2024 HESI Pediatrics Exit Exam – Real
Exam Questions with Verified Answers |
Graded A+ | Original Copy
June 06, 2025
Contents
1 Exam Questions 2
1
, Introduction
This document provides 80 pediatric-focused multiple-choice questions (MCQs) for the
2024 HESI RN Exit Exam, designed in NCLEX-style format. Questions cover immu-
nizations, growth and development, medication safety, pediatric disorders, and nursing
interventions. Each question includes four answer options, one 100% verified correct an-
swer, and a clear rationale immediately following the question. The content is formatted
for professional PDF use, ensuring a clean and organized layout for exam preparation.
1 Exam Questions
Question 1: A 12-month-old is scheduled for routine vaccinations. Which vaccine is recom-
mended at this age per the 2024 CDC schedule?
a) Hepatitis A
b) Measles, Mumps, Rubella (MMR)
c) Human Papillomavirus (HPV)
d) Meningococcal conjugate
Correct Answer: b) Measles, Mumps, Rubella (MMR)
Rationale: The CDC recommends the first dose of MMR at 12–15 months to
protect against measles, mumps, and rubella. Hepatitis A is given at 12–23 months,
HPV at 11–12 years, and meningococcal conjugate at 11–12 years.
Question 2: A nurse assesses a 3-year-old’s developmental milestones. Which behavior is ex-
pected at this age?
a) Rides a bicycle independently
b) Draws a circle and names colors
c) Reads simple sentences
d) Solves basic math problems
Correct Answer: b) Draws a circle and names colors
Rationale: By age 3, children can draw a circle and name colors, indicating fine
motor and cognitive development. Bicycle riding occurs around age 5, reading at
6–7 years, and math skills later.
Question 3: A nurse is administering amoxicillin to a 20-kg child prescribed 40 mg/kg/day in
two divided doses. How many milligrams should each dose be?
a) 200 mg
b) 400 mg
c) 600 mg
d) 800 mg
2
, Correct Answer: b) 400 mg
Rationale: Calculate the daily dose: 40 mg/kg × 20 kg = 800 mg/day. Divide by
two doses: 800 mg ÷ 2 = 400 mg per dose. Other options are incorrect calculations.
Question 4: A 5-year-old presents with fever, sore throat, and a “sandpaper” rash. What con-
dition should the nurse suspect?
a) Scarlet fever
b) Measles
c) Fifth disease
d) Kawasaki disease
Correct Answer: a) Scarlet fever
Rationale: Scarlet fever, caused by group A Streptococcus, presents with fever,
sore throat, and a characteristic sandpaper rash. Measles includes a maculopapular
rash, fifth disease causes a “slapped cheek” rash, and Kawasaki involves prolonged
fever and mucosal changes.
Question 5: A nurse is caring for a 2-year-old with dehydration due to vomiting. Which inter-
vention is the priority?
a) Administer oral rehydration solution
b) Start IV antibiotics
c) Teach parents about hand hygiene
d) Obtain a stool culture
Correct Answer: a) Administer oral rehydration solution
Rationale: The priority for dehydration is restoring fluid balance using oral re-
hydration solution for mild to moderate cases. Antibiotics and cultures address
infection, not fluid loss, and teaching is secondary.
Question 6: A 6-month-old is due for vaccinations. Which vaccine is typically administered at
this age?
a) Varicella
b) Influenza
c) Tetanus, Diphtheria, Pertussis (DTaP)
d) Hepatitis B
Correct Answer: c) Tetanus, Diphtheria, Pertussis (DTaP)
Rationale: The CDC schedule includes the third dose of DTaP at 6 months to pro-
tect against tetanus, diphtheria, and pertussis. Varicella is given at 12–15 months,
influenza annually from 6 months, and hepatitis B at birth, 1–2 months, and 6–18
months.
3
Exam Questions with Verified Answers |
Graded A+ | Original Copy
June 06, 2025
Contents
1 Exam Questions 2
1
, Introduction
This document provides 80 pediatric-focused multiple-choice questions (MCQs) for the
2024 HESI RN Exit Exam, designed in NCLEX-style format. Questions cover immu-
nizations, growth and development, medication safety, pediatric disorders, and nursing
interventions. Each question includes four answer options, one 100% verified correct an-
swer, and a clear rationale immediately following the question. The content is formatted
for professional PDF use, ensuring a clean and organized layout for exam preparation.
1 Exam Questions
Question 1: A 12-month-old is scheduled for routine vaccinations. Which vaccine is recom-
mended at this age per the 2024 CDC schedule?
a) Hepatitis A
b) Measles, Mumps, Rubella (MMR)
c) Human Papillomavirus (HPV)
d) Meningococcal conjugate
Correct Answer: b) Measles, Mumps, Rubella (MMR)
Rationale: The CDC recommends the first dose of MMR at 12–15 months to
protect against measles, mumps, and rubella. Hepatitis A is given at 12–23 months,
HPV at 11–12 years, and meningococcal conjugate at 11–12 years.
Question 2: A nurse assesses a 3-year-old’s developmental milestones. Which behavior is ex-
pected at this age?
a) Rides a bicycle independently
b) Draws a circle and names colors
c) Reads simple sentences
d) Solves basic math problems
Correct Answer: b) Draws a circle and names colors
Rationale: By age 3, children can draw a circle and name colors, indicating fine
motor and cognitive development. Bicycle riding occurs around age 5, reading at
6–7 years, and math skills later.
Question 3: A nurse is administering amoxicillin to a 20-kg child prescribed 40 mg/kg/day in
two divided doses. How many milligrams should each dose be?
a) 200 mg
b) 400 mg
c) 600 mg
d) 800 mg
2
, Correct Answer: b) 400 mg
Rationale: Calculate the daily dose: 40 mg/kg × 20 kg = 800 mg/day. Divide by
two doses: 800 mg ÷ 2 = 400 mg per dose. Other options are incorrect calculations.
Question 4: A 5-year-old presents with fever, sore throat, and a “sandpaper” rash. What con-
dition should the nurse suspect?
a) Scarlet fever
b) Measles
c) Fifth disease
d) Kawasaki disease
Correct Answer: a) Scarlet fever
Rationale: Scarlet fever, caused by group A Streptococcus, presents with fever,
sore throat, and a characteristic sandpaper rash. Measles includes a maculopapular
rash, fifth disease causes a “slapped cheek” rash, and Kawasaki involves prolonged
fever and mucosal changes.
Question 5: A nurse is caring for a 2-year-old with dehydration due to vomiting. Which inter-
vention is the priority?
a) Administer oral rehydration solution
b) Start IV antibiotics
c) Teach parents about hand hygiene
d) Obtain a stool culture
Correct Answer: a) Administer oral rehydration solution
Rationale: The priority for dehydration is restoring fluid balance using oral re-
hydration solution for mild to moderate cases. Antibiotics and cultures address
infection, not fluid loss, and teaching is secondary.
Question 6: A 6-month-old is due for vaccinations. Which vaccine is typically administered at
this age?
a) Varicella
b) Influenza
c) Tetanus, Diphtheria, Pertussis (DTaP)
d) Hepatitis B
Correct Answer: c) Tetanus, Diphtheria, Pertussis (DTaP)
Rationale: The CDC schedule includes the third dose of DTaP at 6 months to pro-
tect against tetanus, diphtheria, and pertussis. Varicella is given at 12–15 months,
influenza annually from 6 months, and hepatitis B at birth, 1–2 months, and 6–18
months.
3
