2022 - 2023 Hesi Pediatric (PEDS)

Exit Actual Exam Version 1 and 2 (V1

& V2) - All Q&As (Brand New)

written by
kateacademia

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 2022 HESI
Pediatric
(PEDS) RN Ex
Exam:
V1 & V2
 written by

Katebettergrades

Exam taken:Spring 2022 (A+

1=A

2=D
3=B

4=A
5=A

6=C
7=D

8=C
9=A

10 = A or B?
11 = A (I believe)

12 = B
13 = C

14 = B, C, E (I believe)
15 = A

16 = D
17 = B

18 = B
19 = C

20 = D
21 = D (I believe)

22 = C
23 = D

24 = B
25 = not sure on this one?!

26 = C
27 = C

28 = I put B ( but I’m not sure)

(not sure on this one?)

31 = D
33 = D (I believe)

34 = C
35 = B

36 = B (Believe)
37 = C (I believe)

38 = A
39 = D

40 = (not sure on this one? Couldn’t find online)

41 = A

42 = A
43 = D

44 = B
48 = D

49 = C
51 = (not sure couldn’t find it online)

53 = B ( I think)
54 =
A
2022 HESI Pediatric (PEDS) RN Exam

1. The nurse is caring for a 3-year-old child who is 2 hours postop from a cardiac catheterization via the right fe finding is
an indication of arterial obstruction? Right foot is cool to the touch and appears pale and blanc

2. An infant with Tetralogy of Fallot becomes acutely cyanotic and hyperpneic. Which action should the nurse i
infant in a knee- chest position

3. A child admitted with diabetic ketoacidosis is demonstrating Kussmaul respirations. The nurse determines th
respiratory rate is a compensatory mechanism for which acid base alteration? Metabolic Acidosis

4. Patient with diarrhea for 3 days – what does this cause? Metabolic Alkalosis?

5. Which drink choice on a hot day indicates to the nurse that a teenager with sickle cell anemia understands d disease?
Lemonade

6. The HR for a 3-year-old with CHF has steadily decreased over the last few hours, now is 76 bpm, the previo 110 bpm.
Which additional finding should be reported immediately to a heDaolwtnhlcoaadreedpbryo: vCiHdReIrS?JABYP | 7m0ar/r4jo0n182@gm a
7. 2-year-old is admitted to the hospital with possible encephalitis, and a lumbar puncture is scheduled. Which provide
this child concerning the procedure? Describe he side-lying, knees to chest position that must b
procedure

8. Patient has low platelets. Bleeding precaution

9. The nurse is assessing an infant with pyloric stenosis. Which pathophysiological mechanism is the most like infant's
clinical picture? Metabolic Alkalosis

10. A month old girl is brought to the clinic by her mother because she has had a cold for 2 to 3 days and woke hacking
cough and difficulty breathing. Which additional assessment finding should alert the nurse that the c distress? Flaring
of the nares

11. During a well-baby visit the parents explain that the soft bulge appears in the groin of their 4 month old son stool. The
infant is scheduled for surgical repair of the inguinal hernia in 2 weeks. The parent should be instr if the hernia
becomes incarcerated prior to surgery? Gently manipulate the hernia for reduction

12. The nurse is developing the plan of care for a hospitalized child with von Willebrand disease. What priority n
included in this child’s plan of care? Guard against bleeding injuries

13. How should then nurse instruct the parents of a 4-month-old with seborrheic dermatitis (cradle cap) to sham
soft brush and gently scrub the area

14. The mother of a one-month-old calls the clinic to report that the back of her infant’s head is flat. How should
the infant on the stomach occasionally when awake and active
15. A 7-year-old child is admitted to the hospital with acute glomerulonephritis (AGN). When obtaining the nursi should
the nurse expect to obtain? A recent strep throat infection

16. In assessing a 10-year-old newly diagnosed with osteomyelitis, which information is most for the nurse to ob

17. A mother brings her 8-month-old baby boy to the clinic because he has been vomiting and had diarrhea for t
assessment is more important for the nurse to make?
Measure the infant's pulse.

18. Following admission for a cardiac catheterization, the nurse is providing discharge teaching to the parents o Tetralogy
of Fallot. What instruction should the nurse give the parents if their child becomes pale, cool, and healthcare
provider immediately.

19. A mother brings her 2-year-old son to the clinic because he has been crying and pulling on his earlobe for th
temperature is 101.2 F. Which intervention should the nurse implement? Askthe mother if the child has h

20. During a follow-up clinical visit a mother tells the nurse that her 5-month-old son who had surgical correction rapid
breathing, often takes a long time to eat, and requires frequent rest periods. The infant is not crying wh in the expected
range. Which intervention should the nurse implement? Auscultate heart and lungs while

21. An adolescent's mother calls the primary HCP's office to inquire about the results of her daughter's serum te week.
Since it is the teenager's 18th birthday, how should the nurse respond to this mother's inquiry? Expla be released
withoutthe
18-year old’s permission

22. Albumin 25% IV is prescribed for a child with nephrotic syndrome. Which assessment finding indicates to th is
having the desired effect? Reduction of edema

23. An infant with Tetralogy of Fallot becomes acutely cyanotic and hyperpneic. Which action should the nurse i
infant in a knee- chest position
24. A 3-month-old with myelomeningocele and atonic bladder is catheterized every 4 hours to prevent urinary re notes that
the child has developed episodes of sneezing, urticaria, watery eyes, and a rash in the dia important for the nurse to
take? Change to latex-free gloves when handling infant

