right foot is cool to the touch and
appears pale and blanched
2. Following a motor vehicle collision, a 3 year old girl has a spica
cast applied. Which toy is best for the nurse for this 3 year old child?:
Set of cloth and hand puppets
3. An infant with tetralogy of fallot becomes acutely cyanotic and
hyperpneic. Which action should the nurse implement first?: Place the infant
in a knee-chest position
4. A child admitted with diabetic ketoacidosis is demonstrating
Kussmaul respi- rations. The nurse determines that the increased
respiratory rate is a compen- satory mechanism for which acid base
alteration?: Metabolic Acidoses
5. A 7 year old is admitted to the hospital with persistent vomiting,
and a nasogastric tube attached to low intermittent suction is
applied. Which finding is most important for the nurse to report to
1/
12
, the healthcare provider?: Serum potassium of 3.0 mg/Dl
6. The nurse is evaluating diet teaching for a client who has
nontropical sprue (celiac disease). Choosing which food indicates
that the teaching has been effective?: Creamed corn
7. During a well-baby check, the nurse hides a block under the
baby's blanket, and the baby looks for the block. Which normal
growth and development milestone is the baby developing?: Object
Permanence
8. The nurse is measuring he frontal occipital circumference (FOC) of
a 3 month old infant, and notes that the FOC has increased 5
inches since birth and
the child's head appears large in relation to body size. Which action is
most important for the nurse to take next?: Palpate the anterior fontanel for tension
and bulging
9. The nurse is preparing a 10 year old with a lacerated forehead for
suturing. Both parents and 12 years old sibling are at the child's
bedside. Which instruc- tion best supports family?: Please decide who will stay
when the healthcare provider begins suturing
10. The nurse is planning for a 5 month old with
gastroesophageal reflux disease whose weight has decreased by 3
2/
12
