HESI RN Pediatrics for 2026 Exam

HESI RN Pediatrics 

1. The nurse is planning care for a 5 - month-old with gastroesophageal reflux disease whose weight has decreased by 3 ounces since the last clinic visit one month ago. To increase caloric intake and decrease vomiting, what instruction should the nurse provide this mother? •Dilute the child's formula with equal parts of water •Offer 10% dextrose in water between most feeding •Give small amounts of baby food with each feeding •Thicken formula with cereal for each feeding 2. A 4-years-old boy was recently diagnosed with Duchenne muscular dystrophy (DMD). Which characteristic of the disease is most important for the nurse to focus on during the initial teaching? •Muscular strength can be regained with physical exercise and therapy •Growth and development have been abnormal since birth •Respiratory dysfunction and aspiration are prime concerns at this stage of the disease •Lower legs become progressively weaker, causing a wedding, unsteady gait 3. In caring for an client with acute epiglottitis, which nursing action takes priority? •Obtain a STAT CBC •Prepare for endotracheal intubation •Auscultate breath sounds •Apply ice packs to the neck 4. Which client requires immediate intervention by the nurse? •A toddler with chickenpox who is scratching •An adolescent with a migraine and photophobia •A child with cystic fibrosis who is constipated •A Child with acute renal failure and hyperkalemia NursingHero – Etsy.com – Please Send us any inquiry for any others review 5. 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 • Prevent the child from running inside the house • Give an 81 mg tablet of aspirin for pain relief • Use a soft toothbrush for frequent cleaning 6. The nurse is using the Stage Questionnaire (b) to assess a 24 - month-old child. What is the best intervention for the nurse to initiate after the assessment is completed? • Assess for changes in the vital signs • Review the child's birth history • Provide the parents with a list of stimulating activities • Meet with a social worker to review the results 7. 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? • Decreased hemoglobin • Pain • Infection • Dehydration 8. The nurse is administering an oral medication to a reluctant preschool-age boy. Which intervention should the nurse implement? • Advise the parents that they will need to give the medication • Use straightforward approach with the child • Mix the medication in with the child's favorite breakfast cereal • Offer to bring the medicine back later in the day 9. The nurse is planning care for a newborn infant scheduled for a cardiac catheterization. Which occurrence poses the greatest risk for this child? • Loss of pulse proximal to the entry side of the catheter • Allergic response to the plastics in the catheter used for catheterization • Acute hemorrhage from the entry site of the catheter after the procedure • Fever associated with nausea and vomiting after the procedure NursingHero – Etsy.com – Please Send us any inquiry for any others review 10. The school nurse is presenting a seminar to parents about child safety that focuses on prevention of spinal cord injuries. What information is most important for the nurse include in the teaching plan? • Trampoline activities of school-aged children should be supervised by adults • Protective gear to prevent neck flexion should be worn during contact sports • Seat belt and car seat laws for use in motor vehicles should be reinforced • Monkey bars should be removed from school playgrounds to reduce falls 11. 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? • Provide parent education to prevent recurrence • Clearance purulent exudate from the affected ear canal • Apply a topical antibiotic to the preauricular area • Ask the mother if the child has had a runny nose 12. A 4-month-old boy has an inguinal hernia that is visible when he cries, but it does not cause him discomfort. His parents ask if the hernia should be repaired now. The nurse's response should be based on what information? • An inguinal hernia is treated as a surgical emergency • Surgical repair is planned after successful toilet training • An inguinal hernia is surgically repaired if persistent diarrhea occurs • Surgical correction is indicated if the hernia is incarcerated 13. A 2-year-old child with heart failure (HF) is admitted for replacement of a graft for coarctation of the aorta. Prior to administering the dose of digoxin (Lanoxin), the nurse obtains an apical heart rate of 128 beast| minute. What action should the nurse implement? • Determined the pulse déficit • Calculate the safe dose range • Administer the scheduled dose • Review the serum digoxin level 14. The nurse is assisting the mother of child with phenylketonuria (PKU) to select foods that are in keeping with the child's dietary restrictions. Which foods are contraindicated for this child? • High fat foods • Foods sweetened with aspartame • Wheat products • High calorie foods