PN HESI PEDS COMPREHENSIVE EXAM 2025 QUESTIONS
AND ANSWERS RATED A+
✔✔A child who weights 25 kg is receiving IV ampicillin 300 mg/kg/24 hours in equally
divided doses every 4 hours. How many mg should the nurse administer to the child for
each dose? - ✔✔1875mg
✔✔The nurse is caring for an infant scheduled for reduction of intussusceptions. The
day
before the scheduled procedure the infant passes a soft-formed brown stool. Which
intervention should the nurse implement?
A. Instruct the parents that the infant needs to be NPO.
B. Notify the healthcare provider of the passage of brown stool.
C. Obtain a stool specimen for laboratory analysis.
D. Ask the parents about recent changes in the infant's diet. - ✔✔B. Notify the
healthcare provider of the passage of brown stool.
✔✔The mother of a 4-month old asks the nurse for advice in preventing diaper rash.
What
suggestion should the nurse provide?
A. At diaper change generously powder the baby's diaper area with talcum powder to
promote dryness.
B. Wash the diaper area every 2 hours with soap and water to help prevent skin
breakdown.
C. Use a barrier cream, such as zinc oxide, which does not have to be completely
removed with each diaper change.
D. Place a cloth diaper inside the disposable diaper for overnight periods when
increased
wearing time is likely. - ✔✔C. Use a barrier cream, such as zinc oxide, which does not
have to be completely
removed with each diaper change.
✔✔Which statement by a school aged client going to summer camp indicates the best
understanding of the mode of transmission of Lyme disease?
A. I'll cover my mouth with a wet cloth if there's too much dust blowing.
B. Cuts and scrapes need to be washed out and covered right away.
C. I'm not going to swim where the water is standing still or feels too hot.
D. I have to wear long sleeves and pants when we're hiking around the pond. - ✔✔D. I
have to wear long sleeves and pants when we're hiking around the pond.
✔✔The nurse is evaluating the effects of thyroid therapy used to treat a 5 months old
with
hypothyroidism. Which behavior indicates that the treatment has been effective?
A. Laughs readily, turns from back to side.
B. Has strong Moro and tonic neck reflexes.
, C. Keeps fists clenched, opens hands when grasping an object.
D. Can lift head, but not chest when lying on abdomen. - ✔✔A. Laughs readily, turns
from back to side.
✔✔The HR for a 3 year old with a congenital heart defect has steadily decreased over
the
last few hours, now it's 76 bpm, the previous reading 4 hours ago was 110 bpm. Which
additional finding should be reported immediately to a healthcare provider?
A. Oxygen saturation 94%.
B. RR of 25 breaths/minute.
C. Urine output 20 mL/hr.
D. BP 70/40. - ✔✔D. BP 70/40.
✔✔2 year old is admitted to the hospital with possible encephalitis, and a lumbar
puncture
is scheduled. Which information should the nurse provide this child concerning the
procedure?
A. Describe the side-lying, knees to chest position that must be assumed during the
procedure.
B. Tell the child to expect loud clicking noises during the procedure that may be slightly
annoying.
C. Reassure the child that there will be no restrictions on activity after the procedure is
completed.
D. Explain that fluids cannot be taken for 8 hours before the procedure and for 4 hours
after the procedure. - ✔✔A. Describe the side-lying, knees to chest position that must
be assumed during the
procedure.
✔✔the parenst of a 3 y/o boy who has Duchenne muscular dystrophy (DMD) ask "how
can
our son have this disease? We are wondering if we should have any more children"
What information should the nurse provide these parents?
