EVOLVE HESI PEDIATRICS FINAL PAPER
2026 QUESTIONS AND VERIFIED
SOLUTIONS GRADED A+
⩥ The community health nurse teaches the parents of school-age
children about the need for fluoride as part of a dental health program.
Which statement by the parents indicates that they understand the
teaching?
a. "Excessive amounts of fluoride will make teeth turn brittle and
yellow."
b. "Having our children brush with fluoride toothpaste is not effective."
c. "Use of fluoride in water is mostly effective during initial tooth
formation."
d. "Dental caries can be prevented through fluoridation of public water."
Answer: d. "Dental caries can be prevented through fluoridation of
public water."
Dental caries can be prevented through fluoridation of public water.
⩥ The nurse is assessing an infant with diarrhea and lethargy. Which
finding should the nurse identify that is consistent with early
dehydration?
,a. Tachycardia.
b. Bradycardia.
c. Dry mucous membranes.
d. Increased skin turgor. Answer: a. Tachycardia.
In early dehydration (during the first 2 days), fluid loss occurs first from
the extracellular and intravascular fluid spaces. Blood pressure falls and
heart rate increases in response to a diminished blood volume.
⩥ When conducting a hygiene class for adolescent girls, it is important
for the nurse to include which instruction about preventing toxic shock
syndrome?
a. Wash your hands before inserting a tampon.
b. Use super absorbent tampons.
c. Wear cotton underwear.
d. Douche following menstruation. Answer: a. Wash your hands before
inserting a tampon.
The single most effective means of preventing infection is handwashing.
⩥ The nurse is caring for an irritable, lethargic 18-month-old child who
swallowed several over-the-counter (OTC) antihistamine tablets an hour
ago. Which intervention should the nurse implement?
,a. Initiate gastric lavage.
b. Administer naloxone.
c. Give a dose of ipecac syrup.
d. Encourage oral intake of water or milk. Answer: a. Initiate gastric
lavage.
Gastric lavage should be implemented within 2 hours of ingestion to
ensure gastric removal of a noncorrosive substance, such as an OTC
antihistamine.
⩥ Which sign of malignant hyperthermia should the nurse assess for
during the perioperative period in a child receiving general anesthesia?
a. Apnea.
b. Tachypnea.
c. Bradycardia.
d. Decreased blood pressure. Answer: b. Tachypnea.
Malignant hyperthermia, a potentially fatal autosomal genetic myopathy,
can cause a change in vital signs that demands immediate attention in
the perioperative period when these individuals are exposed to anesthetic
agents. Early symptoms of the disorder include tachycardia and
, tachyarrhythmia, tachypnea, hypercarbia, and metabolic and respiratory
acidosis. An elevated temperature is a late sign of the disorder.
⩥ A child with a penetrating eye injury comes to the school clinic.
Which action should the nurse implement?
a. Remove the object impaled in the eye and then apply a regular eye
patch.
b. Place an ice bag over the eye until the healthcare provider is seen
c. .Irrigate the affected eye copiously with a cool sterile saline solution.
d. Apply a Fox shield to the affected eye and any type of patch to the
other eye. Answer: d. Apply a Fox shield to the affected eye and any
type of patch to the other eye.
The treatment for a penetrating eye injury is not to remove or manipulate
the impaled object, but to apply a Fox shield over the eye, if available
(not a regular eye patch). Place an eye patch over the unaffected eye to
prevent bilateral eye movement. The child should be transported to the
emergency department immediately. If a Fox shield is not available, tape
a paper cup over the eye and object.
⩥ The nurse is triaging a child with a fever brought to the emergency
department by the parents. Which finding requires the nurse's immediate
intervention?
2026 QUESTIONS AND VERIFIED
SOLUTIONS GRADED A+
⩥ The community health nurse teaches the parents of school-age
children about the need for fluoride as part of a dental health program.
Which statement by the parents indicates that they understand the
teaching?
a. "Excessive amounts of fluoride will make teeth turn brittle and
yellow."
b. "Having our children brush with fluoride toothpaste is not effective."
c. "Use of fluoride in water is mostly effective during initial tooth
formation."
d. "Dental caries can be prevented through fluoridation of public water."
Answer: d. "Dental caries can be prevented through fluoridation of
public water."
Dental caries can be prevented through fluoridation of public water.
⩥ The nurse is assessing an infant with diarrhea and lethargy. Which
finding should the nurse identify that is consistent with early
dehydration?
,a. Tachycardia.
b. Bradycardia.
c. Dry mucous membranes.
d. Increased skin turgor. Answer: a. Tachycardia.
In early dehydration (during the first 2 days), fluid loss occurs first from
the extracellular and intravascular fluid spaces. Blood pressure falls and
heart rate increases in response to a diminished blood volume.
⩥ When conducting a hygiene class for adolescent girls, it is important
for the nurse to include which instruction about preventing toxic shock
syndrome?
a. Wash your hands before inserting a tampon.
b. Use super absorbent tampons.
c. Wear cotton underwear.
d. Douche following menstruation. Answer: a. Wash your hands before
inserting a tampon.
The single most effective means of preventing infection is handwashing.
⩥ The nurse is caring for an irritable, lethargic 18-month-old child who
swallowed several over-the-counter (OTC) antihistamine tablets an hour
ago. Which intervention should the nurse implement?
,a. Initiate gastric lavage.
b. Administer naloxone.
c. Give a dose of ipecac syrup.
d. Encourage oral intake of water or milk. Answer: a. Initiate gastric
lavage.
Gastric lavage should be implemented within 2 hours of ingestion to
ensure gastric removal of a noncorrosive substance, such as an OTC
antihistamine.
⩥ Which sign of malignant hyperthermia should the nurse assess for
during the perioperative period in a child receiving general anesthesia?
a. Apnea.
b. Tachypnea.
c. Bradycardia.
d. Decreased blood pressure. Answer: b. Tachypnea.
Malignant hyperthermia, a potentially fatal autosomal genetic myopathy,
can cause a change in vital signs that demands immediate attention in
the perioperative period when these individuals are exposed to anesthetic
agents. Early symptoms of the disorder include tachycardia and
, tachyarrhythmia, tachypnea, hypercarbia, and metabolic and respiratory
acidosis. An elevated temperature is a late sign of the disorder.
⩥ A child with a penetrating eye injury comes to the school clinic.
Which action should the nurse implement?
a. Remove the object impaled in the eye and then apply a regular eye
patch.
b. Place an ice bag over the eye until the healthcare provider is seen
c. .Irrigate the affected eye copiously with a cool sterile saline solution.
d. Apply a Fox shield to the affected eye and any type of patch to the
other eye. Answer: d. Apply a Fox shield to the affected eye and any
type of patch to the other eye.
The treatment for a penetrating eye injury is not to remove or manipulate
the impaled object, but to apply a Fox shield over the eye, if available
(not a regular eye patch). Place an eye patch over the unaffected eye to
prevent bilateral eye movement. The child should be transported to the
emergency department immediately. If a Fox shield is not available, tape
a paper cup over the eye and object.
⩥ The nurse is triaging a child with a fever brought to the emergency
department by the parents. Which finding requires the nurse's immediate
intervention?
