• HESI RN 09/11/2026
PEDIATRICS Exam
Pediatrics HESI RN V2 – 2026 3 Full Set Exams,
Questions & NGN-Style Case Scenarios FULL SET
EXAMS WITH CORRECT ANSWERS (NGN-STYLE
QUESTIONS & CASE SCENARIOS) Answers with
detailed Rationale
The parent of an adolescent who is going to be a foreign exchange student asks the nurse why the child must
have a tetanus toxoid immunization. The nurse provides which information?
A. lifelong passive immunity
B. Longer-lasting active immunity
C. Temporary active natural immunity
D. Temporary passive natural immunity - Correct Answer :Long-lasting active immunity
P 1
, • HESI RN 09/11/2026
PEDIATRICS Exam
Toxoids are modified toxins that stimulate the body the body to form antibodies that can last up to 10 years
against the specific disease; because the adolescent will be in a foreign country, the toxoid is given
prophylactically. The tetanus toxoid provides active, not passive, immunity; all passive immunity is short acting.
Only by having the disease can someone gain natural immunity. Toxoids confer active, not temporary passive,
immunity.
A young adolescent reports abdominal bloating, pelvic fullness, menstrual cramps, and breast tenderness. Which
is the primary responsibility of the nurse?
A. Client education
B. Preparation for surgery
C. Medication administration
D. Administration of IV fluids - Correct Answer :Client education
female adolescents often experience premenstrual syndrome in their lifetime.
While counseling the parents of an adolescent with anemia related to an inadequate diet, the nurse explains that
several different nutrients, including protein, iron, and vitamin B12, are involved. Which other nutrient would the
nurse include in the teaching?
A. Calcium
B. Thiamine
C. Folic acid
D. Riboflavin - Correct Answer :Folic acid
Folic acid acts as a necessary coenzyme in the formation of heme, the iron-containing protein in hemoglobin.
Calcium is not involved in the production of red blood cells. Thiamine is a coenzyme in carbohydrate metabolism.
Riboflavin is a control agent for energy production and tissue formation.
P 2
, • HESI RN 09/11/2026
PEDIATRICS Exam
Which pathophysiological process would the nurse expect to account for growth failure in a 4-year-old child with
newly diagnosed cystic fibrosis?
A. Impaired digestion and absorption because of the lack of pancreatic enzymes
B. Dyspnea and shortness of breath, which cause anorexia and disinterest in food
C. Increased bowel motility and diarrhea, which lead to inadequate absorption of nutrients
D. Pulmonary obstruction, which causes an oxygen deficit and inadequate tissue nourishment - Correct Answer
:Impaired digestion and absorption because of the lack of pancreatic enzymes
Obstruction of the pancreatic duct and the absence of enzymes (e.g., trypsin, amylase, and lipase) to aid fat
digestion and absorption lead to wasting of tissues and failure to thrive. Currently it is recommended that
children with cystic fibrosis consume 150% to 200% of the calories recommended for their body weight. Despite
dyspnea and shortness of breath, these children have voracious appetites when feeling well; the difficulty
involves poor digestion and malabsorption of fats and fat-soluble vitamins. Increased bowel motility and
diarrhea are not associated with cystic fibrosis. The pulmonary disease process leads to localized respiratory
dysfunction, not to retarded physical growth.
An adolescent reports genital warts. Which suggestions would the nurse provide to reduce the discomfort?
A. Try out cryotherapy if needed
B. Wear loose-fitted cotton clothes
C. Take a bath with oatmeal solution
D. Use less water for cleaning the genitals
E. Anticipate a prescription of imiquimod - Correct Answer :Try out cryotherapy if needed, wear loose-fitted
cotton clothes, take a bath with oatmeal solution
To reduce the irritation and discomfort of genital warts, bathing with oatmeal solution can be helpful. Wearing
loose-fitted cotton clothes helps in reducing the irritation and friction. Depending on the severity of the warts,
cryotherapy can be an option to treat the warts. Proper cleaning and hygiene of the genital area is necessary to
reduce the growth of the warts. Medications such as imiquimod should not be used during pregnancy.
