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HESI Pediatrics Exit
Exam 2025 – actual
Exam Questions with
100% Verified
Answers | Graded A+
Growth and Development
1. A nurse is assessing a 3-year-old at a well-child visit. Which developmental
milestone is expected?
a) Reads simple words
b) Rides a tricycle
c) Ties shoelaces
d) Solves simple math problems
Answer: b) Rides a tricycle
Rationale: A 3-year-old typically develops gross motor skills to ride a tricycle. Reading
words, tying shoelaces, and solving math problems are expected at older ages (5–7
years), per HESI pediatric developmental guidelines.
2. A parent reports their 18-month-old is not speaking in sentences. What is the
nurse’s best response?
a) “This is a significant delay; we’ll refer to a specialist.”
b) “Let’s monitor speech development at the next visit.”
c) “Start speech therapy immediately.”
d) “This is normal; sentences start at age 3.”
Answer: b) “Let’s monitor speech development at the next visit.”
Rationale: At 18 months, children typically use single words or short phrases. Sentences
are expected by age 2–3. Monitoring is appropriate unless other delays are present, per
HESI standards.
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3. A 6-month-old is assessed for developmental milestones. Which finding requires
further evaluation?
a) Sits with support
b) Transfers objects hand-to-hand
c) Does not roll over
d) Responds to name
Answer: c) Does not roll over
Rationale: A 6-month-old should roll over in both directions. Failure to do so may
indicate a motor delay, requiring further assessment, per HESI pediatric guidelines.
4. A nurse is teaching parents about safety for a 2-year-old. Which instruction is
appropriate?
a) Allow play near stairs
b) Secure cabinets with locks
c) Permit small toys for play
d) Use a walker for mobility
Answer: b) Secure cabinets with locks
Rationale: Two-year-olds are curious and mobile, increasing risk for poisoning or injury.
Securing cabinets prevents access to hazards, per HESI safety guidelines.
5. A 4-year-old demonstrates which cognitive ability, per Piaget’s theory?
a) Conservation of volume
b) Abstract reasoning
c) Egocentrism
d) Hypothetical thinking
Answer: c) Egocentrism
Rationale: In the preoperational stage (2–7 years), 4-year-olds exhibit egocentrism,
viewing the world from their perspective. Conservation develops later (7–11 years), per
HESI developmental standards.
6. Which immunization is administered at the 4–6-year well-child visit?
a) Hepatitis A
b) DTaP
c) Rotavirus
d) Hib
Answer: b) DTaP
Rationale: The DTaP booster is given at 4–6 years to protect against diphtheria, tetanus,
and pertussis, per CDC and HESI immunization schedules.
7. A nurse is counseling parents of a 12-month-old about nutrition. What is an
appropriate recommendation?
a) Offer whole cow’s milk
b) Provide fruit juice freely
c) Continue formula exclusively
d) Avoid solid foods
Answer: a) Offer whole cow’s milk
Rationale: Whole cow’s milk is recommended after 12 months to provide essential fats
and nutrients, while limiting juice prevents dental caries, per HESI nutrition guidelines.
Pediatric Diseases
HESI Pediatrics Exit
Exam 2025 – actual
Exam Questions with
100% Verified
Answers | Graded A+
Growth and Development
1. A nurse is assessing a 3-year-old at a well-child visit. Which developmental
milestone is expected?
a) Reads simple words
b) Rides a tricycle
c) Ties shoelaces
d) Solves simple math problems
Answer: b) Rides a tricycle
Rationale: A 3-year-old typically develops gross motor skills to ride a tricycle. Reading
words, tying shoelaces, and solving math problems are expected at older ages (5–7
years), per HESI pediatric developmental guidelines.
2. A parent reports their 18-month-old is not speaking in sentences. What is the
nurse’s best response?
a) “This is a significant delay; we’ll refer to a specialist.”
b) “Let’s monitor speech development at the next visit.”
c) “Start speech therapy immediately.”
d) “This is normal; sentences start at age 3.”
Answer: b) “Let’s monitor speech development at the next visit.”
Rationale: At 18 months, children typically use single words or short phrases. Sentences
are expected by age 2–3. Monitoring is appropriate unless other delays are present, per
HESI standards.
, 2
3. A 6-month-old is assessed for developmental milestones. Which finding requires
further evaluation?
a) Sits with support
b) Transfers objects hand-to-hand
c) Does not roll over
d) Responds to name
Answer: c) Does not roll over
Rationale: A 6-month-old should roll over in both directions. Failure to do so may
indicate a motor delay, requiring further assessment, per HESI pediatric guidelines.
4. A nurse is teaching parents about safety for a 2-year-old. Which instruction is
appropriate?
a) Allow play near stairs
b) Secure cabinets with locks
c) Permit small toys for play
d) Use a walker for mobility
Answer: b) Secure cabinets with locks
Rationale: Two-year-olds are curious and mobile, increasing risk for poisoning or injury.
Securing cabinets prevents access to hazards, per HESI safety guidelines.
5. A 4-year-old demonstrates which cognitive ability, per Piaget’s theory?
a) Conservation of volume
b) Abstract reasoning
c) Egocentrism
d) Hypothetical thinking
Answer: c) Egocentrism
Rationale: In the preoperational stage (2–7 years), 4-year-olds exhibit egocentrism,
viewing the world from their perspective. Conservation develops later (7–11 years), per
HESI developmental standards.
6. Which immunization is administered at the 4–6-year well-child visit?
a) Hepatitis A
b) DTaP
c) Rotavirus
d) Hib
Answer: b) DTaP
Rationale: The DTaP booster is given at 4–6 years to protect against diphtheria, tetanus,
and pertussis, per CDC and HESI immunization schedules.
7. A nurse is counseling parents of a 12-month-old about nutrition. What is an
appropriate recommendation?
a) Offer whole cow’s milk
b) Provide fruit juice freely
c) Continue formula exclusively
d) Avoid solid foods
Answer: a) Offer whole cow’s milk
Rationale: Whole cow’s milk is recommended after 12 months to provide essential fats
and nutrients, while limiting juice prevents dental caries, per HESI nutrition guidelines.
Pediatric Diseases
