HESI RN PEDIATRICS V1 EXAM 2026 ACTUAL
EXAM SCRIPT COMPLETE QUESTIONS AND
SOLUTIONS GRADED A+
◉ A client and her husband are positive for the sickle cell trait. The
client asks the nurse about chances of her children having sickle cell
disease. Which of the following is appropriate response by the
nurse?
a)one of her children will have sickle cell disease
b) only the male children will be affected
c) each pregnancy carries a 25% chance of the child being affected
d) if she had four children, one of them would have the disease.
Answer: Answer C
In autosomal recessive traits, both parents are carriers. There is a
25% chance with each pregnancy that a child will have the disease.
◉ An 8 year old child has been diagnosed to have iron deficiency
anemia. Which ofthe following activities is most appropriate for the
child to decrease oxygen demands on the body?
a)Dancing
b) playing video games
c) reading a book
,d) riding a bicycle. Answer: Answer C
reading a book is restful activity and can keep the child from
becoming bored. Choices a, b, and d require too much energy for a
child with anemia and can increase oxygen demands on the body.
◉ A 16 month old child diagnosed with Kawasaki Disease (KD) is
very irritable,refuses to eat, and exhibits peeling skin on the hands
and feet. Which of the following would the nurse interpret as the
priority?
a)applying lotions to the hands and feet
b) offering foods the toddler likes
c) placing the toddler in a quiet environment
d) encouraging the parents to get some rest. Answer: Answer C
One of the characteristics of children with KD is irritability. They are
often inconsolable.Placing the child in a quiet environment may help
quiet the child and reduce the workload of the heart. The child's
irritability takes priority over peeling of the skin.
◉ A newborn's failure to pass meconium within the first 24 hours
after birth may indicate which of the following?
a.Hirschsprung disease
b. Celiac disease
c. Intussusception
d. Abdominal wall defect. Answer: Answer A
,Failure to pass meconium within the first 24 hours after birth may
be an indication of Hirschsprung disease, a congenital anomaly
resulting in mechanical obstruction due to inadequate motility in an
intestinal segment. Failure to pass meconium is not associated with
celiac disease, intussusception, or abdominal wall defect.
◉ Which of the following should the nurse do first after noting that a
child with Hirschsprung disease has a fever and watery explosive
diarrhea?
a. Notify the physician immediately
b. Administer antidiarrheal medications
c. Monitor child ever 30 minutes
d. Nothing, this is characteristic of Hirschsprung disease. Answer:
Answer A
For the child with Hirschsprung disease, fever and explosive
diarrhea indicate enterocolitis, a life-threatening situation.
Therefore, the physician should be notified immediately. Generally,
because of the intestinal obstruction and inadequate propulsive
intestinal movement, antidiarrheals are not used to treat
Hirschsprung disease. The child is acutely ill and requires
intervention, with monitoring more frequently than every 30
minutes.Hirschsprung disease typically presents with chronic
constipation.
, ◉ When assessing a child for possible intussusception, which of the
following would be least likely to provide valuable information?
a.Stool inspection
b. Pain pattern
c. Family history
d. Abdominal palpation. Answer: Answer C
Because intussusception is not believed to have a familial tendency,
obtaining a family history would provide the least amount of
information. Stool inspection, pain pattern, and abdominal palpation
would reveal possible indicators of intussusception. Current, jelly-
like stools containing blood and mucus are an indication of
intussusception. Acute,episodic abdominal pain is characteristics of
intussusception. A sausage-shaped mass may be palpated in the
right upper quadrant.
