Fall SemeSter 2025 | HeSI PedIatrIcS
comPreHenSIve Study GuIde & exam PreP Bundle
| uPdated 2024–2025 PedIatrIc nurSInG revIew,
GrowtH and develoPment, PedIatrIc dISorderS,
medIcatIon admInIStratIon, nurSInG
InterventIonS, FamIly-centered care & HIGH-
yIeld nclex PreP noteS
HESI PEDIATRICS WITH COMPLETE QUESTIONS AND WELL-ELABORATED
SOLUTIONS
Actual Real Exam Questions and Answers | Practice Exam Test Bank and Study Guide |
Professional Certification Review
Overview
The HESI Pediatrics exam is designed to assess nursing students' understanding of
pediatric care concepts and their ability to apply this knowledge in clinical settings. This
exam is relevant for those preparing for the NCLEX and other professional certification
assessments. It helps learners reinforce their understanding of key pediatric principles,
improve critical thinking skills, and be better prepared for real-world clinical challenges.
Key Features
• Actual exam-style questions from recent testing cycles
• Well-elaborated solutions with clinical/academic reasoning
• Comprehensive practice test bank with varied difficulty levels
• Updated guidelines, protocols, and concepts
• Scenario-based applications with real-world contexts
Exam Components
• Actual Exam Questions Bank: 170 questions
• Comprehensive Practice Exam: 50 questions
• Study Guide Section: Concept review and explanations
Core Content Areas
1. Growth and Development - 20 questions
, 2. Pediatric Nursing Concepts - 25 questions
3. Pharmacology in Pediatrics - 20 questions
4. Nutrition - 15 questions
5. Family-Centered Care - 20 questions
6. Infectious Diseases - 20 questions
7. Chronic Conditions and Disabilities - 25 questions
8. Emergency Care - 20 questions
9. Mental Health in Pediatrics - 15 questions
10. Legal and Ethical Considerations - 10 questions
Answer Format
Verified correct answers provided in bold green with step-by-step rationales, evidence-
based explanations, intervention pathways, and concept clarifications.
Exam Questions
Question 1
Which of the following immunizations is recommended at 12 months of age?
• A) MMR (Measles, Mumps, Rubella)
• B) Hib (Haemophilus influenzae type b)
• C) Varicella
• D) DTaP (Diphtheria, Tetanus, Pertussis)
CORRECT OPTION: B) Hib (Haemophilus influenzae type b)
Rationale: The Hib vaccination is recommended at 12 months of age to protect against
serious infections caused by Haemophilus influenzae type b. The MMR vaccine is
typically administered between 12-15 months.
Question 2
A 4-year-old child presents with a high fever and a rash. Which condition is most
likely?
, • A) Chickenpox
• B) Scarlet fever
• C) Fifth disease
• D) Roseola
CORRECT OPTION: B) Scarlet fever
Rationale: Scarlet fever is characterized by a high fever and a distinctive rash, often
accompanying strep throat. Chickenpox requires vesicular lesions, which are not stated
here.
Question 3
What is the priority nursing intervention for a pediatric patient presenting with
severe dehydration?
• A) Administer oral rehydration solutions
• B) Initiate IV fluid therapy
• C) Monitor vital signs
• D) Provide antipyretics
CORRECT OPTION: B) Initiate IV fluid therapy
Rationale: For severe dehydration, IV fluid therapy is the priority intervention to rapidly
restore fluid and electrolyte balance. Oral rehydration is inadequate in severe cases.
Question 4
A nurse is assessing an 8-year-old child with a suspected asthma exacerbation.
Which finding would be most concerning?
• A) Use of accessory muscles for breathing
• B) Mild wheezing
• C) Coughing after exercise
• D) Slight chest tightness
CORRECT OPTION: A) Use of accessory muscles for breathing
Rationale: The use of accessory muscles indicates significant respiratory distress and
may suggest a severe asthma exacerbation requiring immediate intervention.
Question 5
, Which dietary modification should the nurse recommend for a child with
phenylketonuria (PKU)?
• A) Increase protein intake
• B) Include more dairy products
• C) Limit foods containing phenylalanine
• D) Avoid all carbohydrates
CORRECT OPTION: C) Limit foods containing phenylalanine
Rationale: Children with PKU cannot metabolize phenylalanine, found in many
proteins. A low-phenylalanine diet is essential for preventing cognitive impairment.
Question 6
A 2-year-old is brought to the clinic with a suspected urinary tract infection (UTI).
Which symptom is most indicative of a UTI in this age group?
• A) Diarrhea
• B) Increased appetite
• C) Foul-smelling urine
• D) Nasal congestion
CORRECT OPTION: C) Foul-smelling urine
Rationale: Foul-smelling urine is a common symptom of a UTI in children, along with
possible fever and irritability.
Question 7
What should a nurse teach the parents of a child with cystic fibrosis about diet?
