2026 HESI RN PEDIATRICS (V3) EXAMS – NGN NURSING QUESTIONS AND ANSWERS ALREADY GRADED A+.
100% VERIFIED SOLUTIONS | UPDATED PER LATEST GUIDELINES | GRADED A+
Question 1
The nurse is caring for a 2-year-old child with respiratory syncytial virus (RSV) bronchiolitis. Which assessment
finding is the earliest indicator of respiratory distress in this pediatric patient?
A. Cyanosis of the lips and nail beds
B. Nasal flaring and grunting
C. Oxygen saturation of 89%
D. Decreased breath sounds
🟢 Correct Answer:
B. Nasal flaring and grunting
🔴 RATIONALE:
In infants and young children, nasal flaring, grunting, and retractions are early signs of respiratory distress.
Cyanosis and decreased oxygen saturation are later signs. Grunting is a compensatory mechanism to maintain
airway pressure and prevent alveolar collapse. Early recognition of these signs allows for prompt intervention.
Question 2
A 4-month-old infant is admitted with bronchiolitis. The nurse notes the infant is irritable, has a temperature of
100.8°F, and is feeding poorly. Which nursing intervention is most appropriate?
,A. Encourage oral feeding to maintain hydration
B. Suction the nares before feeding
C. Administer antipyretics as ordered
D. Place the infant in a supine position for sleep
🟢 Correct Answer:
B. Suction the nares before feeding
🔴 RATIONALE:
Infants with bronchiolitis often have nasal congestion that interferes with feeding. Suctioning the nares before
feeding helps clear the airway and allows the infant to feed more effectively. Supine positioning is
contraindicated; the infant should be positioned at a 30-degree angle to promote airway clearance.
Question 3
The nurse is providing discharge teaching to the parents of a child with newly diagnosed type 1 diabetes
mellitus. Which statement by the parent indicates a need for further teaching?
A. "I will check my child's blood glucose before meals and at bedtime."
B. "I will give insulin even if my child is not eating well."
C. "I will rotate insulin injection sites to prevent lipohypertrophy."
D. "I will treat hypoglycemia with 15 grams of fast-acting carbohydrate."
🟢 Correct Answer:
B. "I will give insulin even if my child is not eating well."
,🔴 RATIONALE:
Insulin should be given only if the child is eating, as administering insulin without food intake can cause
hypoglycemia. The "sick day" rules for diabetes management include checking blood glucose more frequently,
continuing insulin, and encouraging fluids. Rotating injection sites and treating hypoglycemia with 15 grams of
fast-acting carbohydrate are correct.
Question 4
A 6-year-old child is admitted with acute glomerulonephritis. The nurse should monitor the child for which
complication?
A. Hyperkalemia
B. Hypotension
C. Edema and hypertension
D. Hypoglycemia
🟢 Correct Answer:
C. Edema and hypertension
🔴 RATIONALE:
Acute glomerulonephritis is characterized by inflammation of the glomeruli, leading to fluid retention, edema,
and hypertension. The nurse should monitor for signs of fluid overload and hypertension. Hyperkalemia can
occur in renal failure, but edema and hypertension are more specific to this condition.
, Question 5
The nurse is caring for a toddler with a febrile seizure. Which instruction should the nurse provide to the
parents?
A. "Place a spoon in the child's mouth to prevent tongue biting."
B. "Administer acetaminophen or ibuprofen as prescribed for fever."
C. "Immerse the child in cold water to reduce the fever quickly."
D. "Call 911 immediately for any seizure lasting more than 10 seconds."
🟢 Correct Answer:
B. "Administer acetaminophen or ibuprofen as prescribed for fever."
🔴 RATIONALE:
Febrile seizures are caused by a rapid rise in temperature. The best prevention is fever control with antipyretics
and maintaining hydration. Objects should never be placed in the mouth during a seizure. Cold water
immersion can cause shock. Seizures lasting more than 5 minutes require emergency care.
Question 6
A 10-year-old child with asthma is prescribed an albuterol metered-dose inhaler (MDI). The nurse is teaching
the child how to use the MDI. Which statement by the child indicates correct understanding?