◉ After teaching the parents of a preschooler who has undergone T
and A(Tonsillectomy and Adenoidectomy) about appropriate foods
to give the child afterdischarge, which of the following, if stated by
the parents as appropriate foods, indicates successful teaching?
a)meatloaf and uncooked carrots
b) pork and noodle casserole
c) cream of chicken soup and orange sherbet
d) hot dog and potato chips. Answer: Answer C
EXAM SCRIPT COMPLETE QUESTIONS AND
SOLUTIONS GRADED A+
◉ A client and her husband are positive for the sickle cell trait. The
client asks the nurse about chances of her children having sickle cell
disease. Which of the following is appropriate response by the
nurse?
a)one of her children will have sickle cell disease
b) only the male children will be affected
c) each pregnancy carries a 25% chance of the child being affected
d) if she had four children, one of them would have the disease.
Answer: Answer C
In autosomal recessive traits, both parents are carriers. There is a
25% chance with each pregnancy that a child will have the disease.
◉ An 8 year old child has been diagnosed to have iron deficiency
anemia. Which ofthe following activities is most appropriate for the
child to decrease oxygen demands on the body?
a)Dancing
b) playing video games
c) reading a book
,d) riding a bicycle. Answer: Answer C
reading a book is restful activity and can keep the child from
becoming bored. Choices a, b, and d require too much energy for a
child with anemia and can increase oxygen demands on the body.
◉ A 16 month old child diagnosed with Kawasaki Disease (KD) is
very irritable,refuses to eat, and exhibits peeling skin on the hands
and feet. Which of the following would the nurse interpret as the
priority?
a)applying lotions to the hands and feet
b) offering foods the toddler likes
c) placing the toddler in a quiet environment
d) encouraging the parents to get some rest. Answer: Answer C
One of the characteristics of children with KD is irritability. They are
often inconsolable.Placing the child in a quiet environment may help
quiet the child and reduce the workload of the heart. The child's
irritability takes priority over peeling of the skin.
◉ A newborn's failure to pass meconium within the first 24 hours
after birth may indicate which of the following?
a.Hirschsprung disease
b. Celiac disease
c. Intussusception
d. Abdominal wall defect. Answer: Answer A
,Failure to pass meconium within the first 24 hours after birth may
be an indication of Hirschsprung disease, a congenital anomaly
resulting in mechanical obstruction due to inadequate motility in an
intestinal segment. Failure to pass meconium is not associated with
celiac disease, intussusception, or abdominal wall defect.
◉ Which of the following should the nurse do first after noting that a
child with Hirschsprung disease has a fever and watery explosive
diarrhea?
a. Notify the physician immediately
b. Administer antidiarrheal medications
c. Monitor child ever 30 minutes
d. Nothing, this is characteristic of Hirschsprung disease. Answer:
Answer A
For the child with Hirschsprung disease, fever and explosive
diarrhea indicate enterocolitis, a life-threatening situation.
Therefore, the physician should be notified immediately. Generally,
because of the intestinal obstruction and inadequate propulsive
intestinal movement, antidiarrheals are not used to treat
Hirschsprung disease. The child is acutely ill and requires
intervention, with monitoring more frequently than every 30
minutes.Hirschsprung disease typically presents with chronic
constipation.
, ◉ When assessing a child for possible intussusception, which of the
following would be least likely to provide valuable information?
a.Stool inspection
b. Pain pattern
c. Family history
d. Abdominal palpation. Answer: Answer C
Because intussusception is not believed to have a familial tendency,
obtaining a family history would provide the least amount of
information. Stool inspection, pain pattern, and abdominal palpation
would reveal possible indicators of intussusception. Current, jelly-
like stools containing blood and mucus are an indication of
intussusception. Acute,episodic abdominal pain is characteristics of
intussusception. A sausage-shaped mass may be palpated in the
right upper quadrant.
◉ After teaching the parents of a preschooler who has undergone T
and A(Tonsillectomy and Adenoidectomy) about appropriate foods
to give the child afterdischarge, which of the following, if stated by
the parents as appropriate foods, indicates successful teaching?
a)meatloaf and uncooked carrots
b) pork and noodle casserole
c) cream of chicken soup and orange sherbet
d) hot dog and potato chips. Answer: Answer C
