Evolve Pediatrics HESI Practice Exam
EVOLVE PEDIATRICS HESI PRACTICE EXAM NEWEST ACTUAL EXAM
TEST BANK COMPLETE 150 QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) WITH RATIONALES |ALREADY GRADED
A+||BRAND NEW VERSION!!
A 4-year-old child who is ventilator-dependent is receiving tube feedings in the
home setting. The family wants to begin oral feeding of the child and asks the
home health nurse to orally feed the 4-year-old baby food. What steps should be
taken? (Rank in priority order.)
1. Acknowledge the request.
2. Explore available options.
3. Explain the risk of aspiration.
4. Contact the healthcare provider (HCP) and discuss suggested new options for
further orders and additional discussion. - Correct Answer-1. Acknowledge the
request.
2. Explain the risk of aspiration.
3. Explore available options.
4. Contact the healthcare provider (HCP) and discuss suggested new options for
further orders and additional discussion.
The request for oral feeding should be acknowledged, risk of aspiration should
be discussed, and then options should be explored. These options and suggested
changes must be presented to the HCP and new orders must be written before
implementation. All education and outcomes should be thoroughly
documented.
1|Page
, Evolve Pediatrics HESI Practice Exam
The nurse is developing a plan of care for a school-aged boy with a chronic
disability. The child frequently complains about being different from his siblings
and wants others to do things for him that he is capable of doing for himself. To
assist the family in coping with this child's chronic illness, which intervention is
most important for the nurse to implement?
a. Recommend the use of consistent discipline and reward for acceptable
behavior.
b. Allow the child to act out since he is chronically ill.
c. Suggest that all the children are included in family decision-making.
d. Evaluate the proper use of equipment that is provided to improve the child's
lifestyle. - Correct Answer-a. Recommend the use of consistent discipline and
reward for acceptable behavior.
Focusing on the child, and not the condition, is essential in assisting the child to
adapt to a chronic disability or illness. Consistent family rules should be used
with a chronically ill child, such as setting boundaries for acceptable behavior,
requiring participation in household activities, and fulfilling school
responsibilities. Children need solid boundaries, even if chronically ill.
Which research finding provides evidence-based practice for an infant's risk for
sudden infant death syndrome (SIDS)?
a. Breastfeeding reduces the risk for and the incidence of SIDS.
b. Infants should be positioned supine or supported laterally to sleep.
c. The prone position should be used when an infant sleeps after feeding.
2|Page
, Evolve Pediatrics HESI Practice Exam
d The peak incidence occurs between the ages of 1 and 2 months. - Correct
Answer-b. Infants should be positioned supine or supported laterally to sleep.
Research has shown that placing babies on their backs for sleep reduces the risk
of SIDS. A population-based study found the prone sleep position was
associated with twice (2.4% odds ratio) the rate of SIDS compared with infants
placed supine (on their backs) to sleep.
An 8-year-old boy who was recently diagnosed with diabetes mellitus is admitted
to the intensive care unit with diabetic ketoacidosis (DKA). Which nursing action
has the highest priority?
a. Place on a cardiac monitor.
b. Initiate an intravenous infusion.
c. Collect a specimen for serum electrolytes.
d. Obtain fingerstick glucose. - Correct Answer-b. Initiate an intravenous infusion.
The priority for a child with DKA, an emergency life-threatening situation, is to
obtain venous access for administration of fluids, electrolytes, and insulin. The
child should be placed on a cardiac monitor and have serum electrolytes and
glucose levels obtained, but not before initiating venous access.
The nurse is collecting a blood sample from a newborn for a phenylketonuria
(PKU) screening test. When should the nurse obtain the blood sample?
a. At birth from cord blood.
3|Page
, Evolve Pediatrics HESI Practice Exam
b. Fourteen days after birth.
c. Before oral feedings are initiated.
d. After ingestion of a source of protein. - Correct Answer-d. After ingestion of a
source of protein.
PKU is a genetic disease caused by the absence of the enzyme needed to
metabolize the essential amino acid phenylalanine. The Guthrie blood test is
used for early detection of this condition in order to prevent mental retardation
as a result of this disease. The blood sample should be collected between 1 to 7
days after birth, with fresh heel blood only, and no sooner than 24 hours after
the infant has ingested a source of protein (breast milk or infant formula).
Premature infants and/or sick neonates who haven't been introduce to breast
milk or formula due to medical reasons will have the PKU test taken after they
are able to ingest breast milk or formula regardless of method of delivery
(nippling or gavage fed).
What is the best action for the nurse to take when initiating contact with a toddler
for the first time?
a. Ask the toddler to point to where it hurts.
b. Tell the child your name and that you are the nurse.
c. Call the child by name while picking up the toddler.
d. Kneel in front of the toddler and speak softly. - Correct Answer-d. Kneel in front
of the toddler and speak softly.
