HESI RN PEDIATRICS PRACTICE TEST EXAM LATEST
UPDATED FINAL EXAM WITH ALL MOST TESTED
POSSIBLE 100 QUESTIONS AND 100% CORRECT
VERIFIED ANSWERS WITH DETAILED RATIONALES
PLUS ANSWER KEY ALREADY GRADED A+ 2026-2027
FINAL EXAM UPDATED VERSION INSTANT
DOWNLOAD PDF
Question 1
A 2-year-old child is admitted with dehydration due to
gastroenteritis. Which assessment finding indicates
severe dehydration?
a) Sunken fontanel
b) Dry mucous membranes
c) Capillary refill greater than 3 seconds
d) Tenting of skin
,Correct answer: c) Capillary refill greater than 3 seconds
Rationale: Severe dehydration is associated with
prolonged capillary refill (>3 seconds), sunken eyes,
absent tears, and lethargy. Sunken fontanel, dry mucous
membranes, and tenting are signs of moderate
dehydration.
Question 2
The nurse is caring for a 6-month-old infant with
bronchiolitis. Which position should the nurse use to
promote optimal breathing?
a) Prone
b) Supine
c) Trendelenburg
d) Upright with head slightly extended
Correct answer: d) Upright with head slightly extended
Rationale: The upright position with slight head
extension helps maintain an open airway and facilitates
lung expansion in infants with respiratory distress.
Question 3
A child with acute otitis media is prescribed amoxicillin.
Which parental statement indicates understanding of
antibiotic administration?
a) "I will stop the medication when my child feels better."
b) "I will give the medication with milk to reduce stomach
,upset."
c) "I will complete the full 10-day course even if
symptoms improve."
d) "I will double the dose if a dose is missed."
Correct answer: c) "I will complete the full 10-day course
even if symptoms improve."
Rationale: Antibiotics must be completed to prevent
resistance and ensure eradication of infection. Stopping
early or doubling doses is unsafe.
Question 4
The nurse is assessing a toddler with suspected lead
poisoning. Which finding is most commonly associated
with chronic lead exposure?
a) Hypertension
b) Peripheral neuropathy
c) Developmental delay
d) Seizures
Correct answer: c) Developmental delay
Rationale: Chronic lead poisoning in children primarily
affects neurodevelopment, causing cognitive impairment,
developmental delay, and behavioral issues.
Question 5
A 4-year-old child with nephrotic syndrome is noted to
have generalized edema and hypoalbuminemia. Which
, dietary modification is most appropriate?
a) High-protein, low-sodium diet
b) Low-protein, high-carbohydrate diet
c) Fluid restriction only
d) No dietary changes needed
Correct answer: a) High-protein, low-sodium diet
Rationale: Nephrotic syndrome causes protein loss in
urine; a high-protein diet helps replace lost albumin, and
sodium restriction reduces edema.
Question 6
The nurse is preparing to administer immunizations to a
2-month-old infant. Which vaccines are indicated at this
age?
a) DTaP, IPV, Hib, PCV13, RV
b) MMR, Varicella, HepA
c) Tdap, HPV, MenACWY
d) DTaP, MMR, IPV
Correct answer: a) DTaP, IPV, Hib, PCV13, RV
Rationale: The 2-month immunization schedule includes
DTaP, IPV, Hib, PCV13, and RV. MMR and Varicella are
given at 12-15 months.
Question 7
A child with sickle cell anemia presents with acute chest
pain, fever, and cough. What is the priority nursing
UPDATED FINAL EXAM WITH ALL MOST TESTED
POSSIBLE 100 QUESTIONS AND 100% CORRECT
VERIFIED ANSWERS WITH DETAILED RATIONALES
PLUS ANSWER KEY ALREADY GRADED A+ 2026-2027
FINAL EXAM UPDATED VERSION INSTANT
DOWNLOAD PDF
Question 1
A 2-year-old child is admitted with dehydration due to
gastroenteritis. Which assessment finding indicates
severe dehydration?
a) Sunken fontanel
b) Dry mucous membranes
c) Capillary refill greater than 3 seconds
d) Tenting of skin
,Correct answer: c) Capillary refill greater than 3 seconds
Rationale: Severe dehydration is associated with
prolonged capillary refill (>3 seconds), sunken eyes,
absent tears, and lethargy. Sunken fontanel, dry mucous
membranes, and tenting are signs of moderate
dehydration.
Question 2
The nurse is caring for a 6-month-old infant with
bronchiolitis. Which position should the nurse use to
promote optimal breathing?
a) Prone
b) Supine
c) Trendelenburg
d) Upright with head slightly extended
Correct answer: d) Upright with head slightly extended
Rationale: The upright position with slight head
extension helps maintain an open airway and facilitates
lung expansion in infants with respiratory distress.
Question 3
A child with acute otitis media is prescribed amoxicillin.
Which parental statement indicates understanding of
antibiotic administration?
a) "I will stop the medication when my child feels better."
b) "I will give the medication with milk to reduce stomach
,upset."
c) "I will complete the full 10-day course even if
symptoms improve."
d) "I will double the dose if a dose is missed."
Correct answer: c) "I will complete the full 10-day course
even if symptoms improve."
Rationale: Antibiotics must be completed to prevent
resistance and ensure eradication of infection. Stopping
early or doubling doses is unsafe.
Question 4
The nurse is assessing a toddler with suspected lead
poisoning. Which finding is most commonly associated
with chronic lead exposure?
a) Hypertension
b) Peripheral neuropathy
c) Developmental delay
d) Seizures
Correct answer: c) Developmental delay
Rationale: Chronic lead poisoning in children primarily
affects neurodevelopment, causing cognitive impairment,
developmental delay, and behavioral issues.
Question 5
A 4-year-old child with nephrotic syndrome is noted to
have generalized edema and hypoalbuminemia. Which
, dietary modification is most appropriate?
a) High-protein, low-sodium diet
b) Low-protein, high-carbohydrate diet
c) Fluid restriction only
d) No dietary changes needed
Correct answer: a) High-protein, low-sodium diet
Rationale: Nephrotic syndrome causes protein loss in
urine; a high-protein diet helps replace lost albumin, and
sodium restriction reduces edema.
Question 6
The nurse is preparing to administer immunizations to a
2-month-old infant. Which vaccines are indicated at this
age?
a) DTaP, IPV, Hib, PCV13, RV
b) MMR, Varicella, HepA
c) Tdap, HPV, MenACWY
d) DTaP, MMR, IPV
Correct answer: a) DTaP, IPV, Hib, PCV13, RV
Rationale: The 2-month immunization schedule includes
DTaP, IPV, Hib, PCV13, and RV. MMR and Varicella are
given at 12-15 months.
Question 7
A child with sickle cell anemia presents with acute chest
pain, fever, and cough. What is the priority nursing
