8/13/25, 3:40 AM Pediatrics HESI 2023
PEDIATRICS HESI 2023 NEWEST VERSION WITH
COMPLETE QUESTIONS AND ACCURATE DETAILED
ANSWERS \ACTUAL EXAM STUDY GUIDE 2025-2026
\LATEST VERSION
A. Monitor the the infant's weight and number of wet diapers
A 3-week-old newborn is
per day.
brought to the clinic for
B. Increase the infant's intake per feeding by 1 to 2 ounces
follow-up after a home per week.
birth. The mother reports D. Allow the infant to rest and refeed on demand or every 2
that her child bottle feeds hours.
E. Use a softer nipple or increase the size of the nipple
for 5 minutes only and opening.
then falls asleep. The
Antibiotic prophylaxis is recommended for infants with
nurse auscultates a loud
VSDs, but should not be mixed in a bottle of formula (C)
murmur because it is difficult to ensure that the total dose is
consumed.
characteristic of a
ventricular septal defect They should be monitored for weight gain and at least 6 wet
(VSD), and finds the diapers per day (A). A one-month old infant should ingest 2
to 4 ounces of formula per feeding and
newborn is acyanotic with
progress to about 30 ounces per day by 4-months of age
a respiratory rate of 64 (B)
breaths per
minute. What instruction
should the nurse provide
the mother to ensure the
infant is receiving
adequate intake? (Select
all that apply.)
A. Monitor the the
infant's weight and
number of wet diapers
per day.
B. Increase the infant's
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,8/13/25, 3:40 AM Pediatrics HESI 2023
intake per feeding by 1
to 2 ounces per week.
C. Mix the dose of
prophylactic antibiotic in
a full bottle of formula.
D. Allow the infant to rest
and refeed on demand
or every 2 hours.
E. Use a softer nipple or
increase the size of the
nipple opening.
Concern for body integrity.
A preschool-age child who
is hospitalized for
The preschooler's major stressor is concern for his
hypospadias repair is
body integrity (C). He fears that his "insides will leak
most strongly
out." A child undergoing surgery to his genitalia is
influenced by which
even more
behavior? Ability to
concerned about body integrity. The preschooler is
communicate verbally.
quite verbal, so comprehension of the words he uses or
Response to separation
hears may be inaccurate, while his imagination and fears
from family. Concern
may fantasize the reality (A). (B) is a concern for all
for body integrity.
Socialization with other children, but of most concern to the toddler. (D) is not
children. a prime concern in this situation.
A six-month-old returns Remove restraints one at a time and provide range of motion
from surgery with elbow exercises.
restraints in place. What
Removing restraints one at a time (B) is safer than
nursing care should be
removing all of them at once (C). The child needs to
included when caring for
exercise and should not be kept in restraints at all
any restrained child?
times (A). The renewal of the healthcare provider's
Keep restraints on at
prescription varies with hospitals (D), and it does not
all times. Remove
really answer the question.
restraints one at a time
and provide range of
motion exercises.
Remove all restraints
simultaneously and provide
play activities.
Renew the healthcare
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,8/13/25, 3:40 AM Pediatrics HESI 2023
provider's
prescription for restraints
every 72 hours.
All of the following Assessing fontanels.
interventions can be used
to evaluate the All of these interventions evaluate fluid status in infants.
effectiveness of But, how old is this child? Posterior fontanel closes at 2
nursing and medical months and anterior fontanel closes by 18 months of
interventions used to treat age (B)! Remember normal growth and
diarrhea. Which intervention development!
is least useful in the nurse's
evaluation of a 20-
month-old
child?
Weighing
diapers.
Assessing
fontanels.
Checking skin turgor.
Observing mucous
membranes for
moisture.
As part of the physical A 6-month-old with failure to thrive that has a closed anterior
assessment of fontanel.
children, the nurse
observes and palpates the At six months of age the anterior fontanel should be open, and it
should not be
fontanels. Which child's
closed until approximately 18 months of age. (B and C)
fontanel finding should be
are normal findings. A child with hydrocephalus may
reported to the healthcare
provider? have a delayed closing of the fontanel (D).
A 6-month-old with failure to
thrive that has a closed
anterior fontanel.
A 24-month-old with
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, 8/13/25, 3:40 AM Pediatrics HESI 2023
gastroenteritis that has a
closed posterior
fontanel.
A 2-month-old with
chickenpox that has an open
posterior fontanel.
A 28-month-old with
hydrocephalus that has an
open anterior fontanel.
The nurse receives a lab Pass the information on in the report.
report stating a child with
asthma has a theophylline The therapeutic level of theophylline is 10 to 20 mcg/dl,
level of 15 mcg/dl. What so the child's level is within the therapeutic range. This
action will the nurse take? information evaluates the prescribed therapy and should
Pass the information on in be communicated in the nurse's report (A). (B, C, and
the report. Notify the D) would be inappropriate actions in view of the
healthcare provider because laboratory finding.
the value is high.
Repeat the lab study
because the value is too
high.
Hold the next dose of
theophylline.
