HESI Pediatrics – Updated
Test Bank with 100 NCLEX-
Style Questions & Detailed
Rationales (A+ Study Pack)
Latest update 2025-2026
A nurse is preparing to assess a preschooler. Which of the following actions should the nurse take to
prepare the child?
A. Allow the child to role-play using miniature equipment.
B. Used medical terminology to describe what will happen.
C. Separate the child from the caregiver during the examination.
D. Keep the medical equipment visible to the child. - Answer✅A. Allow the child to role-play using
miniature equipment.
A nurse is checking the vital signs of a 3-year-old child during a well-child visit. Which of the following
findings should the nurse report to the provider?
A. Temperature of 99.0F
B. Heart rate of 106/min
C. Respirations of 30/min
D. Blood pressure of 88/54 mm Hg - Answer✅C. Respirations of 30/min
Is above the expected range reference for a 3-year-old child and should be reported.
A nurse is assessing a child's ears. Which of the following findings should the nurse expect?
A. Light reflex is located at the 2 o'clock position.
B. Tympanic membrane is red in color.
,C. Bony landmarks are not visible.
D. Cerumen is present bilaterally. - Answer✅D. Cerumen is present bilaterally.
The presence of cerumen is an expected finding.
A nurse is assessing a 6-month-old infant. Which of the following reflexes should the infant exhibit?
A. Moro
B. Plantar grasp
C. Stepping
D. Tonic neck - Answer✅B. Plantar grasp
The plantar grasp is exhibited by infants from birth to 8 months of age.
A nurse is performing a neurologic assessment on an adolescent. Which of the following responses
should the nurse expect the adolescent to exhibit when assessing the trigeminal nerve? (Select all
that apply.)
A. Clenching teeth together tightly
B. Recognizing sour tastes on the back of the tongue
C. Identifying smells through each nostril
D. Detecting facial touches with eyes closed
E. Looking down and in with the eyes - Answer✅A: Clenching teeth together tightly is an expected
response by the adolescent when checking the trigeminal nerve.
D. Detecting facial touches with eyes closed is an expected response by the adolescent when checking
the trigeminal cranial nerve.
A nurse is assessing a 12-month-old infant during a well-child visit. Which of the following findings
should the nurse report to the provider?
A. Closed anterior fontanel
B. Eruption of six teeth
C. Birth weight doubled
D. Birth length increased by 50% - Answer✅C. Birth weight doubled
By the age of 12 months, the infant's birth wight should have tripled. Therefore, report this finding to
the provider.
A nurse is performing a developmental screening on a 10-month-old infant. Which of the following
fine motor skills should the nurse expect the infant to perform? (Select all that apply.)
A. Grasp a rattle by the handle
B. Try building a two-block tower
C. Use a crude pincer grasp
D. Place objects into a container
E. Walks with one hand held - Answer✅A. Grasp a rattle by the handle
The infant should be able to grasp a rattle by the handle at 10 months.
C. Use a crude pincer grasp
The infant should be able to use a crude pincer grasp at 9 months of age.
A nurse is conducting a well-baby visit with a 4-month-old infant. Which of the following
immunizations should the nurse plan to administer to the infant? (Select all that apply.)
A. Measles, mumps, rubella (MMR)
B. Polio (IPV)
C. Pneumococcal vaccine (PCV)
D. Varicella
E. Rotavirus vaccine (RV) - Answer✅B. Polio (IPV)
C. Pneumococcal vaccine (PCV)
E. Rotavirus vaccine (RV)
,A nurse is providing teaching about dental care and teething to the parents of a 9 month old infant.
Which of the following statements by the parents indicates understanding of the teaching?
A. "I can give my baby a warm teething ring to relieve discomfort."
B. "I should clean my baby's teeth with a cool, wet wash cloth."
C. "I can give Advil for up to 5 days while my baby is teething."
D. "I should place diluted juice in the bottle my baby drinks while falling asleep." - Answer✅B. It is
appropriate to use a cool, wet wash cloth for cleaning the infant's teeth.
A nurse is providing education about introducing new foods to the parents of a 4-month-old infant.
The nurse should recommend that the parents introduce which of the following foods first?
