2022 HESI Pediatric

(PEDS) RN Exit Exam:

V1 & V2 Screenshots & Q&A

Exam taken: Jan 2022 (A+)

**N/B: I had to re-upload this doc after many students bought - because some

treacherous dude reported my document as copyright bs** (I’d recommend you

purchase fast before they make me take it down again)

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

(V1) 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 femoral artery. Which assessment finding is an

indication of arterial obstruction? Right foot is cool to the touch and appears pale and blanched

2. An infant with Tetralogy of Fallot becomes acutely cyanotic and hyperpneic. Which action should the nurse implement first? Place the infant in a kneechest position

3. A child admitted with diabetic ketoacidosis is demonstrating Kussmaul respirations. The nurse determines that the increased 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 dietary considerations related to the disease?

Lemonade

The HR for a 3-year-old with CHF has steadily decreased over the last few hours, now is 76 bpm, the previous reading 4 hours ago was 110 bpm. Whichadditional

finding should be reported immediately to a

6. 2-year-old is admitted to the hospital with possible encephalitis, and a lumbar puncture is scheduled. Which information should the nurse provide this

child concerning the procedure? Describe he side-lying, knees to chest position that must be assumed during the procedure

7. Patient has low platelets. Bleeding precaution

8. The nurse is assessing an infant with pyloric stenosis. Which pathophysiological mechanism is the most likely consequence of this infant's clinical

picture? Metabolic Alkalosis

9. 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 up this morning with a hacking cough and

difficulty breathing. Which additional assessment finding should alert the nurse that the child is in acute respiratory distress? Flaring of the nares

10. During a well-baby visit the parents explain that the soft bulge appears in the groin of their 4 month old son when he cries or strains with stool. The

infant is scheduled for surgical repair of the inguinal hernia in 2 weeks. The parent should be instructed to take which measure if the hernia becomes

incarcerated prior to surgery? Gently manipulate the hernia for reduction

11. The nurse is developing the plan of care for a hospitalized child with von Willebrand disease. What priority nursing intervention should be included in

this child’s plan of care? Guard against bleeding injuries

12. How should then nurse instruct the parents of a 4-month-old with seborrheic dermatitis (cradle cap) to shampoo the child’s hair? use a soft brush and

gently scrub the area

13. 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 nurse respond? Position the infant on

the stomach occasionally when awake and active

14. A 7-year-old child is admitted to the hospital with acute glomerulonephritis (AGN). When obtaining the nursing history which finding should the nurse

expect to obtain? A recent strep throat infection

15. In assessing a 10-year-old newly diagnosed with osteomyelitis, which information is most for the nurse to obtain? recent recurrence of infection

16. A mother brings her 8-month-old baby boy to the clinic because he has been vomiting and had diarrhea for the last 3 days. Which assessment is more

important for the nurse to make?

Measure the infant's pulse.

17. Following admission for a cardiac catheterization, the nurse is providing discharge teaching to the parents of a 2-year-old toddler with Tetralogy of

Fallot. What instruction should the nurse give the parents if their child becomes pale, cool, and lethargic? Contact their healthcare provider

immediately.

18. A mother brings her 2-year-old son to the clinic because he has been crying and pulling on his earlobe for the past 12 hours. The child's oral temperature

is 101.2 F. Which intervention should the nurse implement? Ask the mother if the child has had a runny nose

19. During a follow-up clinical visit a mother tells the nurse that her 5-month-old son who had surgical correction for Tetralogy of Fallot has rapid breathing,

often takes a long time to eat, and requires frequent rest periods. The infant is not crying while being held and his growth is in the expected range.

Which intervention should the nurse implement? Auscultate heart and lungs while infant is held.

20. An adolescent's mother calls the primary HCP's office to inquire about the results of her daughter's serum test results that were drawn last week. Since it

is the teenager's 18th birthday, how should the nurse respond to this mother's inquiry? Explain that the information cannot be released without the

18-year old’s permission

21. Albumin 25% IV is prescribed for a child with nephrotic syndrome. Which assessment finding indicates to the nurse that the medication is having the

desired effect? Reduction of edema

22. An infant with Tetralogy of Fallot becomes acutely cyanotic and hyperpneic. Which action should the nurse implement first? Place the infant in a kneechest position

23. A 3-month-old with myelomeningocele and atonic bladder is catheterized every 4 hours to prevent urinary retention. The home health nurse notes that

the child has developed episodes of sneezing, urticaria, watery eyes, and a rash in the diaper area. What action is most important for the nurse to take?

Change to latex-free gloves when handling infant

24. The nurse is examining an infant for possible cryptorchidism. Which exam technique should be used? Place the infant in a warm room and use a calm

approach

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

26. A toddler with hemophilia is being discharged from the hospital. Which teaching should the nurse include in the discharge instructions to the mother?

