HESI RN PEDS
PEDIATRIC NURSING REVIEW
HESI RN PEDS Review
50 Original Study Questions with Answers and Rationales |
2026/2027
Independent educational review; not official HESI/Elsevier content, not leaked test items, and not
a guarantee of passing.
50 50 2026/2027
QUESTIONS ORIGINAL ITEMS EDITION
TOPICS COVERED
Growth and development Fluids, GI, renal, endocrine
Pediatric assessment Neuro, hematology, infection
Respiratory and cardiac care Pediatric medication safety
COVER PAGE - 1
HESI RN PEDS Review - 2026/2027 | Passing Score: 75% | Page 1 of 24
,HESI RN PEDS Review
50 Original Study Questions with Answers and Rationales | 2026/2027
Independent educational review; not official HESI/Elsevier content, not leaked test items, and not a guarantee of passing.
Section Questions High-yield focus
Growth and Development, Health Promotion, and Anticipatory
Q1-Q8 Guidance
developmental milestones, immunization teaching, nutrition, injury prevention
Pediatric Assessment, Prioritization, and Family-Centered
Q9-Q16Care pediatric assessment, pain scales, family-centered care, safety reporting
Respiratory, Cardiovascular, and Emergency CareQ17-Q25 bronchiolitis, asthma, upper-airway obstruction, congenital heart disease
Gastrointestinal, Renal, Endocrine, and Fluid-Electrolyte
Q26-Q34Disorders dehydration, gastroenteritis, pyloric stenosis, intussusception
Neurologic, Hematologic, Oncologic, and InfectiousQ35-Q42
Disorders meningitis, seizures, sickle cell disease, leukemia
Pediatric Pharmacology, Safety, Psychosocial, andQ43-Q50
Chronic Care weight-based dosing, medication safety, IV complications, hospitalization stress
HESI RN PEDS Review - 2026/2027 | Passing Score: 75% | Page 2 of 24
, SECTION 1 | Growth and Development, Health Promotion, and Anticipatory Guidance | Q1-Q8 | HESI RN
PEDS Review 2026/2027
Q1 Question 1 of 50
A 2-month-old infant is seen for a well-child visit and is placed prone on the exam table while
awake. The parent asks what developmental finding is expected at this age.
A. Briefly lifting the head and turning it from side to side while prone.
B. Sitting independently without support for several minutes.
C. Using a neat pincer grasp to pick up small cereal pieces.
D. Walking while holding one adult hand for balance.
Correct Answer: A
Rationale:
At about 2 months, infants commonly lift the head briefly when prone and show improving head control. Sitting, pincer
grasp, and assisted walking occur later.
Q2 Question 2 of 50
A 6-month-old infant is ready for complementary foods and is growing appropriately. The parent
asks what food should be emphasized first while formula or breast milk continues.
A. Honey mixed into cereal because it is a natural calorie source.
B. Iron-rich foods such as iron-fortified cereal, pureed meats, or beans.
C. Fruit juice as the primary fluid between all milk feedings.
D. Whole grapes because they help the infant learn chewing skills.
Correct Answer: B
Rationale:
Around 6 months, iron stores decline and iron-rich complementary foods are important. Honey before 12 months and
choking hazards such as whole grapes are unsafe.
HESI RN PEDS Review - 2026/2027 | Passing Score: 75% | Page 3 of 24
PEDIATRIC NURSING REVIEW
HESI RN PEDS Review
50 Original Study Questions with Answers and Rationales |
2026/2027
Independent educational review; not official HESI/Elsevier content, not leaked test items, and not
a guarantee of passing.
50 50 2026/2027
QUESTIONS ORIGINAL ITEMS EDITION
TOPICS COVERED
Growth and development Fluids, GI, renal, endocrine
Pediatric assessment Neuro, hematology, infection
Respiratory and cardiac care Pediatric medication safety
COVER PAGE - 1
HESI RN PEDS Review - 2026/2027 | Passing Score: 75% | Page 1 of 24
,HESI RN PEDS Review
50 Original Study Questions with Answers and Rationales | 2026/2027
Independent educational review; not official HESI/Elsevier content, not leaked test items, and not a guarantee of passing.
Section Questions High-yield focus
Growth and Development, Health Promotion, and Anticipatory
Q1-Q8 Guidance
developmental milestones, immunization teaching, nutrition, injury prevention
Pediatric Assessment, Prioritization, and Family-Centered
Q9-Q16Care pediatric assessment, pain scales, family-centered care, safety reporting
Respiratory, Cardiovascular, and Emergency CareQ17-Q25 bronchiolitis, asthma, upper-airway obstruction, congenital heart disease
Gastrointestinal, Renal, Endocrine, and Fluid-Electrolyte
Q26-Q34Disorders dehydration, gastroenteritis, pyloric stenosis, intussusception
Neurologic, Hematologic, Oncologic, and InfectiousQ35-Q42
Disorders meningitis, seizures, sickle cell disease, leukemia
Pediatric Pharmacology, Safety, Psychosocial, andQ43-Q50
Chronic Care weight-based dosing, medication safety, IV complications, hospitalization stress
HESI RN PEDS Review - 2026/2027 | Passing Score: 75% | Page 2 of 24
, SECTION 1 | Growth and Development, Health Promotion, and Anticipatory Guidance | Q1-Q8 | HESI RN
PEDS Review 2026/2027
Q1 Question 1 of 50
A 2-month-old infant is seen for a well-child visit and is placed prone on the exam table while
awake. The parent asks what developmental finding is expected at this age.
A. Briefly lifting the head and turning it from side to side while prone.
B. Sitting independently without support for several minutes.
C. Using a neat pincer grasp to pick up small cereal pieces.
D. Walking while holding one adult hand for balance.
Correct Answer: A
Rationale:
At about 2 months, infants commonly lift the head briefly when prone and show improving head control. Sitting, pincer
grasp, and assisted walking occur later.
Q2 Question 2 of 50
A 6-month-old infant is ready for complementary foods and is growing appropriately. The parent
asks what food should be emphasized first while formula or breast milk continues.
A. Honey mixed into cereal because it is a natural calorie source.
B. Iron-rich foods such as iron-fortified cereal, pureed meats, or beans.
C. Fruit juice as the primary fluid between all milk feedings.
D. Whole grapes because they help the infant learn chewing skills.
Correct Answer: B
Rationale:
Around 6 months, iron stores decline and iron-rich complementary foods are important. Honey before 12 months and
choking hazards such as whole grapes are unsafe.
HESI RN PEDS Review - 2026/2027 | Passing Score: 75% | Page 3 of 24
