PEDS HESI LATEST VERSIONS 2024
(VERSION A AND B) COMPLETE
QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS)
A 7-month-old infant with a rotavirus causing severe diarrhea is admitted for treatment. Which
intervention should the nurse implement first? - ANSWERS,C.
Insert an intravenous (IV) line and begin IV fluids.
A woman whose first child died at 6 weeks of age because of sudden infant death syndrome (SIDS) is
being discharged following the birth of her second child. The mother tells the nurse that she is
fearful that this infant will also develop SIDS. Which response is best for the nurse to provide this
woman? - ANSWERS,B.
"The fear of losing another child to SIDS is very realistic. Have you thought about what support you
may need?"
The nurse is teaching an adolescent girl with scoliosis about a Milwaukee brace that her health care
provider has prescribed. Which instruction should the nurse provide to this client? - ANSWERS,A.
Remove the brace 1 hour each day for bathing only.
The nurse is examining a male child experiencing an exacerbation of juvenile rheumatoid arthritis
(JRA) and notes that his mobility is greatly reduced. What is the most likely cause of the child's
impaired mobility? - ANSWERS,D.
Joint inflammation
A child is admitted to the hospital for confirmation of a diagnosis of acute lymphoblastic leukemia.
During the initial nursing assessment, which symptoms will this child most likely exhibit? -
ANSWERS,A.
Bone pain, pallor
The nurse should teach the parents of a child with a cyanotic heart defect to perform which action
when a hypercyanotic spell occurs? - ANSWERS,C.
Allow the child to assume a knee-chest position, with the head and chest slightly elevated.
A 3-week-old infant is referred to an orthopedic clinic because the pediatrician heard a click when
flexing the child's right hip during a routine physical examination. The orthopedic physician suspects
that the child might have developmental dysplasia of the hip (DDH). The parents ask the nurse to
identify risk factors commonly associated with DDH. Which response is accurate? - ANSWERS,C.
Breech presentation
The nurse is planning postoperative care for a child who has had a cleft lip repair. What is the most
important reason to minimize this child's crying during the recovery period? - ANSWERS,B.
This behavior increases respirations.
Which nursing diagnosis has the highest priority when planning care for an infant with eczema? -
ANSWERS,B.
Altered comfort (pruritus) related to vesicular skin eruptions
The nurse expects a 2-year-old child to exhibit which behavior? - ANSWERS,C.
Display possessiveness with toys.
Following the administration of immunizations to a 6-month-old girl, the nurse provides the family
with home care instructions. Which statement by the mother indicates that further teaching is
needed? - ANSWERS,A.
"I will give her a baby aspirin every 4 hours as needed for fever."
The nurse notes that a 16-year-old male client is refusing visits from his classmates. Further
assessment reveals that he is concerned about his edematous facial features. Based on these
assessment findings, the nurse should plan interventions related to which nursing diagnosis? -
ANSWERS,A.
Social isolation
A 4-year-old child has cystic fibrosis. Which stage of Erikson's theory of psychosocial development is
the nurse addressing when teaching inhalation therapy? - ANSWERS,D.
Initiative
Ampicillin, 75 mg/kg, is prescribed for a 22-lb child. It is available in a solution that contains 250
mg/5 mL. How many milliliters should the nurse administer in one dose? - ANSWERS,B.
15
Following the reduction of an incarcerated inguinal hernia, a 4-month-old boy is scheduled for
surgical repair of the inguinal hernia. Under which circumstance should the parents notify the health
care provider prior to surgery? - ANSWERS,B.
Presence of an inguinal bulge after gentle palpation
The nurse is conducting an initial admission assessment of a 12-month-old child in celiac crisis.
Which intervention is most important for the nurse to implement? - ANSWERS,A.
Assess the child's mucous membranes and skin turgor.
A mother calls the clinic because her 6-year-old son, who has been taking prescribed antibiotics for 7
of the previous 10 days, continues to have a cough that she reports is worsening. Further
questioning by the nurse reveals that the cough is nonproductive. What advice should the nurse
provide to this mother? - ANSWERS,Bring the child to the clinic today for an examination related to
the cough
A newborn female whose mother is HIV-positive is scheduled for the first follow-up assessment with
the nurse. If the child is HIV-positive, which initial symptom is she most likely to exhibit? -
ANSWERS,C.
Persistent cold
A nurse is preparing to end the shift and receives a lab report stating that a child with asthma has a
theophylline level of 15 mcg/dL. Which action should the nurse take? - ANSWERS,A.
Communicate the result to the oncoming nurse and document.
Which assessment finding(s) should the nurse expect when caring for a child with cystic fibrosis?
(Select all that apply.) - ANSWERS,A. Steatorrhea
C. Foul-smelling stools
D. Delayed growth
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