RN Hesi Pediatrics Exam Test Bank A Latest 2025-
2026 With 300 Real Exam Prep Questions and Correct
Answers with Rationales| PEDS Hesi RN Exam 2025
Test Bank | Pediatrics Hesi RN exam (Brand New!)
A child who weighs 18 pounds receives a prescription for amoxicillin 25
mg/kg/day by mouth in divided doses every 12 hours. The bottle is labelled,
"Amoxicillin for Oral Suspension, USP 400 mg per 5 mL."
How many mL should the nurse administer with each dose?
(Enter numerical value only. If rounding is required, round to the nearest tenth.)
Correct Answer (mL) : 1.3
Step 1: Convert the child's weight from pounds to kilograms. 18 pounds ÷ 2.2 =
8.18 kilograms
Step 2: Calculate the total daily dose of amoxicillin. 25 mg/kg/day x 8.18 kg =
204.5 mg/day
Step 3: Divide the total daily dose into two equal doses to be given every 12 hours.
204.5 mg/day ÷ 2 doses = 102.25 mg/dose
Step 4: Determine how many mL of the suspension contain 102.25 mg of
amoxicillin. 400 mg/5 mL = 80 mg/mL 102.25 mg ÷ 80 mg/mL = 1.28 mL
Which snack selected by a school-aged child with gastroesophageal reflux
indicates to the nurse that the child understands the dietary restrictions?
A. Sugar cookies.
B. Pizza.
C. Tacos.
D. Chocolate milkshake.
Correct Answer: A
The child with gastroesophageal reflux should avoid acidic and spicy foods, as well
as high-fat and high-sugar foods. Sugar cookies are a low-fat and low-sugar snack,
which indicates that the child understands the dietary restrictions. Choices B, C,
pg. 1
,and D are high in fat, sugar, or acid and may exacerbate gastroesophageal reflux
symptoms.
The nurse is caring for an adolescent with type 1 diabetes mellitus presenting with
an HbA1c of 11% (97 mmol/mol), thirst, and blurred vision. Which action should
the nurse take first?
A. Review prior insulin prescriptions.
B. Obtain point-of-care glucose.
C. Assess urine for ketones.
D. Check blood pressure.
Correct Answer: B
The adolescent's symptoms suggest that their blood glucose levels may be very
high. Obtaining a point-of-care glucose reading is the first step in assessing the
adolescent's current blood glucose levels and determining the appropriate course of
action.
Reviewing prior insulin prescriptions, assessing urine for ketones, and checking
blood pressure are also important interventions but should occur after the blood
glucose level has been determined.
The healthcare provider prescribes amoxicillin-clavulanic acid suspension 300 mg
by mouth (PO) three times daily (TID) for a child with a lower respiratory
infection. The bottle is labelled, 250 mg/5 mL.
How many mL should the nurse administer in a single dose?
(Enter numeric value only.)
Correct Answer (mL): 6
Given: Prescribed dose = 300 mg Concentration = 250 mg/5 mL
Let's plug in the values:
Amount (mL) = 300 mg / (250 mg/5 mL)
First, calculate the concentration in mg per mL: 250 mg / 5 mL = 50 mg/mL
Now substitute this value into the formula:
Amount (mL) = 300 mg / 50 mg/mL
Amount (mL) = 6 mL
pg. 2
,A 2-week-old female infant is hospitalized for the surgical repair of an umbilical
hernia. After returning to the postoperative neonatal unit, her respiratory rate and
heart rate have increased during the last hour. Which intervention should the nurse
implement?
A. Administer a prescription for a PRN analgesic.
B. Wrap the infant tightly and rock in rocking chair.
C. Record the findings in the child's record.
D. Notify the healthcare provider of these findings.
Correct Answer: D
An increase in both respiratory rate and heart rate in a postoperative neonate can be
indicative of potential complications or distress. It's important to communicate
these changes to the healthcare provider promptly so that further assessment and
appropriate interventions can be initiated if necessary.
A 4-year-old girl returns to the pediatrician's office for a postoperative visit
following hospitalization for minor surgery. When observing the child in the
waiting area, which behavior should the nurse consider normal for this age child?
