Pediatrics HESI Exam/study guide exam Preparation
PEDIATRICS HESI EXAM/STUDY GUIDE EXAM PREPARATION FOR
2025/2026 COMPLETE 200 QUESTIONS AND CORRECT
ANSWERS |ALREADY GRADED A+||BRAND NEW!!
A female teenager is taking oral tetracycline HCL (Achromycin V) for acne vulgaris.
What is the most important instruction for the nurse to include in this client's
teaching plan?
Use sunscreen when lying by the pool.
Cleanse the skin at least 4 times a day.
Take the medication with a glass of milk.
Menstrual periods may become irregular.
Use sunscreen when lying by the pool.
Photosensitivity is a common side effect of tetracycline HCL (Achromycin V)
therapy. Severe sunburn can occur with minimal sun exposure and clients should
be instructed to avoid sunlight and to use sunscreen (A). (B and D) are not related
to tetracycline HCL (Achromycin V) therapy. (C) should be avoided because dairy
products interfere with the absorption of tetracyclines.
What preoperative nursing intervention should be included in the plan of care for
an infant with pyloric stenosis?
Monitor for signs of metabolic acidosis.
Estimate the quantity of diarrhea stools.
Place in a supine position after feeding.
Observe for projectile vomiting.
Observe for projectile vomiting.
Projectile vomiting (D), which contributes to metabolic alkalosis (A), is the classic
sign of pyloric stenosis. (B) is not indicated. (C) is dangerous, due to the potential
for aspiration with frequent vomiting.
1|Page
, Pediatrics HESI Exam/study guide exam Preparation
An infant is born with a ventricular septal defect (VSD) and surgery is planned to
correct the defect. The nurse recognizes that surgical correction is designed to
achieve which outcome?
Stop the flow of unoxygenated blood into systemic circulation.
Increase the flow of unoxygenated blood to the lungs.
Prevent the return of oxygenated blood to the lungs.
Reduce peripheral tissue hypoxia and nailbed clubbing
Prevent the return of oxygenated blood to the lungs.
Closure of VSDs stops oxygenated blood from being shunted from the left
ventricle to the right ventricle (C). VSDs are acyanotic defects, which means that
no unoxygenated blood enters the systemic circulation (A and B). (D) is common
with Tetrology of Fallot, which is a cyanotic defect.
A 3-week-old newborn is brought to the clinic for follow-up after a home birth.
The mother reports that her child bottle feeds for 5 minutes only and then falls
asleep. The nurse auscultates a loud murmur characteristic of a ventricular septal
defect (VSD), and finds the newborn is acyanotic with a respiratory rate of 64
breaths per minute. What instruction should the nurse provide the mother to
ensure the infant is receiving adequate intake? (Select all that apply.)
A. Monitor the the infant's weight and number of wet diapers per day.
B. Increase the infant's intake per feeding by 1 to 2 ounces per week.
C. Mix the dose of prophylactic antibiotic in a full bottle of formula.
D. Allow the infant to rest and refeed on demand or every 2 hours.
E. Use a softer nipple or increase the size of the nipple opening.
A. Monitor the the infant's weight and number of wet diapers per day.
B. Increase the infant's intake per feeding by 1 to 2 ounces per week.
D. Allow the infant to rest and refeed on demand or every 2 hours.
E. Use a softer nipple or increase the size of the nipple opening.
Antibiotic prophylaxis is recommended for infants with VSDs, but should not be
mixed in a bottle of formula (C) because it is difficult to ensure that the total dose
2|Page
, Pediatrics HESI Exam/study guide exam Preparation
is consumed.
They should be monitored for weight gain and at least 6 wet diapers per day (A). A
one-month old infant should ingest 2 to 4 ounces of formula per feeding and
progress to about 30 ounces per day by 4-months of age (B)
Preoperative nursing care for a child with Wilms' tumor should include which
intervention?
Gently percuss the abdomen for evidence of trapped air.
Observe the abdomen for any noticeable discolorations.
Apply cold compresses to the abdomen to reduce edema.
Put a sign on the bed reading, "DO NOT PALPATE ABDOMEN."
Put a sign on the bed reading, "DO NOT PALPATE ABDOMEN."