A. This is an inherited X-linked recessive disorder, which primarly affects male
children in the family
B. The male infant had a viral infectrion that went unnoticed and iuntreated, so mucle
damage was incurred
C. The XXXX muscle groups of males can be impacted by a lack of the protein
dystrophyn
in the mother
D. Birth trauma with a breech vaginal birth causes damage to the spinal cord, thus
weakening the muscles - ✔✔A. This is an inherited X-linked recessive disorder, which
primarly affects male
children in the family
AND ANSWERS RATED A+
✔✔A child who weights 25 kg is receiving IV ampicillin 300 mg/kg/24 hours in equally
divided doses every 4 hours. How many mg should the nurse administer to the child for
each dose? - ✔✔1875mg
✔✔The nurse is caring for an infant scheduled for reduction of intussusceptions. The
day
before the scheduled procedure the infant passes a soft-formed brown stool. Which
intervention should the nurse implement?
A. Instruct the parents that the infant needs to be NPO.
B. Notify the healthcare provider of the passage of brown stool.
C. Obtain a stool specimen for laboratory analysis.
D. Ask the parents about recent changes in the infant's diet. - ✔✔B. Notify the
healthcare provider of the passage of brown stool.
✔✔The mother of a 4-month old asks the nurse for advice in preventing diaper rash.
What
suggestion should the nurse provide?
A. At diaper change generously powder the baby's diaper area with talcum powder to
promote dryness.
B. Wash the diaper area every 2 hours with soap and water to help prevent skin
breakdown.
C. Use a barrier cream, such as zinc oxide, which does not have to be completely
removed with each diaper change.
D. Place a cloth diaper inside the disposable diaper for overnight periods when
increased
wearing time is likely. - ✔✔C. Use a barrier cream, such as zinc oxide, which does not
have to be completely
removed with each diaper change.
✔✔Which statement by a school aged client going to summer camp indicates the best
understanding of the mode of transmission of Lyme disease?
A. I'll cover my mouth with a wet cloth if there's too much dust blowing.
B. Cuts and scrapes need to be washed out and covered right away.
C. I'm not going to swim where the water is standing still or feels too hot.
D. I have to wear long sleeves and pants when we're hiking around the pond. - ✔✔D. I
have to wear long sleeves and pants when we're hiking around the pond.
✔✔The nurse is evaluating the effects of thyroid therapy used to treat a 5 months old
with
hypothyroidism. Which behavior indicates that the treatment has been effective?
A. Laughs readily, turns from back to side.
B. Has strong Moro and tonic neck reflexes.
, C. Keeps fists clenched, opens hands when grasping an object.
D. Can lift head, but not chest when lying on abdomen. - ✔✔A. Laughs readily, turns
from back to side.
✔✔The HR for a 3 year old with a congenital heart defect has steadily decreased over
the
last few hours, now it's 76 bpm, the previous reading 4 hours ago was 110 bpm. Which
additional finding should be reported immediately to a healthcare provider?
A. Oxygen saturation 94%.
B. RR of 25 breaths/minute.
C. Urine output 20 mL/hr.
D. BP 70/40. - ✔✔D. BP 70/40.
✔✔2 year old is admitted to the hospital with possible encephalitis, and a lumbar
puncture
is scheduled. Which information should the nurse provide this child concerning the
procedure?
A. Describe the side-lying, knees to chest position that must be assumed during the
procedure.
B. Tell the child to expect loud clicking noises during the procedure that may be slightly
annoying.
C. Reassure the child that there will be no restrictions on activity after the procedure is
completed.
D. Explain that fluids cannot be taken for 8 hours before the procedure and for 4 hours
after the procedure. - ✔✔A. Describe the side-lying, knees to chest position that must
be assumed during the
procedure.
✔✔the parenst of a 3 y/o boy who has Duchenne muscular dystrophy (DMD) ask "how
can
our son have this disease? We are wondering if we should have any more children"
What information should the nurse provide these parents?
A. This is an inherited X-linked recessive disorder, which primarly affects male
children in the family
B. The male infant had a viral infectrion that went unnoticed and iuntreated, so mucle
damage was incurred
C. The XXXX muscle groups of males can be impacted by a lack of the protein
dystrophyn
in the mother
D. Birth trauma with a breech vaginal birth causes damage to the spinal cord, thus
weakening the muscles - ✔✔A. This is an inherited X-linked recessive disorder, which
primarly affects male
children in the family