A. Strained yellow vegetables
B. Iron-fortified cereals
C. Pureed fruits
D. Whole milk - Answer✅B. CORRECT: Iron-fortified cereals are the first solid food introduced due to
the high iron content. The order of introducing solid foods after this is variable.
A nurse is assessing a 2½-year-old toddler at a well-child visit. Which of the following findings should
the nurse report to the provider?
A. Height increased by 7.5 cm (3 in) in the past year.
B. Head circumference exceeds chest circumference.
C. Anterior and posterior fontanels are closed.
D. Current weight equals four times the birth weight. - Answer✅B. CORRECT: The head and chest
circumference should be equal by 1 to 2 years of age, with the chest circumference continuing to
increase in size until it exceeds the head circumference. Therefore, the nurse should report this
finding to the provider.
A nurse is performing a developmental screening on an 18 month old. Which of the following skills
should the toddler be able to perform? (Select all that apply.)
A. Build a tower with six blocks
B. Throw a ball overhand
C. Walk up and down stairs
D. Draw circles
E. Use a spoon without rotation - Answer✅B. CORRECT: An 18 month old should be able to throw a
ball overhand.
E. CORRECT: An 18 month old should be able to use a spoon without rotation.
A nurse is providing teaching about age-appropriate activities to the parent of a 2 year old. Which of
the following statements by the parent indicates an understanding of the teaching?
A. "I will send my child's favorite stuffed animal when she will be napping away from home."
B."My child should be able to stand on one foot for a second."
C. "The soccer team my child will be playing on starts practicing next week."
D. "I should expect my child to be able to draw circles." - Answer✅A. CORRECT: Transitional objects,
such as a favorite stuffed animal, provide a sense of security for toddlers. This is an age-appropriate
activity for a 2 year old.
A nurse is providing anticipatory guidance to the parents of a toddler. Which of the following should
the nurse include? (Select all that apply.)
A. Develop food habits that will prevent dental caries.
B. Meeting caloric needs results in an increased appetite.
C. Expression of bedtime fears is common.
, D. Expect behaviors associated with negativism and ritualism.
E. Annual screenings for Phenylketonuria are important. - Answer✅A. CORRECT: Because the toddler
is developing taste preferences, the development of food habits that will prevent dental caries should
be included in the anticipatory guidance.
C. CORRECT: Expression of bedtime fears is common for toddlers and should be included in the
anticipatory guidance.
D. CORRECT: Negativism and ritualism are exhibited by toddlers as they seek autonomy, and
associated behaviors should be included in the anticipatory guidance.
A nurse is providing teaching to the parent of a preschool-age child about methods to promote sleep.
Which of the following statements by the parent indicates an understanding of the teaching?
A. "I will sleep in the bed with my child if she wakes up during the night."
B. "I will let the child stay up an additional 2 hours on weekend nights."
C. "I will let my child watch television for 30 minutes just before bedtime each night."
D. "I will keep a dim light on in my child's room during the night." - Answer✅D. CORRECT: Leaving a
light on in the child's room is an appropriate method to promote sleep for a pre-school-age child.
A nurse is conducting a well-child visit with a 5-year-old child. Which of the following immunizations
should the nurse plan to administer? (Select all that apply.)
A. DTap
B. IPV
C. MMR
D. PCV
E. Hib - Answer✅CORRECT: A, B, C
PCV and Hib are only given in the first 15 months of life.
A nurse is preparing an education program for a group of parents of preschool-age children about
promoting optimum nutrition. Which of the following information should the nurse include in the
teaching?
A. Saturated fats should equal 20% of total daily caloric intake
B. Average calorie intake should be 1,800 calories per day
C. Daily intake of fruits and vegetables should total 2 servings
D. Healthy diets include a total of 8g of protein each day - Answer✅CORRECT: B
A. Saturated fats should be 10%
B. CORRECT
C. Should consume 5 servings of fruits and vegetables per day
D. Healthy diets include 13-19 g of protein each day
A nurse is performing a developmental screening on a 3-year-old child. Which of the following skills
should the nurse expect the child to perform?
A. Ride a tricycle
B. Hop on one foot
C. Jump Rope
D. Throw a ball overhead - Answer✅CORRECT: A.) Ride a tricycle
B. 4-year-old should be able to hop on one foot
C. 5-year-old should be able to jump rope
D. 4-year-old child should be able to throw ball overhead
Test Bank with 100 NCLEX-
Style Questions & Detailed
Rationales (A+ Study Pack)
Latest update 2025-2026
A nurse is preparing to assess a preschooler. Which of the following actions should the nurse take to
prepare the child?