25. The nurse is examining an infant for possible cryptorchidism. Which exam technique should be used? Plac and use
a calm approach

26. In caring for an client with acute epiglottitis, which nursing action takes priority? Prepare for endotracheal i

27. A toddler with hemophilia is being discharged from the hospital. Which teaching should the nurse include in t
Apply padding on the sharp corners of the furniture

28. When caring for a child sickle cell disease, the nurse knows that the child will most likely exhibit which sign w
Pain

29. The nurse is administering an oral medication to a reluctant preschool-age boy. Which intervention sho
straightforward approach with the child

30. The nurse is planning care for a newborn infant scheduled for a cardiac catheterization. Which occurrence p child?
Acute hemorrhage from the entry site of the catheter after the procedure

31. A mother brings her 2-year-old son to the clinic because he has been crying and pulling on his earlobe for th
temperature is 101.2 F (38 C). Which intervention should the nurse implement? Ask the mother if the child

32. The parents of a 4 week-old infant phone the pediatric clinic to report that their infant eats well but vomits aft
differentiate between normal regurgitation and pyloric stenosis, which information is most important for the n
forcefulness of vomiting episodes
33. The teacher notifies the school nurse that a child's nose is bleeding for no apparent reason. What action sho first?
Pinch the nose using thumb and finger for 10 minutes

34. A hospitalized child stiffens and stars to seize as the nurse enters the room. What actions should the nurse t
• Turn client to the side if possible
• Pad side rails with available pillows and blankets
• Monitor duration and progress of the seizure

35. A 6-year-old child is diagnosed with rheumatic fever and demonstrates associated chorea (sudden aimless legs).
Which information should the nurse provide to the parents? The chorea or movements are tempora
disappear

36. A 9-year-old boy is diagnosed with diabetes mellitus Type 1. Which stage of Erikson's theory of psychosocia
addressing when teaching this client about insulin injections? Industry

37. The nurse is assessing an 8-month-old who has a cough, axillary temperature of 100 F, and rhinorrhea. Wh for the
nurse to obtain from this child's mother? Immunization status of the infant

38. A breast-feeding mother returns to work when her infant is 5 months old. She is having difficulty pumping en infant's
dietary requirements. Which suggestion should the nurse provide to this mother? Supplement with

39. A child with possible Duchenne muscular dystrophy (DMD) undergoes an electromyogram (EMG). Following parents
tell the nurse that the child is complaining of sore muscle. How should the nurse respond? Offer rea soreness
following these procedures is temporary and does not indicate a problem

40. The heart rate for a 3-year-old with a congenital heart defect has steadily decreased over the last few hour the previous
reading 4 hours ago was 110 beats/minute. Which additional clinical finding should be report provider? Blood
pressure of 70/40

41. A 12-year-old is admitted to the hospital with possible encephalitis, and a lumbar puncture is schedule. Whic nurse
provide concerning to this procedure? Describe the side-lying, knee to the chest position that mu
procedure

42. A child who has been vomiting for 3 days is admitted for correction of fluid and electrolyte imbalances. What child
likely to exhibit? Metabolic alkalosis
43. Several children at a day camp return from playing in a tick-infested field. What action should the camp
children's skin for attached ticks.

44. An adolescent with pelvic inflammatory disease (PID) is admitted to the hospital after 14 days of taking l orally once
daily and metronidazole (Flagyl) 500 mg twice daily. She asks the nurse, "Why do I have to be my treatment at
home?" Which purpose should the nurse provide that supports and effective outcome? A parenteral antibiotic
protocol

45. Insulin therapy is initiated for a 12-year-old child who is admitted with diabetic ketoacidosis (DKA). Which ac the
nurse to include in the child's plan of care? Monitor serum glucose for adjustment in infusion rate of R).

46. A 6-month-old, diagnosed with short bowel syndrome, began enteral feedings yesterday. To maintain norma of the
child during this period, what action should the nurse include in the infant's plan of care? Give the infa feeding

47. The nurse is evaluating diet teaching for a client who has nontropical sprue (celiac disease). Choosing whic teaching
has been effective? Rice

48. While teaching a parenting class to new parents the nurse describes the needs of infants and toddlers regar What is the
most important reason for implementing such parenting behaviors? They provide the child wit

49. The mother of a 4-month-old asks the nurse for advice in preventing diaper rash. What suggestion should th
cream, such as zinc oxide, which does not have to be completely removed with each diaper change.

50. A 3-year-old with HIV infection is staying with a foster family who is caring for 3 other foster children in children
acquires pertussis, the foster mother calls the clinic and asks the nurse what she should do. Whic first? Review the
immunization documentation of the child who has HIV

51. A child with leukemia is admitted for Chemotherapy and the nursing diagnosis "altered nutrition, less those b to
anorexia, nausea and vomiting" is identified. Which intervention the nurse included in this child plan of car any food
desired and tolerated

52. Prior to discharge, the parents of a child with cystic fibrosis are demonstrating chest physiotherapy (CPT) child at
home. Which action? Percussion and postural drainage.

53. The nurse plans to screen only the highest risk children for scoliosis. Which group of children should the nur
ages 10 and 14
54. A mother brings her 8 mo. old baby boy to clinic because he has been vomiting and had diarrhea for last 3 d important
for nurse to make? Measure the infant's pulse

55. Nurse gets a call from a mother of a 10 y/o that just returned from camp with expanding circular red rash on the
counter product is safe to use. How should the nurse respond? Explain need for immediate exam