2026 HESI RN
PEDIACTRICS V1
3 FULL SET EXAMS
(NGN-STYLE QUESTIONS & CASE “SCENARIOS”)
Pass The Exam Score with Confidence
WHAT YOU WILL GET:
➢ Achieving a 900+ on the HESI Exam
➢EACH EXAM SET HAS 55 QUESTIONS
,Table of Contents
SET 1 EXAM ...................................................... 2
SET 2 EXAM .................................................... 33
SET 3 EXAM .................................................... 61
SET 1 EXAM
Questions 1–55
1. The nurse is providing discharge instructions to the caregiver of an infant with
recurrent otitis media. Which statement made by the caregiver should the nurse
recognize as needing additional education about minimizing subsequent
infections?
A. Schedule visit for pneumococcal vaccine.
B. Avoid any smoking inside the house.
C. Instill benzocaine otic drops regularly.
D. Give infant the full course of antibiotics.
Correct Answer: C. Instill benzocaine otic drops regularly.
Rationale: Benzocaine otic drops are used for pain relief, not for preventing otitis
media. Regular instillation does not prevent recurrent infections and may mask
symptoms of a developing infection. Option A is correct education—the pneumococcal
vaccine helps prevent bacterial causes of otitis media. Option B is correct—secondhand
smoke is a known risk factor for recurrent otitis media. Option D is correct—completing
the full antibiotic course prevents incomplete treatment and recurrence. The caregiver
needs additional teaching that benzocaine drops do not prevent infections and should
only be used for pain management as prescribed.
,2. A mother brings her male preschooler to the clinic because he has had
diarrhea, vomiting, and high fevers for the past three days. The child begins to
cry and cling to his mother when the nurse enters the examination room. Which
action should the nurse implement to get the child to cooperate?
A. Talk to the mother and gradually focus on the child's toy.
B. Request extra staff to help with the nursing assessments.
C. Explain to the child the reasons an examination is needed.
D. Complete the assessment while allowing the child to cry.
Correct Answer: A. Talk to the mother and gradually focus on the child's toy.
Rationale: Preschoolers (ages 3–5 years) are egocentric and respond best to gradual,
non-threatening approaches. Talking to the mother first reduces the child's anxiety by
demonstrating that the nurse is safe, while focusing on the child's toy engages the
child's interest and builds rapport. Option B may increase the child's fear by introducing
more strangers. Option C is inappropriate because preschoolers cannot comprehend
abstract explanations about medical necessity. Option D ignores the child's
developmental need for security and may escalate distress, making the assessment
more difficult.
3. A 38-year-old primiparous client is seen in the outpatient obstetric office 2
weeks postpartum after a spontaneous vaginal birth of a full-term infant after
rupture of membranes for 16 hours. The client was discharged on day 2,
exclusively breastfeeding. Select the findings that will help the nurse determine
what is causing the client's symptoms. (Select all that apply.)
A. Rupture of membranes for 16 hours
B. Normal spontaneous vaginal birth
C. Breastfeeding 7 to 8 times a day for 10 minutes
D. Discharge hemoglobin of 9.2 g/dL (92 g/L)
E. Current vital signs
F. Shopping yesterday for 5 hours
G. Foul-smelling lochia rubra
Correct Answer: A, E, F, G
, Rationale: The client presents with symptoms suggesting postpartum infection
(endometritis). Rupture of membranes for 16 hours (A) is a risk factor for infection due
to prolonged exposure. Current vital signs (E) are essential to assess for fever,
tachycardia, or hypotension indicating infection. Shopping for 5 hours (F) suggests
overexertion and possible delayed recovery, which can exacerbate infection. Foul-
smelling lochia rubra (G) is a classic sign of endometritis. Option B (normal birth) is not
a contributing factor. Option C (breastfeeding frequency) relates to mastitis risk, not
endometritis. Option D (low hemoglobin) indicates anemia but does not help determine
the cause of infectious symptoms.
4. A 38-year-old primiparous client is seen in the outpatient obstetric office 2
weeks postpartum after a spontaneous vaginal birth of a full-term infant after
rupture of membranes for 16 hours. The client was discharged on day 2,
exclusively breastfeeding. For each assessment finding, indicate whether
findings from this client's assessment are generally associated with mastitis,
endometritis, or could be a sign of both conditions. Each row must have only one
response option selected.
