HESI RN PEDIATRICS V3 EXAM– QUESTIONS AND ANSWERS | VERIFIED AND WELL DETAILED ANSWERS | PLUS
RATIONALES | DOWNLOAD AND PASS | LATEST EXAM UPDATE 2026/2027
Core Domains
Growth and Development
Pediatric Assessment and Health Promotion
Immunizations and Communicable Diseases
Respiratory and Cardiovascular Disorders
Gastrointestinal and Genitourinary Disorders
Neurological and Musculoskeletal Disorders
Hematologic and Oncologic Disorders
Pharmacology and Medication Administration
Safety, Ethics, and Legal Considerations
Family-Centered Care and Nutrition
Introduction
This comprehensive examination is designed to assess the clinical judgment, foundational knowledge, and decision-
making abilities of nursing candidates preparing for the HESI RN Pediatrics specialty exam. The assessment evaluates
proficiency in growth and development, pediatric pathophysiology, pharmacology, nutrition, safety, and family-centered
,care. Through multiple-choice and scenario-based questions, candidates must demonstrate critical thinking,
prioritization, and the application of evidence-based practice. The exam emphasizes real-world clinical application,
ensuring that successful candidates are prepared to deliver safe, ethical, and effective nursing care to pediatric
populations across diverse healthcare settings.
SECTION ONE: QUESTIONS 1–50
1. A nurse is assessing a 6-month-old infant during a well-child visit. Which developmental milestone should the
nurse expect the infant to achieve?
A. Rolling from abdomen to back
B. Sitting without support
C. Transferring objects from hand to hand
D. Pulling to a standing position
🟢 Correct Answer: A. Rolling from abdomen to back
🔴 Explanation: Rolling from abdomen to back is typically achieved by 5 to 6 months of age. Sitting without support
occurs at 8 months, transferring objects at 7 months, and pulling to stand at 9 to 10 months.
2. A nurse is preparing to administer the measles, mumps, and rubella (MMR) vaccine to a 12-month-old child.
Which action is most appropriate?
,A. Administer the vaccine subcutaneously in the abdomen
B. Administer the vaccine intramuscularly in the deltoid
C. Administer the vaccine subcutaneously in the fatty tissue of the upper arm
D. Administer the vaccine intradermally in the forearm
🟢 Correct Answer: C. Administer the vaccine subcutaneously in the fatty tissue of the upper arm
🔴 Explanation: The MMR vaccine is a live attenuated vaccine administered subcutaneously, typically in the fatty
tissue of the upper arm or anterolateral thigh.
3. A 4-year-old child is admitted with suspected epiglottitis. Which nursing intervention should the nurse
implement first?
A. Obtain a throat culture
B. Inspect the throat with a tongue blade
C. Maintain a patent airway and keep the child calm
D. Administer oral antibiotics
🟢 Correct Answer: C. Maintain a patent airway and keep the child calm
🔴 Explanation: Epiglottitis can cause sudden airway obstruction. The priority is maintaining a patent airway and
keeping the child calm to prevent worsening obstruction. Inspecting the throat with a tongue blade is
contraindicated.
, 4. A nurse is caring for a child with acute glomerulonephritis. Which clinical manifestation should the nurse
expect to observe?
A. Polyuria
B. Hematuria
C. Hyperkalemia
D. Hypotension
🟢 Correct Answer: B. Hematuria
🔴 Explanation: Acute glomerulonephritis typically presents with hematuria, proteinuria, edema, and hypertension
due to inflammation of the glomeruli.
5. A nurse is teaching the parents of a child with sickle cell anemia about preventing vaso-occlusive crises. Which
instruction should the nurse include?
A. Encourage strenuous exercise daily
B. Maintain adequate hydration
C. Restrict fluids to prevent overload
D. Avoid all immunizations
🟢 Correct Answer: B. Maintain adequate hydration
RATIONALES | DOWNLOAD AND PASS | LATEST EXAM UPDATE 2026/2027
Core Domains
Growth and Development
Pediatric Assessment and Health Promotion
Immunizations and Communicable Diseases
Respiratory and Cardiovascular Disorders
Gastrointestinal and Genitourinary Disorders
Neurological and Musculoskeletal Disorders
Hematologic and Oncologic Disorders
Pharmacology and Medication Administration
Safety, Ethics, and Legal Considerations
Family-Centered Care and Nutrition
Introduction
This comprehensive examination is designed to assess the clinical judgment, foundational knowledge, and decision-
making abilities of nursing candidates preparing for the HESI RN Pediatrics specialty exam. The assessment evaluates
proficiency in growth and development, pediatric pathophysiology, pharmacology, nutrition, safety, and family-centered
,care. Through multiple-choice and scenario-based questions, candidates must demonstrate critical thinking,
prioritization, and the application of evidence-based practice. The exam emphasizes real-world clinical application,
ensuring that successful candidates are prepared to deliver safe, ethical, and effective nursing care to pediatric
populations across diverse healthcare settings.
SECTION ONE: QUESTIONS 1–50
1. A nurse is assessing a 6-month-old infant during a well-child visit. Which developmental milestone should the
nurse expect the infant to achieve?
A. Rolling from abdomen to back
B. Sitting without support
C. Transferring objects from hand to hand
D. Pulling to a standing position
🟢 Correct Answer: A. Rolling from abdomen to back
🔴 Explanation: Rolling from abdomen to back is typically achieved by 5 to 6 months of age. Sitting without support
occurs at 8 months, transferring objects at 7 months, and pulling to stand at 9 to 10 months.
2. A nurse is preparing to administer the measles, mumps, and rubella (MMR) vaccine to a 12-month-old child.
Which action is most appropriate?
,A. Administer the vaccine subcutaneously in the abdomen
B. Administer the vaccine intramuscularly in the deltoid
C. Administer the vaccine subcutaneously in the fatty tissue of the upper arm
D. Administer the vaccine intradermally in the forearm
🟢 Correct Answer: C. Administer the vaccine subcutaneously in the fatty tissue of the upper arm
🔴 Explanation: The MMR vaccine is a live attenuated vaccine administered subcutaneously, typically in the fatty
tissue of the upper arm or anterolateral thigh.
3. A 4-year-old child is admitted with suspected epiglottitis. Which nursing intervention should the nurse
implement first?
A. Obtain a throat culture
B. Inspect the throat with a tongue blade
C. Maintain a patent airway and keep the child calm
D. Administer oral antibiotics
🟢 Correct Answer: C. Maintain a patent airway and keep the child calm
🔴 Explanation: Epiglottitis can cause sudden airway obstruction. The priority is maintaining a patent airway and
keeping the child calm to prevent worsening obstruction. Inspecting the throat with a tongue blade is
contraindicated.
, 4. A nurse is caring for a child with acute glomerulonephritis. Which clinical manifestation should the nurse
expect to observe?
A. Polyuria
B. Hematuria
C. Hyperkalemia
D. Hypotension
🟢 Correct Answer: B. Hematuria
🔴 Explanation: Acute glomerulonephritis typically presents with hematuria, proteinuria, edema, and hypertension
due to inflammation of the glomeruli.
5. A nurse is teaching the parents of a child with sickle cell anemia about preventing vaso-occlusive crises. Which
instruction should the nurse include?
A. Encourage strenuous exercise daily
B. Maintain adequate hydration
C. Restrict fluids to prevent overload
D. Avoid all immunizations
🟢 Correct Answer: B. Maintain adequate hydration
