NUR HESI Pediatric Practice Exam
Questions and Answers Graded A+
3. 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.) - Correct answer-A.
Monitor the the infant's weight and number of wet diapers per day. - child should at
least have 6 wet diapers per day.
B. Increase the infant's intake per feeding by 1 to 2 ounces per week.- child is
always fatigue, need to increase to 30 oz a day
D. Allow the infant to rest and re-feed on demand or every 2 hours.- child is
always fatigue, this will ensure adequate feeding.
E. Use a softer nipple or increase the size of the nipple opening.- this will save
energy
©COPYRIGHT 2025, ALL RIGHTS RESERVED 1
,33. A 15-year-old girl tells the school nurse that all of her friends have started their
periods and she feels abnormal because she has not. Which response is best for the
nurse provide? - Correct answer-Explain that menarche varies and occurs between
the ages of 12 and 18 years.
81. Which finding in a 19-year-old female client should trigger further assessment
by the nurse? - Correct answer-Menstruation has not occurred- menarche usually
occur between the ages of 12 and 18 years old
34. 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? - Correct answer-Administer PRN prescription of
nifedipine (Procardia) sublingually.
-CA channel blocker
-always assess physiological needs
56. A 3-year-old client with sickle cell anemia is admitted to the Emergency
Department with abdominal pain. The nurse palpates an enlarged liver, an x-ray
reveals an enlarged spleen, and a CBC reveals anemia. These findings indicate
©COPYRIGHT 2025, ALL RIGHTS RESERVED 2
,which type of crisis? - Correct answer-Sequestration.- pooling of blood causes and
pain and anemia d/t blockage of blood in the spleen
1. Aplastic anemia- anemia d/t drugs
2. Hyperhemolytic anemia- anemia d/t the breakdown of RBC
3.Vaso-occlusive anemia- sickle cells are clogging up small capillaries- and pain
but not enlarged spleen and liver
49. A preschool-age child who is hospitalized for hypospadias repair is most
strongly influenced by which behavior? - Correct answer-pre school age children
are conceded about lost of body mutilation or body integrity.
nurse should explain- they did not cause the illness, procedure is not punishment,
restoring body image with a band-aid.
26. The vital signs of a 4-year-old child with polyuria are: BP 80/40, Pulse 118,
and Respirations 24. The child's pedal pulses are present with a volume of +1, and
no edema is observed. What action should the nurse implement first? - Correct
answer-Start an IV infusion of normal saline- patient is experiencing fluid vole
deficit
©COPYRIGHT 2025, ALL RIGHTS RESERVED 3
, 40. A 6-month-old boy and his mother are at the healthcare provider's office for a
well-baby check-up and routine immunizations. The healthcare provider
recommends to the mother that the child receive an influenza vaccine. What
medications should the nurse plan to administer today? - Correct answer-6 month
shots: DTAP; HEP -B (1st dose: birth, 2nd dose: 1-2 months, 3rd dose 6-9
months); PCV; IPV; INFLUENZA~ adminster at a different site
38. A 3-year-old boy is brought to the emergency room because he swallowed an
entire bottle of children's vitamin pills. Which intervention should the nurse
implement first? - Correct answer-Determine the child's pulse and respiration~
always ABC
assess: respiratory, cardiac, and neuro
27. The parents of a 3-week-old infant report that the child eats well but vomits
after each feeding. What information is most important for the nurse to obtain? -
Correct answer-Description of vomiting episodes in past 24 hours.- assessment of
what cause vomiting episodes leaning towards treatment
4. The nurse is planning care for school-aged children at a community care center.
Which activity is best for the children? - Correct answer-Playing follow-the-leader.
Erikson: industry vs inferiority
©COPYRIGHT 2025, ALL RIGHTS RESERVED 4
Questions and Answers Graded A+
3. 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.) - Correct answer-A.
Monitor the the infant's weight and number of wet diapers per day. - child should at
least have 6 wet diapers per day.
B. Increase the infant's intake per feeding by 1 to 2 ounces per week.- child is
always fatigue, need to increase to 30 oz a day
D. Allow the infant to rest and re-feed on demand or every 2 hours.- child is
always fatigue, this will ensure adequate feeding.
E. Use a softer nipple or increase the size of the nipple opening.- this will save
energy
©COPYRIGHT 2025, ALL RIGHTS RESERVED 1
,33. A 15-year-old girl tells the school nurse that all of her friends have started their
periods and she feels abnormal because she has not. Which response is best for the
nurse provide? - Correct answer-Explain that menarche varies and occurs between
the ages of 12 and 18 years.
81. Which finding in a 19-year-old female client should trigger further assessment
by the nurse? - Correct answer-Menstruation has not occurred- menarche usually
occur between the ages of 12 and 18 years old
34. 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? - Correct answer-Administer PRN prescription of
nifedipine (Procardia) sublingually.
-CA channel blocker
-always assess physiological needs
56. A 3-year-old client with sickle cell anemia is admitted to the Emergency
Department with abdominal pain. The nurse palpates an enlarged liver, an x-ray
reveals an enlarged spleen, and a CBC reveals anemia. These findings indicate
©COPYRIGHT 2025, ALL RIGHTS RESERVED 2
,which type of crisis? - Correct answer-Sequestration.- pooling of blood causes and
pain and anemia d/t blockage of blood in the spleen
1. Aplastic anemia- anemia d/t drugs
2. Hyperhemolytic anemia- anemia d/t the breakdown of RBC
3.Vaso-occlusive anemia- sickle cells are clogging up small capillaries- and pain
but not enlarged spleen and liver
49. A preschool-age child who is hospitalized for hypospadias repair is most
strongly influenced by which behavior? - Correct answer-pre school age children
are conceded about lost of body mutilation or body integrity.
nurse should explain- they did not cause the illness, procedure is not punishment,
restoring body image with a band-aid.
26. The vital signs of a 4-year-old child with polyuria are: BP 80/40, Pulse 118,
and Respirations 24. The child's pedal pulses are present with a volume of +1, and
no edema is observed. What action should the nurse implement first? - Correct
answer-Start an IV infusion of normal saline- patient is experiencing fluid vole
deficit
©COPYRIGHT 2025, ALL RIGHTS RESERVED 3
, 40. A 6-month-old boy and his mother are at the healthcare provider's office for a
well-baby check-up and routine immunizations. The healthcare provider
recommends to the mother that the child receive an influenza vaccine. What
medications should the nurse plan to administer today? - Correct answer-6 month
shots: DTAP; HEP -B (1st dose: birth, 2nd dose: 1-2 months, 3rd dose 6-9
months); PCV; IPV; INFLUENZA~ adminster at a different site
38. A 3-year-old boy is brought to the emergency room because he swallowed an
entire bottle of children's vitamin pills. Which intervention should the nurse
implement first? - Correct answer-Determine the child's pulse and respiration~
always ABC
assess: respiratory, cardiac, and neuro
27. The parents of a 3-week-old infant report that the child eats well but vomits
after each feeding. What information is most important for the nurse to obtain? -
Correct answer-Description of vomiting episodes in past 24 hours.- assessment of
what cause vomiting episodes leaning towards treatment
4. The nurse is planning care for school-aged children at a community care center.
Which activity is best for the children? - Correct answer-Playing follow-the-leader.
Erikson: industry vs inferiority
©COPYRIGHT 2025, ALL RIGHTS RESERVED 4
