HESI PEDIATRIC NURSING EXAM 2025 WITH
100% ACCURATE ANSWERS
1. A child is having difficulty swallowing pills. What is the best action for the
nurse to take to help this child swallow medications?
Place the pills in a bite of ice cream or applesauce.
Hold the medication and notify the health care provider.
Obtain small round candy to practice swallowing techniques.
Crush all medications and dissolve in water.
2. Why is it important for a nurse to monitor a child on carbamazepine for
bone marrow suppression?
Bone marrow suppression only affects the child's ability to absorb
medications.
Bone marrow suppression causes liver damage, which is why
monitoring is necessary.
Bone marrow suppression is not a concern with carbamazepine
therapy.
Bone marrow suppression can lead to decreased blood cell
production, increasing the risk of infections and bleeding.
3. What is the primary reason for placing a sign above the bed of a child with
Wilms' tumor that reads, 'Do not palpate abdomen'?
To minimize the risk of rupturing the encapsulated tumor.
To encourage the child to rest.
,To monitor for signs of infection.
, To assess for abdominal pain.
4. Why is it important for the nurse to address the adolescent's concern about
hair loss directly?
The nurse should avoid discussing side effects with the patient.
The nurse should focus on more serious side effects instead.
The adolescent's concern about body image changes is significant
and should be acknowledged.
Hair loss is not a common concern for adolescents.
5. In a scenario where a child with Wilms' tumor shows signs of abdominal
discomfort, what should the PN prioritize in their assessment and
intervention?
Perform a thorough abdominal examination.
Apply heat to the abdomen to relieve discomfort.
Avoid palpating the abdomen and notify the healthcare provider.
Administer pain medication immediately.
6. Describe the process used to calculate the total dose of diphenhydramine
for the child based on their weight.
Multiply the child's weight by the prescribed dosage per kilogram.
Divide the child's weight by the prescribed dosage.
Add the child's weight to the prescribed dosage.
Subtract the child's weight from the prescribed dosage.
7. The practical nurse (PN) is examining a child with an exacerbation of
juvenile rheumatoid arthritis (JRA) and notes that the child's mobility is
, greatly reduced. What factor should the PN observe that affects the child's
mobility?
Joint inflammation
Dyspnea on exertion
Pathologic fractures
Poor alignment of joints
8. Lisa, a 40-year-old patient, has been showing signs of aggression towards
staff members. The nurse is planning to set limits for Lisa. Which of the
following considerations is essential when setting these limits?
Set the limits based on Lisa's personal preferences and comfort
level.
Ensure that Lisa understands the consequences of not following the
set limits.
Clearly communicate the reasons for the limits and ensure they
are consistent.
Involve Lisa's family members in the decision-making process.
9. Why is it important for a nurse to instruct a client on carbamazepine to
report a sore throat?
A sore throat is unrelated to the effects of carbamazepine.
A sore throat may indicate blood dyscrasias, which can be serious.
A sore throat is a common side effect of all medications.
A sore throat suggests the need for increased hydration.
10. When teaching the parents of a 1-year-old child who is scheduled for
placement of tympanostomy tubes, which of the following would the nurse
100% ACCURATE ANSWERS
1. A child is having difficulty swallowing pills. What is the best action for the
nurse to take to help this child swallow medications?
Place the pills in a bite of ice cream or applesauce.
Hold the medication and notify the health care provider.
Obtain small round candy to practice swallowing techniques.
Crush all medications and dissolve in water.
2. Why is it important for a nurse to monitor a child on carbamazepine for
bone marrow suppression?
Bone marrow suppression only affects the child's ability to absorb
medications.
Bone marrow suppression causes liver damage, which is why
monitoring is necessary.
Bone marrow suppression is not a concern with carbamazepine
therapy.
Bone marrow suppression can lead to decreased blood cell
production, increasing the risk of infections and bleeding.
3. What is the primary reason for placing a sign above the bed of a child with
Wilms' tumor that reads, 'Do not palpate abdomen'?
To minimize the risk of rupturing the encapsulated tumor.
To encourage the child to rest.
,To monitor for signs of infection.
, To assess for abdominal pain.
4. Why is it important for the nurse to address the adolescent's concern about
hair loss directly?
The nurse should avoid discussing side effects with the patient.
The nurse should focus on more serious side effects instead.
The adolescent's concern about body image changes is significant
and should be acknowledged.
Hair loss is not a common concern for adolescents.
5. In a scenario where a child with Wilms' tumor shows signs of abdominal
discomfort, what should the PN prioritize in their assessment and
intervention?
Perform a thorough abdominal examination.
Apply heat to the abdomen to relieve discomfort.
Avoid palpating the abdomen and notify the healthcare provider.
Administer pain medication immediately.
6. Describe the process used to calculate the total dose of diphenhydramine
for the child based on their weight.
Multiply the child's weight by the prescribed dosage per kilogram.
Divide the child's weight by the prescribed dosage.
Add the child's weight to the prescribed dosage.
Subtract the child's weight from the prescribed dosage.
7. The practical nurse (PN) is examining a child with an exacerbation of
juvenile rheumatoid arthritis (JRA) and notes that the child's mobility is
, greatly reduced. What factor should the PN observe that affects the child's
mobility?
Joint inflammation
Dyspnea on exertion
Pathologic fractures
Poor alignment of joints
8. Lisa, a 40-year-old patient, has been showing signs of aggression towards
staff members. The nurse is planning to set limits for Lisa. Which of the
following considerations is essential when setting these limits?
Set the limits based on Lisa's personal preferences and comfort
level.
Ensure that Lisa understands the consequences of not following the
set limits.
Clearly communicate the reasons for the limits and ensure they
are consistent.
Involve Lisa's family members in the decision-making process.
9. Why is it important for a nurse to instruct a client on carbamazepine to
report a sore throat?
A sore throat is unrelated to the effects of carbamazepine.
A sore throat may indicate blood dyscrasias, which can be serious.
A sore throat is a common side effect of all medications.
A sore throat suggests the need for increased hydration.
10. When teaching the parents of a 1-year-old child who is scheduled for
placement of tympanostomy tubes, which of the following would the nurse
