Hesi Pediatric Exam 55 Questions AND ANSWERS 2022-2023 UPDATE
1. 1. The nurse is caring for a 3-year old child who is 2 hours postop from a
cardiac catheterization via the right femoral artery. Which assessment finding
is an indication of arterial obstruction?
a.Blood pressure trend is downward and pulse is rapid and irregular.
b.Right foot is cool to the touch and appears pale and blanched.
c.Pulse distal to the femoral artery is weaker on the left foot than right foot.
d.The pressure dressing at right femoral area is moist and oozing blood.: -
b.Right foot is cool to the touch and appears pale and blanched.
2. 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?
A. Duckthatsqueaks.
B. Fashiondollandclothes.
C. Set of cloth and hand puppets.
D. Hand held video game.: C. Set of cloth and hand puppets.
3. 3. An infant with tetralogy of Fallot becomes acutely cyanotic and hyperp-
neic. Which action should the nurse implement first?
A. Administer morphine sulphate.
B. Start IV fluids.
C. Place the infant in a knee-chest position.
D. Provide 100% oxygen by face mask.: C. Place the infant in a knee-chest
position.
4. 4. A child admitted with diabetic ketoacidosis is demonstrating Kussmaul
respirations. The nurse determines that the increased respiratory rate is a
compensatory mechanism for which acid base alteration?
A. Metabolicalkalosis.
B. Respiratory acidosis.
C. Respiratoryalkalosis.
D. Metabolic acidosis.: D. Metabolic acidosis.
5. 5. 7 years 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 the healthcare provider?
A. Gastric output of 100 mL in the last 8 hours.
B. Shift intake of 640 mL IV fluids plus 30 mL PO ice chips.
C. Serum potassium of 3.0 mg/dL.
D. Serum pH of 7.45.: C. Serum potassium of 3.0 mg/dL.
6. 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?
A. Creamed corn.
, Hesi Pediatric Exam 55 Questions AND ANSWERS 2022-2023 UPDATE
B. Pancakes.
C. Rye crackers.
D. Cooked oatmeal.: A. Creamed corn.
7. 7. During a well-baby check, the nurse hides a block under the baby's blan-
ket, and the baby looks for the block. Which normal growth and development
milestone is the baby developing?
A. Separation anxiety.
B. Associativeplay.
C. Object prehension.
D. Object permanence.: D. Object permanence.
8. 8. The nurse is measuring the frontal occipital circumference (FOC) of a
3-months 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?
A. Measuretheinfant'shead-to-toelength.
B. Palpate the anterior fontanel for tension and bulging.
C. Observe the infant for sunken eyes.
D. Plot the measurement on the infant's growth chart.: B. Palpate the anterior
fontanel for tension and bulging.
9. 9. The nurse is preparing a 10-year-old with a lacerated forehead for su-
turing. Both parents and 12-year-old sibling are at the child's bedside. Which
instruction best supports family?
A. While waiting for the healthcare provider, only one visitor may stay with the
child.
B. All of you should leave while the healthcare provider sutures the child's
forehead.
C. It is best if the sibling goes to the waiting room until the suturing is
completed.
D. Please decide who will stay when the healthcare provider begins suturing.-
: D. Please decide who will stay when the healthcare provider begins suturing.
10. 10. The nurse 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 and decrease vomiting, what in-
structions should the nurse provide this mother?
A. Givesmallamountsofbabyfoodwitheachfeeding.
B. Thicken formula with cereal for each feeding.
C. Dilute the child's formula with equal parts of water.
D. Offer 10 % dextrose in water between most feedings.: B. Thicken formula with
cereal for each feeding.
1. 1. The nurse is caring for a 3-year old child who is 2 hours postop from a
cardiac catheterization via the right femoral artery. Which assessment finding
is an indication of arterial obstruction?
a.Blood pressure trend is downward and pulse is rapid and irregular.
b.Right foot is cool to the touch and appears pale and blanched.
c.Pulse distal to the femoral artery is weaker on the left foot than right foot.
d.The pressure dressing at right femoral area is moist and oozing blood.: -
b.Right foot is cool to the touch and appears pale and blanched.
2. 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?
A. Duckthatsqueaks.
B. Fashiondollandclothes.
C. Set of cloth and hand puppets.
D. Hand held video game.: C. Set of cloth and hand puppets.
3. 3. An infant with tetralogy of Fallot becomes acutely cyanotic and hyperp-
neic. Which action should the nurse implement first?
A. Administer morphine sulphate.
B. Start IV fluids.
C. Place the infant in a knee-chest position.
D. Provide 100% oxygen by face mask.: C. Place the infant in a knee-chest
position.
4. 4. A child admitted with diabetic ketoacidosis is demonstrating Kussmaul
respirations. The nurse determines that the increased respiratory rate is a
compensatory mechanism for which acid base alteration?
A. Metabolicalkalosis.
B. Respiratory acidosis.
C. Respiratoryalkalosis.
D. Metabolic acidosis.: D. Metabolic acidosis.
5. 5. 7 years 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 the healthcare provider?
A. Gastric output of 100 mL in the last 8 hours.
B. Shift intake of 640 mL IV fluids plus 30 mL PO ice chips.
C. Serum potassium of 3.0 mg/dL.
D. Serum pH of 7.45.: C. Serum potassium of 3.0 mg/dL.
6. 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?
A. Creamed corn.
, Hesi Pediatric Exam 55 Questions AND ANSWERS 2022-2023 UPDATE
B. Pancakes.
C. Rye crackers.
D. Cooked oatmeal.: A. Creamed corn.
7. 7. During a well-baby check, the nurse hides a block under the baby's blan-
ket, and the baby looks for the block. Which normal growth and development
milestone is the baby developing?
A. Separation anxiety.
B. Associativeplay.
C. Object prehension.
D. Object permanence.: D. Object permanence.
8. 8. The nurse is measuring the frontal occipital circumference (FOC) of a
3-months 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?
A. Measuretheinfant'shead-to-toelength.
B. Palpate the anterior fontanel for tension and bulging.
C. Observe the infant for sunken eyes.
D. Plot the measurement on the infant's growth chart.: B. Palpate the anterior
fontanel for tension and bulging.
9. 9. The nurse is preparing a 10-year-old with a lacerated forehead for su-
turing. Both parents and 12-year-old sibling are at the child's bedside. Which
instruction best supports family?
A. While waiting for the healthcare provider, only one visitor may stay with the
child.
B. All of you should leave while the healthcare provider sutures the child's
forehead.
C. It is best if the sibling goes to the waiting room until the suturing is
completed.
D. Please decide who will stay when the healthcare provider begins suturing.-
: D. Please decide who will stay when the healthcare provider begins suturing.
10. 10. The nurse 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 and decrease vomiting, what in-
structions should the nurse provide this mother?
A. Givesmallamountsofbabyfoodwitheachfeeding.
B. Thicken formula with cereal for each feeding.
C. Dilute the child's formula with equal parts of water.
D. Offer 10 % dextrose in water between most feedings.: B. Thicken formula with
cereal for each feeding.
