Pediatric HESI Practice Questions with
Answers 100%
1. The mother of a 4-year-old child asks the nurse what she can do to help her
other children cope with their sibling's repeated hospitalizations. Which is the
best response that the nurse should offer?
A. Inform the parent that the child is too young to visit the hospital.
B. Suggest that the child visit a grandmother until the sibling returns home.
C. Ask the mother if the child asks when the sibling will be discharged.
D. Encourage the mother to have the children visit the hospitalized sibling. -
Correct Answer D. Encourage the mother to have the children visit the
hospitalized sibling.
2. When planning the care for a child who has had a cleft lip repair the nurse knows
that crying should be minimized because it
A. Increases salivation.
B. Increases the respiratory rate.
C. Stresses the suture line.
D. Leads to vomiting. - Correct Answer C. Stresses the suture line.
3. The nurse assigning care for a 5-year-old child with otitis media is concerned
about the child's increasing temperature over the past 24 hours. Which statement
is accurate and should be considered when planning care for the remainder of
the shift?
A. An RN should be assigned to take temperatures frequently.
B. Tympanic and oral temperatures are equally accurate.
C. The PN should take rectal temperatures on this child.
D. The pediatrician should decide how to assess the temperature. - Correct
Answer B. Tympanic and oral temperatures are equally accurate.
4. A 2-year-old child with gastro-esophageal reflux has developed a fear of eating.
What instruction should the nurse include in the parents' teaching plan?
A. Invite other children home to share meals
B. Accept that he will eat when he is hungry.
C. Reward the child with a nap after eating.
D. Consistently follow a set mealtime routine. - Correct Answer D.
Consistently follows a set mealtime routine.
5. What preoperative nursing intervention should be included in the plan of care for
an infant with pyloric stenosis?
A. Monitor for signs of metabolic acidosis.
B. Estimate the quantity of diarrhea stools.
, C. Place in a supine position after feeding.
D. Observe for projectile vomiting. - Correct Answer D. Observe for
projectile vomiting.
6. The nurse is assessing a 2-year-old. What behavior indicates that the child's
language development is within normal limits?
A. Is able to name four colors.
B. Half of child's speech is understandable.
C. Can count five blocks.
D. Is capable of making a three word sentence. - Correct Answer B. Half of
child's speech is understandable.
7. The nurse receives a lab report stating a child with asthma has a theophylline
level of 15 mcg/dl. What action will the nurse take?
A. Pass the information on in the report.
B. Notify the healthcare provider because the value is high.
C. Repeat the lab study because the value is too high.
D. Hold the next dose of theophylline. - Correct Answer A. Pass the
information on in the report.
8. A 4- year- old girl continues to interrupt her mother during a routine clinic visit.
The mother appears irritated with the child and asks the nurse, "Is this normal
behavior for a child this age?" The nurse's response should be based on which
information?
A. Role conflict is a common problem of children this age. She is just
wondering where she fits into society.
B. Children need to retain a sense of initiative without impinging on the rights
and privileges of others.
C. Negative feelings of doubt and shame are characteristic of 4-year-old
children.
D. At this age children compete and like to produce and carry through with
tasks. She is just competing with her mother. - Correct Answer B.
Children need to retain a sense of initiative without impinging on the rights
and privileges of others.
9. A 6-month-old infant with congestive heart failure (CHF) is receiving digoxin
elixir. Which observation by the nurse warrants immediate intervention?
A. Sweating across the forehead.
B. Doesn't suck well.
C. Apical heart rate of 60.
D. Respiratory rate of 30 breaths per minute. - Correct Answer C. Apical
heart rate of 60.
10. Which restraint should be used for a toddler after a cleft palate repair?
A. Elbow.
B. Clove hitch.
, C. Mummy.
D. Jacket. - Correct Answer A. Elbow.
11. When taking the health history of a child, the nurse know what which finding is an
early indication of hypothyroidism in children?