Table
Finding Mastitis Endometritis Both
A. Temperature of 101.2°F (38.4°C) ✓
B. Feeling chilled, achy, and fatigued ✓
C. Pulse of 105 beats/minute ✓
D. Foul-smelling lochia rubra at 2 weeks ✓
postpartum
PEDIACTRICS V1
3 FULL SET EXAMS
(NGN-STYLE QUESTIONS & CASE “SCENARIOS”)
Pass The Exam Score with Confidence
WHAT YOU WILL GET:
➢ Achieving a 900+ on the HESI Exam
➢EACH EXAM SET HAS 55 QUESTIONS
,Table of Contents
SET 1 EXAM ...................................................... 2
SET 2 EXAM .................................................... 33
SET 3 EXAM .................................................... 61
SET 1 EXAM
Questions 1–55
1. The nurse is providing discharge instructions to the caregiver of an infant with
recurrent otitis media. Which statement made by the caregiver should the nurse
recognize as needing additional education about minimizing subsequent
infections?
A. Schedule visit for pneumococcal vaccine.
B. Avoid any smoking inside the house.
C. Instill benzocaine otic drops regularly.
D. Give infant the full course of antibiotics.
Correct Answer: C. Instill benzocaine otic drops regularly.
Rationale: Benzocaine otic drops are used for pain relief, not for preventing otitis
media. Regular instillation does not prevent recurrent infections and may mask
symptoms of a developing infection. Option A is correct education—the pneumococcal
vaccine helps prevent bacterial causes of otitis media. Option B is correct—secondhand
smoke is a known risk factor for recurrent otitis media. Option D is correct—completing
the full antibiotic course prevents incomplete treatment and recurrence. The caregiver
needs additional teaching that benzocaine drops do not prevent infections and should
only be used for pain management as prescribed.
,2. A mother brings her male preschooler to the clinic because he has had
diarrhea, vomiting, and high fevers for the past three days. The child begins to
cry and cling to his mother when the nurse enters the examination room. Which
action should the nurse implement to get the child to cooperate?
A. Talk to the mother and gradually focus on the child's toy.
B. Request extra staff to help with the nursing assessments.
C. Explain to the child the reasons an examination is needed.
D. Complete the assessment while allowing the child to cry.
Correct Answer: A. Talk to the mother and gradually focus on the child's toy.
Rationale: Preschoolers (ages 3–5 years) are egocentric and respond best to gradual,
non-threatening approaches. Talking to the mother first reduces the child's anxiety by
demonstrating that the nurse is safe, while focusing on the child's toy engages the
child's interest and builds rapport. Option B may increase the child's fear by introducing
more strangers. Option C is inappropriate because preschoolers cannot comprehend
abstract explanations about medical necessity. Option D ignores the child's
developmental need for security and may escalate distress, making the assessment
more difficult.
3. A 38-year-old primiparous client is seen in the outpatient obstetric office 2
weeks postpartum after a spontaneous vaginal birth of a full-term infant after
rupture of membranes for 16 hours. The client was discharged on day 2,
exclusively breastfeeding. Select the findings that will help the nurse determine
what is causing the client's symptoms. (Select all that apply.)
A. Rupture of membranes for 16 hours
B. Normal spontaneous vaginal birth
C. Breastfeeding 7 to 8 times a day for 10 minutes
D. Discharge hemoglobin of 9.2 g/dL (92 g/L)
E. Current vital signs
F. Shopping yesterday for 5 hours
G. Foul-smelling lochia rubra
Correct Answer: A, E, F, G
, Rationale: The client presents with symptoms suggesting postpartum infection
(endometritis). Rupture of membranes for 16 hours (A) is a risk factor for infection due
to prolonged exposure. Current vital signs (E) are essential to assess for fever,
tachycardia, or hypotension indicating infection. Shopping for 5 hours (F) suggests
overexertion and possible delayed recovery, which can exacerbate infection. Foul-
smelling lochia rubra (G) is a classic sign of endometritis. Option B (normal birth) is not
a contributing factor. Option C (breastfeeding frequency) relates to mastitis risk, not
endometritis. Option D (low hemoglobin) indicates anemia but does not help determine
the cause of infectious symptoms.
4. A 38-year-old primiparous client is seen in the outpatient obstetric office 2
weeks postpartum after a spontaneous vaginal birth of a full-term infant after
rupture of membranes for 16 hours. The client was discharged on day 2,
exclusively breastfeeding. For each assessment finding, indicate whether
findings from this client's assessment are generally associated with mastitis,
endometritis, or could be a sign of both conditions. Each row must have only one
response option selected.
Table
Finding Mastitis Endometritis Both
A. Temperature of 101.2°F (38.4°C) ✓
B. Feeling chilled, achy, and fatigued ✓
C. Pulse of 105 beats/minute ✓
D. Foul-smelling lochia rubra at 2 weeks ✓
postpartum
