OB/Peds HESI Practice Questions / HESI OB &
Pediatrics Practice Exam | 2025 Edition |
Questions, Answers & Explanations
The RN is monitoring an infant with CHD closely for SSx of HF. The RN should
assess the infant for which early sign of HF?
1.Pallor
2.Cough
3.Tachycardia
4.Slow and shallow breathing - ---✔✔✔ANSWER----3. tachycardia
RATIONALE:
HF is the inability of the heart to pump a sufficient amt of blood to meet the O2
and metabolic needs of the body. The early SSx of HF include tachycardia,
tachypnea, profuse scalp sweating, fatigue & irritability, sudden weight gain, and
,resp distress. A cough may occur in HF as a result of mucosal swelling & irritation,
but is not an early sign. Pallor may be noted in an infant w/ HF, but is not an early
sign.
The nurse reviews the laboratory results for a child with a suspected diagnosis of
rheumatic fever, knowing that which laboratory study would assist in confirming
the diagnosis?
1.Immunoglobulin
2.Red blood cell count
3.White blood cell count
4.Anti-streptolysin O titer - ---✔✔✔ANSWER----4. anti-streptolysin O titer
RATIONALE:
Rheumatic fever is an inflammatory autoimmune disease that affects the CT of the
heart, joints, skin (SQ tissues), BV, and CNS. A Dx of rheumatic fever is confirmed
by the presence of 2 major manifestations or 1 major and 2 minor manifestations
from the Jones criteria. In addition, evidence of a recent strep infection is
confirmed by a + anti-streptolysin O titer, streptozyme assay, or anti-DNase B
assay.
On assessment of a child admitted with a diagnosis of acute-stage Kawasaki
disease, the nurse expects to note which clinical manifestation of the acute stage
of the disease?
1.Cracked lips
, 2.Normal appearance
3.Conjunctival hyperemia
4.Desquamation of the skin - ---✔✔✔ANSWER----3. conjunctival
hyperemia
RATIONALE:
Kawasaki disease, aka mucocutaneous lymph node syndrome, is an acute systemic
inflammatory illness. In the acute stage, the child has a fever, conjunctival
hyperemia, red throat, swollen hands, rash, and enlargement of the cervical
lymph nodes. In the subacute stage, cracking lips and fissures, desquamation of
the skin on the tips of the fingers and toes, joint pain, cardiac manifestations, and
thromobocytosis occur. In the convalescent stage, the child appears normal, but
SSx of inflammation may be present
The mother of a child being discharged after heart surgery asks the nurse when
the child will be able to return to school. Which is the most appropriate response
to the mother?
1."The child may return to school in 1 week."
2."The child will not be able to return to school during this academic year."
3."The child may return to school in 1 week but needs to go half-days for the first
2 weeks."
4."The child may return to school in 3 weeks but needs to go half-days for the first
few days." - ---✔✔✔ANSWER----4. "The child may return to school in 3
weeks but needs to go half-days for the 1st few days"
Pediatrics Practice Exam | 2025 Edition |
Questions, Answers & Explanations
The RN is monitoring an infant with CHD closely for SSx of HF. The RN should
assess the infant for which early sign of HF?
1.Pallor
2.Cough
3.Tachycardia
4.Slow and shallow breathing - ---✔✔✔ANSWER----3. tachycardia
RATIONALE:
HF is the inability of the heart to pump a sufficient amt of blood to meet the O2
and metabolic needs of the body. The early SSx of HF include tachycardia,
tachypnea, profuse scalp sweating, fatigue & irritability, sudden weight gain, and
,resp distress. A cough may occur in HF as a result of mucosal swelling & irritation,
but is not an early sign. Pallor may be noted in an infant w/ HF, but is not an early
sign.
The nurse reviews the laboratory results for a child with a suspected diagnosis of
rheumatic fever, knowing that which laboratory study would assist in confirming
the diagnosis?
1.Immunoglobulin
2.Red blood cell count
3.White blood cell count
4.Anti-streptolysin O titer - ---✔✔✔ANSWER----4. anti-streptolysin O titer
RATIONALE:
Rheumatic fever is an inflammatory autoimmune disease that affects the CT of the
heart, joints, skin (SQ tissues), BV, and CNS. A Dx of rheumatic fever is confirmed
by the presence of 2 major manifestations or 1 major and 2 minor manifestations
from the Jones criteria. In addition, evidence of a recent strep infection is
confirmed by a + anti-streptolysin O titer, streptozyme assay, or anti-DNase B
assay.
On assessment of a child admitted with a diagnosis of acute-stage Kawasaki
disease, the nurse expects to note which clinical manifestation of the acute stage
of the disease?
1.Cracked lips
, 2.Normal appearance
3.Conjunctival hyperemia
4.Desquamation of the skin - ---✔✔✔ANSWER----3. conjunctival
hyperemia
RATIONALE:
Kawasaki disease, aka mucocutaneous lymph node syndrome, is an acute systemic
inflammatory illness. In the acute stage, the child has a fever, conjunctival
hyperemia, red throat, swollen hands, rash, and enlargement of the cervical
lymph nodes. In the subacute stage, cracking lips and fissures, desquamation of
the skin on the tips of the fingers and toes, joint pain, cardiac manifestations, and
thromobocytosis occur. In the convalescent stage, the child appears normal, but
SSx of inflammation may be present
The mother of a child being discharged after heart surgery asks the nurse when
the child will be able to return to school. Which is the most appropriate response
to the mother?
1."The child may return to school in 1 week."
2."The child will not be able to return to school during this academic year."
3."The child may return to school in 1 week but needs to go half-days for the first
2 weeks."
4."The child may return to school in 3 weeks but needs to go half-days for the first
few days." - ---✔✔✔ANSWER----4. "The child may return to school in 3
weeks but needs to go half-days for the 1st few days"