Which education would the nurse provide the parents of a preschooler who stutters?
P 3
, • HESI RN 09/11/2026
PEDIATRICS Exam
A. Avoid looking at the child when there is difficulty articulating words.
B. Ignore the stuttering, and try to prevent situations that increase stuttering.
C. Help by supplying the correct word when the child is experiencing a block.
D. Stop the conversation by telling the child to speak slowly and to think before starting again. - Correct Answer
:Ignore the stuttering, and try to prevent situations that increase stuttering
Ignoring the stuttering and preventing situations that induce stuttering will avoid undue emphasis on the speech
pattern, thus preventing inadvertent reinforcement of the pattern. Avoiding looking at the child is demeaning; it
may decrease the child's self-esteem and worsen the stuttering. Stuttering is common in preschoolers because
they are learning new vocabulary and are attempting to find the right words to express themselves; hesitancy
and dysfluency are typical speech characteristics of preschoolers. Stopping the conversation and telling the child
to slow down is counterproductive; it may decrease the child's self-esteem and worsen the stuttering.
A client's body mass index (BMI) is 31. This client has a history of hyperinsulinemia caused by an intracranial
tumor. Which treatment strategies would be beneficial?
A. Leptin
B. Orlistat
C. Octreotide
D. Metformin
E. Sibutramine - Correct Answer :Octreotide, Metformin
A client with a body mass index (BMI) greater than 30 is considered obese. Specifically, octreotide is
recommended for clients with hypothalamic obesity, which is caused by intracranial tumors. Metformin is
prescribed for obese clients with insulin resistance and hyperinsulinemia, and it may be useful. Leptin is used to
treat congenital leptin deficiency. Orlistat is a lipase inhibitor that has been approved for clients who are 12 years
and older. Sibutramine is an appetite suppressant used to treat obesity.
Which education would the nurse provide the parent of a child diagnosed with sleep terrors?
A. Sleep terrors are followed by full waking.
P 4
PEDIATRICS Exam
Pediatrics HESI RN V2 – 2026 3 Full Set Exams,
Questions & NGN-Style Case Scenarios FULL SET
EXAMS WITH CORRECT ANSWERS (NGN-STYLE
QUESTIONS & CASE SCENARIOS) Answers with
detailed Rationale
The parent of an adolescent who is going to be a foreign exchange student asks the nurse why the child must
have a tetanus toxoid immunization. The nurse provides which information?
A. lifelong passive immunity
B. Longer-lasting active immunity
C. Temporary active natural immunity
D. Temporary passive natural immunity - Correct Answer :Long-lasting active immunity
P 1
, • HESI RN 09/11/2026
PEDIATRICS Exam
Toxoids are modified toxins that stimulate the body the body to form antibodies that can last up to 10 years
against the specific disease; because the adolescent will be in a foreign country, the toxoid is given
prophylactically. The tetanus toxoid provides active, not passive, immunity; all passive immunity is short acting.
Only by having the disease can someone gain natural immunity. Toxoids confer active, not temporary passive,
immunity.
A young adolescent reports abdominal bloating, pelvic fullness, menstrual cramps, and breast tenderness. Which
is the primary responsibility of the nurse?
A. Client education
B. Preparation for surgery
C. Medication administration
D. Administration of IV fluids - Correct Answer :Client education
female adolescents often experience premenstrual syndrome in their lifetime.
While counseling the parents of an adolescent with anemia related to an inadequate diet, the nurse explains that
several different nutrients, including protein, iron, and vitamin B12, are involved. Which other nutrient would the
nurse include in the teaching?
A. Calcium
B. Thiamine
C. Folic acid
D. Riboflavin - Correct Answer :Folic acid
Folic acid acts as a necessary coenzyme in the formation of heme, the iron-containing protein in hemoglobin.
Calcium is not involved in the production of red blood cells. Thiamine is a coenzyme in carbohydrate metabolism.
Riboflavin is a control agent for energy production and tissue formation.
