• 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
An adolescent is admitted to the burn unit with partial-thickness burns of both arms and the chest. Which
information would guid the nurse's plan of care?
A. Burns are extremely painful and disfiguring.
B. Some grafting of the burned area is necessary.
C. Pressure dressings and prolonged hydrotherapy are required.
D. Spontaneous epithelial regeneration occurs within several weeks. –
P 1
, • HESI RN 09/11/2026
PEDIATRICS Exam
Correct Answer :D. Spontaneous epithelial regeneration occurs within several weeks.
If there is no subsequent infection of the burned areas, wound healing should be uneventful. Although partial-
thickness burns are painful, they usually heal with little or no scarring. Regeneration will occur unless there is
further insult to the burn injury, such as infection; grafting should not be necessary. Occlusive dressings may be
applied to minimize the discomfort of frequent dressing change; hydrotherapy is not required for partial-
thickness burns.
Which would the nurse determine before preparing a child with cerebral palsy (CP) for crutch-walking?
A. Weight-bearing ability of the child's four extremities
B. The power in the child's trunk to drag the legs forward when the child is erect
C. Whether the child's circulation can tolerate the body being placed in an erect position
D. The ability of the child's shoulder girdle to support the body's weight when it leaves the floor
- Correct Answer :A. Weight-bearing ability of the child's four extremities
The choice of gait is based on the weight-bearing capabilities of the four extremities. Assessment of the
extremities takes priority over assessment of the trunk. The child with CP uses upper extremity strength for
crutch control and lower extremity strength to facilitate some movement. The child with CP is unlikely to have
orthostatic circulatory impairment. Because of decreased muscle control, it is unlikely that the child is able to use
a gait involving complete support of body weight off the floor.
Which early sign of heart failure would the nurse recognize in an infant who has a congenital heart defect with
left-to-right shunting of blood?
A. Cyanosis
B. Restlessness
C. Decreased heart rate
D. Increased respiratory rate –
P 2
, • HESI RN 09/11/2026
PEDIATRICS Exam
Correct Answer :D. Increased respiratory rate
Because the lungs are stressed by pulmonary edema, a quicker respiratory rate is the first and most reliable
indicator of early heart failure in infants. Cyanosis is a late sign of heart failure; with early failure there is still
adequate perfusion of blood. Infants with early heart failure do not mov about; they become fatigued quickly,
especially when feeding, because of a decrease of oxygen to body cells. The heart rate of an infant in early heart
failure increases, not decreases, in attempt to increase oxygen to body cells.
The nurse in the family planning clinic reviews the health history of a sexually active 16-year-old girl whose chief
concern is a thick, burning discharge accompanied by low abdominal pain. After her examination, the girl is
informed that she may have a sexually transmitted infection (STI) that requires treatment. The adolescent is
concerned that her parents will discover that she is sexually active. She asks the nurse whether her parents will
be contacted. How would the nurse respond?
A. "Your parents will not be contacted because treatment at this clinic is confidential."
B. "Your parents need to be informed to sign a consent form for testing and treatment."
C. "Your parents will be notified when the insurance company is billed for testing and treatment."
D. "Your parents will not be told if you promise to have your sexual contacts tested." –
Correct Answer :A. "Your parents will not be contacted because treatment at this clinic is confidential."
To prevent disclosure, family planning clinics treat these adolescents as emancipated minors who can sign their
own consent forms. Federal law allows family planning clinics to maintain minors' confidentiality, although
individual states may have different regulations. There is a concern that teenagers will not seek or continue
treatment if they fear disclosure. Most family planning clinics receive funding and charge on a sliding schedule
based on income, thereby encouraging adolescents to seek treatment. Not telling the parents in exchange for
the client having her sexual contacts tested could be viewed as coercion; if the STI is reportable follow-up of
sexual partners is indicated, but the adolescent will not be held responsible for ensuring that they report for
testing.
Which foods would the nurse suggest for inclusion in a toddler's diet who has been diagnosed with iron-
deficiency anemia?
P 3
, • HESI RN 09/11/2026
PEDIATRICS Exam
A. A slice of pumpkin pie
B. One cup of seedless grapes
C. Slices from a whole apple
D. Gingerbread molasses cookies –
Correct Answer :D. Gingerbread molasses cookies
Gingerbread cookies made with molasses are an excellent source of iron. They may be eaten as a finger food,
which toddlers prefer. Pumpkin pie provides some protein and iron but has a spicy taste that is generally not a
favorite of toddlers. Although grapes contain iron, a cup is an excessive amount for an 18-month-old child to
ingest. Apples, although nutritious, are low in protein and iron.
Which action would the nurse take when an infant begins to cough and gag after a nasogastric tube insertion?
A. Auscultating for breath sounds
B. Removing the tube, then reinserting it
C. Administering the tube feeding slowly
D. Observing the infant for circumoral cyanosis –
Correct Answer :B. Removing the tube, then reinserting it
The infant's response indicates that the tube may be in the trachea rather than the stomach. The tube should be
removed, reinserted, and verified for its placement before the feeding is started. Auscultating for breath sounds
does not provide information about the placement of the tube. The tube should be removed immediately; it is
unsafe to assess the infant for additional signs of respiratory distress. It is unsafe to administer the feeding until
placement in the stomach has been confirmed.
Which play activity is the best choice to suggest to the parents of a school-aged child with autism?
