HESI PEDS EXAM LATEST 2026/2027 ACTUAL EXAM
TEST BANK | 3 VERSIONS (VERSIONS A, B AND C)
WITH 90 QUESTIONS EACH AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS)
ALREADY GRADED A+ (BRAND NEW!!) | INSTANT
DOWNLOAD PDF.
CORE DOMAINS
1. Growth and Development
2. Pediatric Assessment and Vital Signs
3. Medication Administration and Calculations
4. Respiratory Disorders
5. Cardiovascular Disorders
6. Gastrointestinal and Genitourinary Disorders
7. Neurological and Musculoskeletal Disorders
8. Infectious Diseases and Immunizations
9. Hematologic and Oncologic Disorders
10. Safety, Injury Prevention, and Child Abuse
INTRODUCTION
This comprehensive assessment evaluates the candidate's mastery of pediatric
nursing concepts required for the HESI Pediatrics specialty exam. It tests
understanding of growth and development, pediatric assessment, medication
administration, and the management of common pediatric disorders. The exam
emphasizes real-world clinical application through scenario-based multiple-choice
questions covering respiratory, cardiovascular, gastrointestinal, neurological, and
infectious conditions. Each item requires critical thinking and clinical judgment
aligned with NCLEX-RN standards and current pediatric nursing practice
guidelines.
,VERSION A: QUESTIONS 1–90
1. A nurse is assessing a 6-month-old infant during a well-child visit. Which
developmental milestone should the nurse expect to observe?
A. Rolling from back to abdomen
B. Sitting without support
C. Using a pincer grasp
D. Walking with assistance
A. Rolling from back to abdomen
RATIONALE: A 6-month-old infant should be able to roll from back to
abdomen. Sitting without support is expected at 8 months, pincer grasp at 9
months, and walking with assistance at 12 months.
2. A nurse is preparing to administer acetaminophen to a 2-year-old child who
weighs 12 kg. The prescribed dose is 15 mg/kg/dose. How many milligrams
should the nurse administer?
A. 120 mg
B. 150 mg
C. 180 mg
D. 200 mg
C. 180 mg
RATIONALE: 15 mg/kg × 12 kg = 180 mg. The nurse should administer 180 mg
of acetaminophen.
3. A 4-year-old child is admitted with croup. Which clinical manifestation should
the nurse expect to assess?
A. Barking cough and inspiratory stridor
B. Productive cough and crackles
C. Wheezing and prolonged expiration
D. Grunting and nasal flaring
, A. Barking cough and inspiratory stridor
RATIONALE: Croup (laryngotracheobronchitis) is characterized by a barking,
seal-like cough and inspiratory stridor due to subglottic edema. Wheezing and
prolonged expiration are associated with asthma or bronchiolitis.
4. A nurse is caring for an infant with tetralogy of Fallot. Which position should
the nurse place the infant in during a hypercyanotic spell?
A. Supine with legs elevated
B. Knee-chest position
C. Trendelenburg position
D. Left lateral recumbent position
B. Knee-chest position
RATIONALE: The knee-chest position increases systemic vascular resistance,
which decreases right-to-left shunting and improves pulmonary blood flow during
a hypercyanotic (tet) spell.
5. A nurse is teaching a parent about introducing solid foods to an infant. Which
food should the nurse recommend introducing first?
A. Iron-fortified rice cereal
B. Pureed fruits
C. Whole milk
D. Egg whites
A. Iron-fortified rice cereal
RATIONALE: Iron-fortified rice cereal is typically the first solid food introduced
at 6 months because it is easily digested and provides needed iron. Whole milk is
not recommended before 12 months.
6. A 2-year-old child is admitted with severe dehydration. Which assessment
finding indicates the child is severely dehydrated?
, A. Moist mucous membranes
B. Sunken fontanel
C. Capillary refill of 2 seconds
D. Blood pressure of 90/60 mmHg
B. Sunken fontanel
RATIONALE: A sunken fontanel in an infant or toddler indicates severe
dehydration. Moist mucous membranes and capillary refill of 2 seconds are
normal findings.
7. A nurse is assessing a child with suspected meningitis. Which finding should
the nurse report immediately?
A. Positive Brudzinski's sign
B. Heart rate of 100 bpm
C. Temperature of 38.5°C
D. Mild headache
A. Positive Brudzinski's sign
RATIONALE: Brudzinski's sign (involuntary flexion of the hips and knees when
the neck is flexed) indicates meningeal irritation and is a classic sign of meningitis.
8. A nurse is preparing to administer digoxin to an infant. Which action should
the nurse take before administering the medication?
A. Check the apical pulse for one full minute
B. Check the radial pulse for 30 seconds
C. Administer with food
D. Administer with an antacid
A. Check the apical pulse for one full minute
RATIONALE: Digoxin is withheld if the infant's apical pulse is below 90–110
bpm (depending on age). The apical pulse must be counted for one full minute
before administration.