P 2
, • HESI RN 09/11/2026
PEDIATRICS Exam
Which pathophysiological process would the nurse expect to account for growth failure in a 4-year-old child with
newly diagnosed cystic fibrosis?
A. Impaired digestion and absorption because of the lack of pancreatic enzymes
B. Dyspnea and shortness of breath, which cause anorexia and disinterest in food
C. Increased bowel motility and diarrhea, which lead to inadequate absorption of nutrients
D. Pulmonary obstruction, which causes an oxygen deficit and inadequate tissue nourishment - Correct Answer
:Impaired digestion and absorption because of the lack of pancreatic enzymes
Obstruction of the pancreatic duct and the absence of enzymes (e.g., trypsin, amylase, and lipase) to aid fat
digestion and absorption lead to wasting of tissues and failure to thrive. Currently it is recommended that
children with cystic fibrosis consume 150% to 200% of the calories recommended for their body weight. Despite
dyspnea and shortness of breath, these children have voracious appetites when feeling well; the difficulty
involves poor digestion and malabsorption of fats and fat-soluble vitamins. Increased bowel motility and
diarrhea are not associated with cystic fibrosis. The pulmonary disease process leads to localized respiratory
dysfunction, not to retarded physical growth.
An adolescent reports genital warts. Which suggestions would the nurse provide to reduce the discomfort?
A. Try out cryotherapy if needed
B. Wear loose-fitted cotton clothes
C. Take a bath with oatmeal solution
D. Use less water for cleaning the genitals
E. Anticipate a prescription of imiquimod - Correct Answer :Try out cryotherapy if needed, wear loose-fitted
cotton clothes, take a bath with oatmeal solution
To reduce the irritation and discomfort of genital warts, bathing with oatmeal solution can be helpful. Wearing
loose-fitted cotton clothes helps in reducing the irritation and friction. Depending on the severity of the warts,
cryotherapy can be an option to treat the warts. Proper cleaning and hygiene of the genital area is necessary to
reduce the growth of the warts. Medications such as imiquimod should not be used during pregnancy.
Which education would the nurse provide the parents of a preschooler who stutters?
P 3
, • HESI RN 09/11/2026
PEDIATRICS Exam
A. Avoid looking at the child when there is difficulty articulating words.
B. Ignore the stuttering, and try to prevent situations that increase stuttering.
C. Help by supplying the correct word when the child is experiencing a block.
D. Stop the conversation by telling the child to speak slowly and to think before starting again. - Correct Answer
:Ignore the stuttering, and try to prevent situations that increase stuttering
Ignoring the stuttering and preventing situations that induce stuttering will avoid undue emphasis on the speech
pattern, thus preventing inadvertent reinforcement of the pattern. Avoiding looking at the child is demeaning; it
may decrease the child's self-esteem and worsen the stuttering. Stuttering is common in preschoolers because
they are learning new vocabulary and are attempting to find the right words to express themselves; hesitancy
and dysfluency are typical speech characteristics of preschoolers. Stopping the conversation and telling the child
to slow down is counterproductive; it may decrease the child's self-esteem and worsen the stuttering.
A client's body mass index (BMI) is 31. This client has a history of hyperinsulinemia caused by an intracranial
tumor. Which treatment strategies would be beneficial?
A. Leptin
B. Orlistat
C. Octreotide
D. Metformin
E. Sibutramine - Correct Answer :Octreotide, Metformin
A client with a body mass index (BMI) greater than 30 is considered obese. Specifically, octreotide is
recommended for clients with hypothalamic obesity, which is caused by intracranial tumors. Metformin is
prescribed for obese clients with insulin resistance and hyperinsulinemia, and it may be useful. Leptin is used to
treat congenital leptin deficiency. Orlistat is a lipase inhibitor that has been approved for clients who are 12 years
and older. Sibutramine is an appetite suppressant used to treat obesity.
Which education would the nurse provide the parent of a child diagnosed with sleep terrors?
A. Sleep terrors are followed by full waking.
P 4