A. Holding a cuddly toy
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
An adolescent is admitted to the burn unit with partial-thickness burns of both arms and the chest. Which
information would guid the nurse's plan of care?
A. Burns are extremely painful and disfiguring.
B. Some grafting of the burned area is necessary.
C. Pressure dressings and prolonged hydrotherapy are required.
D. Spontaneous epithelial regeneration occurs within several weeks. –
P 1
, • HESI RN 09/11/2026
PEDIATRICS Exam
Correct Answer :D. Spontaneous epithelial regeneration occurs within several weeks.
If there is no subsequent infection of the burned areas, wound healing should be uneventful. Although partial-
thickness burns are painful, they usually heal with little or no scarring. Regeneration will occur unless there is
further insult to the burn injury, such as infection; grafting should not be necessary. Occlusive dressings may be
applied to minimize the discomfort of frequent dressing change; hydrotherapy is not required for partial-
thickness burns.
Which would the nurse determine before preparing a child with cerebral palsy (CP) for crutch-walking?
A. Weight-bearing ability of the child's four extremities
B. The power in the child's trunk to drag the legs forward when the child is erect
C. Whether the child's circulation can tolerate the body being placed in an erect position
D. The ability of the child's shoulder girdle to support the body's weight when it leaves the floor
- Correct Answer :A. Weight-bearing ability of the child's four extremities
The choice of gait is based on the weight-bearing capabilities of the four extremities. Assessment of the
extremities takes priority over assessment of the trunk. The child with CP uses upper extremity strength for
crutch control and lower extremity strength to facilitate some movement. The child with CP is unlikely to have
orthostatic circulatory impairment. Because of decreased muscle control, it is unlikely that the child is able to use
a gait involving complete support of body weight off the floor.
Which early sign of heart failure would the nurse recognize in an infant who has a congenital heart defect with
left-to-right shunting of blood?
A. Cyanosis
B. Restlessness
C. Decreased heart rate
D. Increased respiratory rate –
P 2
, • HESI RN 09/11/2026
PEDIATRICS Exam
Correct Answer :D. Increased respiratory rate
Because the lungs are stressed by pulmonary edema, a quicker respiratory rate is the first and most reliable
indicator of early heart failure in infants. Cyanosis is a late sign of heart failure; with early failure there is still
adequate perfusion of blood. Infants with early heart failure do not mov about; they become fatigued quickly,
especially when feeding, because of a decrease of oxygen to body cells. The heart rate of an infant in early heart
failure increases, not decreases, in attempt to increase oxygen to body cells.
The nurse in the family planning clinic reviews the health history of a sexually active 16-year-old girl whose chief
concern is a thick, burning discharge accompanied by low abdominal pain. After her examination, the girl is
informed that she may have a sexually transmitted infection (STI) that requires treatment. The adolescent is
concerned that her parents will discover that she is sexually active. She asks the nurse whether her parents will
be contacted. How would the nurse respond?
A. "Your parents will not be contacted because treatment at this clinic is confidential."
B. "Your parents need to be informed to sign a consent form for testing and treatment."
C. "Your parents will be notified when the insurance company is billed for testing and treatment."
D. "Your parents will not be told if you promise to have your sexual contacts tested." –
Correct Answer :A. "Your parents will not be contacted because treatment at this clinic is confidential."
To prevent disclosure, family planning clinics treat these adolescents as emancipated minors who can sign their
own consent forms. Federal law allows family planning clinics to maintain minors' confidentiality, although
individual states may have different regulations. There is a concern that teenagers will not seek or continue
treatment if they fear disclosure. Most family planning clinics receive funding and charge on a sliding schedule
based on income, thereby encouraging adolescents to seek treatment. Not telling the parents in exchange for
the client having her sexual contacts tested could be viewed as coercion; if the STI is reportable follow-up of
sexual partners is indicated, but the adolescent will not be held responsible for ensuring that they report for
testing.
Which foods would the nurse suggest for inclusion in a toddler's diet who has been diagnosed with iron-
deficiency anemia?
P 3
, • HESI RN 09/11/2026
PEDIATRICS Exam
A. A slice of pumpkin pie
B. One cup of seedless grapes
C. Slices from a whole apple
D. Gingerbread molasses cookies –
Correct Answer :D. Gingerbread molasses cookies
Gingerbread cookies made with molasses are an excellent source of iron. They may be eaten as a finger food,
which toddlers prefer. Pumpkin pie provides some protein and iron but has a spicy taste that is generally not a
favorite of toddlers. Although grapes contain iron, a cup is an excessive amount for an 18-month-old child to
ingest. Apples, although nutritious, are low in protein and iron.
Which action would the nurse take when an infant begins to cough and gag after a nasogastric tube insertion?
A. Auscultating for breath sounds
B. Removing the tube, then reinserting it
C. Administering the tube feeding slowly
D. Observing the infant for circumoral cyanosis –
Correct Answer :B. Removing the tube, then reinserting it
The infant's response indicates that the tube may be in the trachea rather than the stomach. The tube should be
removed, reinserted, and verified for its placement before the feeding is started. Auscultating for breath sounds
does not provide information about the placement of the tube. The tube should be removed immediately; it is
unsafe to assess the infant for additional signs of respiratory distress. It is unsafe to administer the feeding until
placement in the stomach has been confirmed.
Which play activity is the best choice to suggest to the parents of a school-aged child with autism?
A. Holding a cuddly toy
P 4
