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HESI Pediatric Nursing Exam Prep (300+ Questions) NURS 320 – Pediatric Care, Medications, Cardiac & Respiratory | Evolve Elsevier

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This document provides a comprehensive set of over 300 practice questions and detailed verified answers designed for HESI Pediatric Nursing exam preparation. It covers essential pediatric topics such as congenital heart defects, respiratory conditions, medication administration, developmental milestones, and emergency nursing care, as introduced from page 1 . The material is highly relevant for courses such as NURS 320 (Pediatric Nursing), pediatric clinical rotations, NCLEX-PN/NCLEX-RN preparation, and HESI specialty exams. It is particularly suitable for nursing students, pediatric nursing students, NCLEX candidates, HESI exam candidates, and healthcare trainees seeking to strengthen clinical reasoning and patient care skills in pediatric settings. This study guide emphasizes both theoretical knowledge and real-world clinical application, including pediatric pharmacology (e.g., digoxin, tetracycline precautions), growth and development benchmarks, fluid and electrolyte management, congenital disorders (VSD, Tetralogy of Fallot, pyloric stenosis), and emergency interventions (airway management, poisoning protocols). It also integrates nursing priorities such as safety, patient education, family-centered care, and evidence-based interventions aligned with exam-style scenarios. Additionally, the document aligns closely with widely used textbooks such as Wong’s Nursing Care of Infants and Children by Marilyn J. Hockenberry and Elsevier HESI Comprehensive Review for the NCLEX-RN Examination, making it an excellent resource for both coursework and standardized exam success. The structured Q&A format supports active recall, critical thinking, and mastery of pediatric nursing concepts. Keywords: HESI pediatrics exam, pediatric nursing, NCLEX pediatrics, congenital heart defects, pediatric pharmacology, growth and development, pediatric assessment, nursing interventions, pediatric safety, respiratory disorders children, fluid electrolyte imbalance, pediatric emergency care, child health nursing, clinical decision making, nursing exam prep

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Evolve HESI Peds
COMPREHENSIVE 2026 EXAM
QUESTIONS WITH DETAILED
VERIFIED AND 100% CORRECT
ANSWERS BRAND NEW EXAM
ALREADY GRADED A+

A 6-month-old infant with congestive heart failure (CHF) is receiving digoxin

elixir. Which observation by the nurse warrants immediate intervention?

Apical heart rate of 60.

Sweating across the forehead.

,Doesn't suck well.


Respiratory rate of 30 breaths per minute. - 🧠 ANSWER ✔✔Apical heart

rate of 60.




A heart rate of 60 (A) is much lower than normal for a 6-month-old and

warrants immediate intervention. The normal heart rate for a 6-month-old is

80 to 150 BPM when awake, and a rate of 70 while sleeping is considered

within normal limits. (B and C) are expected symptoms of heart failure in an

infant. (D) is within normal limits for an infant.

The nurse is teaching the parents of a 5-year-old with cystic fibrosis about

respiratory treatments. Which statement indicates to the nurse that the

parents understand?

Perform postural drainage before starting aerosol therapy.

Give respiratory treatments when the child is coughing a lot.

Administer aerosol therapy followed by postural drainage before meals.

Ensure respiratory therapy is done daily during any respiratory infection. -

🧠 ANSWER ✔✔Administer aerosol therapy followed by postural drainage

before meals.

,Postural drainage for a child with cystic fibrosis is most effective when

performed after nebulization and before meals (C) or at least 1 hour after

eating to prevent nausea and vomiting. Postural drainage uses gravity to

promote mucous removal after nebulization (A) treatments which open the

airways. Pulmonary toileting or respiratory treatments should be given 3 to

4 times daily, not episodically (B and D).

A female teenager is taking oral tetracycline HCL (Achromycin V) for acne

vulgaris. What is the most important instruction for the nurse to include in

this client's teaching plan?

Use sunscreen when lying by the pool.

Cleanse the skin at least 4 times a day.

Take the medication with a glass of milk.


Menstrual periods may become irregular. - 🧠 ANSWER ✔✔Use sunscreen

when lying by the pool.




Photosensitivity is a common side effect of tetracycline HCL (Achromycin

V) therapy. Severe sunburn can occur with minimal sun exposure and


COPYRIGHT©PROFFKERRYMARTIN 2025/2026. YEAR PUBLISHED 2026. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE.
PRIVACY STATEMENT. ALL RIGHTS RESERVED

, clients should be instructed to avoid sunlight and to use sunscreen (A). (B

and D) are not related to tetracycline HCL (Achromycin V) therapy. (C)

should be avoided because dairy products interfere with the absorption of

tetracyclines.

What preoperative nursing intervention should be included in the plan of

care for an infant with pyloric stenosis?

Monitor for signs of metabolic acidosis.

Estimate the quantity of diarrhea stools.

Place in a supine position after feeding.


Observe for projectile vomiting. - 🧠 ANSWER ✔✔Observe for projectile

vomiting.




Projectile vomiting (D), which contributes to metabolic alkalosis (A), is the

classic sign of pyloric stenosis. (B) is not indicated. (C) is dangerous, due

to the potential for aspiration with frequent vomiting.

An infant is born with a ventricular septal defect (VSD) and surgery is

planned to correct the defect. The nurse recognizes that surgical correction

is designed to achieve which outcome?

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