8/21/25, 1:42 PM
HESI PEDIATRIC TEST BANK 2025 EXIT ACTUAL
EXAM COMPLETE 160 QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED A+
1. If a child with juvenile idiopathic arthritis is not responding to NSAIDs, what
might be the next step in their treatment plan?
Start chemotherapy as a first-line treatment.
Switch to antihistamines to manage symptoms.
Increase the dosage of NSAIDs immediately.
Consider corticosteroids for short intervals during exacerbations.
2. Why is it crucial for parents to seek an orthopedic evaluation if their child has
a noticeable rib hump?
An orthopedic evaluation is essential to assess the severity of the
scoliosis and determine appropriate treatment options.
It is not necessary to seek an evaluation unless the child experiences
pain.
An orthopedic evaluation is only needed if the curvature is greater
than 20 degrees.
Most cases of scoliosis resolve on their own without intervention.
3. If a nurse observes that the parents of a child scheduled for surgery to
correct Hirschsprung's disease are planning to give their child high-fiber
foods, what should the nurse do?
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,8/21/25, 1:42 PM
Encourage the parents to stick to their plan as it is beneficial.
Advise them to increase fluid intake instead.
Provide education on the appropriate dietary restrictions before
surgery.
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,8/21/25, 1:42 PM
Suggest they consult a dietitian for a meal plan.
4. The parents of a baby born with bilateral talipes equinovarus ask the nurse
what medical care the baby will likely need. Which of the following should
the nurse tell the parents?
Have a Pavlik harness fitted before discharge from the nursery.
Need to wear braces on both legs until the child begins to walk.
Have a Harrington rod inserted when the child is about three years
old.
Need a series of leg casts until the correction is accomplished.
5. If a nurse performs a neurological assessment on a patient with suspected
botulism and finds decreased muscle strength in the upper extremities, what
should be the next nursing intervention?
Initiate intravenous fluid therapy to address dehydration.
Perform a cardiac assessment to rule out heart-related issues.
Monitor respiratory function and prepare for potential airway
management.
Conduct a full abdominal assessment to check for gastrointestinal
symptoms.
6. What is the primary method used to diagnose juvenile idiopathic arthritis
according to the provided scenario?
A physical examination alone is sufficient for diagnosis
Several blood tests plus your child's symptoms will help the
physician make a diagnosis
The ASO titer will determine the presence of strep which may indicate
idiopathic arthritis
3/53
, 8/21/25, 1:42 PM
The presence of alpha fetal proteins may have helped in diagnoses of
the disease prenatally
7. If a nurse encounters a situation where an autistic child is resistant to having
their vital signs taken, what should the nurse do to facilitate the assessment?
Ask the child to leave the room until they are ready for the assessment.
Use calming techniques and involve a familiar caregiver to help
ease the child's anxiety.
Ignore the child's resistance and proceed with the assessment
regardless.
Forcefully hold the child still to complete the assessment quickly.
8. Why is it important for parents to avoid feeding their child high-fiber foods
before surgery for Hirschsprung's disease?
High-fiber foods can increase bowel movement and complicate the
surgical procedure.
High-fiber foods help in faster recovery post-surgery.
High-fiber foods are recommended to prevent constipation.
High-fiber foods are necessary for energy before surgery.
9. A nurse is caring for a child who has a suspected diagnosis of bacterial
meningitis. What is the nurse's priority?
Document intake and output
Administer antibiotics when available
Reduce environmental stimuli (because of increase of ICP and can
cause seizures)
4/53
HESI PEDIATRIC TEST BANK 2025 EXIT ACTUAL
EXAM COMPLETE 160 QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED A+
1. If a child with juvenile idiopathic arthritis is not responding to NSAIDs, what
might be the next step in their treatment plan?
Start chemotherapy as a first-line treatment.
Switch to antihistamines to manage symptoms.
Increase the dosage of NSAIDs immediately.
Consider corticosteroids for short intervals during exacerbations.
2. Why is it crucial for parents to seek an orthopedic evaluation if their child has
a noticeable rib hump?
An orthopedic evaluation is essential to assess the severity of the
scoliosis and determine appropriate treatment options.
It is not necessary to seek an evaluation unless the child experiences
pain.
An orthopedic evaluation is only needed if the curvature is greater
than 20 degrees.
Most cases of scoliosis resolve on their own without intervention.
3. If a nurse observes that the parents of a child scheduled for surgery to
correct Hirschsprung's disease are planning to give their child high-fiber
foods, what should the nurse do?
1/53
,8/21/25, 1:42 PM
Encourage the parents to stick to their plan as it is beneficial.
Advise them to increase fluid intake instead.
Provide education on the appropriate dietary restrictions before
surgery.
2/53
,8/21/25, 1:42 PM
Suggest they consult a dietitian for a meal plan.
4. The parents of a baby born with bilateral talipes equinovarus ask the nurse
what medical care the baby will likely need. Which of the following should
the nurse tell the parents?
Have a Pavlik harness fitted before discharge from the nursery.
Need to wear braces on both legs until the child begins to walk.
Have a Harrington rod inserted when the child is about three years
old.
Need a series of leg casts until the correction is accomplished.
5. If a nurse performs a neurological assessment on a patient with suspected
botulism and finds decreased muscle strength in the upper extremities, what
should be the next nursing intervention?
Initiate intravenous fluid therapy to address dehydration.
Perform a cardiac assessment to rule out heart-related issues.
Monitor respiratory function and prepare for potential airway
management.
Conduct a full abdominal assessment to check for gastrointestinal
symptoms.
6. What is the primary method used to diagnose juvenile idiopathic arthritis
according to the provided scenario?
A physical examination alone is sufficient for diagnosis
Several blood tests plus your child's symptoms will help the
physician make a diagnosis
The ASO titer will determine the presence of strep which may indicate
idiopathic arthritis
3/53
, 8/21/25, 1:42 PM
The presence of alpha fetal proteins may have helped in diagnoses of
the disease prenatally
7. If a nurse encounters a situation where an autistic child is resistant to having
their vital signs taken, what should the nurse do to facilitate the assessment?
Ask the child to leave the room until they are ready for the assessment.
Use calming techniques and involve a familiar caregiver to help
ease the child's anxiety.
Ignore the child's resistance and proceed with the assessment
regardless.
Forcefully hold the child still to complete the assessment quickly.
8. Why is it important for parents to avoid feeding their child high-fiber foods
before surgery for Hirschsprung's disease?
High-fiber foods can increase bowel movement and complicate the
surgical procedure.
High-fiber foods help in faster recovery post-surgery.
High-fiber foods are recommended to prevent constipation.
High-fiber foods are necessary for energy before surgery.
9. A nurse is caring for a child who has a suspected diagnosis of bacterial
meningitis. What is the nurse's priority?
Document intake and output
Administer antibiotics when available
Reduce environmental stimuli (because of increase of ICP and can
cause seizures)
4/53
