8/17/25, 8:52 PM OB/Peds HESI Practice EXAM QUESTIONS AND ANSWERS GRADED A+ ASSURED SUCCESS NEW UPDATE 2025/2026 (MUL…
OB/Peds HESI Practice EXAM QUESTIONS AND ANSWERS
GRADED A+ ASSURED SUCCESS NEW UPDATE 2025/2026
(MULTIPLE CHOICES) WITH RATIONALES.
The nurse is assessing a 4. withhold the med and notify HCP
newborn with heart
failure before RATIONALE:
administering the The apical pulse rate for a newborn is 120-160 bpm. The
therapeutic dig level is 0.5-
prescribed digoxin. In
0.8. Bc the apical rate is low and the dig blood level is
reviewing the
elevated, indicating toxicity, the RN would withhold
laboratory data, the nurse
the med and notify the HCP
notes that the newborn
has a digoxin blood level
of 1.6 ng/mL (2.05
mmol/L) and an apical
heart rate of 90 beats/min.
The mother also tells the
nurse that the newborn
just vomited
her formula. Which
intervention should the
nurse take?
1.Retake the apical pulse.
2. Administer the medication.
3. Withhold the medication for 1
hour.
4. Withhold the medication
and notify the health care
provider.
… 1/27
,8/17/25, 8:52 PM OB/Peds HESI Practice EXAM QUESTIONS AND ANSWERS GRADED A+ ASSURED SUCCESS NEW UPDATE 2025/2026 (MUL…
The nurse is preparing to 1. withhold the med
administer digoxin to an
infant with heart failure. RATIONALE:
Before administering the Dig is a cardiac glycoside that is used to treat HF. A primary
concern is dig toxicity,
medication, the nurse
and the RN needs to monitor closely for SSx of toxicity
double-checks the dose,
and monitor dig blood levels. The med is effective
counts the apical heart rate
within a narrow therapeutic dig range (0.5-0.8). Safety
for 1 full minute, and
in administration is achieved by double checking the
obtains a rate of 80
dose and counting the apical HR for 1 full minute. The
beats/minute. Based on this
apical HR for an infant is 90-130 bpm. If the HR is less
finding, which is the
than 90 bpm in an infant, the RN would withhold the
appropriate
dose and contact the HCP.
nursing action?
1.Withhold the medication.
2. Administer the medication.
3. Check the blood
pressure and then
administer the
medication.
4. Check the respiratory
rate and then
administer the
medication.
The nurse is creating a plan of 2. HF
care for a
child admitted with a RATIONALE:
diagnosis of Kawasaki Nursing care initially centers on observing for SSx of HF.
disease. In developing the The RN monitors for increased RR, increased HR,
initial plan of dyspnea, crackles, and abdominal distension
care, the nurse should
include monitoring the child
for signs of which
condition?
1.
Bleedi
ng 2.
… 2/27
, 8/17/25, 8:52 PM OB/Peds HESI Practice EXAM QUESTIONS AND ANSWERS GRADED A+ ASSURED SUCCESS NEW UPDATE 2025/2026 (MUL…
Heart
failure
3.
Failure to
thrive 4.
Decreased tolerance to
stimulation
The day care nurse is 2. the child consistently tilts the head to see
observing a 2-year- old child
and suspects that the child RATIONALE:
may have strabismus. Which Strabismus is a condition in which the eyes are not aligned bc of lack of
observation made by the coordination of the extraocular muscles. The RN may suspect strabismus in a child
nurse indicates the presence when the child c/o of freq HA, squints, or tilts the head to see. Other
of this condition? manifestations include crossed eyes, closing one eye to see, diplopia, photophobia,
loss of binocular vision, or
1.The child has difficulty impairment of depth perception.
hearing.
2. The child consistently
tilts the head to see.
3. The child does not respond
when spoken to.
4. The child consistently
turns the head to hear.
… 3/27
OB/Peds HESI Practice EXAM QUESTIONS AND ANSWERS
GRADED A+ ASSURED SUCCESS NEW UPDATE 2025/2026
(MULTIPLE CHOICES) WITH RATIONALES.
The nurse is assessing a 4. withhold the med and notify HCP
newborn with heart
failure before RATIONALE:
administering the The apical pulse rate for a newborn is 120-160 bpm. The
therapeutic dig level is 0.5-
prescribed digoxin. In
0.8. Bc the apical rate is low and the dig blood level is
reviewing the
elevated, indicating toxicity, the RN would withhold
laboratory data, the nurse
the med and notify the HCP
notes that the newborn
has a digoxin blood level
of 1.6 ng/mL (2.05
mmol/L) and an apical
heart rate of 90 beats/min.
The mother also tells the
nurse that the newborn
just vomited
her formula. Which
intervention should the
nurse take?
1.Retake the apical pulse.
2. Administer the medication.
3. Withhold the medication for 1
hour.
4. Withhold the medication
and notify the health care
provider.
… 1/27
,8/17/25, 8:52 PM OB/Peds HESI Practice EXAM QUESTIONS AND ANSWERS GRADED A+ ASSURED SUCCESS NEW UPDATE 2025/2026 (MUL…
The nurse is preparing to 1. withhold the med
administer digoxin to an
infant with heart failure. RATIONALE:
Before administering the Dig is a cardiac glycoside that is used to treat HF. A primary
concern is dig toxicity,
medication, the nurse
and the RN needs to monitor closely for SSx of toxicity
double-checks the dose,
and monitor dig blood levels. The med is effective
counts the apical heart rate
within a narrow therapeutic dig range (0.5-0.8). Safety
for 1 full minute, and
in administration is achieved by double checking the
obtains a rate of 80
dose and counting the apical HR for 1 full minute. The
beats/minute. Based on this
apical HR for an infant is 90-130 bpm. If the HR is less
finding, which is the
than 90 bpm in an infant, the RN would withhold the
appropriate
dose and contact the HCP.
nursing action?
1.Withhold the medication.
2. Administer the medication.
3. Check the blood
pressure and then
administer the
medication.
4. Check the respiratory
rate and then
administer the
medication.
The nurse is creating a plan of 2. HF
care for a
child admitted with a RATIONALE:
diagnosis of Kawasaki Nursing care initially centers on observing for SSx of HF.
disease. In developing the The RN monitors for increased RR, increased HR,
initial plan of dyspnea, crackles, and abdominal distension
care, the nurse should
include monitoring the child
for signs of which
condition?
1.
Bleedi
ng 2.
… 2/27
, 8/17/25, 8:52 PM OB/Peds HESI Practice EXAM QUESTIONS AND ANSWERS GRADED A+ ASSURED SUCCESS NEW UPDATE 2025/2026 (MUL…
Heart
failure
3.
Failure to
thrive 4.
Decreased tolerance to
stimulation
The day care nurse is 2. the child consistently tilts the head to see
observing a 2-year- old child
and suspects that the child RATIONALE:
may have strabismus. Which Strabismus is a condition in which the eyes are not aligned bc of lack of
observation made by the coordination of the extraocular muscles. The RN may suspect strabismus in a child
nurse indicates the presence when the child c/o of freq HA, squints, or tilts the head to see. Other
of this condition? manifestations include crossed eyes, closing one eye to see, diplopia, photophobia,
loss of binocular vision, or
1.The child has difficulty impairment of depth perception.
hearing.
2. The child consistently
tilts the head to see.
3. The child does not respond
when spoken to.
4. The child consistently
turns the head to hear.
… 3/27
