HESI RN Pediatrics Exam 2026/2027 UPDATED
QUESTIONS WITH ANSWERS GRADED A+
• Digoxin for congestive heart failure -✓✓ Assess apical heart rate for signs of toxicity
• Wilms tumor -✓✓ Place a sign on bed stating 'no abdominal palpation'
• Celiac disease -✓✓ Manage with gluten-free diet, avoid oats, wheat, rye, or barley
• Postanesthesia care for infant with elbow restraints -✓✓ Remove restraints one at a
time and provide range-of-motion exercises
• Unlicensed assistive personnel (UAP) caring for child with bacterial meningitis -✓✓
Use designated isolation precautions
• Intussusception -✓✓ Place child on clear liquid diet before barium enema
• Developmental dysplasia of the hip (DDH) -✓✓ Occurs more often in infants who
present in the breech position
• Congenital heart defect in 2-year-old child -✓✓ Report sudden and unexplained weight
gain to healthcare provider
• HIV-positive newborn -✓✓ Persistent cold or respiratory infection is a typical symptom
• Immunizations for 6-month-old girl -✓✓ Do not give baby aspirin, it can cause Reye
syndrome
• Pyloric stenosis -✓✓ Observe for projectile vomiting
• Varicella infection (chickenpox) -✓✓ Place child in strict isolation to prevent an
outbreak on the unit
• Developmental dysplasia of the hip (DDH) risk factors -✓✓ More common in infants
who present in the breech position
• Congenital heart defect in 2-year-old child -✓✓ Sudden and unexplained weight gain
can indicate fluid retention
• Immunizations for 6-month-old girl -✓✓ Do not give baby aspirin, it can cause Reye
syndrome
• Pyloric stenosis -✓✓ Observe for projectile vomiting
, • Varicella infection (chickenpox) -✓✓ Place child in strict isolation to prevent an
outbreak on the unit
• Developmental dysplasia of the hip (DDH) risk factors -✓✓ More common in infants
who present in the breech position
• Congenital heart defect in 2-year-old child -✓✓ Sudden and unexplained weight gain
can indicate fluid retention
• Immunizations for 6-month-old girl -✓✓ Do not give baby aspirin, it can cause Reye
syndrome
• Pyloric stenosis -✓✓ Observe for projectile vomiting
• Varicella infection (chickenpox) -✓✓ Place child in strict isolation to prevent an
outbreak on the unit
• Developmental dysplasia of the hip (DDH) risk factors -✓✓ More common in infants
who present in the breech position
• Congenital heart defect in 2-year-old child -✓✓ Sudden and unexplained weight gain
can indicate fluid retention
• Immunizations for 6-month-old girl -✓✓ Do not give baby aspirin, it can cause Reye
syndrome
• Pyloric stenosis -✓✓ Observe for projectile vomiting
• Varicella infection (chickenpox) -✓✓ Place child in strict isolation to prevent an
outbreak on the unit
• Developmental dysplasia of the hip (DDH) risk factors -✓✓ More common in infants
who present in the breech position
• Congenital heart defect in 2-year-old child -✓✓ Sudden and unexplained weight gain
can indicate fluid retention
• Immunizations for 6-month-old girl -✓✓ Do not give baby aspirin, it can cause Reye
syndrome
• Pyloric stenosis -✓✓ Observe for projectile vomiting
QUESTIONS WITH ANSWERS GRADED A+
• Digoxin for congestive heart failure -✓✓ Assess apical heart rate for signs of toxicity
• Wilms tumor -✓✓ Place a sign on bed stating 'no abdominal palpation'
• Celiac disease -✓✓ Manage with gluten-free diet, avoid oats, wheat, rye, or barley
• Postanesthesia care for infant with elbow restraints -✓✓ Remove restraints one at a
time and provide range-of-motion exercises
• Unlicensed assistive personnel (UAP) caring for child with bacterial meningitis -✓✓
Use designated isolation precautions
• Intussusception -✓✓ Place child on clear liquid diet before barium enema
• Developmental dysplasia of the hip (DDH) -✓✓ Occurs more often in infants who
present in the breech position
• Congenital heart defect in 2-year-old child -✓✓ Report sudden and unexplained weight
gain to healthcare provider
• HIV-positive newborn -✓✓ Persistent cold or respiratory infection is a typical symptom
• Immunizations for 6-month-old girl -✓✓ Do not give baby aspirin, it can cause Reye
syndrome
• Pyloric stenosis -✓✓ Observe for projectile vomiting
• Varicella infection (chickenpox) -✓✓ Place child in strict isolation to prevent an
outbreak on the unit
• Developmental dysplasia of the hip (DDH) risk factors -✓✓ More common in infants
who present in the breech position
• Congenital heart defect in 2-year-old child -✓✓ Sudden and unexplained weight gain
can indicate fluid retention
• Immunizations for 6-month-old girl -✓✓ Do not give baby aspirin, it can cause Reye
syndrome
• Pyloric stenosis -✓✓ Observe for projectile vomiting
, • Varicella infection (chickenpox) -✓✓ Place child in strict isolation to prevent an
outbreak on the unit
• Developmental dysplasia of the hip (DDH) risk factors -✓✓ More common in infants
who present in the breech position
• Congenital heart defect in 2-year-old child -✓✓ Sudden and unexplained weight gain
can indicate fluid retention
• Immunizations for 6-month-old girl -✓✓ Do not give baby aspirin, it can cause Reye
syndrome
• Pyloric stenosis -✓✓ Observe for projectile vomiting
• Varicella infection (chickenpox) -✓✓ Place child in strict isolation to prevent an
outbreak on the unit
• Developmental dysplasia of the hip (DDH) risk factors -✓✓ More common in infants
who present in the breech position
• Congenital heart defect in 2-year-old child -✓✓ Sudden and unexplained weight gain
can indicate fluid retention
• Immunizations for 6-month-old girl -✓✓ Do not give baby aspirin, it can cause Reye
syndrome
• Pyloric stenosis -✓✓ Observe for projectile vomiting
• Varicella infection (chickenpox) -✓✓ Place child in strict isolation to prevent an
outbreak on the unit
• Developmental dysplasia of the hip (DDH) risk factors -✓✓ More common in infants
who present in the breech position
• Congenital heart defect in 2-year-old child -✓✓ Sudden and unexplained weight gain
can indicate fluid retention
• Immunizations for 6-month-old girl -✓✓ Do not give baby aspirin, it can cause Reye
syndrome
• Pyloric stenosis -✓✓ Observe for projectile vomiting
