Pediatric HESI BS Exam Questions with 100%
Correct Answers | Updated
A 10 year old boy is admitted to the ED. He is unresponsive and his laboratory values include a blood
sugar of 800, potassium of 5, and arterial blood gas of pH 7.30, HCO3 15, PaC02 37. Which
intervention has the highest priority?
Administer IV of normal saline and insulin
Frequently assess the child's respiratory effort
Maintain strict intake and output records
Give subq regular insulin by protocol
Administer IV of normal saline and insulin
What snack is best to provide a 6 year old child on prescribed bedrest while receiving treatment for
osteomyelitis?
Soup broth
Milkshake
Applesauce
Popsicle
Milkshake
The school nurse is assessing a child who reports having an itchy scalp. The nurse has sent home care
instructions for the pediatric child. Which assessment should the nurse implement for this child?
Determine if silvery crusty scales are seen in skin folds
Observe base of neck and forehead for ring-shaped rash
Look for raised, reddened areas and balding on scalp
Inspect hair follicle shafts for adherence of nits
Inspect hair follicle shafts for adherence of nits?
An adolescent with pelvic inflammatory disease is admitted to the hospital after 14 days of taking
levofloxacin twice daily. She asks the nurse Why do I have to be in the hospital? Why can't I get my
treatment at home. Which purpose should the nurse provide that supports and effective outcome?
Administration of a supervised parenteral antibiotic protocol
Implementation of contact precautions to prevent spread of infection
Detection of early symptoms of Jarisch-Herxheimer reaction
Collection of serial anaerobic cultures of vaginal discharge
Administration of a supervised parenteral antibiotic protocol
The nurse administer digoxin to a 9 month old infant with an apical heart rate of 160 beats per
minute. Which indicates the medication effect has been achieved.
60 beats per minute
120 beats per minute
180 beats per minute
80 beats per minute
120 beats per minute
A child diagnosed with Kawasaki disease is brought to the clinic. The mother reports that her child is
irritable, refuses to eat, and has skin peeling on both hands and feet. Which intervention should the
nurse instruct the mother to implement first?
Apply lotion to hands and feet
place the child in a quiet environment
Make a list of foods the child likes
Encourage the parents to rest when possible
, Place the child in a quiet environment
Which nursing problem has the highest priority when providing preoperative care for an infant born
with bladder exstrophy?
Risk for impaired parenting related to appearance of infant
Risk for infection related to impaired skin integrity
Altered urinary elimination related to exposure of bladder
Knowledge deficit related to caring for the infant
Risk for infection related to impaired skin integrity
A 6 year old boy with bronchial asthma takes the beta adrenergic agonist agent albuterol. The child's
mother tells the nurse that she uses this medication to open her son's airway when he is having
trouble breathing. What is the nurses best response?
Recommend that the mother bring the child in for immediate evaluation
Advise the mom that over-use of the drug may cause chronic bronchitis
Assure the mom that she is using the med correctly
Confirm that the med helps to reduce airway inflammation
Assure the mom that she is using the med correctly
A 9 year old boy is diagnosed with diabetes type 1. Which stage of Erikson's theory of psychosocial
development is the nurse addressing the client about insulin injections?
Initiative
Industry
Identity
Autonomy
Industry
An unlicensed assistive personnel (UAP) is preparing to provide personal care for a 3 year old child
who is NPO and awaiting surgery for. Wilm's tumor. It is most important for the nurse to provide the
UAP with which instruction?
Provide plenty of lubrication during mouth care
Let the child make as many choices as possible
Ensure warmth and privacy during the bath
Avoid applying pressure to the child's abdomen
Avoid applying pressure to the child's abdomen
The nurse is examining an infant for possible cryptorchidism. Which exam technique should be used?
Place the infant in side-lying position to facilitate the exam
Hold the penis and retract the foreskin gently
Cleanse the penis with an antiseptic soaked pad
Place the infant in a warm room and use a calm approach
Place the infant in a warm room and use a calm approach
A 6 year old is brought into the healthcare providers office after stepping on a rusty nail. Upon
inspection the nurse notes that the nail went through the shoe and pierced the bottom of the child's
foot. Which action should the nurse implement first?
cleanse the foot with soap and water and apply an antibiotic ointment as prescribed
Correct Answers | Updated
A 10 year old boy is admitted to the ED. He is unresponsive and his laboratory values include a blood
sugar of 800, potassium of 5, and arterial blood gas of pH 7.30, HCO3 15, PaC02 37. Which
intervention has the highest priority?
