PEDs HESI Practice Test Latest 2026/2027
Questions and Correct Detailed Answers
Already Graded A+
A 2-year-old child with Down syndrome is brought to the clinic for his regular
physical examination. The nurse knows which problem is frequently associated
with Down syndrome?
A. Congenital heart disease.
B. Fragile X chromosome.
C. Trisomy 13.
D. Pyloric stenosis. - CORRECT ANSWER-A. Congenital heart disease.
When assessing a child with asthma, the nurse should expect intercostal
retractions during
A. Inspiration.
B. Coughing.
C. Apneic episodes.
D. Expiration. - CORRECT ANSWER-A. Inspiration.
,When planning the care for a child who has had a cleft lip repair, the nurse knows
that crying should be minimized because it
A. Increases salivation.
B. Increases the respiratory rate.
C. Leads to vomiting.
D. Stresses the suture line. - CORRECT ANSWER-D. Stresses the suture line.
A full-term infant is admitted to the newborn nursery. After careful assessment,
the nurse suspects that the infant may have an esophageal atresia. Which
symptoms is this newborn likely to have exhibited?
A. Choking, coughing, and cyanosis.
B. Projectile vomiting and cyanosis.
C. Apneic spells and grunting.
D. Scaphoid abdomen and anorexia. - CORRECT ANSWER-A. Choking,
coughing, and cyanosis.
The nurse is giving preoperative instructions to a 14-year-old female client who is
scheduled for surgery to correct a spinal curvature. Which statement by the client
best demonstrates that learning has taken place?
A. "I will read all the literature you gave me before surgery."
,B. "I have had surgery before when I broke my wrist in a bike accident, so I know
what to expect."
C. "All the things people have told me will help me take care of my back."
D. "I understand that I will be in a body cast and I will show you how you taught
me to turn." - CORRECT ANSWER-D. "I understand that I will be in a body cast
and I will show you how you taught me to turn."
To take the vital signs of a 4-month-old child, which order will give the most
accurate results?
A. Respiratory rate, heart rate, then rectal temperature.
B. Heart rate, rectal temperature, then respiratory rate.
C. Rectal temperature, heart rate, then respiratory rate.
D. Rectal temperature, respiratory rate, then heart rate. - CORRECT ANSWER-
A. Respiratory rate, heart rate, then rectal temperature.
During routine screening at a school clinic, an otoscope examination of a child's
ear reveals a tympanic membrane that is pearly gray, slightly bulging, and not
movable. What action should the nurse take next?
A. No action required, as this is an expected finding for a school-aged child.
B. Ask the child if he/she has had a cold, runny nose, or any ear pain lately.
, C. Send a note home advising the parents to have the child evaluated by a
healthcare provider as soon as possible.
D. Call the parents and have them take the child home from school for the rest of
the day. - CORRECT ANSWER-B. Ask the child if he/she has had a cold, runny
nose, or any ear pain lately.
Which restraint should be used for a toddler after a cleft palate repair?
A. Clove hitch.
B. Mummy.
C. Elbow.
D. Jacket. - CORRECT ANSWER-C. Elbow.
What preoperative nursing intervention should be included in the plan of care for
an infant with pyloric stenosis?
A. Monitor for signs of metabolic acidosis.
B. Estimate the quantity of diarrhea stools.
C. Place in a supine position after feeding.
D. Observe for projectile vomiting. - CORRECT ANSWER-D. Observe for
projectile vomiting.
Questions and Correct Detailed Answers
Already Graded A+
A 2-year-old child with Down syndrome is brought to the clinic for his regular
physical examination. The nurse knows which problem is frequently associated
with Down syndrome?
A. Congenital heart disease.
B. Fragile X chromosome.
C. Trisomy 13.
D. Pyloric stenosis. - CORRECT ANSWER-A. Congenital heart disease.
When assessing a child with asthma, the nurse should expect intercostal
retractions during
A. Inspiration.
B. Coughing.
C. Apneic episodes.
D. Expiration. - CORRECT ANSWER-A. Inspiration.
,When planning the care for a child who has had a cleft lip repair, the nurse knows
that crying should be minimized because it
A. Increases salivation.
B. Increases the respiratory rate.
C. Leads to vomiting.
D. Stresses the suture line. - CORRECT ANSWER-D. Stresses the suture line.
A full-term infant is admitted to the newborn nursery. After careful assessment,
the nurse suspects that the infant may have an esophageal atresia. Which
symptoms is this newborn likely to have exhibited?
A. Choking, coughing, and cyanosis.
B. Projectile vomiting and cyanosis.
C. Apneic spells and grunting.
D. Scaphoid abdomen and anorexia. - CORRECT ANSWER-A. Choking,
coughing, and cyanosis.
The nurse is giving preoperative instructions to a 14-year-old female client who is
scheduled for surgery to correct a spinal curvature. Which statement by the client
best demonstrates that learning has taken place?
A. "I will read all the literature you gave me before surgery."
,B. "I have had surgery before when I broke my wrist in a bike accident, so I know
what to expect."
C. "All the things people have told me will help me take care of my back."
D. "I understand that I will be in a body cast and I will show you how you taught
me to turn." - CORRECT ANSWER-D. "I understand that I will be in a body cast
and I will show you how you taught me to turn."
To take the vital signs of a 4-month-old child, which order will give the most
accurate results?
A. Respiratory rate, heart rate, then rectal temperature.
B. Heart rate, rectal temperature, then respiratory rate.
C. Rectal temperature, heart rate, then respiratory rate.
D. Rectal temperature, respiratory rate, then heart rate. - CORRECT ANSWER-
A. Respiratory rate, heart rate, then rectal temperature.
During routine screening at a school clinic, an otoscope examination of a child's
ear reveals a tympanic membrane that is pearly gray, slightly bulging, and not
movable. What action should the nurse take next?
A. No action required, as this is an expected finding for a school-aged child.
B. Ask the child if he/she has had a cold, runny nose, or any ear pain lately.
, C. Send a note home advising the parents to have the child evaluated by a
healthcare provider as soon as possible.
D. Call the parents and have them take the child home from school for the rest of
the day. - CORRECT ANSWER-B. Ask the child if he/she has had a cold, runny
nose, or any ear pain lately.
Which restraint should be used for a toddler after a cleft palate repair?
A. Clove hitch.
B. Mummy.
C. Elbow.
D. Jacket. - CORRECT ANSWER-C. Elbow.
What preoperative nursing intervention should be included in the plan of care for
an infant with pyloric stenosis?
A. Monitor for signs of metabolic acidosis.
B. Estimate the quantity of diarrhea stools.
C. Place in a supine position after feeding.
D. Observe for projectile vomiting. - CORRECT ANSWER-D. Observe for
projectile vomiting.
