HESI PEDIATRIC TEST BANK 2025 EXIT ACTUAL EXAM
HESI PEDIATRIC TEST BANK 2025 EXIT ACTUAL EXAM
COMPLETE 250 QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |ALREADY GRADED A+
A 10 year old is admitted with possible appendicitis. The doctor's history and physical indicates
a WBC count of 17,000, increased segmented neutrophils, decreased lymphocytes, and 6%
bands. The patient complains of abdominal pain, localized at Mcberney's point. Which
statement most accurately describes the data?
A. Lab work revels a left shift and pain localized in the right lower quadrant
B. Lab work reveals a right shift and pain localized in the left upper quadrant
C. Lab work reveals normal findings with pain localized in the epigastric area.
D. Lab work reveals a possible viral infection with pain localized in the left upper quadrant. -
ANSWER-A
A nurse is caring for a boy with probable intusseception. He had diarrhea before admission but
while waiting for administration of air pressure to reduce the intusseception he produced a
normal brown stool. Which nursing action is the most appropriete.
A. Notify practitioner
B. Measure abdomnial girth
C. Auscultate for bowel sounds
D. Take vital signs, including blood pressure. - ANSWER-A
The nurse is evaluating a child who is being treated for nephrotic syndrome. Which observation
indicated successful treatment of nephrosis?
A. Diuresis and weight loss
B. improved appetitie and weight gain
C. Increase in urine specific gravity
D. Return of temperature and pulse to normal - ANSWER-A
1|Page
, HESI PEDIATRIC TEST BANK 2025 EXIT ACTUAL EXAM
A young child is brought to the emergency room with suspected meningitis. Blood work with
cultures, a urine specimen with a culture and sensitivity, and the spinal tap were completed in
the ER and he is being admitted to the pedatric unit for continued care. Which of the following
is a major priority of nursing care?
A. Encourage oral intake of clear liquids. Progress diet as tolerated
B. Inititate isolation procedure if warranted after the CSF analysis is completed.
C. Inititate isolation procedire immediatly and administer ordered antibiotics
D. Administer sedatives/analgesic on a prescribed schedule to manage pain. - ANSWER-C
The nurse is caring for a 4-year old child immobilized by a fractured leg. Which complication
should the nurse monitor related to the childs immobilzation status.
A. The metabolic rate increases.
B. Increased joint mobility leading to contractures
C. Hypocalcemia due to release of excess calcium
D. Venous stasis leading to thrombi or emboli formation. - ANSWER-D
An adolescent who has chronic SCFE (slipped capital femoral epiphysis) sustains a fall during
gym class andis transported to the hospital with severe pain. Which is the most appropriate
explanation for what happened.
A. The child has probably experienced a fracture
B. The child has expereienced an acute on chronic phenomenom
C. The child has developed idopathic avascular necrosis.
D. the child has developmental dysplasia of the hip - ANSWER-D
A 13 year old was found to have a noticable rib hump during the scholosis screening by the
school nurse. What would be the most accurate information for the oarents in answering their
questions about scolosis?
2|Page
, HESI PEDIATRIC TEST BANK 2025 EXIT ACTUAL EXAM
A. "It is important to follow through on getting the child checked by an orthopedic doctor"
B. "Scoliosis is very common in teen girls and it will diminish as she continues to grow"
C."This is probably not a severe problem, since this is the first that symptoms have been noted"
D. "Most teens with curvatures of 10 degrees will need some type of bracing" - ANSWER-A
A nurse is caring for a child who is scheduled for an appendectomy. The nurse reviews the
physcian's preoperative orders. Which order should be questioned?
A. 0.9% NS IV at 50ml/hr
B. NPO after midnight
C.Mefoxin 1 GM IVPB on call for surgery
D. Activity as tolerated, up ad lid - ANSWER-D
A newborn male infant has been found to have unilateral talpies equinovarus ( club foot)
deformation. Which would be the most important information to give the parent?
A. The baby will probably need to start serial casing as soon as possible.
B. The child will need a Pavlik harness to keep the extremeties strechted
C. The child will need to undergo electromuography studies to confirm diagnosis.
D. The child will need to undergo testing to confirm diagnosis - ANSWER-A
A two year old with cerebral palsy is on continous tube feedings. Which intervention should the
nurse expect to see ordered to ensure proper hydration and *********?