A. Sits quietly in her mother's lap.
B. Draws picture of self with facial features.
C. Talks to an Imaginary friend.
D. Ignores other children in the play area.
Correct Answer: B
At the age of 4, children are typically developing fine motor skills and imaginative
play abilities. Drawing a picture of oneself with facial features indicates age-
appropriate development and cognitive growth. This behavior demonstrates the
child's ability to represent human figures with basic details and is considered a
normal developmental milestone.
(Possible correct answer: C.)
Rationale: Imaginary friends are a common and healthy part of imaginative play in
preschool-aged children (ages 3-6). This behavior supports cognitive development,
creativity, and social-emotional expression. It is a normal and expected finding.
pg. 3
, While some 4-year-olds may begin to include basic body parts (e.g., arms, legs), a
detailed self-portrait with facial features is more typical of a 5- to 6-year-old. This
is a bit ahead of expected fine motor development for this age.
A toddler is hospitalized with Kawasaki's disease. Pharmacological management
includes aspirin therapy. What is the primary benefit of the aspirin?
A. Minimize vascular inflammation.
B. Control high fever.
C. Manage irritability.
D. Reduce joint swelling.
Correct Answer: A
The primary benefit of aspirin therapy in the management of Kawasaki's disease is
to minimize vascular inflammation. Kawasaki's disease is a condition that
primarily affects the blood vessels, leading to inflammation in the arteries,
including the coronary arteries. Aspirin is used in this context for its anti-
inflammatory properties, which help reduce the inflammation of blood vessels and
prevent the development of complications, such as coronary artery aneurysms.
The nurse is admitting a 7-year-old child to the pediatric unit for abdominal pain.
To determine what the child understands about the reason for hospitalization, what
should the nurse do?
A. Find out what the parents have told the child
B. Review the note from the admitting practitioner
C. Ask the child why he came to the hospital today
D. Question the parents about why they brought the child to the hospital
Answer: C
A 5-year-old child is brought to the Emergency Department with high fever, sore
throat, difficulty speaking, and drooling. The caregiver states the child is extremely
irritable, anxious, and only wants to sit upright. What would be the nurse's priority
action in this situation?
A. Examine the child's oropharynx and call the physician.
B. Obtain vital signs and listen to breath sounds.
pg. 4
2026 With 300 Real Exam Prep Questions and Correct
Answers with Rationales| PEDS Hesi RN Exam 2025
Test Bank | Pediatrics Hesi RN exam (Brand New!)
A child who weighs 18 pounds receives a prescription for amoxicillin 25
mg/kg/day by mouth in divided doses every 12 hours. The bottle is labelled,
"Amoxicillin for Oral Suspension, USP 400 mg per 5 mL."
How many mL should the nurse administer with each dose?
(Enter numerical value only. If rounding is required, round to the nearest tenth.)
Correct Answer (mL) : 1.3
Step 1: Convert the child's weight from pounds to kilograms. 18 pounds ÷ 2.2 =
8.18 kilograms
Step 2: Calculate the total daily dose of amoxicillin. 25 mg/kg/day x 8.18 kg =
204.5 mg/day
Step 3: Divide the total daily dose into two equal doses to be given every 12 hours.
204.5 mg/day ÷ 2 doses = 102.25 mg/dose
Step 4: Determine how many mL of the suspension contain 102.25 mg of
amoxicillin. 400 mg/5 mL = 80 mg/mL 102.25 mg ÷ 80 mg/mL = 1.28 mL
Which snack selected by a school-aged child with gastroesophageal reflux
indicates to the nurse that the child understands the dietary restrictions?
A. Sugar cookies.
B. Pizza.
C. Tacos.
D. Chocolate milkshake.
Correct Answer: A
The child with gastroesophageal reflux should avoid acidic and spicy foods, as well
as high-fat and high-sugar foods. Sugar cookies are a low-fat and low-sugar snack,
which indicates that the child understands the dietary restrictions. Choices B, C,
pg. 1
,and D are high in fat, sugar, or acid and may exacerbate gastroesophageal reflux
symptoms.
The nurse is caring for an adolescent with type 1 diabetes mellitus presenting with
an HbA1c of 11% (97 mmol/mol), thirst, and blurred vision. Which action should
the nurse take first?
