EVOLVE HESI PEDIATRICS PRACTICE EXAM
2026 FULL TEST BANK WITH VERIFIED
Q&A
⩥ The nurse received a lab report stating a child w/ asthma has
theophyline level of 15 mcg/dl. What action will the nurse take?
Answer: Hold the next dose of theophylline
a.i. Therapeutic levels of theophylline is 10-10 mcg/dl, so the child's
level is w/in the therapeutic rage.
⩥ Surgery is being delayed for an infant with undescended testes. In
collaboration w/ the health care provider and the family, which
prescription should the nurse anticipapte? Answer: trial of human
chorionic gonadotrophic hormone
a.i A trial of HCG may aid in testicular descent, but does not replace
surgical repair for true undescended testes. (cryptorchidism: may be
found in the inguinal canal due to exaggerated creamasteric reflex
⩥ Which menu selection by a child w/ celiac disease indicates to the
nurse that the child understands necessary dietary considerations?
Answer: a. Oven baked potato chips & cola
a.i. Celiac disease causes an intolerance to the protein gluten found in
oats, rye, wheat, and barley. The child should avoid any produces
containing these indredients to avoid symptoms such as diarrhea.
,⩥ The mother of a 2-year-old boy consults the nurse about her son's
increased temper tantrums. The mother states, "yesterday he threw a fit
in the grocery store, and I did not know what to do. I was so
embarrassed. What can I do if this occurs again?" Which
recommendation is best for the nurse to provide this mother? Answer: a.
Walk away from him and ignore the behavior
a.i. The best approach for a toddler is to ignor the attention-seeking
behavior. The parents should be somewhat nearby, w/in view of the child
but should avoid reinforcing the behavior in any way. Tantrums can
sometimes be avoided by talking to the child before the situation occurs
⩥ Which restraint should be used for a toddler after a cleft palate repair?
Answer: a. Elbow
a.i. Elbow restraints prevent children from bending their arms and
brining their hands to the oral surgical site, (A) restrains the hands but
the child can bend and bring their head to their ands. (B) is used during
procedures (mummy). (D)-jacket, restrains the body torso and is not
appropriate
⩥ The mother of a 4-year-old child asks the nurse what she can do to
help her other children cope with their sibling's hospitalizations. Which
is the best response that the nurse should offer? Answer: a. Encourage
the mother to have the children visit the hospitalized sibling.
a.i. Needs of a sibling will be better met with facture information and
contact w/ the ill child, so siblings visitation should be encouraged (D).
Parents are experts on their children and should determine when their
children are old enough to visit. (A) in the hospital/ Separation fr. a
, family & home (B) may intensify fear & anxiety (suggest that the child
visit a grandmother until the sibling returns home. Children may have
difficulty expressing questions (C) ask the mother if the child asks when
the sibling will be discharged, so the support of parents & other
caregivers are needed to help alleviate their fears.
⩥ The nurse is giving preoperative instruction to a 14-year-old female
client who is scheduled for surgery to correct a spinal curvature. Which
statement by the client best demonstrates that learning has taken place?
Answer: a. I understand that I will be in a body cast and I will show you
how you taught me to turn
a.i. Outcome of learning is best demonstrated when the client not only
verbalizes an understand, but can also provide a return demonstration
⩥ During administration of a blood transfusion, a child complains of
chills, headache, and nausea. Which action should the nurse implement?
Answer: a. Stop the infusion immediately and notify the healthcare
provider
a.i. The child is exhibiting signs of a reaction to the blood transfusion.
The blood transfusion should be stopped immediately and the healthcare
provider notified ©. After the transfusion is discontinused, IV access
should be maintained. (A) w/ fluids that do not introduce any more
cellular products. (B & D) place the child @ risk for further blood
reactions
⩥ The clinic nurse is taking the hx for a new 6-month-old client. The
mother reports that she took a great deal of aspirin while pregnant.
2026 FULL TEST BANK WITH VERIFIED
Q&A
⩥ The nurse received a lab report stating a child w/ asthma has
theophyline level of 15 mcg/dl. What action will the nurse take?
Answer: Hold the next dose of theophylline
a.i. Therapeutic levels of theophylline is 10-10 mcg/dl, so the child's
level is w/in the therapeutic rage.
⩥ Surgery is being delayed for an infant with undescended testes. In
collaboration w/ the health care provider and the family, which
prescription should the nurse anticipapte? Answer: trial of human
chorionic gonadotrophic hormone
a.i A trial of HCG may aid in testicular descent, but does not replace
surgical repair for true undescended testes. (cryptorchidism: may be
found in the inguinal canal due to exaggerated creamasteric reflex
⩥ Which menu selection by a child w/ celiac disease indicates to the
nurse that the child understands necessary dietary considerations?
Answer: a. Oven baked potato chips & cola
a.i. Celiac disease causes an intolerance to the protein gluten found in
oats, rye, wheat, and barley. The child should avoid any produces
containing these indredients to avoid symptoms such as diarrhea.
,⩥ The mother of a 2-year-old boy consults the nurse about her son's
increased temper tantrums. The mother states, "yesterday he threw a fit
in the grocery store, and I did not know what to do. I was so
embarrassed. What can I do if this occurs again?" Which
recommendation is best for the nurse to provide this mother? Answer: a.
Walk away from him and ignore the behavior
a.i. The best approach for a toddler is to ignor the attention-seeking
behavior. The parents should be somewhat nearby, w/in view of the child
but should avoid reinforcing the behavior in any way. Tantrums can
sometimes be avoided by talking to the child before the situation occurs
⩥ Which restraint should be used for a toddler after a cleft palate repair?
Answer: a. Elbow
a.i. Elbow restraints prevent children from bending their arms and
brining their hands to the oral surgical site, (A) restrains the hands but
the child can bend and bring their head to their ands. (B) is used during
procedures (mummy). (D)-jacket, restrains the body torso and is not
appropriate
⩥ The mother of a 4-year-old child asks the nurse what she can do to
help her other children cope with their sibling's hospitalizations. Which
is the best response that the nurse should offer? Answer: a. Encourage
the mother to have the children visit the hospitalized sibling.
a.i. Needs of a sibling will be better met with facture information and
contact w/ the ill child, so siblings visitation should be encouraged (D).
Parents are experts on their children and should determine when their
children are old enough to visit. (A) in the hospital/ Separation fr. a
, family & home (B) may intensify fear & anxiety (suggest that the child
visit a grandmother until the sibling returns home. Children may have
difficulty expressing questions (C) ask the mother if the child asks when
the sibling will be discharged, so the support of parents & other
caregivers are needed to help alleviate their fears.
⩥ The nurse is giving preoperative instruction to a 14-year-old female
client who is scheduled for surgery to correct a spinal curvature. Which
statement by the client best demonstrates that learning has taken place?
Answer: a. I understand that I will be in a body cast and I will show you
how you taught me to turn
a.i. Outcome of learning is best demonstrated when the client not only
verbalizes an understand, but can also provide a return demonstration
⩥ During administration of a blood transfusion, a child complains of
chills, headache, and nausea. Which action should the nurse implement?
Answer: a. Stop the infusion immediately and notify the healthcare
provider
a.i. The child is exhibiting signs of a reaction to the blood transfusion.
The blood transfusion should be stopped immediately and the healthcare
provider notified ©. After the transfusion is discontinused, IV access
should be maintained. (A) w/ fluids that do not introduce any more
cellular products. (B & D) place the child @ risk for further blood
reactions
⩥ The clinic nurse is taking the hx for a new 6-month-old client. The
mother reports that she took a great deal of aspirin while pregnant.