The toddler perceives the nurse as a stranger. A more positive interaction occurs
when the toddler perceives the meeting in a nonthreatening way. Placing
4|Page
EVOLVE PEDIATRICS HESI PRACTICE EXAM NEWEST ACTUAL EXAM
TEST BANK COMPLETE 150 QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) WITH RATIONALES |ALREADY GRADED
A+||BRAND NEW VERSION!!
A 4-year-old child who is ventilator-dependent is receiving tube feedings in the
home setting. The family wants to begin oral feeding of the child and asks the
home health nurse to orally feed the 4-year-old baby food. What steps should be
taken? (Rank in priority order.)
1. Acknowledge the request.
2. Explore available options.
3. Explain the risk of aspiration.
4. Contact the healthcare provider (HCP) and discuss suggested new options for
further orders and additional discussion. - Correct Answer-1. Acknowledge the
request.
2. Explain the risk of aspiration.
3. Explore available options.
4. Contact the healthcare provider (HCP) and discuss suggested new options for
further orders and additional discussion.
The request for oral feeding should be acknowledged, risk of aspiration should
be discussed, and then options should be explored. These options and suggested
changes must be presented to the HCP and new orders must be written before
implementation. All education and outcomes should be thoroughly
documented.
1|Page
, Evolve Pediatrics HESI Practice Exam
The nurse is developing a plan of care for a school-aged boy with a chronic
disability. The child frequently complains about being different from his siblings
and wants others to do things for him that he is capable of doing for himself. To
assist the family in coping with this child's chronic illness, which intervention is
most important for the nurse to implement?
a. Recommend the use of consistent discipline and reward for acceptable
behavior.
b. Allow the child to act out since he is chronically ill.
c. Suggest that all the children are included in family decision-making.
d. Evaluate the proper use of equipment that is provided to improve the child's
lifestyle. - Correct Answer-a. Recommend the use of consistent discipline and
reward for acceptable behavior.
Focusing on the child, and not the condition, is essential in assisting the child to
adapt to a chronic disability or illness. Consistent family rules should be used
with a chronically ill child, such as setting boundaries for acceptable behavior,
requiring participation in household activities, and fulfilling school
responsibilities. Children need solid boundaries, even if chronically ill.
Which research finding provides evidence-based practice for an infant's risk for
sudden infant death syndrome (SIDS)?
a. Breastfeeding reduces the risk for and the incidence of SIDS.
b. Infants should be positioned supine or supported laterally to sleep.
c. The prone position should be used when an infant sleeps after feeding.
2|Page
, Evolve Pediatrics HESI Practice Exam
d The peak incidence occurs between the ages of 1 and 2 months. - Correct
Answer-b. Infants should be positioned supine or supported laterally to sleep.
Research has shown that placing babies on their backs for sleep reduces the risk
of SIDS. A population-based study found the prone sleep position was
associated with twice (2.4% odds ratio) the rate of SIDS compared with infants
placed supine (on their backs) to sleep.
An 8-year-old boy who was recently diagnosed with diabetes mellitus is admitted
to the intensive care unit with diabetic ketoacidosis (DKA). Which nursing action
has the highest priority?
a. Place on a cardiac monitor.
b. Initiate an intravenous infusion.
c. Collect a specimen for serum electrolytes.
d. Obtain fingerstick glucose. - Correct Answer-b. Initiate an intravenous infusion.
The priority for a child with DKA, an emergency life-threatening situation, is to
obtain venous access for administration of fluids, electrolytes, and insulin. The
child should be placed on a cardiac monitor and have serum electrolytes and
glucose levels obtained, but not before initiating venous access.
The nurse is collecting a blood sample from a newborn for a phenylketonuria
(PKU) screening test. When should the nurse obtain the blood sample?
a. At birth from cord blood.
3|Page
, Evolve Pediatrics HESI Practice Exam
b. Fourteen days after birth.
c. Before oral feedings are initiated.
d. After ingestion of a source of protein. - Correct Answer-d. After ingestion of a
source of protein.
PKU is a genetic disease caused by the absence of the enzyme needed to
metabolize the essential amino acid phenylalanine. The Guthrie blood test is
used for early detection of this condition in order to prevent mental retardation
as a result of this disease. The blood sample should be collected between 1 to 7
days after birth, with fresh heel blood only, and no sooner than 24 hours after
the infant has ingested a source of protein (breast milk or infant formula).
Premature infants and/or sick neonates who haven't been introduce to breast
milk or formula due to medical reasons will have the PKU test taken after they
are able to ingest breast milk or formula regardless of method of delivery
(nippling or gavage fed).
What is the best action for the nurse to take when initiating contact with a toddler
for the first time?
a. Ask the toddler to point to where it hurts.
b. Tell the child your name and that you are the nurse.
c. Call the child by name while picking up the toddler.
d. Kneel in front of the toddler and speak softly. - Correct Answer-d. Kneel in front
of the toddler and speak softly.
The toddler perceives the nurse as a stranger. A more positive interaction occurs
when the toddler perceives the meeting in a nonthreatening way. Placing
4|Page
