Pediatric HESI V1 Exam Questions with
Answers
1. The nurse is assessing a 6-month-old infant. Which response requires further
evaluation by the nurse?
A. Turns head to locate sound.
B. Has double birth weight
C. Plays "peek-a-boo"
D. Demonstrates startle reflex - Correct Answer D. Demonstrates startle
reflex
2. The nurse is caring for an adolescent with scoliosis who is recovering after a
surgical spinal instrumentation. Which technique should the nurse use when
moving this client?
A. Perform a log roll
B. Raise the hips
C. Flex the knees
D. Cross the arms and legs - Correct Answer A. Perform a log roll
3. The patients of a child who is diagnosed with Wilma’s tumor ask the nurse why
surgery is necessary before a biopsy is performed. What information should the
nurse provide?
A. The surgery provides a visualization of other pathology and dysfunction of
the kidney
B. Metal clips are surgically applied at the tumor site for exact marking for
radiation.
C. Biopsy may rupture the encapsulated tumor and cause the cancer cells to
spread.
D. Surgery is necessary to stage the tumor and determine metastasis to
other sites. - Correct Answer C. Biopsy may rupture the encapsulated
tumor and cause the cancer cells to spread.
4. During her sports physical examination, a 15-year -old female requests oral
contraceptives. She explains that she is sexually active and does not want her
parents to know. What action should the nurse take?
A. Explain that she needs parental approval to receive contraceptives
, B. Encourage the client to discuss her need for contraceptives with her
parents
C. Counsel the client about the risks and benefits of using oral contraceptives
D. Tell the client how to receive a variety of oral contraceptives from the clinic
- Correct Answer C. Counsel the client about the risks and benefits of
using oral contraceptives
5. 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?
A. Place the child in a quiet environment
B. Encourage the parents rest while possible
C. Apply lotion to hands and feet
D. Make a list of foods that the child likes - Correct Answer A. Place the
child in a quiet environment
6. A child who weighs 30 kg is experiencing a grand mal seizure. The healthcare
provider prescribes diazepam 0.3 mg/kg/dose intravenous (IV) STAT. The
medication is available in 5 mg/mL vials. How many mL should the nurse
administer? - Correct Answer 1.8 mL
7. A mother brings her 3-month-old infant to the clinic because the baby does not
sleep through the night. Which finding is most significant in planning care for this
family?
A. The diaper area shows severe skin breakdown.
B. The infant's formula has been changed twice.
C. The mother states the baby is irritable during feedings
D. The mother is a single parent and lives with her parents. - Correct
Answer A. The diaper area shows severe skin breakdown.
8. A male adolescent arrives at the clinic and reports intense pain in the testicular
area that occurred during football practice at high school. The nurse observes the
scrotum and identifies significant erythema and swelling. Which action should the
nurse take?
A. Obtain a swab of secretions from the penis and urethra.
B. Provide the adolescent with a urinal for urinary hesitancy.
C. Collect a sterile urine sample for culture and sensitivity.
D. Report the findings immediately to the healthcare provider. - Correct
Answer D. Report the findings immediately to the healthcare provider.
Answers
1. The nurse is assessing a 6-month-old infant. Which response requires further
evaluation by the nurse?
A. Turns head to locate sound.
B. Has double birth weight
C. Plays "peek-a-boo"
D. Demonstrates startle reflex - Correct Answer D. Demonstrates startle
reflex
2. The nurse is caring for an adolescent with scoliosis who is recovering after a
surgical spinal instrumentation. Which technique should the nurse use when
moving this client?
A. Perform a log roll
B. Raise the hips
C. Flex the knees
D. Cross the arms and legs - Correct Answer A. Perform a log roll
3. The patients of a child who is diagnosed with Wilma’s tumor ask the nurse why
surgery is necessary before a biopsy is performed. What information should the
nurse provide?
A. The surgery provides a visualization of other pathology and dysfunction of
the kidney
B. Metal clips are surgically applied at the tumor site for exact marking for
radiation.
C. Biopsy may rupture the encapsulated tumor and cause the cancer cells to
spread.
D. Surgery is necessary to stage the tumor and determine metastasis to
other sites. - Correct Answer C. Biopsy may rupture the encapsulated
tumor and cause the cancer cells to spread.
4. During her sports physical examination, a 15-year -old female requests oral
contraceptives. She explains that she is sexually active and does not want her
parents to know. What action should the nurse take?
A. Explain that she needs parental approval to receive contraceptives
, B. Encourage the client to discuss her need for contraceptives with her
parents
C. Counsel the client about the risks and benefits of using oral contraceptives
D. Tell the client how to receive a variety of oral contraceptives from the clinic
- Correct Answer C. Counsel the client about the risks and benefits of
using oral contraceptives
5. 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?
A. Place the child in a quiet environment
B. Encourage the parents rest while possible
C. Apply lotion to hands and feet
D. Make a list of foods that the child likes - Correct Answer A. Place the
child in a quiet environment
6. A child who weighs 30 kg is experiencing a grand mal seizure. The healthcare
provider prescribes diazepam 0.3 mg/kg/dose intravenous (IV) STAT. The
medication is available in 5 mg/mL vials. How many mL should the nurse
administer? - Correct Answer 1.8 mL
7. A mother brings her 3-month-old infant to the clinic because the baby does not
sleep through the night. Which finding is most significant in planning care for this
family?
A. The diaper area shows severe skin breakdown.
B. The infant's formula has been changed twice.
C. The mother states the baby is irritable during feedings
D. The mother is a single parent and lives with her parents. - Correct
Answer A. The diaper area shows severe skin breakdown.
8. A male adolescent arrives at the clinic and reports intense pain in the testicular
area that occurred during football practice at high school. The nurse observes the
scrotum and identifies significant erythema and swelling. Which action should the
nurse take?
A. Obtain a swab of secretions from the penis and urethra.
B. Provide the adolescent with a urinal for urinary hesitancy.
C. Collect a sterile urine sample for culture and sensitivity.
D. Report the findings immediately to the healthcare provider. - Correct
Answer D. Report the findings immediately to the healthcare provider.
