HESI RN Pediatric 2025 Updated Practice Exam
Questions and Verified Rationalized Answers
100% Guaranteed Pass
1. The nurse is giving pre-op instructions to a 14 yr old female scheduled for surgery to
correct a spinal curvature. Which stmt best demonstrates that
leaning has taken place?: "I understand that I will be in a body cast and I will show you how you
taught me to turn"
2. To take the v/s of a 4 month old, which ordered will give the most accurate results?: RR
- HR - rectal temp
3. During routine screening at a school clinic, an otoscope exam reveals a tympanic mb
that is pearly gray, slightly bulging, and not movable.What action should the nurse take
next?: Ask the child if they have had a cold, runny nose, or any ear pain lately
4. Which restraint should be used for a toddler after a cleft palate repair?: El- bow
5. What pre-op nsg intervention should be included in the POC for an infant w/ pyloric
stenosis?: Observe for projectile vomiting
(remember that projectile vomiting leads to metabolic alkalosis)
6. A 6 month old returns from surgery w/ elbow restraints in place. What nsg care should
be included when caring for any restrained child?: Remove the restraints one at a time
and provide ROM exercises
(Removing them 1 at a time is safer than all at once)
7. A 2 yr old w/ Down syndrome is brought to the clinic for his regular physical exam. The
nurse knows which problem is requently associated w/ Downs?: -
,Congenital heart disease
(CHD is the most common associated defect w/ Downs. - also, remember Professor Moore sai
that heart and ear problems go hand in hand)
8. When assessing a child w/ asthma, the nurse should expect intercostal retractions
during: Inspriation
9. When planning the care for a child who has had a cleft lip repair, the nurse know that
crying should be minimized because it: Stresses the suture line
10. A full-term infant is admitted to the newborn nursery. After careful assess- ment, the
nurse suspects that the infant may have an esophageal atresia. Which sx's is this
newborn likely to have exhibited?: Choking , coughing, and cyanosis
(this answer includes the 3 "C"s of esophageal atresia caused by the overflow of secretions to
the trachea)
, 11. Which behavior would the nurse expect a 2 yr old to exhibit?: Display
possessiveness of toys
(they are egocentric and unable to share w/ others)
12. the other of a preschool-aged child asks the nurse if it is all right to admin- ister Pepto
Bismol to her son when he has a tummy ache. After reminding her to check the label of all
OTC meds for the presence of ASA, which instruction should the nurse include when
replying to the mom's question?: Do not give if they have chicken pox, the flue, or any other
viral illness
(ASA can cause Reye's syndrome)
13. the nurse observes a 4 yr old boy in a daycare. Which behavior should the nurse
consider normal for this child?: Demonstrates aggressiveness by boasting when telling a
story
14. A burned child is brought to the ER. In estimating the % of body burned, the nurse uses a
modified "Rule of Nines." Which part of the body is calculated as a larger % of total body
surface than an adult?: Head and neck
(a child's head and neck are proportionately larger to their body than an adult's)
15. The nurse receives a lab report stating a child w/ asthma has a theophylline level of
15mcg/dL.What action will the nurse take?: Pass the info on in the report
(therapeutic level is 10-20)
16. A 12 month old is admitted w/ a respiratory infection and possible pneumo- nia. He is
placed in a mist tent w/ O2. Which nsg intervention has the greatest priority?: Have a bulb
Questions and Verified Rationalized Answers
100% Guaranteed Pass
1. The nurse is giving pre-op instructions to a 14 yr old female scheduled for surgery to
correct a spinal curvature. Which stmt best demonstrates that
leaning has taken place?: "I understand that I will be in a body cast and I will show you how you
taught me to turn"
2. To take the v/s of a 4 month old, which ordered will give the most accurate results?: RR
- HR - rectal temp
3. During routine screening at a school clinic, an otoscope exam reveals a tympanic mb
that is pearly gray, slightly bulging, and not movable.What action should the nurse take
next?: Ask the child if they have had a cold, runny nose, or any ear pain lately
4. Which restraint should be used for a toddler after a cleft palate repair?: El- bow
5. What pre-op nsg intervention should be included in the POC for an infant w/ pyloric
stenosis?: Observe for projectile vomiting
(remember that projectile vomiting leads to metabolic alkalosis)
6. A 6 month old returns from surgery w/ elbow restraints in place. What nsg care should
be included when caring for any restrained child?: Remove the restraints one at a time
and provide ROM exercises
(Removing them 1 at a time is safer than all at once)
7. A 2 yr old w/ Down syndrome is brought to the clinic for his regular physical exam. The
nurse knows which problem is requently associated w/ Downs?: -
,Congenital heart disease
(CHD is the most common associated defect w/ Downs. - also, remember Professor Moore sai
that heart and ear problems go hand in hand)
8. When assessing a child w/ asthma, the nurse should expect intercostal retractions
during: Inspriation
9. When planning the care for a child who has had a cleft lip repair, the nurse know that
crying should be minimized because it: Stresses the suture line
10. A full-term infant is admitted to the newborn nursery. After careful assess- ment, the
nurse suspects that the infant may have an esophageal atresia. Which sx's is this
newborn likely to have exhibited?: Choking , coughing, and cyanosis
(this answer includes the 3 "C"s of esophageal atresia caused by the overflow of secretions to
the trachea)
, 11. Which behavior would the nurse expect a 2 yr old to exhibit?: Display
possessiveness of toys
(they are egocentric and unable to share w/ others)
12. the other of a preschool-aged child asks the nurse if it is all right to admin- ister Pepto
Bismol to her son when he has a tummy ache. After reminding her to check the label of all
OTC meds for the presence of ASA, which instruction should the nurse include when
replying to the mom's question?: Do not give if they have chicken pox, the flue, or any other
viral illness
(ASA can cause Reye's syndrome)
13. the nurse observes a 4 yr old boy in a daycare. Which behavior should the nurse
consider normal for this child?: Demonstrates aggressiveness by boasting when telling a
story
14. A burned child is brought to the ER. In estimating the % of body burned, the nurse uses a
modified "Rule of Nines." Which part of the body is calculated as a larger % of total body
surface than an adult?: Head and neck
(a child's head and neck are proportionately larger to their body than an adult's)
15. The nurse receives a lab report stating a child w/ asthma has a theophylline level of
15mcg/dL.What action will the nurse take?: Pass the info on in the report
(therapeutic level is 10-20)
16. A 12 month old is admitted w/ a respiratory infection and possible pneumo- nia. He is
placed in a mist tent w/ O2. Which nsg intervention has the greatest priority?: Have a bulb
