• 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
During a well-child assessment, the parents of a 4-year-old express concern that their child often chatters while
playing alone. What information should the nurse provide the parents?
The child is attempting to formulate a secondary language.
This is an attempt by the child to form an imaginary social base.
P 1
, • HESI RN 09/11/2026
PEDIATRICS Exam
"Private speech" is normal at this age and serves as a problem-solving tool.
Concern for psychological development is warranted, so further testing is required. –
Correct Answer :"Private speech" is normal at this age and serves as a problem-solving tool.
Rationale
Children chatter to themselves between the ages of 4 and 6 years. This "private speech" serves as a problem-
solving tool as children try new tasks or work through unfamiliar situations
Which intervention should the nurse implement to help keep a 6-month-old infant calm during a physical
assessment?
Give the infant a soft cuddly toy to hold.
Remove the pacifier from the infant's mouth.
Encourage the parent to hold the infant.
Distract the infant with noise or bright lights. –
Correct Answer :Encourage the parent to hold the infant.
Rationale
Parents should be encouraged to participate by holding the infant as much as possible during an examination to
calm the infant and help the infant feel secure.
P 2
, • HESI RN 09/11/2026
PEDIATRICS Exam
A nurse who is working in the Poison Control Center receives a telephone call from a parent of a 16-month-old
child who drank 2 ounces of acetaminophen elixir. Which action should the nurse recommend to the parent?
Administer oral syrup of ipecac.
Give While assessing an 18-month-old during a well-child visit, the nurse notes that the toddler has a rounded
potbelly abdomen, marked lordosis or swayback, short and slightly bowed legs, and a large head. Based on
these findings, what action should the nurse implement?
Refer the findings to the healthcare provider for diagnostic studies for hydrocephalus.
Document general physical appearance of a normally developed toddler.
Plot the findings on the growth chart within the parameters of delayed physical maturation.
Review the dietary intake for indications of a vitamin deficiency or malnutrition. –
Correct Answer :Document general physical appearance of a normally developed toddler.
Rationale
"Toddler lordosis" describes the normal upright posture found at this age, which is characterized by a potbelly,
swayback, and short, slightly bowed legs.
A 12-year-old male client tells the nurse that he is happy to be taking growth hormones because now he can
grow to be as tall as his friends. What response is best for the nurse to provide?
P 3
, • HESI RN 09/11/2026
PEDIATRICS Exam
"You must remember that this treatment regimen is not always effective."
"Although being tall is important to you, remember there are far more important characteristics than height."
"You will grow with this medicine, and are likely to be taller than anyone in your family."
"Being taller is important to you and taking your injections will help achieve that goal." –
Correct Answer :"Being taller is important to you and taking your injections will help achieve that goal."
Rationale
It is important to validate his feelings and reinforce the fact that injections are the only way he can get the
medication and achieve growth in height. He will have to take injections three times a week for years.
A mother expresses concern to the nurse about the behavior of her 15-year-old who is frequently finding fault
and criticizing her. What information should the nurse provide?
The family value system may need to be changed to meet the teen's changing needs.
Teens create psychological distance from parents in order to separate from them.
Parents should relinquish their relationship with their teen to the teen's peers.
Conflicts in the parent-teen relationship are to be expected during adolescence. –
Correct Answer :Teens create psychological distance from parents in order to separate from them.
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
During a well-child assessment, the parents of a 4-year-old express concern that their child often chatters while
playing alone. What information should the nurse provide the parents?
The child is attempting to formulate a secondary language.
This is an attempt by the child to form an imaginary social base.
P 1
, • HESI RN 09/11/2026
PEDIATRICS Exam
"Private speech" is normal at this age and serves as a problem-solving tool.
Concern for psychological development is warranted, so further testing is required. –
Correct Answer :"Private speech" is normal at this age and serves as a problem-solving tool.
Rationale
Children chatter to themselves between the ages of 4 and 6 years. This "private speech" serves as a problem-
solving tool as children try new tasks or work through unfamiliar situations
Which intervention should the nurse implement to help keep a 6-month-old infant calm during a physical
assessment?
Give the infant a soft cuddly toy to hold.
Remove the pacifier from the infant's mouth.
Encourage the parent to hold the infant.
Distract the infant with noise or bright lights. –
Correct Answer :Encourage the parent to hold the infant.
Rationale
Parents should be encouraged to participate by holding the infant as much as possible during an examination to
calm the infant and help the infant feel secure.
P 2
, • HESI RN 09/11/2026
PEDIATRICS Exam
A nurse who is working in the Poison Control Center receives a telephone call from a parent of a 16-month-old
child who drank 2 ounces of acetaminophen elixir. Which action should the nurse recommend to the parent?
Administer oral syrup of ipecac.
Give While assessing an 18-month-old during a well-child visit, the nurse notes that the toddler has a rounded
potbelly abdomen, marked lordosis or swayback, short and slightly bowed legs, and a large head. Based on
these findings, what action should the nurse implement?
Refer the findings to the healthcare provider for diagnostic studies for hydrocephalus.
Document general physical appearance of a normally developed toddler.
Plot the findings on the growth chart within the parameters of delayed physical maturation.
Review the dietary intake for indications of a vitamin deficiency or malnutrition. –
Correct Answer :Document general physical appearance of a normally developed toddler.
Rationale
"Toddler lordosis" describes the normal upright posture found at this age, which is characterized by a potbelly,
swayback, and short, slightly bowed legs.
A 12-year-old male client tells the nurse that he is happy to be taking growth hormones because now he can
grow to be as tall as his friends. What response is best for the nurse to provide?
P 3
, • HESI RN 09/11/2026
PEDIATRICS Exam
"You must remember that this treatment regimen is not always effective."
"Although being tall is important to you, remember there are far more important characteristics than height."
"You will grow with this medicine, and are likely to be taller than anyone in your family."
"Being taller is important to you and taking your injections will help achieve that goal." –
Correct Answer :"Being taller is important to you and taking your injections will help achieve that goal."
Rationale
It is important to validate his feelings and reinforce the fact that injections are the only way he can get the
medication and achieve growth in height. He will have to take injections three times a week for years.
A mother expresses concern to the nurse about the behavior of her 15-year-old who is frequently finding fault
and criticizing her. What information should the nurse provide?
The family value system may need to be changed to meet the teen's changing needs.
Teens create psychological distance from parents in order to separate from them.
Parents should relinquish their relationship with their teen to the teen's peers.
Conflicts in the parent-teen relationship are to be expected during adolescence. –
Correct Answer :Teens create psychological distance from parents in order to separate from them.
P 4
