HESI PEDIATRIC NURSING FINAL EXAM LATEST
UPDATED ACTUAL EXAM WITH COMPLETE 100
DETAILED QUESTIONS & CORRECT VERIFIED
SOLUTIONS [100% ANSWERS] PLUS RATIONALES
GUARANTEED PASS A+ NEW BRAND!
1. Which vital sign finding is most concerning in a 2-
month-old infant?
A. Heart rate 130 bpm
B. Respiratory rate 60/min
C. Blood pressure 90/50 mm Hg
D. Oxygen saturation 99%
Correct Answer: B
Rationale: A respiratory rate of 60 is tachypnea and
may indicate distress.
2. Which toy is most appropriate for a 6-month-old
infant?
,A. Board game
B. Stuffed animal
C. Rattle
D. Coloring book
Correct Answer: C
Rationale: Infants enjoy grasping and shaking objects.
3. Which vaccine is contraindicated in an
immunocompromised child?
A. Inactivated polio
B. Hepatitis B
C. MMR
D. DTaP
Correct Answer: C
Rationale: MMR is a live vaccine and contraindicated.
4. What is the priority intervention for a child with
croup?
A. Antibiotics
B. Cool mist humidification
C. Chest physiotherapy
D. Supine positioning
Correct Answer: B
Rationale: Cool mist decreases airway inflammation.
,5. Which sign indicates dehydration in an infant?
A. Increased urine output
B. Sunken fontanel
C. Bounding pulse
D. Moist mucous membranes
Correct Answer: B
Rationale: Sunken fontanel indicates fluid deficit.
6. A child with epiglottitis should be positioned:
A. Supine
B. Prone
C. Sitting upright
D. Trendelenburg
Correct Answer: C
Rationale: Upright positioning promotes airway
patency.
7. Which finding is expected in a child with iron-
deficiency anemia?
A. Ruddy complexion
B. Pallor
C. Hypertension
, D. Weight gain
Correct Answer: B
Rationale: Low hemoglobin causes pallor.
8. Which developmental milestone should a 1-year-old
achieve?
A. Riding a tricycle
B. Walking independently
C. Writing letters
D. Tying shoes
Correct Answer: B
Rationale: Most children walk by 12 months.
9. Which condition places a child at greatest risk for
hypoglycemia?
A. Asthma
B. Type 1 diabetes
C. Obesity
D. GERD
Correct Answer: B
Rationale: Insulin therapy increases hypoglycemia
risk.
UPDATED ACTUAL EXAM WITH COMPLETE 100
DETAILED QUESTIONS & CORRECT VERIFIED
SOLUTIONS [100% ANSWERS] PLUS RATIONALES
GUARANTEED PASS A+ NEW BRAND!
1. Which vital sign finding is most concerning in a 2-
month-old infant?
A. Heart rate 130 bpm
B. Respiratory rate 60/min
C. Blood pressure 90/50 mm Hg
D. Oxygen saturation 99%
Correct Answer: B
Rationale: A respiratory rate of 60 is tachypnea and
may indicate distress.
2. Which toy is most appropriate for a 6-month-old
infant?
,A. Board game
B. Stuffed animal
C. Rattle
D. Coloring book
Correct Answer: C
Rationale: Infants enjoy grasping and shaking objects.
3. Which vaccine is contraindicated in an
immunocompromised child?
A. Inactivated polio
B. Hepatitis B
C. MMR
D. DTaP
Correct Answer: C
Rationale: MMR is a live vaccine and contraindicated.
4. What is the priority intervention for a child with
croup?
A. Antibiotics
B. Cool mist humidification
C. Chest physiotherapy
D. Supine positioning
Correct Answer: B
Rationale: Cool mist decreases airway inflammation.
,5. Which sign indicates dehydration in an infant?
A. Increased urine output
B. Sunken fontanel
C. Bounding pulse
D. Moist mucous membranes
Correct Answer: B
Rationale: Sunken fontanel indicates fluid deficit.
6. A child with epiglottitis should be positioned:
A. Supine
B. Prone
C. Sitting upright
D. Trendelenburg
Correct Answer: C
Rationale: Upright positioning promotes airway
patency.
7. Which finding is expected in a child with iron-
deficiency anemia?
A. Ruddy complexion
B. Pallor
C. Hypertension
, D. Weight gain
Correct Answer: B
Rationale: Low hemoglobin causes pallor.
8. Which developmental milestone should a 1-year-old
achieve?
A. Riding a tricycle
B. Walking independently
C. Writing letters
D. Tying shoes
Correct Answer: B
Rationale: Most children walk by 12 months.
9. Which condition places a child at greatest risk for
hypoglycemia?
A. Asthma
B. Type 1 diabetes
C. Obesity
D. GERD
Correct Answer: B
Rationale: Insulin therapy increases hypoglycemia
risk.
