HESI RN Pediatrics Exam 2025 – 55 Verified Questions & Answers with Detailed
Rationales – 100% Toetsgericht – LAATST BIJGEWERKT 2025
1. The nurse is caring for a 3-year old child who is 2 hours postop from a cardiac catheterization via the right
femoral artery. Which assessment finding is an indication of arterial obstruction?
a.Blood pressure trend is downward and pulse is rapid and irregular.
b.Right foot is cool to the touch and appears pale and blanched.
c.Pulse distal to the femoral artery is weaker on the left foot than right foot.
d.The pressure dressing at right femoral area is moist and oozing blood.
b.Right foot is cool to the touch and appears pale and blanched.
2. Following a motor vehicle collision, a 3-year old girl has a spica cast applied. Which toy is best for the nurse
for this 3-year-old child?
A. Duckthatsqueaks.
B. Fashiondollandclothes.
C. Set of cloth and hand puppets.
D. Hand held video game.
C. Set of cloth and hand puppets.
3. An infant with tetralogy of Fallot becomes acutely cyanotic and hyperpneic. Which action should the nurse
implement first?
A. Administer morphine sulphate.
B. Start IV fluids.
C. Place the infant in a knee-chest position.
D. Provide 100% oxygen by face mask.
C. Place the infant in a knee-chest position.
4. A child admitted with diabetic ketoacidosis is demonstrating Kussmaul respirations. The nurse determines
that the increased respiratory rate is a compensatory mechanism for which acid base alteration?
A. Metabolicalkalosis.
B. Respiratory acidosis.
C. Respiratoryalkalosis.
D. Metabolic acidosis.
D. Metabolic acidosis.
, 5. 7 years old is admitted to the hospital with persistent vomiting, and a nasogastric tube attached to low
intermittent suction is applied. Which finding is most important for the nurse to report to the healthcare
provider?
A. Gastric output of 100 mL in the last 8 hours.
B. Shift intake of 640 mL IV fluids plus 30 mL PO ice chips.
C. Serum potassium of 3.0 mg/dL.
D. Serum pH of 7.45.
C. Serum potassium of 3.0 mg/dL.
6. The nurse is evaluating diet teaching for a client who has nontropical sprue (celiac disease). Choosing which
food indicates that the teaching has been effective?
A. Creamed corn.
B. Pancakes.
C. Rye crackers.
D. Cooked oatmeal.
A. Creamed corn.
7. During a well-baby check, the nurse hides a block under the baby's blanket, and the baby looks for the block.
Which normal growth and development milestone is the baby developing?
A. Separation anxiety.
B. Associativeplay.
C. Object prehension.
D. Object permanence.
D. Object permanence.
8. The nurse is measuring the frontal occipital circumference (FOC) of a 3-months old infant, and notes that the
FOC has increased 5 inches since birth and the child's head appears large in relation to body size. Which action
is most important for the nurse to take next?
A. Measuretheinfant'shead-to-toelength.
B. Palpate the anterior fontanel for tension and bulging.
C. Observe the infant for sunken eyes.
D. Plot the measurement on the infant's growth chart.
B. Palpate the anterior fontanel for tension and bulging.
9. The nurse is preparing a 10-year-old with a lacerated forehead for suturing. Both parents and 12-year-old
sibling are at the child's bedside. Which instruction best supports family?
Rationales – 100% Toetsgericht – LAATST BIJGEWERKT 2025
1. The nurse is caring for a 3-year old child who is 2 hours postop from a cardiac catheterization via the right
femoral artery. Which assessment finding is an indication of arterial obstruction?
a.Blood pressure trend is downward and pulse is rapid and irregular.
b.Right foot is cool to the touch and appears pale and blanched.
c.Pulse distal to the femoral artery is weaker on the left foot than right foot.
d.The pressure dressing at right femoral area is moist and oozing blood.
b.Right foot is cool to the touch and appears pale and blanched.
2. Following a motor vehicle collision, a 3-year old girl has a spica cast applied. Which toy is best for the nurse
for this 3-year-old child?
A. Duckthatsqueaks.
B. Fashiondollandclothes.
C. Set of cloth and hand puppets.
D. Hand held video game.
C. Set of cloth and hand puppets.
3. An infant with tetralogy of Fallot becomes acutely cyanotic and hyperpneic. Which action should the nurse
implement first?
A. Administer morphine sulphate.
B. Start IV fluids.
C. Place the infant in a knee-chest position.
D. Provide 100% oxygen by face mask.
C. Place the infant in a knee-chest position.
4. A child admitted with diabetic ketoacidosis is demonstrating Kussmaul respirations. The nurse determines
that the increased respiratory rate is a compensatory mechanism for which acid base alteration?
A. Metabolicalkalosis.
B. Respiratory acidosis.
C. Respiratoryalkalosis.
D. Metabolic acidosis.
D. Metabolic acidosis.
, 5. 7 years old is admitted to the hospital with persistent vomiting, and a nasogastric tube attached to low
intermittent suction is applied. Which finding is most important for the nurse to report to the healthcare
provider?
A. Gastric output of 100 mL in the last 8 hours.
B. Shift intake of 640 mL IV fluids plus 30 mL PO ice chips.
C. Serum potassium of 3.0 mg/dL.
D. Serum pH of 7.45.
C. Serum potassium of 3.0 mg/dL.
6. The nurse is evaluating diet teaching for a client who has nontropical sprue (celiac disease). Choosing which
food indicates that the teaching has been effective?
A. Creamed corn.
B. Pancakes.
C. Rye crackers.
D. Cooked oatmeal.
A. Creamed corn.
7. During a well-baby check, the nurse hides a block under the baby's blanket, and the baby looks for the block.
Which normal growth and development milestone is the baby developing?
A. Separation anxiety.
B. Associativeplay.
C. Object prehension.
D. Object permanence.
D. Object permanence.
8. The nurse is measuring the frontal occipital circumference (FOC) of a 3-months old infant, and notes that the
FOC has increased 5 inches since birth and the child's head appears large in relation to body size. Which action
is most important for the nurse to take next?
A. Measuretheinfant'shead-to-toelength.
B. Palpate the anterior fontanel for tension and bulging.
C. Observe the infant for sunken eyes.
D. Plot the measurement on the infant's growth chart.
B. Palpate the anterior fontanel for tension and bulging.
9. The nurse is preparing a 10-year-old with a lacerated forehead for suturing. Both parents and 12-year-old
sibling are at the child's bedside. Which instruction best supports family?