A. Administer 1 ampule Sodium Bocarb IV push every 4 hours to prevent acidosis
B. Administer water trough the PEG tube every 4 hours to prevent hypertonic dehydration
C. Adminster water through the PEG tube every 4 hours to prevent hypotonic dehydration
D. Adminster sterile saline through the PEG tube every 4 hours to prevent - ANSWER-C
3|Page
, HESI PEDIATRIC TEST BANK 2025 EXIT ACTUAL EXAM
An abdnomial flat plate xray ordered for a child admitted with suspected intussecception
reveals no free air beneath the diaphram. What order should the nurse anticipate next from the
physcian?
A. Transport child to radiology and prepare him for a barium enema
B.Transport child to radiology and prepare him for an upper GI series
C. Transport child to radiology for an enema with air or water-soluable contrast
D. Transport child to the operating room and prepare him for abdominal surgery - ANSWER-A
A 12 year old has been diagnoses with slipped capital femoral epiphysis. In addition to pain,
what other assessment would the nurse expect to find?
A. Osteomylytisis of the hip
B. Asymmetrical gluteal folds
C. External rotation of the hip
D.Flexion of the hip - ANSWER-C
The parent of a 5 year old child with Duchenes Muscular Dystrophy is bringing her child to the
clinic for a follow up. She reports that she has noticed that her son's calves seems to be
enlarged since the last visit. Which explanation by the nurse is appropriete?
A. This is due to pseudohypertrophy in which fat replaces muscle in the calves
B. This is due to Gower's sign in which the calves
C. This is due to increased liver enzymes, which indicate muscle damage
D. this is due to systemic onset of the disease in which - ANSWER-A
A child is admitted with a dx of Hirshbringers disease. Which of the following would be the
appropriate explanation of this diagnosis to the parents?
A. The colon has become twisted and looped together so that he is unable to pass stool
B Nerves have produced contraction of certain muscles called sphinctors in the colon and these
nerves must be cut to produce relaxation
4|Page
HESI PEDIATRIC TEST BANK 2025 EXIT ACTUAL EXAM
COMPLETE 250 QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |ALREADY GRADED A+
A 10 year old is admitted with possible appendicitis. The doctor's history and physical indicates
a WBC count of 17,000, increased segmented neutrophils, decreased lymphocytes, and 6%
bands. The patient complains of abdominal pain, localized at Mcberney's point. Which
statement most accurately describes the data?
A. Lab work revels a left shift and pain localized in the right lower quadrant
B. Lab work reveals a right shift and pain localized in the left upper quadrant
C. Lab work reveals normal findings with pain localized in the epigastric area.
D. Lab work reveals a possible viral infection with pain localized in the left upper quadrant. -
ANSWER-A
A nurse is caring for a boy with probable intusseception. He had diarrhea before admission but
while waiting for administration of air pressure to reduce the intusseception he produced a
normal brown stool. Which nursing action is the most appropriete.
A. Notify practitioner
B. Measure abdomnial girth
C. Auscultate for bowel sounds
D. Take vital signs, including blood pressure. - ANSWER-A
The nurse is evaluating a child who is being treated for nephrotic syndrome. Which observation
indicated successful treatment of nephrosis?
A. Diuresis and weight loss
B. improved appetitie and weight gain
C. Increase in urine specific gravity
D. Return of temperature and pulse to normal - ANSWER-A
1|Page
, HESI PEDIATRIC TEST BANK 2025 EXIT ACTUAL EXAM
A young child is brought to the emergency room with suspected meningitis. Blood work with
cultures, a urine specimen with a culture and sensitivity, and the spinal tap were completed in
the ER and he is being admitted to the pedatric unit for continued care. Which of the following
is a major priority of nursing care?
A. Encourage oral intake of clear liquids. Progress diet as tolerated
B. Inititate isolation procedure if warranted after the CSF analysis is completed.
C. Inititate isolation procedire immediatly and administer ordered antibiotics
D. Administer sedatives/analgesic on a prescribed schedule to manage pain. - ANSWER-C
The nurse is caring for a 4-year old child immobilized by a fractured leg. Which complication
should the nurse monitor related to the childs immobilzation status.