A. Hyperactive behavioral traits.
B. Delay in the eruption of permanent teeth.
C. Slow sexual development, but within normal range.
D. Cessation of growth in a child that had been normal. - Correct Answer D.
Cessation of growth in a child that had been normal.
12. The mother of a preschool aged child asks the nurse if it is all right to administer
Pepto Bismol to her son when he has a "tummy ache" After reminding the mother
to check the label of all OTC drugs for the presence of aspirin, which instruction
should the nurse include when replying to this mother's question?
A. If the child's tongue darkens, discontinue the Pepto Bismol immediately.
B. Do not give if the child has chickenpox, the flu, or any other viral illness.
C. Avoid the use of Pepto Bismol until the child is at least 16 years old.
D. Pepto Bismol may cause a rebound hyperacidity, worsening the "tummy
ache." - Correct Answer B. Do not give if the child has chickenpox, the
flu, or any other viral illness.
13. Which growth and development characteristic should the nurse consider when
monitoring the effects of a topical medication for an infant?
A. A thin stratum corneum that increases topical absorption.
B. A lower sensitivity reactions to skin irritants.
C. A smaller percentage of muscle mass.
D. A greater body surface area that requires larger dosages. - Correct
Answer A. A thin stratum corneum that increases topical absorption.
14. The nurse is preparing a health teaching program for parents of toddlers and
preschoolers and plans to include information about prevention of accidental
poisonings. It is most important for the nurse to include which instruction?
A. Tell children they should not taste anything but food.
B. Store all toxic agents and medicines in locked cabinets.
C. Provide special play areas in the house and restrict play in other areas.
D. Punish children if they open cabinets that contain household chemicals. -
Correct Answer B. Store all toxic agents and medicines in locked
cabinets.
15. A 16-year-old is brought to the Emergency Center with a crushed leg after falling
off a horse. The adolescent's last tetanus toxoid booster was received eight
years ago. What action should the nurse take?
A. Dispense a tetanus antitoxin.
B. Prepare human tetanus immune globulin.
C. Administer tetanus toxoid booster.
Answers 100%
1. The mother of a 4-year-old child asks the nurse what she can do to help her
other children cope with their sibling's repeated hospitalizations. Which is the
best response that the nurse should offer?
A. Inform the parent that the child is too young to visit the hospital.
B. Suggest that the child visit a grandmother until the sibling returns home.
C. Ask the mother if the child asks when the sibling will be discharged.
D. Encourage the mother to have the children visit the hospitalized sibling. -
Correct Answer D. Encourage the mother to have the children visit the
hospitalized sibling.
2. When planning the care for a child who has had a cleft lip repair the nurse knows
that crying should be minimized because it
A. Increases salivation.
B. Increases the respiratory rate.
C. Stresses the suture line.
D. Leads to vomiting. - Correct Answer C. Stresses the suture line.
3. The nurse assigning care for a 5-year-old child with otitis media is concerned
about the child's increasing temperature over the past 24 hours. Which statement
is accurate and should be considered when planning care for the remainder of
the shift?
A. An RN should be assigned to take temperatures frequently.
B. Tympanic and oral temperatures are equally accurate.
C. The PN should take rectal temperatures on this child.
D. The pediatrician should decide how to assess the temperature. - Correct
Answer B. Tympanic and oral temperatures are equally accurate.
4. A 2-year-old child with gastro-esophageal reflux has developed a fear of eating.
What instruction should the nurse include in the parents' teaching plan?
A. Invite other children home to share meals
B. Accept that he will eat when he is hungry.
C. Reward the child with a nap after eating.
D. Consistently follow a set mealtime routine. - Correct Answer D.
Consistently follows a set mealtime routine.
5. What preoperative nursing intervention should be included in the plan of care for
an infant with pyloric stenosis?
A. Monitor for signs of metabolic acidosis.
B. Estimate the quantity of diarrhea stools.
, C. Place in a supine position after feeding.
D. Observe for projectile vomiting. - Correct Answer D. Observe for
projectile vomiting.
