PEDS HESI 2026, PEDS HESI REMEDIATION, PEDS Hesi final, Pediatrics HESI Practice Questions

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PEDS HESI 2026, PEDS HESI REMEDIATION,

PEDS Hesi final, Pediatrics HESI Practice Questions

• During discharge teaching of a child with juvenile rheumatoid arthritis, the nurse

should stress to the parents the importance of obtaining which diagnostic testing?

• Hearing tests
• Eye exams
• CXR
• Fasting blood glucose tests

Correct Answer: b

• The nurse is assessing a 2-year-old. What behavior indicates that the child's

language development is within normal limits?

• Is able to name four colors.
• Can count five blocks.
• Is capable of making a three word sentence.
• Half of child's speech is understandable

Correct Answer: d

• At 8 a.m. the unlicensed assistive personnel (UAP) informs the charge nurse that a

female adolescent client with acute glomerulonephritis has a blood pressure of 210/110. The 4 a.m. blood pressure reading was 170/88. The client reports to the UAP that she is upset because her boyfriend did not visit last night. What action should the nurse take first?

• Give the client her 9 a.m. prescription for an oral diuretic early.
• Administer PRN prescription of nifedipine (Procardia) sublingually.

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• Notify the healthcare provider and inform the nursing supervisor of the client's condition.
• Attempt to calm the client and retake the blood pressure in thirty minutes

Correct Answer: b

• A female teenager is taking oral tetracycline HCL (Achromycin V) for acne vulgaris.

What is the most important instruction for the nurse to include in this client's teaching plan?

• "Use sunscreen when lying by the pool."
• "Cleanse the skin at least 4 times a day."
• "Take the medication with a glass of milk."
• "Menstrual periods may become irregular."

Correct Answer: a

• During routine screening at a school clinic, an otoscope examination of a child's ear

reveals a tympanic membrane that is pearly gray, slightly bulging, and not movable.What action should the nurse take next?

• No action required, as this is an expected finding for a school-aged child.
• Ask the child if he/she has had a cold, runny nose, or any ear pain lately.
• Send a note home advising the parents to have the child evaluated by a healthcare

provider as soon as possible.

• Call the parents and have them take the child home from school for the rest of the day.

Correct Answer: b

• The nurse is assessing an 8-month-old child who has a medical diagnosis of

Tetralogy of Fallot. Which symptom is this client most likely to exhibit?

• Bradycardia
• Machinery murmur
• Weak pedal pulses
• Clubbed fingers

Correct Answer: d

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• The mother of a preschool-aged child asks the nurse if it is all right to administer

bismuth subsalicylate (Pepto Bismol, Bismylate) to her son when he "has a tummy ache." After reminding the mother to check the label of all over-the-counter drugs for the presence of aspirin, which instruction should the nurse include when replying to this mother's question?

• If the child's tongue darkens, discontinue the Pepto Bismol immediately.
• Do not give if the child has chickenpox, the flu, or any other viral illness.
• Avoid the use of Pepto Bismol until the child is at least 16 years old.
• Pepto Bismol may cause a rebound hyperacidity, worsening the "tummy ache."

Correct Answer: b

• The nurse is teaching the parents of a 5-year-old child with cystic fibrosis about

respiratory treatments. Which statement indicates to the nurse that the parents understand?

• Perform postural drainage before starting the aerosol therapy.
• Give respiratory treatments when the child is coughing a lot.
• Administer aerosol therapy followed by postural drainage before meals.
• Ensure respiratory therapy is done daily during any respiratory infection.

Correct Answer: c

• Surgery is being delayed for an infant with undescended testes. In collaboration

with the healthcare provider and the family, which prescription should the nurse anticipate?

Correct Answer: A trial of human chorionic gonadotrophic hormone.

• A 3-month-old infant develops oral thrush. Which pharmacologic agent should the

nurse plan to administer for treatment of this disorder?

Correct Answer: Nystatin (antifungal)

• The nurse is teaching a 12-year-old male adolescent and his family about taking

injections of growth hormone for idiopathic hypopituitarism. Which adverse symptoms, commonly associated with growth hormone therapy, should the nurse plan to describe to the child and his family?

• Polyuria and polydipsia

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• Lethargy and fatigue
• Increased facial hair
• Facial bone structure changes

Correct Answer: a

• A 17-year-old male student reports to the school clinic one morning for a

scheduled health exam. He tells the nurse that he just finished football practice and is on his way to class. The nurse assesses his vital signs: temperature 100 F, pulse 80, respirations 20, and blood pressure 122/82. What is the best action for the nurse to take?

• Tell the student to proceed directly to the regularly scheduled class.
• Call the parent and suggest re-taking the student's temperature at home.
• Give the student a glass of cool fluids, then retake his temperature.
• Send the student to class, but re-verify his temperature after lunch.

Correct Answer: a

• A 3-week-old newborn is brought to the clinic for follow-up after a home birth. The

mother reports that her child bottle feeds for 5 minutes only and then falls asleep. The nurse auscultates a loud murmur characteristic of a ventricular septal defect (VSD), and finds the newborn is acyanotic with a respiratory rate of 64 breaths per minute.What instruction should the nurse provide the mother to ensure the infant is receiving adequate intake? (Select all that apply)

• Monitor the infant's weight and number of wet diapers per day.
• Increase the infant's intake per feeding by 1 to 2 ounces per week.
• Mix the dose of prophylactic antibiotic in a full bottle of formula.
• Allow the infant to rest and refeed on demand or every 2 hours.
• Use a softer nipple or increase the size of the nipple opening

Correct Answer: a, b, d, e

• A 14-year-old female client tells the nurse that she is concerned about the acne

she has recently developed. Which recommendation should the nurse provide?

• Remove all blackheads and follow with an alcohol scrub.