A. Allow the child to role-play using miniature equipment.
B. Used medical terminology to describe what will happen.
C. Separate the child from the caregiver during the examination.
D. Keep the medical equipment visible to the child. - Answer✅A. Allow the child to role-play using
miniature equipment.
A nurse is checking the vital signs of a 3-year-old child during a well-child visit. Which of the following
findings should the nurse report to the provider?
A. Temperature of 99.0F
B. Heart rate of 106/min
C. Respirations of 30/min
D. Blood pressure of 88/54 mm Hg - Answer✅C. Respirations of 30/min
Is above the expected range reference for a 3-year-old child and should be reported.
A nurse is assessing a child's ears. Which of the following findings should the nurse expect?
A. Light reflex is located at the 2 o'clock position.
B. Tympanic membrane is red in color.
,C. Bony landmarks are not visible.
D. Cerumen is present bilaterally. - Answer✅D. Cerumen is present bilaterally.
The presence of cerumen is an expected finding.
A nurse is assessing a 6-month-old infant. Which of the following reflexes should the infant exhibit?
A. Moro
B. Plantar grasp
C. Stepping
D. Tonic neck - Answer✅B. Plantar grasp
The plantar grasp is exhibited by infants from birth to 8 months of age.
A nurse is performing a neurologic assessment on an adolescent. Which of the following responses
should the nurse expect the adolescent to exhibit when assessing the trigeminal nerve? (Select all
that apply.)
A. Clenching teeth together tightly
B. Recognizing sour tastes on the back of the tongue
C. Identifying smells through each nostril
D. Detecting facial touches with eyes closed
E. Looking down and in with the eyes - Answer✅A: Clenching teeth together tightly is an expected
response by the adolescent when checking the trigeminal nerve.
D. Detecting facial touches with eyes closed is an expected response by the adolescent when checking
the trigeminal cranial nerve.
A nurse is assessing a 12-month-old infant during a well-child visit. Which of the following findings
should the nurse report to the provider?
A. Closed anterior fontanel
B. Eruption of six teeth
C. Birth weight doubled
D. Birth length increased by 50% - Answer✅C. Birth weight doubled
By the age of 12 months, the infant's birth wight should have tripled. Therefore, report this finding to
the provider.
A nurse is performing a developmental screening on a 10-month-old infant. Which of the following
fine motor skills should the nurse expect the infant to perform? (Select all that apply.)
A. Grasp a rattle by the handle
B. Try building a two-block tower
C. Use a crude pincer grasp
D. Place objects into a container
E. Walks with one hand held - Answer✅A. Grasp a rattle by the handle
The infant should be able to grasp a rattle by the handle at 10 months.
C. Use a crude pincer grasp
The infant should be able to use a crude pincer grasp at 9 months of age.
A nurse is conducting a well-baby visit with a 4-month-old infant. Which of the following
immunizations should the nurse plan to administer to the infant? (Select all that apply.)
A. Measles, mumps, rubella (MMR)
B. Polio (IPV)
C. Pneumococcal vaccine (PCV)
D. Varicella
E. Rotavirus vaccine (RV) - Answer✅B. Polio (IPV)
C. Pneumococcal vaccine (PCV)
E. Rotavirus vaccine (RV)
,A nurse is providing teaching about dental care and teething to the parents of a 9 month old infant.
Which of the following statements by the parents indicates understanding of the teaching?
A. "I can give my baby a warm teething ring to relieve discomfort."
B. "I should clean my baby's teeth with a cool, wet wash cloth."
C. "I can give Advil for up to 5 days while my baby is teething."
D. "I should place diluted juice in the bottle my baby drinks while falling asleep." - Answer✅B. It is
appropriate to use a cool, wet wash cloth for cleaning the infant's teeth.
A nurse is providing education about introducing new foods to the parents of a 4-month-old infant.
The nurse should recommend that the parents introduce which of the following foods first?
