Hesi Pediatric Practice Exam /
Hesi Rn Peds Exam 2024/2025
Q&A With Rationale
A 12 month old is admitted w/ a respiratory infection and possible pneumonia. He
is placed in a mist tent w/ O2. Which nsg intervention has the greatest priority? -
✔✔✔ANSWER-Have a bulb syringe readily available to remove secretions
(patent airway has the highest priority. Humidification will liquefy the nasal
secretions - thereby increasing the amt of secretions and making that a priority)
A 14 yr old female tells the nurse that she is concerned about the acne she has
recently dvp'd. Which recommendation should the nurse provide? -
✔✔✔ANSWER-Wash the hair and skin frequently w/ soap and hot water
(washing the hair and skin w/ soap and water removes oil and debris from the skin
and helps prevent and tx acne. Oily skin is especially bothersome during
adolescence when hormones cause enlargement of sebaceous glands and
increased glandular secretions which predispose the teenager to acne.)
,A 15 yr old girl tells the school nurse that all of her friends have started their
periods and she feels abnormal because she has not. Which response is best for
the nurse provide? - ✔✔✔ANSWER-Explain that menarche varies and occurs at 12-
18 yrs old
A 16 yr old is brought to the ER w/ a crushed leg after falling off a horse. The
adolescent's last tetanus toxoid booster was received eight yrs ago. What action
should the nurse take? - ✔✔✔ANSWER-Administer tetanus toxoid booster
(After the completion of the initial completion of the initial tetanus immunization
schedule, the recommended booster for an adolescent or adult is every 10 yrs or
less if a traumatic injury occurs that is contaminated by dirt, feces, soil, or saliva,
such as puncture or crushing injuries, avulsions, wounds from missiles, burns, or
frostbite. the adolescent's injury is considered a contaminated wound requiring
prophylactic therapy, so the tetanus toxoid booster should be administered)
A 17 yr old male student reports to the school clinic one morning for a scheduled
health exam. He tells the nurse that he just finished football practice and is on his
way to class. the nurse assesses his v/s: Temp 100F, Pulse 80, RR 20, and BP 122/82.
what is the best action for the nurse to take? - ✔✔✔ANSWER-Tell the student to
proceed directly to his regularly scheduled class
A 2 yr old child recently diagnosed w/ hemophilia A is discharged home. What info
should the nurse include in a teaching plan about home care? - ✔✔✔ANSWER-
Apply pressure and ice for bleeding while elevating and resting the extremity
(Hemophilia, a blood disorder, causes joint bleeding which is treated w/ rest, ice,
compression, and elevation (RICE) )
, A 2 yr old child w/ gastro-esophageal reflux has dvpd a fear of eating. What
instruction should the nurse include in the parents' teaching plan? -
✔✔✔ANSWER-Consistently follow a set mealtime routine
(2 yr olds are comforted by consistency)
A 2 yr old w/ Down syndrome is brought to the clinic for his regular physical exam.
The nurse knows which problem is requently associated w/ Downs? -
✔✔✔ANSWER-Congenital heart disease
(CHD is the most common associated defect w/ Downs. - also, remember Professor
Moore said that heart and ear problems go hand in hand)
A 3 month old infant dvps oral thrush. Which pharmacologic agent should the
nurse plan to administer for tx of this disorder? - ✔✔✔ANSWER-Nystatin
(Mycostatin)
(this is an antifungal drug that is effective in tx'g thrush, an oral fungal infection)
A 3 month old weighing 10 #, 15 oz has an axillary temp of 98.9F. The nurse
determines the daily caloric need for him as approximately - ✔✔✔ANSWER-600
calories/ day
(10# 15 oz = 10.9#. Convert # to kg and rounded to 5.
Hesi Rn Peds Exam 2024/2025
Q&A With Rationale
A 12 month old is admitted w/ a respiratory infection and possible pneumonia. He
is placed in a mist tent w/ O2. Which nsg intervention has the greatest priority? -
✔✔✔ANSWER-Have a bulb syringe readily available to remove secretions
(patent airway has the highest priority. Humidification will liquefy the nasal
secretions - thereby increasing the amt of secretions and making that a priority)
A 14 yr old female tells the nurse that she is concerned about the acne she has
recently dvp'd. Which recommendation should the nurse provide? -
✔✔✔ANSWER-Wash the hair and skin frequently w/ soap and hot water
(washing the hair and skin w/ soap and water removes oil and debris from the skin
and helps prevent and tx acne. Oily skin is especially bothersome during
adolescence when hormones cause enlargement of sebaceous glands and
increased glandular secretions which predispose the teenager to acne.)
,A 15 yr old girl tells the school nurse that all of her friends have started their
periods and she feels abnormal because she has not. Which response is best for
the nurse provide? - ✔✔✔ANSWER-Explain that menarche varies and occurs at 12-
18 yrs old
A 16 yr old is brought to the ER w/ a crushed leg after falling off a horse. The
adolescent's last tetanus toxoid booster was received eight yrs ago. What action
should the nurse take? - ✔✔✔ANSWER-Administer tetanus toxoid booster
(After the completion of the initial completion of the initial tetanus immunization
schedule, the recommended booster for an adolescent or adult is every 10 yrs or
less if a traumatic injury occurs that is contaminated by dirt, feces, soil, or saliva,
such as puncture or crushing injuries, avulsions, wounds from missiles, burns, or
frostbite. the adolescent's injury is considered a contaminated wound requiring
prophylactic therapy, so the tetanus toxoid booster should be administered)
A 17 yr old male student reports to the school clinic one morning for a scheduled
health exam. He tells the nurse that he just finished football practice and is on his
way to class. the nurse assesses his v/s: Temp 100F, Pulse 80, RR 20, and BP 122/82.
what is the best action for the nurse to take? - ✔✔✔ANSWER-Tell the student to
proceed directly to his regularly scheduled class
A 2 yr old child recently diagnosed w/ hemophilia A is discharged home. What info
should the nurse include in a teaching plan about home care? - ✔✔✔ANSWER-
Apply pressure and ice for bleeding while elevating and resting the extremity
(Hemophilia, a blood disorder, causes joint bleeding which is treated w/ rest, ice,
compression, and elevation (RICE) )
, A 2 yr old child w/ gastro-esophageal reflux has dvpd a fear of eating. What
instruction should the nurse include in the parents' teaching plan? -
✔✔✔ANSWER-Consistently follow a set mealtime routine
(2 yr olds are comforted by consistency)
A 2 yr old w/ Down syndrome is brought to the clinic for his regular physical exam.
The nurse knows which problem is requently associated w/ Downs? -
✔✔✔ANSWER-Congenital heart disease
(CHD is the most common associated defect w/ Downs. - also, remember Professor
Moore said that heart and ear problems go hand in hand)
A 3 month old infant dvps oral thrush. Which pharmacologic agent should the
nurse plan to administer for tx of this disorder? - ✔✔✔ANSWER-Nystatin
(Mycostatin)
(this is an antifungal drug that is effective in tx'g thrush, an oral fungal infection)
A 3 month old weighing 10 #, 15 oz has an axillary temp of 98.9F. The nurse
determines the daily caloric need for him as approximately - ✔✔✔ANSWER-600
calories/ day
(10# 15 oz = 10.9#. Convert # to kg and rounded to 5.
