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HESI PEDIATRIC TEST BANK 2026 EXIT ACTUAL
EXAM COMPLETE 65 QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED A+
- A newborn has just been delivered via C-Section with a myelomeningocele
- Place child in semi-fowlers position to decrease pressure on the spinal
- Apply heat lamp to facilitate drying and toughening of the sac
- Apply soft restraints to prevent disruption of the sac
- Assess head circumference and fontenals for signs of ICP.
which was detected pre-natally via amniocentecic. The child is scheduled to have surgery within the first 48 hours. Which of the following nursing actions is appropriate?
cord
o Correct Answer: D
- The nurse is evaluating a child who is being treated for nephrotic syndrome.
- Diuresis and weight loss
- improved appetitie and weight gain
- Increase in urine specific gravity
- Return of temperature and pulse to normal
Which observation indicated successful treatment of nephrosis?
o Correct Answer: A
- A child with autism spectrum disorder (ASD) is admitted to the hospital with
pneuomonia. The nurse should plan which priority intervention when caring for this child?
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- Maintain a structured routine and keep stimulation to a minimim
- Communicate at child;s level and maintain eye contact
- Use therapeutic touch to calm child with procedures
- Switch from one assessment activity to another quickly?
o Correct Answer: A
- A nurse is caring for a boy with probable intusseception. He had diarrhea before
- Notify practitioner
- Measure abdomnial girth
- Auscultate for bowel sounds
- Take vital signs, including blood pressure.
admission but while waiting for administration of air pressure to reduce the intusseception he produced a normal brown stool. Which nursing action is the most appropriete.
o Correct Answer: A
- A child is admitted with acute glomerularnephritis. The nurse would expect the
- Bacteruria, hematuria
- Hematuria, proteinuria
- Bacteruria, increase specific gravity
- Proteinuria, decreased specific gravity
UA during this acute phase to show which of the following?
o Correct Answer: B
- A 10 year old is admitted with possible appendicitis. The doctor's history and
- Lab work revels a left shift and pain localized in the right lower quadrant
- Lab work reveals a right shift and pain localized in the left upper quadrant
physical indicates a WBC count of 17,000, increased segmented neutrophils, decreased lymphocytes, and 6?nds. The patient complains of abdominal pain, localized at Mcberney's point. Which statement most accurately describes the data?
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- Lab work reveals normal findings with pain localized in the epigastric area.
- Lab work reveals a possible viral infection with pain localized in the left
upper quadrant.
o Correct Answer: A
- A child has been admitted to the pedatric unit with suspected meningitis. The
CSF aanalysis reveals the following: Apperance: Clear, WBC: within normal limits, Protein: within normal limits, Glucose: within normal limits, Culture:
negative. Based on the results, the nurse suspects that the child has:
- Bacertial Meningitis
- Meningococcal meningitis
- Viral meningitis
- Hydrocephalous
o Correct Answer: C
- A six week old infant is brought to the pediatricians office for a well-baby visit.
During examinations the physcian displaces the femoral head and reduces it back into place by manipulation of the thighs and hips. The nurse recognizes
that the physcian is assessing:
- Barlow and ortalani tests for developmental dysplasia of the hip
- Gower test for developmental dysplasia of the hip
- Pavlik test for developmental dysplasia of the hip
- Trendelenburg test for developmental dysplasia of the hip
o Correct Answer: A
- A two year old has had one bout of nephrosis (nephrotic syndrome) His mother
- Blood presssure 140/90
- Marked proteinuria
- Tea colored urine
- A history of positive strep infections
suspected a recurrence when she observed swelling around his eyes. The nurse helps to confirrm the condition by recognizing what additional sympton?
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o Correct Answer: B
- The mother of a 1 month old infant tells the nurse she worries that her baby will
- Meningitis rarely occurs during infancy, however after the first year of life, it
- Often a genetic predisposition to meningitis is found and family members
- Vaccination to prevent all types of meningitits is now avaliable and should
- Vaccination to prevent Haemophilus influenzae type B meningitits has
get meningitits like her oldest son did when he was an infant. The nurse should base her response on which statement?
is more common.
are more likely to get it.
be administered at 6 months.
decreased the frequency of this disease in children.
o Correct Answer: D
- A young child is brought to the emergency room with suspected meningitis.
- Encourage oral intake of clear liquids. Progress diet as tolerated
- Inititate isolation procedure if warranted after the CSF analysis is
- Inititate isolation procedire immediatly and administer ordered antibiotics
- Administer sedatives/analgesic on a prescribed schedule to manage pain.
Blood work with cultures, a urine specimen with a culture and sensitivity, and the spinal tap were completed in the ER and he is being admitted to the pedatric unit for continued care. Which of the following is a major priority of nursing care?
completed.
o Correct Answer: C
- The nurse is caring for a 4-year old child immobilized by a fractured leg. Which
- The metabolic rate increases.
- Increased joint mobility leading to contractures
- Hypocalcemia due to release of excess calcium
complication should the nurse monitor related to the childs immobilzation status.