Administer IV of normal saline and insulin
Frequently assess the child's respiratory effort
Maintain strict intake and output records
Give subq regular insulin by protocol
Administer IV of normal saline and insulin
What snack is best to provide a 6 year old child on prescribed bedrest while receiving treatment for
osteomyelitis?
Soup broth
Milkshake
Applesauce
Popsicle
Milkshake
The school nurse is assessing a child who reports having an itchy scalp. The nurse has sent home care
instructions for the pediatric child. Which assessment should the nurse implement for this child?
Determine if silvery crusty scales are seen in skin folds
Observe base of neck and forehead for ring-shaped rash
Look for raised, reddened areas and balding on scalp
Inspect hair follicle shafts for adherence of nits
Inspect hair follicle shafts for adherence of nits?
An adolescent with pelvic inflammatory disease is admitted to the hospital after 14 days of taking
levofloxacin twice daily. She asks the nurse Why do I have to be in the hospital? Why can't I get my
treatment at home. Which purpose should the nurse provide that supports and effective outcome?
Administration of a supervised parenteral antibiotic protocol
Implementation of contact precautions to prevent spread of infection
Detection of early symptoms of Jarisch-Herxheimer reaction
Collection of serial anaerobic cultures of vaginal discharge
Administration of a supervised parenteral antibiotic protocol
The nurse administer digoxin to a 9 month old infant with an apical heart rate of 160 beats per
minute. Which indicates the medication effect has been achieved.
60 beats per minute
120 beats per minute
180 beats per minute
80 beats per minute
120 beats per minute
A child diagnosed with Kawasaki disease is brought to the clinic. The mother reports that her child is
irritable, refuses to eat, and has skin peeling on both hands and feet. Which intervention should the
nurse instruct the mother to implement first?
Apply lotion to hands and feet
place the child in a quiet environment
Make a list of foods the child likes
Encourage the parents to rest when possible
, Place the child in a quiet environment
Which nursing problem has the highest priority when providing preoperative care for an infant born
with bladder exstrophy?
Risk for impaired parenting related to appearance of infant
Risk for infection related to impaired skin integrity
Altered urinary elimination related to exposure of bladder
Knowledge deficit related to caring for the infant
Risk for infection related to impaired skin integrity
A 6 year old boy with bronchial asthma takes the beta adrenergic agonist agent albuterol. The child's
mother tells the nurse that she uses this medication to open her son's airway when he is having
trouble breathing. What is the nurses best response?
Recommend that the mother bring the child in for immediate evaluation
Advise the mom that over-use of the drug may cause chronic bronchitis
Assure the mom that she is using the med correctly
Confirm that the med helps to reduce airway inflammation
Assure the mom that she is using the med correctly
A 9 year old boy is diagnosed with diabetes type 1. Which stage of Erikson's theory of psychosocial
development is the nurse addressing the client about insulin injections?
Initiative
Industry
Identity
Autonomy
Industry
An unlicensed assistive personnel (UAP) is preparing to provide personal care for a 3 year old child
who is NPO and awaiting surgery for. Wilm's tumor. It is most important for the nurse to provide the
UAP with which instruction?
Provide plenty of lubrication during mouth care
Let the child make as many choices as possible
Ensure warmth and privacy during the bath
Avoid applying pressure to the child's abdomen
Avoid applying pressure to the child's abdomen
The nurse is examining an infant for possible cryptorchidism. Which exam technique should be used?
Place the infant in side-lying position to facilitate the exam
Hold the penis and retract the foreskin gently
Cleanse the penis with an antiseptic soaked pad
Place the infant in a warm room and use a calm approach
Place the infant in a warm room and use a calm approach
A 6 year old is brought into the healthcare providers office after stepping on a rusty nail. Upon
inspection the nurse notes that the nail went through the shoe and pierced the bottom of the child's
foot. Which action should the nurse implement first?
cleanse the foot with soap and water and apply an antibiotic ointment as prescribed
