HESI PEDs V2 Exam Questions and
Answers
The nurse is assessing a 9 year old boy who has been admitted to the hospital with
possible acute poststreplococcal glomerulonephritis. In obtaining his history, what
information is most significant? - Answer -A sore throat last week
The nurse is measuring the frontal occipital circumference of a 3 month old infant, and
notes that the FOC has increased 5 inches since birth and the child's head appears
large in related to body size. Which action is most important for the nurse too to take? -
Answer -Palpate the anterior fontanel for tension and bulging.
What is the percentage of body weight loss? - Answer -9%
A male high school student with Type 1 diabetes tests his blood glucose level before
playing a game of soccer, and he obtains a reading of 180. Bases on this reading,
which action should the nurse take? - Answer -Tell him to eat a sandwich and fruit
before beginning the game
A 7 year old is admitted to the hospital with a diagnosis of acute rheumatic fever. In
obtaining a health history from the child's mother, the recent occurrence of which illness
is most significant? - Answer -Sore throat
A mother brings her 2 month old son to the clinic for a well baby exam. During the
assessment the nurse finds that the right testicle is not descended into the scrotum but
the left is palpable. Which action should the nurse take? - Answer -Ask if the right testis
has been seen in the scrotum before
The nurse is assessing a 6 month old infant. Which response required further evaluation
by the nurse? - Answer -Demonstrates startle reflex
A 4 year old girl returns to the pediatricians office for a postop visit following
hospitalization for minor surgery. When observing the child in the waiting area, which
behavior should the nurse consider normal for this age child? - Answer -Talks to an
imaginary friend
A preschool-ages child is experiencing respiratory distress is brought to the ED by the
parents. The child is anxious, has a temp of 102.8 and is drooling from the mouth while
leaning forward when sitting. Which action should the nurse prepare the child for next? -
Answer -Obtain trays for intubation or trach by the HCP
, The nurse is caring for a preschooled-aged child with a congenital heart defect who is
admitted with intermittent low-grade fever, fatigue, and weight loss. Further physical
assessment findings included a new murmur, splinter hemorrhages under the nails, and
painless red lesions on the palms of the hand. Which diagnostic procedure should the
nurse prepare the parent to expect the HCP to prescribe? - Answer -Echocardiogram
A 6 year old male with a BMI in the 95th percentile for gender and age arrives at the
clinical after a referral from the school nurse. His lab findings include hemoglobin A1c of
5.5%, BP in the 50th percentile for age, height in the 75th percentile, and an LDL
cholesterol of 90. Which lifestyle modification should the nurse discuss with the
parents? - Answer -See a HCP to further asses for diabetes and hypertension
When administering indomethacin to a premature infant who has patent ductus
arteriosus, the nurse should anticipate what outcome? - Answer -Decreased cardiac
murmur
A 2 year old boy who had hypospadias repair yesterday goes to the hospital playroom
with his mother. Which activity should the nurse recommend? - Answer -Using a large
piece puzzle
A male child is being prepared for a CT scan when he begins to have a tonic clonic
seizure. His mother is hysterical and is trying to hold the child down. What actions
should the nurse take? SATA - Answer -Place pillows inside the side rails
Ask the mother to release the child
Monitor the child's airway and tongue
A child diagnosed with Kawasaki disease is brought to the clinic. The mother reports
that her child is irritable, refuses to eat, and has skin peeling on both hands and feet.
Which interventions should the nurse instruct the mother to implement first? - Answer -
Place the child in a quite environment
The nurse is caring for a school-age child who has lab results that reveal the presence
of anti-gliadin and anti-endomysial immunoglobulin G and immunoglobulin A antibodies.
The nurse should identify with the parent and child which food to avoid after discharge
home? - Answer -Wheat bread
The nurse is giving an IM injection of an antibiotic to a 16 month old toddler with
pneumonia. The toddler does not have any known allergies and has been walking
without assistance for one month. Which technique should the nurse select for
administration? - Answer -Administer the injection into the middle of the lateral aspect of
the thigh
While administering the final dose of oral amoxicillin to a preschool-aged boy, he tells
the nurse that his throat hurts. Which intervention is most important for the nurse to
implement? - Answer -Inspect the child's oropharynx
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