A. "I should inhale the medication and then exhale immediately."
B. "I should shake the inhaler well before each use."
C. "I should take two quick puffs without waiting between them."
D. "I should use the inhaler only when I am short of breath."
100% VERIFIED SOLUTIONS | UPDATED PER LATEST GUIDELINES | GRADED A+
Question 1
The nurse is caring for a 2-year-old child with respiratory syncytial virus (RSV) bronchiolitis. Which assessment
finding is the earliest indicator of respiratory distress in this pediatric patient?
A. Cyanosis of the lips and nail beds
B. Nasal flaring and grunting
C. Oxygen saturation of 89%
D. Decreased breath sounds
🟢 Correct Answer:
B. Nasal flaring and grunting
🔴 RATIONALE:
In infants and young children, nasal flaring, grunting, and retractions are early signs of respiratory distress.
Cyanosis and decreased oxygen saturation are later signs. Grunting is a compensatory mechanism to maintain
airway pressure and prevent alveolar collapse. Early recognition of these signs allows for prompt intervention.
Question 2
A 4-month-old infant is admitted with bronchiolitis. The nurse notes the infant is irritable, has a temperature of
100.8°F, and is feeding poorly. Which nursing intervention is most appropriate?
,A. Encourage oral feeding to maintain hydration
B. Suction the nares before feeding
C. Administer antipyretics as ordered
D. Place the infant in a supine position for sleep
🟢 Correct Answer:
B. Suction the nares before feeding
🔴 RATIONALE:
Infants with bronchiolitis often have nasal congestion that interferes with feeding. Suctioning the nares before
feeding helps clear the airway and allows the infant to feed more effectively. Supine positioning is
contraindicated; the infant should be positioned at a 30-degree angle to promote airway clearance.
Question 3
The nurse is providing discharge teaching to the parents of a child with newly diagnosed type 1 diabetes
mellitus. Which statement by the parent indicates a need for further teaching?
A. "I will check my child's blood glucose before meals and at bedtime."
B. "I will give insulin even if my child is not eating well."
C. "I will rotate insulin injection sites to prevent lipohypertrophy."
D. "I will treat hypoglycemia with 15 grams of fast-acting carbohydrate."
🟢 Correct Answer:
B. "I will give insulin even if my child is not eating well."
,🔴 RATIONALE:
Insulin should be given only if the child is eating, as administering insulin without food intake can cause
hypoglycemia. The "sick day" rules for diabetes management include checking blood glucose more frequently,
continuing insulin, and encouraging fluids. Rotating injection sites and treating hypoglycemia with 15 grams of
fast-acting carbohydrate are correct.
Question 4
A 6-year-old child is admitted with acute glomerulonephritis. The nurse should monitor the child for which
complication?
A. Hyperkalemia
B. Hypotension
C. Edema and hypertension
D. Hypoglycemia
🟢 Correct Answer:
C. Edema and hypertension
🔴 RATIONALE:
Acute glomerulonephritis is characterized by inflammation of the glomeruli, leading to fluid retention, edema,
and hypertension. The nurse should monitor for signs of fluid overload and hypertension. Hyperkalemia can
occur in renal failure, but edema and hypertension are more specific to this condition.
, Question 5
The nurse is caring for a toddler with a febrile seizure. Which instruction should the nurse provide to the
parents?
A. "Place a spoon in the child's mouth to prevent tongue biting."
B. "Administer acetaminophen or ibuprofen as prescribed for fever."
C. "Immerse the child in cold water to reduce the fever quickly."
D. "Call 911 immediately for any seizure lasting more than 10 seconds."
🟢 Correct Answer:
B. "Administer acetaminophen or ibuprofen as prescribed for fever."
🔴 RATIONALE:
Febrile seizures are caused by a rapid rise in temperature. The best prevention is fever control with antipyretics
and maintaining hydration. Objects should never be placed in the mouth during a seizure. Cold water
immersion can cause shock. Seizures lasting more than 5 minutes require emergency care.
Question 6
A 10-year-old child with asthma is prescribed an albuterol metered-dose inhaler (MDI). The nurse is teaching
the child how to use the MDI. Which statement by the child indicates correct understanding?
A. "I should inhale the medication and then exhale immediately."
B. "I should shake the inhaler well before each use."
C. "I should take two quick puffs without waiting between them."
D. "I should use the inhaler only when I am short of breath."
