2022 HESI RN Pediatrics Exam 55 Answers
Guaranteed Success
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.
bright foot is cool to the touch and appears pale and blanched.
capsules distal to the femoral artery is weaker on the left foot than right foot.
dither pressure dressing at right femoral area is moist and oozing blood. - Correct
Answer bright 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?
A. Duckthatsqueaks.
B. Fashiondollandclothes.
C. Set of cloth and hand puppets.
D. Hand held video game. - Correct Answer C. 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?
A. Administer morphine sulphate.
B. Start IV fluids.
C. Place the infant in a knee-chest position.
D. Provide 100% oxygen by face mask. - Correct Answer C. Place the infant in a knee-
chest position.
4. A child admitted with diabetic ketoacidosis is demonstrating Kussmauls respirations.
The nurse determines that the increased respiratory rate is a compensatory mechanism
for which acid base alteration?
A. Metabolic alkalosis.
B. Respiratory acidosis.
C. Respiratory alkalosis.
D. Metabolic acidosis. - Correct Answer D. Metabolic acidosis.
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/ld.
, D. Serum pH of 7.45. - Correct Answer C. Serum potassium of 3.0 mg/ld.
6. The nurse is evaluating diet teaching for a client who has no tropical spree (celiac
disease). Choosing which food indicates that the teaching has been effective?
A. Creamed corn.
B. Pancakes.
C. Rye crackers.
D. Cooked oatmeal. - Correct Answer A. 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?
A. Separation anxiety.
B. Associative play.
C. Object pretension.
D. Object permanence. - Correct Answer D. Object permanence.
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-toe length.
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. - Correct Answer B. 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-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. - Correct
Answer D. Please decide who will stay when the healthcare provider begins suturing.
10. The nurse is planning for a 5-month old with gastro esophageal 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 instructions 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. - Correct Answer B. Thicken
formula with cereal for each feeding.
Guaranteed Success
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.
bright foot is cool to the touch and appears pale and blanched.
capsules distal to the femoral artery is weaker on the left foot than right foot.
dither pressure dressing at right femoral area is moist and oozing blood. - Correct
Answer bright 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?
A. Duckthatsqueaks.
B. Fashiondollandclothes.
C. Set of cloth and hand puppets.
D. Hand held video game. - Correct Answer C. 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?
A. Administer morphine sulphate.
B. Start IV fluids.
C. Place the infant in a knee-chest position.
D. Provide 100% oxygen by face mask. - Correct Answer C. Place the infant in a knee-
chest position.
4. A child admitted with diabetic ketoacidosis is demonstrating Kussmauls respirations.
The nurse determines that the increased respiratory rate is a compensatory mechanism
for which acid base alteration?
A. Metabolic alkalosis.
B. Respiratory acidosis.
C. Respiratory alkalosis.
D. Metabolic acidosis. - Correct Answer D. Metabolic acidosis.
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/ld.
, D. Serum pH of 7.45. - Correct Answer C. Serum potassium of 3.0 mg/ld.
6. The nurse is evaluating diet teaching for a client who has no tropical spree (celiac
disease). Choosing which food indicates that the teaching has been effective?
A. Creamed corn.
B. Pancakes.
C. Rye crackers.
D. Cooked oatmeal. - Correct Answer A. 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?
A. Separation anxiety.
B. Associative play.
C. Object pretension.
D. Object permanence. - Correct Answer D. Object permanence.
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-toe length.
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. - Correct Answer B. 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-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. - Correct
Answer D. Please decide who will stay when the healthcare provider begins suturing.
10. The nurse is planning for a 5-month old with gastro esophageal 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 instructions 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. - Correct Answer B. Thicken
formula with cereal for each feeding.