6. The nurse is assessing a 2-year-old. What behavior indicates that the child's
language development is within normal limits?
A. Is able to name four colors.
B. Half of child's speech is understandable.
C. Can count five blocks.
D. Is capable of making a three word sentence. - Correct Answer B. Half of
child's speech is understandable.
7. The nurse receives a lab report stating a child with asthma has a theophylline
level of 15 mcg/dl. What action will the nurse take?
A. Pass the information on in the report.
B. Notify the healthcare provider because the value is high.
C. Repeat the lab study because the value is too high.
D. Hold the next dose of theophylline. - Correct Answer A. Pass the
information on in the report.
8. A 4- year- old girl continues to interrupt her mother during a routine clinic visit.
The mother appears irritated with the child and asks the nurse, "Is this normal
behavior for a child this age?" The nurse's response should be based on which
information?
A. Role conflict is a common problem of children this age. She is just
wondering where she fits into society.
B. Children need to retain a sense of initiative without impinging on the rights
and privileges of others.
C. Negative feelings of doubt and shame are characteristic of 4-year-old
children.
D. At this age children compete and like to produce and carry through with
tasks. She is just competing with her mother. - Correct Answer B.
Children need to retain a sense of initiative without impinging on the rights
and privileges of others.
9. A 6-month-old infant with congestive heart failure (CHF) is receiving digoxin
elixir. Which observation by the nurse warrants immediate intervention?
A. Sweating across the forehead.
B. Doesn't suck well.
C. Apical heart rate of 60.
D. Respiratory rate of 30 breaths per minute. - Correct Answer C. Apical
heart rate of 60.
10. Which restraint should be used for a toddler after a cleft palate repair?
A. Elbow.
B. Clove hitch.
, C. Mummy.
D. Jacket. - Correct Answer A. Elbow.
11. When taking the health history of a child, the nurse know what which finding is an
early indication of hypothyroidism in children?
A. Hyperactive behavioral traits.
B. Delay in the eruption of permanent teeth.
C. Slow sexual development, but within normal range.
D. Cessation of growth in a child that had been normal. - Correct Answer D.
Cessation of growth in a child that had been normal.
12. The mother of a preschool aged child asks the nurse if it is all right to administer
Pepto Bismol to her son when he has a "tummy ache" After reminding the mother
to check the label of all OTC drugs for the presence of aspirin, which instruction
should the nurse include when replying to this mother's question?
A. If the child's tongue darkens, discontinue the Pepto Bismol immediately.
B. Do not give if the child has chickenpox, the flu, or any other viral illness.
C. Avoid the use of Pepto Bismol until the child is at least 16 years old.
D. Pepto Bismol may cause a rebound hyperacidity, worsening the "tummy
ache." - Correct Answer B. Do not give if the child has chickenpox, the
flu, or any other viral illness.
13. Which growth and development characteristic should the nurse consider when
monitoring the effects of a topical medication for an infant?
A. A thin stratum corneum that increases topical absorption.
B. A lower sensitivity reactions to skin irritants.
C. A smaller percentage of muscle mass.
D. A greater body surface area that requires larger dosages. - Correct
Answer A. A thin stratum corneum that increases topical absorption.
14. The nurse is preparing a health teaching program for parents of toddlers and
preschoolers and plans to include information about prevention of accidental
poisonings. It is most important for the nurse to include which instruction?
A. Tell children they should not taste anything but food.
B. Store all toxic agents and medicines in locked cabinets.
C. Provide special play areas in the house and restrict play in other areas.
D. Punish children if they open cabinets that contain household chemicals. -
Correct Answer B. Store all toxic agents and medicines in locked
cabinets.
15. A 16-year-old is brought to the Emergency Center with a crushed leg after falling
off a horse. The adolescent's last tetanus toxoid booster was received eight
years ago. What action should the nurse take?
A. Dispense a tetanus antitoxin.
B. Prepare human tetanus immune globulin.
C. Administer tetanus toxoid booster.
