v1 v2 HESI PEDIATRICS EXAM WITH SOLNS
I. Child vomiting for 3 days is admitted for fluid and electrolyte imbalance. What acid
base imbalance is likely? Metabolic alkalosis
II. 3-month-old with myelomeningocele and anatomic bladder is cath every 4 hours to
prevent urinary retention. Home health nurse said child developed sneezing, watery eyes,
urticarial, and diaper rash. What action is most important for nurse to take? Change to
latex free gloves when handling the baby
III. Teacher notifies school nurse that kid has nose bleed for no reason. What action
should nurse implement first? Pinch nose and hold for 10 minutes
IV. Nurse provides discharge teaching to mom of preemie. Which statement
indicates importance of monthly Synagis injection? Protect baby from getting
RSV
V. Which client requires immediate intervention by nurse? ARF with hyperkalemia
VI. Albumin 25% for a kid with nephrotic syndrome. Which assessment finding
indicates medication is effective? Reduction of edema
VII. When developing a plan of care for adolescent with a recent diagnosis of DM type 1,
nurse should instruct to eat a source of sugar if which symptom occurs? Profuse
sweating
VIII. Female at child bearing age receives rubella vaccine. She has 2 kids at home, ages 13
months and 3 y/o. which instruction most important to provide? Encourage to
vaccinate kids
IX. Nurse administered digoxin to 9-month-old with apical pulse of 160. Which apical
, v1 v2 HESI PEDIATRICS EXAM WITH SOLNS
rate indicates therapeutic effect? 120
X. 15 y/o asks info about oral contraceptives. She plans to have sex with 17 y/o boy but does
not want parents to know. Which action should the nurse take at this time? Counsel girl
about risks and benefits of contraceptives
XI. Assessment of 8-month-old has axillary temp of 100, cough, and rhinorrhea. What
info most important to obtain? Immunization status
XII. 8 y/o in ER with low right quadrant pain. Which assessment to do after all done?
Palpation
XIII. 7 y/o brought to school clinic because he fainted on the playground. 3 ft 7 in, 55 lbs, and
BMI 20.9. Which assessment finding is most important to address? Since age 3 he has
experienced exercise induced asthma
XIV. Nurse using ages and stages questionnaire to assess a 24-month-old. Best intervention to
initiate after assessment complete? Provide parents with a list of activities
XV. 17 y/o with CF talks with school nurse about disease and wonders how it will
affect getting married and having kids. Which relevant information would nurse
include? Infertility
XVI. 4 y/o taken to ER because of fever for last 24 hrs. No cough, pulling at ears, drooling,
cyanotic, inspiratory stridor, expiratory wheeze. Which intervention is most
important? Emergency trach
XVII. Nurse giving IV antibiotics to a 16-month-old with pneumonia. No allergies and
been walking without assistance for 1 month. Which technique should select for
administration? Admin in middle of lateral aspect of thigh
XVIII. Nurse examining an infant for possible cryptorchidism. Which exam technique to use?
Place in warm room and use calm approach
I. Child vomiting for 3 days is admitted for fluid and electrolyte imbalance. What acid
base imbalance is likely? Metabolic alkalosis
II. 3-month-old with myelomeningocele and anatomic bladder is cath every 4 hours to
prevent urinary retention. Home health nurse said child developed sneezing, watery eyes,
urticarial, and diaper rash. What action is most important for nurse to take? Change to
latex free gloves when handling the baby
III. Teacher notifies school nurse that kid has nose bleed for no reason. What action
should nurse implement first? Pinch nose and hold for 10 minutes
IV. Nurse provides discharge teaching to mom of preemie. Which statement
indicates importance of monthly Synagis injection? Protect baby from getting
RSV
V. Which client requires immediate intervention by nurse? ARF with hyperkalemia
VI. Albumin 25% for a kid with nephrotic syndrome. Which assessment finding
indicates medication is effective? Reduction of edema
VII. When developing a plan of care for adolescent with a recent diagnosis of DM type 1,
nurse should instruct to eat a source of sugar if which symptom occurs? Profuse
sweating
VIII. Female at child bearing age receives rubella vaccine. She has 2 kids at home, ages 13
months and 3 y/o. which instruction most important to provide? Encourage to
vaccinate kids
IX. Nurse administered digoxin to 9-month-old with apical pulse of 160. Which apical
, v1 v2 HESI PEDIATRICS EXAM WITH SOLNS
rate indicates therapeutic effect? 120
X. 15 y/o asks info about oral contraceptives. She plans to have sex with 17 y/o boy but does
not want parents to know. Which action should the nurse take at this time? Counsel girl
about risks and benefits of contraceptives
XI. Assessment of 8-month-old has axillary temp of 100, cough, and rhinorrhea. What
info most important to obtain? Immunization status
XII. 8 y/o in ER with low right quadrant pain. Which assessment to do after all done?
Palpation
XIII. 7 y/o brought to school clinic because he fainted on the playground. 3 ft 7 in, 55 lbs, and
BMI 20.9. Which assessment finding is most important to address? Since age 3 he has
experienced exercise induced asthma
XIV. Nurse using ages and stages questionnaire to assess a 24-month-old. Best intervention to
initiate after assessment complete? Provide parents with a list of activities
XV. 17 y/o with CF talks with school nurse about disease and wonders how it will
affect getting married and having kids. Which relevant information would nurse
include? Infertility
XVI. 4 y/o taken to ER because of fever for last 24 hrs. No cough, pulling at ears, drooling,
cyanotic, inspiratory stridor, expiratory wheeze. Which intervention is most
important? Emergency trach
XVII. Nurse giving IV antibiotics to a 16-month-old with pneumonia. No allergies and
been walking without assistance for 1 month. Which technique should select for
administration? Admin in middle of lateral aspect of thigh
XVIII. Nurse examining an infant for possible cryptorchidism. Which exam technique to use?
Place in warm room and use calm approach
