Pediatrics Hesi Test Bank 2024/2025
Questions With Correct Answers ||
Already Graded A+|| Updated Version
The nurse is preparing a 45-year-old client for discharge from a cancer center following ileostomy
surgery for colon cancer. Which discharge goal should the nurse include in this client's discharge plan?
A. Reduce the daily intake of animal fat to 10% of the diet within 6 weeks.
B. Exhibit regular, soft-formed stool within 1 month.
C. Demonstrate the irrigation procedure correctly within 1 week.
D. Attend an ostomy support group within 2 weeks. - ANSWER D.Attend an ostomy support group
within 2 weeks.
Rationale:
Attending a support group will be beneficial to the client and should be encouraged because adaptation
to the ostomy can be difficult. This goal is attainable and is measurable. Option A is not specifically
related to ileostomy care. The client with an ileostomy will not be able to accomplish option B. Option
C is not necessary.
The mother of a 9-month-old girl provides the practical nurse information about her daughter's diet.
Which statement by the mother may indicate why the infant has been diagnosed with iron-deficiency
anemia?
A) "She almost never drinks sugar water."
B) "She has been on whole milk for 7 months."
C) "She likes to chew on bread as a snack."
D) "She doesn't like to eat peaches or pears." - ANSWER B) "She has been on whole milk for 7
months."
, A 12-year-old male is brought to the clinic after falling during a skateboarding trick. The child's vital
signs are heart rate 135 beats/minute, respirations 20 breaths/minute, and blood pressure 90/60. Which
finding should the practical nurse report to the healthcare provider immediately?
A) The client complaints of his back being sore.
B) Capillary refill is less than 2 seconds.
C) Blood pressure is 94/68.
D) Peripheral pulses are weak and rapid. - ANSWER D) Peripheral pulses are weak and rapid.
According to Erikson's theory, what behavioral pattern should be displayed by a child who has not
developed a sense of competence?
A) Guilt.
B) Shame.
C) Alienation.
D) Inferiority. - ANSWER D) Inferiority.
An adolescent female who comes to the school clinic is reluctant to confide her concerns to the
practical nurse (PN). The PN tells the teen that confidentiality and privacy are maintained unless a life-
threatening situation arises. Which principal supports the PN's response?
A) The adolescent should be encouraged to seek help outside of the school clinic.
B) Disclosures from the adolescent should be kept confidential.
C) Honest information ensures establishing a trusting relationship.
D) Minor adolescents should not be encouraged to disclose private concerns. - ANSWER C) Honest
information ensures establishing a trusting relationship.
The practical nurse (PN) is caring for a 6-year-old girl who had surgery 12 hours ago. The child tells
the PN that she does not have pain but a few minutes later, tells her parents that she does. What child
development concept is relevant to this situation?
A) Truthful reporting of pain should occur by this age.
B) Children use pain experiences to manipulate their parents.
C) Inconsistency in pain reporting suggests that pain is not present.
D) A child may have pain yet deny its presence to the nurse. - ANSWER D) A child may have pain yet
deny its presence to the nurse.
Which preoperative action is most important for the practical nurse (PN) to implement for a newborn
with a meningomyelocele?
A) Minimize the risk for infection.
B) Prevent skin breakdown.
C) Monitor neurologic functioning.
D) Document vital signs. - ANSWER A) Minimize the risk for infection.
Which finding should the practical nurse confirm with the parents of an infant who is admitted with
possible intussusception?
A) Projectile vomiting after meals.
, B) Clay-colored stools.
C) Constant abdominal pain.
D) Red currant jelly stools. - ANSWER D) Red currant jelly stools.
Which statement by a mother indicates that her 5-month-old infant girl is ready for solid food?
A) "I find that my baby really has to be encouraged to eat."
B) "My baby has just started to sit up without any support."
C) "I am surprised that my baby only weighs 11 pounds. I expected her to have gained more weight."
D) "When I give my baby solid foods, she has difficulty getting it to the back of her throat to swallow."
- ANSWER B) "My baby has just started to sit up without any support."
The practical nurse (PN) is monitoring a child who is manifesting signs of shock after a motor vehicle
collision. Which finding is most important for the PN to report to the charge nurse?
A) Thirst.
B) Irritability.
C) Apprehension.
D) Narrowing pulse pressure. - ANSWER D) Narrowing pulse pressure.
The practical nurse (PN) is caring for a 6-year-old who is hospitalized with asthma. Which
developmentally correct activity should the PN provide the child?
A) Crayons and a coloring book.
B) A 1000-piece jigsaw puzzle.
C) A ball to throw into a basket.
D) A music cassette and player. - ANSWER A) Crayons and a coloring book.
A mother asks the practical nurse (PN), "When will I know if my daughter has entered puberty?"
Which finding should the PN tell the mother to observe for with the onset of puberty?
A) Menarche.
B) Mood swings.
C) Heterosexual interest.
D) Growth of pubic hair. - ANSWER D) Growth of pubic hair.
The practical nurse (PN) is preparing to administer an intramuscular immunization to a 6-month-old
infant. What site should the PN select?