Prevention of abdominal palpation (D) minimizes the risk of rupturing the
encapsulated tumor and subsequent metastasis. (A) is unnecessary, and this
action could traumatize the tumor in the same manner as palpation. (B and C) are
incorrect since the abdomen is not discolored and cold compresses are not
indicated.
At 8 a.m. the unlicensed assistive personnel (UAP) informs the charge nurse that a
female adolescent client with acute glomerulonephritis has a blood pressure of
210/110. The 4 a.m. blood pressure reading was 170/88. The client reports to the
UAP that she is upset because her boyfriend did not visit last night. What action
should the nurse take first?
Give the client her 9 a.m. prescription for an oral diuretic early.
Administer PRN prescription of nifedipine (Procardia) sublingually.
3|Page
, Pediatrics HESI Exam/study guide exam Preparation
Notify the healthcare provider and inform the nursing supervisor of the client's
condition.
Attempt to calm the client and retake the blood pressure in thirty minutes.
Administer PRN prescription of nifedipine (Procardia) sublingually.
Sublingual Procardia (B) lowers blood pressure very quickly, and this should be
done first. (A) may also be done, but oral diuretics do not work as rapidly as the
sublingual antihypertensive. When notifying the healthcare provider, the first
thing he/she will want to know is if the PRN antihypertensive has been
administered (C). (D) does not consider the seriousness of this finding. The nurse
should stay with the client until the blood pressure is reduced.
The nurse is assessing an 8-month-old child who has a medical diagnosis of
Tetrology of Fallot. Which symptom is this client most likely to exhibit?
Bradycardia.
Machinery murmur.
Weak pedal pulses.
Clubbed fingers.
Clubbed fingers.
Tetrology of Fallot, a cyanotic heart defect, causes clubbing of fingers and toes (D)
due to tissue hypoxia. Tachycardia, not (A), is a manifestation of congenital heart
disease. (B) is a classic sign of ventricular septal defect. (C) is characteristic of
coarctation of the aorta.
A 6-month-old infant with congestive heart failure (CHF) is receiving digoxin elixir.
Which observation by the nurse warrants immediate intervention?
Apical heart rate of 60.
Sweating across the forehead.
Doesn't suck well.
Respiratory rate of 30 breaths per minute.
4|Page
PEDIATRICS HESI EXAM/STUDY GUIDE EXAM PREPARATION FOR
2025/2026 COMPLETE 200 QUESTIONS AND CORRECT
ANSWERS |ALREADY GRADED A+||BRAND NEW!!
A female teenager is taking oral tetracycline HCL (Achromycin V) for acne vulgaris.
What is the most important instruction for the nurse to include in this client's
teaching plan?
Use sunscreen when lying by the pool.
Cleanse the skin at least 4 times a day.
Take the medication with a glass of milk.
Menstrual periods may become irregular.
Use sunscreen when lying by the pool.
Photosensitivity is a common side effect of tetracycline HCL (Achromycin V)
therapy. Severe sunburn can occur with minimal sun exposure and clients should
be instructed to avoid sunlight and to use sunscreen (A). (B and D) are not related
to tetracycline HCL (Achromycin V) therapy. (C) should be avoided because dairy
products interfere with the absorption of tetracyclines.
What preoperative nursing intervention should be included in the plan of care for
an infant with pyloric stenosis?
Monitor for signs of metabolic acidosis.
Estimate the quantity of diarrhea stools.
Place in a supine position after feeding.
Observe for projectile vomiting.
Observe for projectile vomiting.
Projectile vomiting (D), which contributes to metabolic alkalosis (A), is the classic
sign of pyloric stenosis. (B) is not indicated. (C) is dangerous, due to the potential
for aspiration with frequent vomiting.
1|Page
, Pediatrics HESI Exam/study guide exam Preparation
An infant is born with a ventricular septal defect (VSD) and surgery is planned to
correct the defect. The nurse recognizes that surgical correction is designed to
achieve which outcome?
Stop the flow of unoxygenated blood into systemic circulation.
Increase the flow of unoxygenated blood to the lungs.
Prevent the return of oxygenated blood to the lungs.
Reduce peripheral tissue hypoxia and nailbed clubbing
Prevent the return of oxygenated blood to the lungs.