/ 4/182
PEDIATRICS HESI 2023 NEWEST VERSION WITH
COMPLETE QUESTIONS AND ACCURATE DETAILED
ANSWERS \ACTUAL EXAM STUDY GUIDE 2025-2026
\LATEST VERSION
A. Monitor the the infant's weight and number of wet diapers
A 3-week-old newborn is
per day.
brought to the clinic for
B. Increase the infant's intake per feeding by 1 to 2 ounces
follow-up after a home per week.
birth. The mother reports D. Allow the infant to rest and refeed on demand or every 2
that her child bottle feeds hours.
E. Use a softer nipple or increase the size of the nipple
for 5 minutes only and opening.
then falls asleep. The
Antibiotic prophylaxis is recommended for infants with
nurse auscultates a loud
VSDs, but should not be mixed in a bottle of formula (C)
murmur because it is difficult to ensure that the total dose is
consumed.
characteristic of a
ventricular septal defect They should be monitored for weight gain and at least 6 wet
(VSD), and finds the diapers per day (A). A one-month old infant should ingest 2
to 4 ounces of formula per feeding and
newborn is acyanotic with
progress to about 30 ounces per day by 4-months of age
a respiratory rate of 64 (B)
breaths per
minute. What instruction
should the nurse provide
the mother to ensure the
infant is receiving
adequate intake? (Select
all that apply.)
A. Monitor the the
infant's weight and
number of wet diapers
per day.
B. Increase the infant's
/ 1/182
,8/13/25, 3:40 AM Pediatrics HESI 2023
intake per feeding by 1
to 2 ounces per week.
C. Mix the dose of
prophylactic antibiotic in
a full bottle of formula.
D. Allow the infant to rest
and refeed on demand
or every 2 hours.
E. Use a softer nipple or
increase the size of the
nipple opening.
Concern for body integrity.
A preschool-age child who
is hospitalized for
The preschooler's major stressor is concern for his
hypospadias repair is
body integrity (C). He fears that his "insides will leak
most strongly
out." A child undergoing surgery to his genitalia is
influenced by which
even more
behavior? Ability to
concerned about body integrity. The preschooler is
communicate verbally.
quite verbal, so comprehension of the words he uses or
Response to separation
hears may be inaccurate, while his imagination and fears
from family. Concern
may fantasize the reality (A). (B) is a concern for all
for body integrity.
Socialization with other children, but of most concern to the toddler. (D) is not
children. a prime concern in this situation.
A six-month-old returns Remove restraints one at a time and provide range of motion
from surgery with elbow exercises.
restraints in place. What
Removing restraints one at a time (B) is safer than
nursing care should be
removing all of them at once (C). The child needs to
included when caring for
exercise and should not be kept in restraints at all
any restrained child?
times (A). The renewal of the healthcare provider's
Keep restraints on at
prescription varies with hospitals (D), and it does not
all times. Remove
really answer the question.
restraints one at a time
and provide range of
motion exercises.
Remove all restraints
simultaneously and provide
play activities.
Renew the healthcare
/ 2/182
,8/13/25, 3:40 AM Pediatrics HESI 2023
provider's
prescription for restraints
every 72 hours.
All of the following Assessing fontanels.
interventions can be used
to evaluate the All of these interventions evaluate fluid status in infants.
effectiveness of But, how old is this child? Posterior fontanel closes at 2
nursing and medical months and anterior fontanel closes by 18 months of
interventions used to treat age (B)! Remember normal growth and
diarrhea. Which intervention development!
is least useful in the nurse's
evaluation of a 20-
month-old
child?
Weighing
diapers.
Assessing
fontanels.
Checking skin turgor.
Observing mucous
membranes for
moisture.
As part of the physical A 6-month-old with failure to thrive that has a closed anterior
assessment of fontanel.
children, the nurse
observes and palpates the At six months of age the anterior fontanel should be open, and it
should not be
fontanels. Which child's
closed until approximately 18 months of age. (B and C)
fontanel finding should be
are normal findings. A child with hydrocephalus may
reported to the healthcare
provider? have a delayed closing of the fontanel (D).
A 6-month-old with failure to
thrive that has a closed
anterior fontanel.
A 24-month-old with
/ 3/182
, 8/13/25, 3:40 AM Pediatrics HESI 2023
gastroenteritis that has a
closed posterior
fontanel.
A 2-month-old with
chickenpox that has an open
posterior fontanel.
A 28-month-old with
hydrocephalus that has an
open anterior fontanel.
The nurse receives a lab Pass the information on in the report.
report stating a child with
asthma has a theophylline The therapeutic level of theophylline is 10 to 20 mcg/dl,
level of 15 mcg/dl. What so the child's level is within the therapeutic range. This
action will the nurse take? information evaluates the prescribed therapy and should
Pass the information on in be communicated in the nurse's report (A). (B, C, and
the report. Notify the D) would be inappropriate actions in view of the
healthcare provider because laboratory finding.
the value is high.
Repeat the lab study
because the value is too
high.
Hold the next dose of
theophylline.
/ 4/182