A. The metabolic rate increases.
B. Increased joint mobility leading to contractures
C. Hypocalcemia due to release of excess calcium
D. Venous stasis leading to thrombi or emboli formation. - ANSWER-D
An adolescent who has chronic SCFE (slipped capital femoral epiphysis) sustains a fall during
gym class andis transported to the hospital with severe pain. Which is the most appropriate
explanation for what happened.
A. The child has probably experienced a fracture
B. The child has expereienced an acute on chronic phenomenom
C. The child has developed idopathic avascular necrosis.
D. the child has developmental dysplasia of the hip - ANSWER-D
A 13 year old was found to have a noticable rib hump during the scholosis screening by the
school nurse. What would be the most accurate information for the oarents in answering their
questions about scolosis?
2|Page
, HESI PEDIATRIC TEST BANK 2025 EXIT ACTUAL EXAM
A. "It is important to follow through on getting the child checked by an orthopedic doctor"
B. "Scoliosis is very common in teen girls and it will diminish as she continues to grow"
C."This is probably not a severe problem, since this is the first that symptoms have been noted"
D. "Most teens with curvatures of 10 degrees will need some type of bracing" - ANSWER-A
A nurse is caring for a child who is scheduled for an appendectomy. The nurse reviews the
physcian's preoperative orders. Which order should be questioned?
A. 0.9% NS IV at 50ml/hr
B. NPO after midnight
C.Mefoxin 1 GM IVPB on call for surgery
D. Activity as tolerated, up ad lid - ANSWER-D
A newborn male infant has been found to have unilateral talpies equinovarus ( club foot)
deformation. Which would be the most important information to give the parent?
A. The baby will probably need to start serial casing as soon as possible.
B. The child will need a Pavlik harness to keep the extremeties strechted
C. The child will need to undergo electromuography studies to confirm diagnosis.
D. The child will need to undergo testing to confirm diagnosis - ANSWER-A
A two year old with cerebral palsy is on continous tube feedings. Which intervention should the
nurse expect to see ordered to ensure proper hydration and *********?
A. Administer 1 ampule Sodium Bocarb IV push every 4 hours to prevent acidosis
B. Administer water trough the PEG tube every 4 hours to prevent hypertonic dehydration
C. Adminster water through the PEG tube every 4 hours to prevent hypotonic dehydration
D. Adminster sterile saline through the PEG tube every 4 hours to prevent - ANSWER-C
3|Page
, HESI PEDIATRIC TEST BANK 2025 EXIT ACTUAL EXAM
An abdnomial flat plate xray ordered for a child admitted with suspected intussecception
reveals no free air beneath the diaphram. What order should the nurse anticipate next from the
physcian?
A. Transport child to radiology and prepare him for a barium enema
B.Transport child to radiology and prepare him for an upper GI series
C. Transport child to radiology for an enema with air or water-soluable contrast
D. Transport child to the operating room and prepare him for abdominal surgery - ANSWER-A
A 12 year old has been diagnoses with slipped capital femoral epiphysis. In addition to pain,
what other assessment would the nurse expect to find?
A. Osteomylytisis of the hip
B. Asymmetrical gluteal folds
C. External rotation of the hip
D.Flexion of the hip - ANSWER-C
The parent of a 5 year old child with Duchenes Muscular Dystrophy is bringing her child to the
clinic for a follow up. She reports that she has noticed that her son's calves seems to be
enlarged since the last visit. Which explanation by the nurse is appropriete?
A. This is due to pseudohypertrophy in which fat replaces muscle in the calves
B. This is due to Gower's sign in which the calves
C. This is due to increased liver enzymes, which indicate muscle damage
D. this is due to systemic onset of the disease in which - ANSWER-A
A child is admitted with a dx of Hirshbringers disease. Which of the following would be the
appropriate explanation of this diagnosis to the parents?
A. The colon has become twisted and looped together so that he is unable to pass stool
B Nerves have produced contraction of certain muscles called sphinctors in the colon and these
nerves must be cut to produce relaxation
4|Page
