PEDS HESI Final Exam with Complete
Questions and Answers
The nurse is caring for a 3 year old child who is 2 hours postop from a cardiac
catheritization via the right femoral artery. Which assessment finding is an indication of
arterial obstruction? - Correct Answer Right foot is cool to the touch and appears pale
and blanched
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? - Correct Answer Set of cloth and hand
puppets
An infant with tetralogy of fallout becomes acutely cyanotic and hyperpnoea. Which
action should the nurse implement first? - Correct Answer Place the infant in a knee-
chest position
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? - Correct Answer Metabolic Acidosis
A 7 year 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? - Correct Answer Serum potassium of 3.0
mg/ld.
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? - Correct
Answer Creamed corn
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? - Correct Answer Object Permanence
The nurse is measuring he frontal occipital circumference (FOC) of a 3 month 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?
- Correct Answer Palpate the anterior fontanel for tension and bulging
The nurse is preparing a 10 year old with a lacerated forehead for suturing. Both
parents and 12 years old sibling are at the child's bedside. Which instruction best
, supports family? - Correct Answer Please decide who will stay when the healthcare
provider begins suturing
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? - Correct Answer Thicken formula with cereal for each feeding
While teaching a parenting class to new parents the nurse describes the needs of
infants and toddlers regarding discipline and limit setting. What is the most important
reason for implementing such parenting behaviors? - Correct Answer They provide the
child with a sense of security
The parents of a newborn infant with hypospadias are concerned about when the
surgical correction should occur. What information should the nurse provide? - Correct
Answer Repairs typically should be done before the child is potty trained
Which drink choice on a hot day indicates to the nurse that a teenager with sickle cell
anemia understands dietary considerations related to the disease? - Correct Answer
Lemonade
The nurse is assessing an infant with diarrhea and lethargy. Which finding should the
nurse identify that is consistent with early dehydration? - Correct Answer Tachycardia
While auscultating the lung sounds of a 5 year old Chinese boy who recently completed
antibiotic therapy for pneumonia, the nurse notices symmetrical, round, bruise-like
blemishes on his chest. What action is best for the nurse to take? - Correct Answer
Inquire about the use of alternative methods of treatment
A child with acute lymphocytic leukemia (ALL) who is receiving chemotherapy via a
subclavian IV infusion, has an oral temperature of 103 degrees. In assessing the IV site,
the nurse determines that there are no signs of infection at the site. Which intervention
is the most important for the nurse to implement? - Correct Answer Obtain specimen
for blood cultures
A child who weighs 25 kg is receiving IV ampicillin 300mg/kg/24 hours in equally divided
doses every 4 hours. How many mg should the nurse administer to the child for each
dose? - Correct Answer 1875mg
The nurse is caring for an infant scheduled for reduction of intussusceptions. The day
before the scheduled procedures the infant passes a soft-formed brown stool. Which
intervention should the nurse implement? - Correct Answer Notify the healthcare
provider of the passage of brown stool
Questions and Answers
The nurse is caring for a 3 year old child who is 2 hours postop from a cardiac
catheritization via the right femoral artery. Which assessment finding is an indication of
arterial obstruction? - Correct Answer Right foot is cool to the touch and appears pale
and blanched
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? - Correct Answer Set of cloth and hand
puppets
An infant with tetralogy of fallout becomes acutely cyanotic and hyperpnoea. Which
action should the nurse implement first? - Correct Answer Place the infant in a knee-
chest position
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? - Correct Answer Metabolic Acidosis
A 7 year 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? - Correct Answer Serum potassium of 3.0
mg/ld.
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? - Correct
Answer Creamed corn
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? - Correct Answer Object Permanence
The nurse is measuring he frontal occipital circumference (FOC) of a 3 month 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?
- Correct Answer Palpate the anterior fontanel for tension and bulging
The nurse is preparing a 10 year old with a lacerated forehead for suturing. Both
parents and 12 years old sibling are at the child's bedside. Which instruction best
, supports family? - Correct Answer Please decide who will stay when the healthcare
provider begins suturing
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? - Correct Answer Thicken formula with cereal for each feeding
While teaching a parenting class to new parents the nurse describes the needs of
infants and toddlers regarding discipline and limit setting. What is the most important
reason for implementing such parenting behaviors? - Correct Answer They provide the
child with a sense of security
The parents of a newborn infant with hypospadias are concerned about when the
surgical correction should occur. What information should the nurse provide? - Correct
Answer Repairs typically should be done before the child is potty trained
Which drink choice on a hot day indicates to the nurse that a teenager with sickle cell
anemia understands dietary considerations related to the disease? - Correct Answer
Lemonade
The nurse is assessing an infant with diarrhea and lethargy. Which finding should the
nurse identify that is consistent with early dehydration? - Correct Answer Tachycardia
While auscultating the lung sounds of a 5 year old Chinese boy who recently completed
antibiotic therapy for pneumonia, the nurse notices symmetrical, round, bruise-like
blemishes on his chest. What action is best for the nurse to take? - Correct Answer
Inquire about the use of alternative methods of treatment
A child with acute lymphocytic leukemia (ALL) who is receiving chemotherapy via a
subclavian IV infusion, has an oral temperature of 103 degrees. In assessing the IV site,
the nurse determines that there are no signs of infection at the site. Which intervention
is the most important for the nurse to implement? - Correct Answer Obtain specimen
for blood cultures
A child who weighs 25 kg is receiving IV ampicillin 300mg/kg/24 hours in equally divided
doses every 4 hours. How many mg should the nurse administer to the child for each
dose? - Correct Answer 1875mg
The nurse is caring for an infant scheduled for reduction of intussusceptions. The day
before the scheduled procedures the infant passes a soft-formed brown stool. Which
intervention should the nurse implement? - Correct Answer Notify the healthcare
provider of the passage of brown stool