Closure of VSDs stops oxygenated blood from being shunted from the left
ventricle to the right ventricle (C). VSDs are acyanotic defects, which means that
no unoxygenated blood enters the systemic circulation (A and B). (D) is common
with Tetrology of Fallot, which is a cyanotic defect.
A 3-week-old newborn is brought to the clinic for follow-up after a home birth.
The mother reports that her child bottle feeds for 5 minutes only and then falls
asleep. The nurse auscultates a loud murmur characteristic of a ventricular septal
defect (VSD), and finds the newborn is acyanotic with a respiratory rate of 64
breaths per minute. What instruction should the nurse provide the mother to
ensure the infant is receiving adequate intake? (Select all that apply.)
A. Monitor the the infant's weight and number of wet diapers per day.
B. Increase the infant's intake per feeding by 1 to 2 ounces per week.
C. Mix the dose of prophylactic antibiotic in a full bottle of formula.
D. Allow the infant to rest and refeed on demand or every 2 hours.
E. Use a softer nipple or increase the size of the nipple opening.
A. Monitor the the infant's weight and number of wet diapers per day.
B. Increase the infant's intake per feeding by 1 to 2 ounces per week.
D. Allow the infant to rest and refeed on demand or every 2 hours.
E. Use a softer nipple or increase the size of the nipple opening.
Antibiotic prophylaxis is recommended for infants with VSDs, but should not be
mixed in a bottle of formula (C) because it is difficult to ensure that the total dose
2|Page
, Pediatrics HESI Exam/study guide exam Preparation
is consumed.
They should be monitored for weight gain and at least 6 wet diapers per day (A). A
one-month old infant should ingest 2 to 4 ounces of formula per feeding and
progress to about 30 ounces per day by 4-months of age (B)
Preoperative nursing care for a child with Wilms' tumor should include which
intervention?
Gently percuss the abdomen for evidence of trapped air.
Observe the abdomen for any noticeable discolorations.
Apply cold compresses to the abdomen to reduce edema.
Put a sign on the bed reading, "DO NOT PALPATE ABDOMEN."
Put a sign on the bed reading, "DO NOT PALPATE ABDOMEN."
Prevention of abdominal palpation (D) minimizes the risk of rupturing the
encapsulated tumor and subsequent metastasis. (A) is unnecessary, and this
action could traumatize the tumor in the same manner as palpation. (B and C) are
incorrect since the abdomen is not discolored and cold compresses are not
indicated.
At 8 a.m. the unlicensed assistive personnel (UAP) informs the charge nurse that a
female adolescent client with acute glomerulonephritis has a blood pressure of
210/110. The 4 a.m. blood pressure reading was 170/88. The client reports to the
UAP that she is upset because her boyfriend did not visit last night. What action
should the nurse take first?
Give the client her 9 a.m. prescription for an oral diuretic early.
Administer PRN prescription of nifedipine (Procardia) sublingually.
3|Page
, Pediatrics HESI Exam/study guide exam Preparation
Notify the healthcare provider and inform the nursing supervisor of the client's
condition.
Attempt to calm the client and retake the blood pressure in thirty minutes.
Administer PRN prescription of nifedipine (Procardia) sublingually.
Sublingual Procardia (B) lowers blood pressure very quickly, and this should be
done first. (A) may also be done, but oral diuretics do not work as rapidly as the
sublingual antihypertensive. When notifying the healthcare provider, the first
thing he/she will want to know is if the PRN antihypertensive has been
administered (C). (D) does not consider the seriousness of this finding. The nurse
should stay with the client until the blood pressure is reduced.
The nurse is assessing an 8-month-old child who has a medical diagnosis of
Tetrology of Fallot. Which symptom is this client most likely to exhibit?
Bradycardia.
Machinery murmur.
Weak pedal pulses.
Clubbed fingers.
Clubbed fingers.
Tetrology of Fallot, a cyanotic heart defect, causes clubbing of fingers and toes (D)
due to tissue hypoxia. Tachycardia, not (A), is a manifestation of congenital heart
disease. (B) is a classic sign of ventricular septal defect. (C) is characteristic of
coarctation of the aorta.
A 6-month-old infant with congestive heart failure (CHF) is receiving digoxin elixir.
Which observation by the nurse warrants immediate intervention?
Apical heart rate of 60.
Sweating across the forehead.
Doesn't suck well.
Respiratory rate of 30 breaths per minute.
4|Page