• A) Increase fluid intake only
• B) High-calorie and high-fat diet
• C) Low-salt diet
• D) Vegetarian diet only
CORRECT OPTION: B) High-calorie and high-fat diet
Rationale: Children with cystic fibrosis require a high-calorie, high-fat diet to meet their
increased energy needs due to malabsorption.
comPreHenSIve Study GuIde & exam PreP Bundle
| uPdated 2024–2025 PedIatrIc nurSInG revIew,
GrowtH and develoPment, PedIatrIc dISorderS,
medIcatIon admInIStratIon, nurSInG
InterventIonS, FamIly-centered care & HIGH-
yIeld nclex PreP noteS
HESI PEDIATRICS WITH COMPLETE QUESTIONS AND WELL-ELABORATED
SOLUTIONS
Actual Real Exam Questions and Answers | Practice Exam Test Bank and Study Guide |
Professional Certification Review
Overview
The HESI Pediatrics exam is designed to assess nursing students' understanding of
pediatric care concepts and their ability to apply this knowledge in clinical settings. This
exam is relevant for those preparing for the NCLEX and other professional certification
assessments. It helps learners reinforce their understanding of key pediatric principles,
improve critical thinking skills, and be better prepared for real-world clinical challenges.
Key Features
• Actual exam-style questions from recent testing cycles
• Well-elaborated solutions with clinical/academic reasoning
• Comprehensive practice test bank with varied difficulty levels
• Updated guidelines, protocols, and concepts
• Scenario-based applications with real-world contexts
Exam Components
• Actual Exam Questions Bank: 170 questions
• Comprehensive Practice Exam: 50 questions
• Study Guide Section: Concept review and explanations
Core Content Areas
1. Growth and Development - 20 questions
, 2. Pediatric Nursing Concepts - 25 questions
3. Pharmacology in Pediatrics - 20 questions
4. Nutrition - 15 questions
5. Family-Centered Care - 20 questions
6. Infectious Diseases - 20 questions
7. Chronic Conditions and Disabilities - 25 questions
8. Emergency Care - 20 questions
9. Mental Health in Pediatrics - 15 questions
10. Legal and Ethical Considerations - 10 questions
Answer Format
Verified correct answers provided in bold green with step-by-step rationales, evidence-
based explanations, intervention pathways, and concept clarifications.
Exam Questions
Question 1
Which of the following immunizations is recommended at 12 months of age?
• A) MMR (Measles, Mumps, Rubella)
• B) Hib (Haemophilus influenzae type b)
• C) Varicella
• D) DTaP (Diphtheria, Tetanus, Pertussis)
CORRECT OPTION: B) Hib (Haemophilus influenzae type b)
Rationale: The Hib vaccination is recommended at 12 months of age to protect against
serious infections caused by Haemophilus influenzae type b. The MMR vaccine is
typically administered between 12-15 months.
Question 2
A 4-year-old child presents with a high fever and a rash. Which condition is most
likely?
, • A) Chickenpox
• B) Scarlet fever
• C) Fifth disease
• D) Roseola
CORRECT OPTION: B) Scarlet fever
Rationale: Scarlet fever is characterized by a high fever and a distinctive rash, often
accompanying strep throat. Chickenpox requires vesicular lesions, which are not stated
here.
Question 3
What is the priority nursing intervention for a pediatric patient presenting with
severe dehydration?
• A) Administer oral rehydration solutions
• B) Initiate IV fluid therapy
• C) Monitor vital signs
• D) Provide antipyretics
CORRECT OPTION: B) Initiate IV fluid therapy
Rationale: For severe dehydration, IV fluid therapy is the priority intervention to rapidly
restore fluid and electrolyte balance. Oral rehydration is inadequate in severe cases.
Question 4
A nurse is assessing an 8-year-old child with a suspected asthma exacerbation.
Which finding would be most concerning?
• A) Use of accessory muscles for breathing
• B) Mild wheezing
• C) Coughing after exercise
• D) Slight chest tightness
CORRECT OPTION: A) Use of accessory muscles for breathing
Rationale: The use of accessory muscles indicates significant respiratory distress and
may suggest a severe asthma exacerbation requiring immediate intervention.
Question 5
, Which dietary modification should the nurse recommend for a child with
phenylketonuria (PKU)?
• A) Increase protein intake
• B) Include more dairy products
• C) Limit foods containing phenylalanine
• D) Avoid all carbohydrates
CORRECT OPTION: C) Limit foods containing phenylalanine
Rationale: Children with PKU cannot metabolize phenylalanine, found in many
proteins. A low-phenylalanine diet is essential for preventing cognitive impairment.
Question 6
A 2-year-old is brought to the clinic with a suspected urinary tract infection (UTI).
Which symptom is most indicative of a UTI in this age group?
• A) Diarrhea
• B) Increased appetite
• C) Foul-smelling urine
• D) Nasal congestion
CORRECT OPTION: C) Foul-smelling urine
Rationale: Foul-smelling urine is a common symptom of a UTI in children, along with
possible fever and irritability.
Question 7
What should a nurse teach the parents of a child with cystic fibrosis about diet?
• A) Increase fluid intake only
• B) High-calorie and high-fat diet
• C) Low-salt diet
• D) Vegetarian diet only
CORRECT OPTION: B) High-calorie and high-fat diet
Rationale: Children with cystic fibrosis require a high-calorie, high-fat diet to meet their
increased energy needs due to malabsorption.