A. Review prior insulin prescriptions.
B. Obtain point-of-care glucose.
C. Assess urine for ketones.
D. Check blood pressure.
Correct Answer: B
The adolescent's symptoms suggest that their blood glucose levels may be very
high. Obtaining a point-of-care glucose reading is the first step in assessing the
adolescent's current blood glucose levels and determining the appropriate course of
action.
Reviewing prior insulin prescriptions, assessing urine for ketones, and checking
blood pressure are also important interventions but should occur after the blood
glucose level has been determined.
The healthcare provider prescribes amoxicillin-clavulanic acid suspension 300 mg
by mouth (PO) three times daily (TID) for a child with a lower respiratory
infection. The bottle is labelled, 250 mg/5 mL.
How many mL should the nurse administer in a single dose?
(Enter numeric value only.)
Correct Answer (mL): 6
Given: Prescribed dose = 300 mg Concentration = 250 mg/5 mL
Let's plug in the values:
Amount (mL) = 300 mg / (250 mg/5 mL)
First, calculate the concentration in mg per mL: 250 mg / 5 mL = 50 mg/mL
Now substitute this value into the formula:
Amount (mL) = 300 mg / 50 mg/mL
Amount (mL) = 6 mL
pg. 2
,A 2-week-old female infant is hospitalized for the surgical repair of an umbilical
hernia. After returning to the postoperative neonatal unit, her respiratory rate and
heart rate have increased during the last hour. Which intervention should the nurse
implement?
A. Administer a prescription for a PRN analgesic.
B. Wrap the infant tightly and rock in rocking chair.
C. Record the findings in the child's record.
D. Notify the healthcare provider of these findings.
Correct Answer: D
An increase in both respiratory rate and heart rate in a postoperative neonate can be
indicative of potential complications or distress. It's important to communicate
these changes to the healthcare provider promptly so that further assessment and
appropriate interventions can be initiated if necessary.
A 4-year-old girl returns to the pediatrician's office for a postoperative visit
following hospitalization for minor surgery. When observing the child in the
waiting area, which behavior should the nurse consider normal for this age child?
A. Sits quietly in her mother's lap.
B. Draws picture of self with facial features.
C. Talks to an Imaginary friend.
D. Ignores other children in the play area.
Correct Answer: B
At the age of 4, children are typically developing fine motor skills and imaginative
play abilities. Drawing a picture of oneself with facial features indicates age-
appropriate development and cognitive growth. This behavior demonstrates the
child's ability to represent human figures with basic details and is considered a
normal developmental milestone.
(Possible correct answer: C.)
Rationale: Imaginary friends are a common and healthy part of imaginative play in
preschool-aged children (ages 3-6). This behavior supports cognitive development,
creativity, and social-emotional expression. It is a normal and expected finding.
pg. 3
, While some 4-year-olds may begin to include basic body parts (e.g., arms, legs), a
detailed self-portrait with facial features is more typical of a 5- to 6-year-old. This
is a bit ahead of expected fine motor development for this age.
A toddler is hospitalized with Kawasaki's disease. Pharmacological management
includes aspirin therapy. What is the primary benefit of the aspirin?
A. Minimize vascular inflammation.
B. Control high fever.
C. Manage irritability.
D. Reduce joint swelling.
Correct Answer: A
The primary benefit of aspirin therapy in the management of Kawasaki's disease is
to minimize vascular inflammation. Kawasaki's disease is a condition that
primarily affects the blood vessels, leading to inflammation in the arteries,
including the coronary arteries. Aspirin is used in this context for its anti-
inflammatory properties, which help reduce the inflammation of blood vessels and
prevent the development of complications, such as coronary artery aneurysms.
The nurse is admitting a 7-year-old child to the pediatric unit for abdominal pain.
To determine what the child understands about the reason for hospitalization, what
should the nurse do?
A. Find out what the parents have told the child
B. Review the note from the admitting practitioner
C. Ask the child why he came to the hospital today
D. Question the parents about why they brought the child to the hospital
Answer: C
A 5-year-old child is brought to the Emergency Department with high fever, sore
throat, difficulty speaking, and drooling. The caregiver states the child is extremely
irritable, anxious, and only wants to sit upright. What would be the nurse's priority
action in this situation?
A. Examine the child's oropharynx and call the physician.
B. Obtain vital signs and listen to breath sounds.
pg. 4