Apply padding on the sharp corners of the furniture

27. When caring for a child sickle cell disease, the nurse knows that the child will most likely exhibit which sign when experiencing a sickle cell crisis? Pain

28. The nurse is administering an oral medication to a reluctant preschool-age boy. Which intervention should the nurse implement? Use straightforward

approach with the child

29. The nurse is planning care for a newborn infant scheduled for a cardiac catheterization. Which occurrence poses the greatest risk for this child? Acute

hemorrhage from the entry site of the catheter after the procedure

30. A mother brings her 2-year-old son to the clinic because he has been crying and pulling on his earlobe for the past 12 hours. The child's oral temperature

is 101.2 F (38 C). Which intervention should the nurse implement? Ask the mother if the child has had a runny nose

31. The parents of a 4 week-old infant phone the pediatric clinic to report that their infant eats well but vomits after each feeding. To differentiate between

normal regurgitation and pyloric stenosis, which information is most important for the nurse to obtain? Degree of forcefulness of vomiting episodes

32. The teacher notifies the school nurse that a child's nose is bleeding for no apparent reason. What action should the nurse implement first? Pinch the

nose using thumb and finger for 10 minutes

33. A hospitalized child stiffens and stars to seize as the nurse enters the room. What actions should the nurse take? (Select all apply)

• Turn client to the side if possible

• Pad side rails with available pillows and blankets

• Monitor duration and progress of the seizure

34. A 6-year-old child is diagnosed with rheumatic fever and demonstrates associated chorea (sudden aimless movements of the arms and legs). Which

information should the nurse provide to the parents? The chorea or movements are temporary and will eventually disappear

35. A 9-year-old boy is diagnosed with diabetes mellitus Type 1. Which stage of Erikson's theory of psychosocial development is the nurse addressing when

teaching this client about insulin injections? Industry

36. The nurse is assessing an 8-month-old who has a cough, axillary temperature of 100 F, and rhinorrhea. What information is most important for the nurse

to obtain from this child's mother? Immunization status of the infant

37. A breast-feeding mother returns to work when her infant is 5 months old. She is having difficulty pumping enough milk to meet her infant's dietary

requirements. Which suggestion should the nurse provide to this mother? Supplement with an iron-rich formula

38. A child with possible Duchenne muscular dystrophy (DMD) undergoes an electromyogram (EMG). Following the procedure, the child's parents tell the

nurse that the child is complaining of sore muscle. How should the nurse respond? Offer reassurance that muscle soreness following these procedures

is temporary and does not indicate a problem

39. The heart rate for a 3-year-old with a congenital heart defect has steadily decreased over the last few hours and is now at 76 beats/minute; the previous

reading 4 hours ago was 110 beats/minute. Which additional clinical finding should be reported immediately to the healthcare provider? Blood pressure

of 70/40

40. A 12-year-old is admitted to the hospital with possible encephalitis, and a lumbar puncture is schedule. Which information should the nurse provide

concerning to this procedure? Describe the side-lying, knee to the chest position that must be assumed during the procedure

41. A child who has been vomiting for 3 days is admitted for correction of fluid and electrolyte imbalances. What acid base imbalance is this child likely to

exhibit? Metabolic alkalosis

42. Several children at a day camp return from playing in a tick-infested field. What action should the camp nurse take first? Observe the children's skin for

attached ticks.

43. An adolescent with pelvic inflammatory disease (PID) is admitted to the hospital after 14 days of taking levofloxacin (Levaquin) 500 mg orally once daily

and metronidazole (Flagyl) 500 mg twice daily. She asks the nurse, "Why do I have to be in the hospital? Why can't I get my treatment at home?" Which

purpose should the nurse provide that supports and effective outcome? Administration of a supervised parenteral antibiotic protocol

44. Insulin therapy is initiated for a 12-year-old child who is admitted with diabetic ketoacidosis (DKA). Which action is most important for the nurse to

include in the child's plan of care? Monitor serum glucose for adjustment in infusion rate of Regular insulin (Novolin R).

45. A 6-month-old, diagnosed with short bowel syndrome, began enteral feedings yesterday. To maintain normal growth and development of the child

during this period, what action should the nurse include in the infant's plan of care? Give the infant a pacifier during feeding

46. The nurse is evaluating diet teaching for a client who has nontropical sprue (celiac disease). Choosing which food indicates that the teaching has been

effective? Rice

47. While teaching a parenting class to new parents the nurse describes the needs of infants and toddlers regarding discipline and limit setting. What is the

most important reason for implementing such parenting behaviors? They provide the child with a sense of security

48. The mother of a 4-month-old asks the nurse for advice in preventing diaper rash. What suggestion should the nurse provide? Use a barrier cream, such

as zinc oxide, which does not have to be completely removed with each diaper change.

49. A 3-year-old with HIV infection is staying with a foster family who is caring for 3 other foster children in their home. When one of the children acquires

pertussis, the foster mother calls the clinic and asks the nurse what she should do. Which action should the nurse take first? Review the immunization

documentation of the child who has HIV

50. A child with leukemia is admitted for Chemotherapy and the nursing diagnosis "altered nutrition, less those body requirements related to anorexia,

nausea and vomiting" is identified. Which intervention the nurse included in this child plan of care? Allow the child to eat any food desired and

tolerated

51. Prior to discharge, the parents of a child with cystic fibrosis are demonstrating chest physiotherapy (CPT) that they will perform for their child at home.

Which action? Percussion and postural drainage.

52. The nurse plans to screen only the highest risk children for scoliosis. Which group of children should the nurse screen first? Girls between ages 10 and

14

53. A mother brings her 8 mo. old baby boy to clinic because he has been vomiting and had diarrhea for last 3 days. Which assessment is most important for

nurse to make? Measure the infant's pulse

54. Nurse gets a call from a mother of a 10 y/o that just returned from camp with expanding circular red rash on arm. Mom asks what over the counter

product is safe to use. How should the nurse respond? Explain need for immediate exam