HESI RN PEDIATRIC EXAM
1. RN is caring for a 3-y/o child who is 2 hours postop from a cardiac catheterization
via the right femoral artery. Which assessment finding is an indication of arterial
obstruction?
• BP trend is downward & pulse is rapid & irregular.
• Right foot is cool to touch & appears pale & blanched.
• Pulse distal to femoral artery is weaker on left foot than right.
• Pressure dressing at right femoral area is moist & oozing blood.
2. Following a motor vehicle collision, a 3-y/o girl has a spica cast applied. Which toy is
best for RN for this 3 y/o child?
• Duck that squeaks.
• Fashion doll & clothes.
• Set of cloth & hand puppets.
• Hand held video game.
3. An infant with tetralogy of Fallot becomes acutely cyanotic and hyperpneic. Which
action should RN implement first?
• Administer morphine sulphate.
• Start IV fluids.
• Place the infant in a knee-chest position.
• Provide 100% oxygen by face mask.
4. Child admitted with diabetic ketoacidosis is demonstrating Kussmaul respirations.
RN determines that the increased respiratory rate is a compensatory mechanism for
which acid base alteration?
• Metabolic alkalosis.
• Respiratory acidosis.
• Respiratory alkalosis.
• Metabolic acidosis.
5. 7 years old is admitted to hospital with persistent vomiting & a nasogastric tube
attached to low intermittent suction is applied. Which finding is most important for RN
to report to Dr?
• Gastric output of 100 mL in the last 8 hours.
• Shift intake of 640 mL IV fluids plus 30 mL PO ice chips.
• Serum potassium of 3.0 mg/dL.
• Serum pH of 7.45.
6. RN is evaluating diet teaching for Pt who has nontropical sprue (celiac disease).
Choosing which food indicates effective teaching?
• Creamed corn.
, • Pancakes.
• Rye crackers.
• Cooked oatmeal.
7. During a well-baby check, RN hides a block under baby’s blanket & baby looks for
block. Which normal growth & development milestone is baby developing?
• Separation anxiety.
• Associative play.
• Object prehension.
• Object permanence.
8. The RN is measuring the frontal occipital circumference (FOC) of a 3-months old
infant, & notes that the FOC has increased 5 inches since birth & the child’s head
appears large in relation to body size. Which action is most important for RN to take
next?
• Measure the infant’s head-to-toe length.
• Palpate the anterior fontanel for tension & bulging.
• Observe the infant for sunken eyes.
• Plot the measurement on the infant’s growth chart.
9. The RN is preparing 10 year old with accelerated forehead for suturing. Both parents
& 12 y/o sibling are at the child’s bedside. Which instruction best supports family?
• While waiting for Dr, only one visitor may stay with the child.
• All of you should leave while Dr sutures the child’s forehead.
• It is best if sibling goes to waiting room until suturing is completed.
• Please decide who will stay when Dr begins suturing.
10.RN is planning for a 5-month old with gastroesophageal reflux disease whose weight
has decreased by 3 ounces since the last clinic visit one month ago. To increase caloric
intake & decrease vomiting, what instructions should RN provide this mother?
• Give small amounts of baby food with each feeding.
• Thicken formula with cereal for each feeding.
• Dilute the childs formula with equal parts of water.
• Offer 10% dextrose in water between most feedings.
11.While teaching a parenting class to new parents RN describes the needs of infants &
toddlers regarding discipline & limit setting. What is the most important reason for
implementing such parenting behaviors?
A. Children need help in developing social skills.
B. This age child fears loss of self control.
C. They provide the child with a sense of security.
D. Children must to learn to deal with authority.
1. RN is caring for a 3-y/o child who is 2 hours postop from a cardiac catheterization
via the right femoral artery. Which assessment finding is an indication of arterial
obstruction?
• BP trend is downward & pulse is rapid & irregular.
• Right foot is cool to touch & appears pale & blanched.
• Pulse distal to femoral artery is weaker on left foot than right.
• Pressure dressing at right femoral area is moist & oozing blood.
2. Following a motor vehicle collision, a 3-y/o girl has a spica cast applied. Which toy is
best for RN for this 3 y/o child?
• Duck that squeaks.
• Fashion doll & clothes.
• Set of cloth & hand puppets.
• Hand held video game.
3. An infant with tetralogy of Fallot becomes acutely cyanotic and hyperpneic. Which
action should RN implement first?
• Administer morphine sulphate.
• Start IV fluids.
• Place the infant in a knee-chest position.
• Provide 100% oxygen by face mask.
4. Child admitted with diabetic ketoacidosis is demonstrating Kussmaul respirations.
RN determines that the increased respiratory rate is a compensatory mechanism for
which acid base alteration?
• Metabolic alkalosis.
• Respiratory acidosis.
• Respiratory alkalosis.
• Metabolic acidosis.
5. 7 years old is admitted to hospital with persistent vomiting & a nasogastric tube
attached to low intermittent suction is applied. Which finding is most important for RN
to report to Dr?
• Gastric output of 100 mL in the last 8 hours.
• Shift intake of 640 mL IV fluids plus 30 mL PO ice chips.
• Serum potassium of 3.0 mg/dL.
• Serum pH of 7.45.
6. RN is evaluating diet teaching for Pt who has nontropical sprue (celiac disease).
Choosing which food indicates effective teaching?
• Creamed corn.
, • Pancakes.
• Rye crackers.
• Cooked oatmeal.
7. During a well-baby check, RN hides a block under baby’s blanket & baby looks for
block. Which normal growth & development milestone is baby developing?
• Separation anxiety.
• Associative play.
• Object prehension.
• Object permanence.
8. The RN is measuring the frontal occipital circumference (FOC) of a 3-months old
infant, & notes that the FOC has increased 5 inches since birth & the child’s head
appears large in relation to body size. Which action is most important for RN to take
next?
• Measure the infant’s head-to-toe length.
• Palpate the anterior fontanel for tension & bulging.
• Observe the infant for sunken eyes.
• Plot the measurement on the infant’s growth chart.
9. The RN is preparing 10 year old with accelerated forehead for suturing. Both parents
& 12 y/o sibling are at the child’s bedside. Which instruction best supports family?
• While waiting for Dr, only one visitor may stay with the child.
• All of you should leave while Dr sutures the child’s forehead.
• It is best if sibling goes to waiting room until suturing is completed.
• Please decide who will stay when Dr begins suturing.
10.RN is planning for a 5-month old with gastroesophageal reflux disease whose weight
has decreased by 3 ounces since the last clinic visit one month ago. To increase caloric
intake & decrease vomiting, what instructions should RN provide this mother?
• Give small amounts of baby food with each feeding.
• Thicken formula with cereal for each feeding.
• Dilute the childs formula with equal parts of water.
• Offer 10% dextrose in water between most feedings.
11.While teaching a parenting class to new parents RN describes the needs of infants &
toddlers regarding discipline & limit setting. What is the most important reason for
implementing such parenting behaviors?
A. Children need help in developing social skills.
B. This age child fears loss of self control.
C. They provide the child with a sense of security.
D. Children must to learn to deal with authority.