TEST BANK | 3 VERSIONS (VERSIONS A, B AND C)
WITH 90 QUESTIONS EACH AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS)
ALREADY GRADED A+ (BRAND NEW!!) | INSTANT
DOWNLOAD PDF.
CORE DOMAINS
1. Growth and Development
2. Pediatric Assessment and Vital Signs
3. Medication Administration and Calculations
4. Respiratory Disorders
5. Cardiovascular Disorders
6. Gastrointestinal and Genitourinary Disorders
7. Neurological and Musculoskeletal Disorders
8. Infectious Diseases and Immunizations
9. Hematologic and Oncologic Disorders
10. Safety, Injury Prevention, and Child Abuse
INTRODUCTION
This comprehensive assessment evaluates the candidate's mastery of pediatric
nursing concepts required for the HESI Pediatrics specialty exam. It tests
understanding of growth and development, pediatric assessment, medication
administration, and the management of common pediatric disorders. The exam
emphasizes real-world clinical application through scenario-based multiple-choice
questions covering respiratory, cardiovascular, gastrointestinal, neurological, and
infectious conditions. Each item requires critical thinking and clinical judgment
aligned with NCLEX-RN standards and current pediatric nursing practice
guidelines.
,VERSION A: QUESTIONS 1–90
1. A nurse is assessing a 6-month-old infant during a well-child visit. Which
developmental milestone should the nurse expect to observe?
A. Rolling from back to abdomen
B. Sitting without support
C. Using a pincer grasp
D. Walking with assistance
A. Rolling from back to abdomen
RATIONALE: A 6-month-old infant should be able to roll from back to
abdomen. Sitting without support is expected at 8 months, pincer grasp at 9
months, and walking with assistance at 12 months.
2. A nurse is preparing to administer acetaminophen to a 2-year-old child who
weighs 12 kg. The prescribed dose is 15 mg/kg/dose. How many milligrams
should the nurse administer?
A. 120 mg
B. 150 mg
C. 180 mg
D. 200 mg
C. 180 mg
RATIONALE: 15 mg/kg × 12 kg = 180 mg. The nurse should administer 180 mg
of acetaminophen.
3. A 4-year-old child is admitted with croup. Which clinical manifestation should
the nurse expect to assess?
A. Barking cough and inspiratory stridor
B. Productive cough and crackles
C. Wheezing and prolonged expiration
D. Grunting and nasal flaring
, A. Barking cough and inspiratory stridor
RATIONALE: Croup (laryngotracheobronchitis) is characterized by a barking,
seal-like cough and inspiratory stridor due to subglottic edema. Wheezing and
prolonged expiration are associated with asthma or bronchiolitis.
4. A nurse is caring for an infant with tetralogy of Fallot. Which position should
the nurse place the infant in during a hypercyanotic spell?
A. Supine with legs elevated
B. Knee-chest position
C. Trendelenburg position
D. Left lateral recumbent position
B. Knee-chest position
RATIONALE: The knee-chest position increases systemic vascular resistance,
which decreases right-to-left shunting and improves pulmonary blood flow during
a hypercyanotic (tet) spell.
5. A nurse is teaching a parent about introducing solid foods to an infant. Which
food should the nurse recommend introducing first?
A. Iron-fortified rice cereal
B. Pureed fruits
C. Whole milk
D. Egg whites
A. Iron-fortified rice cereal
RATIONALE: Iron-fortified rice cereal is typically the first solid food introduced
at 6 months because it is easily digested and provides needed iron. Whole milk is
not recommended before 12 months.
6. A 2-year-old child is admitted with severe dehydration. Which assessment
finding indicates the child is severely dehydrated?
, A. Moist mucous membranes
B. Sunken fontanel
C. Capillary refill of 2 seconds
D. Blood pressure of 90/60 mmHg
B. Sunken fontanel
RATIONALE: A sunken fontanel in an infant or toddler indicates severe
dehydration. Moist mucous membranes and capillary refill of 2 seconds are
normal findings.
7. A nurse is assessing a child with suspected meningitis. Which finding should
the nurse report immediately?
A. Positive Brudzinski's sign
B. Heart rate of 100 bpm
C. Temperature of 38.5°C
D. Mild headache
A. Positive Brudzinski's sign
RATIONALE: Brudzinski's sign (involuntary flexion of the hips and knees when
the neck is flexed) indicates meningeal irritation and is a classic sign of meningitis.
8. A nurse is preparing to administer digoxin to an infant. Which action should
the nurse take before administering the medication?
A. Check the apical pulse for one full minute
B. Check the radial pulse for 30 seconds
C. Administer with food
D. Administer with an antacid
A. Check the apical pulse for one full minute
RATIONALE: Digoxin is withheld if the infant's apical pulse is below 90–110
bpm (depending on age). The apical pulse must be counted for one full minute
before administration.