A) Deltoid.
B) Dorsogluteal.
C) Ventrogluteal.
D) Vastus lateralis. - ANSWER D) Vastus lateralis.
The practical nurse (PN) is interviewing a 10-year-old girl about school and her extracurricular
activities. She responds, "I like school. I play the flute in the school band, and I take tennis lessons."
Based on Erikson's psychosocial theory, the PN identifies that this child is in what stage of
development?
, A) Identity.
B) Industry.
C) Intimacy.
D) Initiative. - ANSWER B) Industry.
What information should the practical nurse (PN) reinforce with the parents of a 3-month old infant
about liquid medication administration?
A) Place the medication in a nipple and have the infant suck the nipple.
B) Pour the medication into a small cup and allow the infant to drink it.
C) Administer the medication with a dropper to the back of the infant's tongue.
D) Use an oral syringe to place the medication in the side of the infant's mouth. - ANSWER D) Use an
oral syringe to place the medication in the side of the infant's mouth.
The practical nurse (PN) arrives at the playgrounds and sees a school-aged boy who has eaten
something he is allergic to and is demonstrating a stridor. Which action should the PN implement first?
A) Determine what the child has eaten.
B) Ask if the child is alone.
C) Move the child to a different environment.
D) Call for an ambulance. - ANSWER D) Call for an ambulance.
What action should the practical nurse (PN) implement when caring for a dying child and the family?
A) Provide adequate oral intake on a regular schedule.
B) Organize care to minimize contact that interrupts rest.
C) Allow family to give basic care when the child is alert.
D) Tell family to continue talking to the child until time of death. - ANSWER D) Tell family to
continue talking to the child until time of death.
A 3-year-old boy cries, kicks, and clings to his father when the parents try to leave the hospital room.
The parents express their concern to the practical nurse (PN). What response should the PN provide?
A) "You can avoid this if you wait to leave after your child falls asleep."
B) "It is not helpful for parents to stay with children during hospitalization."
C) "Your child is showing a normal response to the stress of hospitalization."
D) "Your child's behavior indicates a need for psychological consultation." - ANSWER C) "Your child
is showing a normal response to the stress of hospitalization."
Which play activity should the practical nurse (PN) provide a hospitalized 6-month-old infant?
A) Push and pull toys.
B) Supervised water play.
C) Pat-a-cake and peek-a-boo.
D) Ball-rolling and hide and seek game. - ANSWER C) Pat-a-cake and peek-a-boo.
A child is admitted for observation following a closed head injury. Which assessment is most essential
for the practical nurse (PN) to monitor for an early sign of a worsening condition?
Questions With Correct Answers ||
Already Graded A+|| Updated Version
The nurse is preparing a 45-year-old client for discharge from a cancer center following ileostomy
surgery for colon cancer. Which discharge goal should the nurse include in this client's discharge plan?
A. Reduce the daily intake of animal fat to 10% of the diet within 6 weeks.
B. Exhibit regular, soft-formed stool within 1 month.
C. Demonstrate the irrigation procedure correctly within 1 week.
D. Attend an ostomy support group within 2 weeks. - ANSWER D.Attend an ostomy support group
within 2 weeks.
Rationale:
Attending a support group will be beneficial to the client and should be encouraged because adaptation
to the ostomy can be difficult. This goal is attainable and is measurable. Option A is not specifically
related to ileostomy care. The client with an ileostomy will not be able to accomplish option B. Option
C is not necessary.
The mother of a 9-month-old girl provides the practical nurse information about her daughter's diet.
Which statement by the mother may indicate why the infant has been diagnosed with iron-deficiency
anemia?
A) "She almost never drinks sugar water."
B) "She has been on whole milk for 7 months."
C) "She likes to chew on bread as a snack."
D) "She doesn't like to eat peaches or pears." - ANSWER B) "She has been on whole milk for 7
months."
, A 12-year-old male is brought to the clinic after falling during a skateboarding trick. The child's vital
signs are heart rate 135 beats/minute, respirations 20 breaths/minute, and blood pressure 90/60. Which
finding should the practical nurse report to the healthcare provider immediately?
A) The client complaints of his back being sore.
B) Capillary refill is less than 2 seconds.
C) Blood pressure is 94/68.
D) Peripheral pulses are weak and rapid. - ANSWER D) Peripheral pulses are weak and rapid.
According to Erikson's theory, what behavioral pattern should be displayed by a child who has not
developed a sense of competence?
A) Guilt.
B) Shame.
C) Alienation.
D) Inferiority. - ANSWER D) Inferiority.
An adolescent female who comes to the school clinic is reluctant to confide her concerns to the
practical nurse (PN). The PN tells the teen that confidentiality and privacy are maintained unless a life-
threatening situation arises. Which principal supports the PN's response?
A) The adolescent should be encouraged to seek help outside of the school clinic.
B) Disclosures from the adolescent should be kept confidential.
C) Honest information ensures establishing a trusting relationship.
D) Minor adolescents should not be encouraged to disclose private concerns. - ANSWER C) Honest
information ensures establishing a trusting relationship.