A. Strained yellow vegetables
B. Iron-fortified cereals
C. Pureed fruits
D. Whole milk - Answer✅B. CORRECT: Iron-fortified cereals are the first solid food introduced due to
the high iron content. The order of introducing solid foods after this is variable.
A nurse is assessing a 2½-year-old toddler at a well-child visit. Which of the following findings should
the nurse report to the provider?
A. Height increased by 7.5 cm (3 in) in the past year.
B. Head circumference exceeds chest circumference.
C. Anterior and posterior fontanels are closed.
D. Current weight equals four times the birth weight. - Answer✅B. CORRECT: The head and chest
circumference should be equal by 1 to 2 years of age, with the chest circumference continuing to
increase in size until it exceeds the head circumference. Therefore, the nurse should report this
finding to the provider.
A nurse is performing a developmental screening on an 18 month old. Which of the following skills
should the toddler be able to perform? (Select all that apply.)
A. Build a tower with six blocks
B. Throw a ball overhand
C. Walk up and down stairs
D. Draw circles
E. Use a spoon without rotation - Answer✅B. CORRECT: An 18 month old should be able to throw a
ball overhand.
E. CORRECT: An 18 month old should be able to use a spoon without rotation.
A nurse is providing teaching about age-appropriate activities to the parent of a 2 year old. Which of
the following statements by the parent indicates an understanding of the teaching?
A. "I will send my child's favorite stuffed animal when she will be napping away from home."
B."My child should be able to stand on one foot for a second."
C. "The soccer team my child will be playing on starts practicing next week."
D. "I should expect my child to be able to draw circles." - Answer✅A. CORRECT: Transitional objects,
such as a favorite stuffed animal, provide a sense of security for toddlers. This is an age-appropriate
activity for a 2 year old.
A nurse is providing anticipatory guidance to the parents of a toddler. Which of the following should
the nurse include? (Select all that apply.)
A. Develop food habits that will prevent dental caries.
B. Meeting caloric needs results in an increased appetite.
C. Expression of bedtime fears is common.
, D. Expect behaviors associated with negativism and ritualism.
E. Annual screenings for Phenylketonuria are important. - Answer✅A. CORRECT: Because the toddler
is developing taste preferences, the development of food habits that will prevent dental caries should
be included in the anticipatory guidance.
C. CORRECT: Expression of bedtime fears is common for toddlers and should be included in the
anticipatory guidance.
D. CORRECT: Negativism and ritualism are exhibited by toddlers as they seek autonomy, and
associated behaviors should be included in the anticipatory guidance.
A nurse is providing teaching to the parent of a preschool-age child about methods to promote sleep.
Which of the following statements by the parent indicates an understanding of the teaching?
A. "I will sleep in the bed with my child if she wakes up during the night."
B. "I will let the child stay up an additional 2 hours on weekend nights."
C. "I will let my child watch television for 30 minutes just before bedtime each night."
D. "I will keep a dim light on in my child's room during the night." - Answer✅D. CORRECT: Leaving a
light on in the child's room is an appropriate method to promote sleep for a pre-school-age child.
A nurse is conducting a well-child visit with a 5-year-old child. Which of the following immunizations
should the nurse plan to administer? (Select all that apply.)
A. DTap
B. IPV
C. MMR
D. PCV
E. Hib - Answer✅CORRECT: A, B, C
PCV and Hib are only given in the first 15 months of life.
A nurse is preparing an education program for a group of parents of preschool-age children about
promoting optimum nutrition. Which of the following information should the nurse include in the
teaching?
A. Saturated fats should equal 20% of total daily caloric intake
B. Average calorie intake should be 1,800 calories per day
C. Daily intake of fruits and vegetables should total 2 servings
D. Healthy diets include a total of 8g of protein each day - Answer✅CORRECT: B
A. Saturated fats should be 10%
B. CORRECT
C. Should consume 5 servings of fruits and vegetables per day
D. Healthy diets include 13-19 g of protein each day
A nurse is performing a developmental screening on a 3-year-old child. Which of the following skills
should the nurse expect the child to perform?
A. Ride a tricycle
B. Hop on one foot
C. Jump Rope
D. Throw a ball overhead - Answer✅CORRECT: A.) Ride a tricycle
B. 4-year-old should be able to hop on one foot
C. 5-year-old should be able to jump rope
D. 4-year-old child should be able to throw ball overhead
