- | P a g e
HESI PEDIATRIC TEST BANK 2026/2027 EXIT
ACTUAL EXAM COMPLETE 65 QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED A+
- A child has been diagnosed with juvenile idiopathic arthritis and has been
prescribed medications for treatment. Which statements indicate that the parent understands the overall treatment regimens for this condition? SATA • A. My child may need to have chemotherapy in the future if she does no respond to other drugs • B. my child will need to take antihistamines to supress the mast cells • C. My child will need to take NSAIDS as prescribed to decrease pain and inflamation • D. My child may have to take corticosteroids for short intervals in the event of a serious exacerbation • E. my child will achieve the best managemnt of her symptoms with oral poiod analgesic
Correct Answer: C,D
- The nurse is conducting discharge teaching to parents of a preschool child with
myelomeningocele repaired at birth, being discharged from the hospital after a urinary tract infection. Which should the nurse include in the discharge related to managment of the child's Genitourinary function? SATA • A. Continue to perform the clean intermittent cathertizations at home • B. administer the oxybutynin chloride (ditropan) as prescribed • C. reduce fluid intake in the afternoon and evening hours • D. monitor for signs of a recurrnt UTI • E. administer furosimide (lasix) as prescribed
Correct Answer: A,B,D
- | P a g e
- The nurse reads in the physcian's progress notes that aganglonic megaclonon is
suspected in a newborn. Which of the following observations are consistend with this diagnosis. SATA • A. No meconium stoll in first 48 hours • B. poor feeding pattern, difficult to nurse • C. steatorrhea • D. vomiting - bile emesis.• E. abdominal distention
Correct Answer: A,B,D,E
- A child is suspected of having Trisomy 21. What assessments are likely to be found?
SATA • A. small anterior fontanel • B. short broad neck • C. protrudin tongue • D. tansverse palmer crease • E. elongated torso
Correct Answer: B,C,D
- The nurse is talking to a parent with a child with spina bifida who has a latex alergy.
Which statement by the parent would inidcate a correct understanding of the teaching • A. my child will have an allergic reaction if he comes in contact with yeast products • B. my child may have an upset stomach if he eats foods made with wheat or barley • C. my child will probably develope and allergy to peanuts • D. my child should not eat bananas or kiwis.
Correct Answer: D
- A primary care provider has ordered a clear liquid diet for a child who is
postoperative surgical removal of a Wilm's tumor. Which of the following assessment findings requires that the nurse clarify this order?
- | P a g e
• A. Abdominal firth 1 cm larger than yesterday • B. report of pain at the operative site • C. abscence of bowel sounds on second postoperative day • D. passing flatus every 30 minutes
Correct Answer: C
- an infant with congenital hypothroidism has been revieving thyroxin for the past 3
months. which diagnostic test does the nurse expect to be ordered to monitor the effectivness of this drug?• A. Electroylte profile • B. ultrasound of the thyoid • C. Serum iodine level • D. Serum T3, T4, TSH
Correct Answer: D
- The nurse is assisting the physcian in the examination of an 8 year old with
suspected bacterial meningitis. How should the child be positioned initially in preperation for tje assessment of Kernigs sign?• A. Side-lying with knees flexed • B. Flat in bed with neck flexed • C. Supine with legs extended • D. high folowers with knees flexed
Correct Answer: C
- A 3 month old is admitted to the hospital with gastroenteritits and moderate
dehydration. His electrolyte panel is as follows: NA 124 and K 3.4. Based on this lab work, which type of dehydration does the infant have?• A. Isotonic • B. Hypotonic • C. Hypertonic • D. Metabolic
- | P a g e
Correct Answer: B
- A six-year old who has been diagnosed with muscular dystrophy is being seen in the
outpatient clinic. The child is noted to have Gower's sign when observed. Which of the following describes this finding.• A. Difficulty standing from a lying position • B. enlarged calves due to fat infiltrates • C. walking with ataxia and waddling gait • D. walking on toes with noted ataxia
Correct Answer: A
- A newborn has just been delievered via C-Section with a myelomeningocele 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?• A. Place child in semi-fowlers position to decrease pressure on the spinal cord • B. Apply heat lamp to facilitate drying and toughening of the sac • C. Apply soft restraints to prevent disruption of the sac • D. Assess head circumference and fontenals for signs of ICP.
Correct Answer: D
- 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?• A. Maintain a structured routine and keep stimulation to a minimim • B. Communicate at child;s level and maintain eye contact • C. Use therapeutic touch to calm child with procedures • D. Switch from one assessment activity to another quickly?
Correct Answer: A
- A child is admitted with acute glomerularnephritis. The nurse would expect the UA
during this acute phase to show which of the following?• A. Bacteruria, hematuria