The practical nurse (PN) is caring for a 6-year-old girl who had surgery 12 hours ago. The child tells
the PN that she does not have pain but a few minutes later, tells her parents that she does. What child
development concept is relevant to this situation?
A) Truthful reporting of pain should occur by this age.
B) Children use pain experiences to manipulate their parents.
C) Inconsistency in pain reporting suggests that pain is not present.
D) A child may have pain yet deny its presence to the nurse. - ANSWER D) A child may have pain yet
deny its presence to the nurse.
Which preoperative action is most important for the practical nurse (PN) to implement for a newborn
with a meningomyelocele?
A) Minimize the risk for infection.
B) Prevent skin breakdown.
C) Monitor neurologic functioning.
D) Document vital signs. - ANSWER A) Minimize the risk for infection.
Which finding should the practical nurse confirm with the parents of an infant who is admitted with
possible intussusception?
A) Projectile vomiting after meals.
, B) Clay-colored stools.
C) Constant abdominal pain.
D) Red currant jelly stools. - ANSWER D) Red currant jelly stools.
Which statement by a mother indicates that her 5-month-old infant girl is ready for solid food?
A) "I find that my baby really has to be encouraged to eat."
B) "My baby has just started to sit up without any support."
C) "I am surprised that my baby only weighs 11 pounds. I expected her to have gained more weight."
D) "When I give my baby solid foods, she has difficulty getting it to the back of her throat to swallow."
- ANSWER B) "My baby has just started to sit up without any support."
The practical nurse (PN) is monitoring a child who is manifesting signs of shock after a motor vehicle
collision. Which finding is most important for the PN to report to the charge nurse?
A) Thirst.
B) Irritability.
C) Apprehension.
D) Narrowing pulse pressure. - ANSWER D) Narrowing pulse pressure.
The practical nurse (PN) is caring for a 6-year-old who is hospitalized with asthma. Which
developmentally correct activity should the PN provide the child?
A) Crayons and a coloring book.
B) A 1000-piece jigsaw puzzle.
C) A ball to throw into a basket.
D) A music cassette and player. - ANSWER A) Crayons and a coloring book.
A mother asks the practical nurse (PN), "When will I know if my daughter has entered puberty?"
Which finding should the PN tell the mother to observe for with the onset of puberty?
A) Menarche.
B) Mood swings.
C) Heterosexual interest.
D) Growth of pubic hair. - ANSWER D) Growth of pubic hair.
The practical nurse (PN) is preparing to administer an intramuscular immunization to a 6-month-old
infant. What site should the PN select?
A) Deltoid.
B) Dorsogluteal.
C) Ventrogluteal.
D) Vastus lateralis. - ANSWER D) Vastus lateralis.
The practical nurse (PN) is interviewing a 10-year-old girl about school and her extracurricular
activities. She responds, "I like school. I play the flute in the school band, and I take tennis lessons."
Based on Erikson's psychosocial theory, the PN identifies that this child is in what stage of
development?
, A) Identity.
B) Industry.
C) Intimacy.
D) Initiative. - ANSWER B) Industry.
What information should the practical nurse (PN) reinforce with the parents of a 3-month old infant
about liquid medication administration?
A) Place the medication in a nipple and have the infant suck the nipple.
B) Pour the medication into a small cup and allow the infant to drink it.
C) Administer the medication with a dropper to the back of the infant's tongue.
D) Use an oral syringe to place the medication in the side of the infant's mouth. - ANSWER D) Use an
oral syringe to place the medication in the side of the infant's mouth.
The practical nurse (PN) arrives at the playgrounds and sees a school-aged boy who has eaten
something he is allergic to and is demonstrating a stridor. Which action should the PN implement first?
A) Determine what the child has eaten.
B) Ask if the child is alone.
C) Move the child to a different environment.
D) Call for an ambulance. - ANSWER D) Call for an ambulance.
What action should the practical nurse (PN) implement when caring for a dying child and the family?
A) Provide adequate oral intake on a regular schedule.
B) Organize care to minimize contact that interrupts rest.
C) Allow family to give basic care when the child is alert.
D) Tell family to continue talking to the child until time of death. - ANSWER D) Tell family to
continue talking to the child until time of death.
A 3-year-old boy cries, kicks, and clings to his father when the parents try to leave the hospital room.
The parents express their concern to the practical nurse (PN). What response should the PN provide?
A) "You can avoid this if you wait to leave after your child falls asleep."
B) "It is not helpful for parents to stay with children during hospitalization."
C) "Your child is showing a normal response to the stress of hospitalization."
D) "Your child's behavior indicates a need for psychological consultation." - ANSWER C) "Your child
is showing a normal response to the stress of hospitalization."
Which play activity should the practical nurse (PN) provide a hospitalized 6-month-old infant?
A) Push and pull toys.
B) Supervised water play.
C) Pat-a-cake and peek-a-boo.
D) Ball-rolling and hide and seek game. - ANSWER C) Pat-a-cake and peek-a-boo.
A child is admitted for observation following a closed head injury. Which assessment is most essential
for the practical nurse (PN) to monitor for an early sign of a worsening condition?
