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Exam (elaborations)

HESI Pediatric Practice Exam [2026/2027] Updated Version | Verified Questions & Detailed Rationales for Top Performance

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Prepare for the HESI Pediatric Practice Exam [2026/2027] with this updated study guide featuring verified questions, correct answers, and detailed rationales. Covers pediatric nursing principles, growth and development milestones, clinical decision-making, patient care strategies, and exam-focused techniques designed to maximize understanding, retention, and achieve top scores.

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December 15, 2025
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Hesi Pediatric Practice Exam


The nurse is giving pre-op "I understand that I will be in a body cast and I will show you how you
instructions to a 14 yr old female taught me to turn"
scheduled for surgery to correct a
spinal curvature. Which stmt best
demonstrates that leaning has taken
place?

To take the v/s of a 4 month old, RR - HR - rectal temp
which ordered will give the most
accurate results?




During routine screening at a school Ask the child if they have had a cold, runny nose, or any ear pain lately
clinic, an otoscope exam reveals a
tympanic mb that is pearly gray,
slightly bulging, and not movable.
What action should the nurse take
next?

Which restraint should be used for a Elbow
toddler after a cleft palate repair?

, Hesi Pediatric Practice Exam

What pre-op nsg intervention Observe for projectile vomiting
should be included in the POC for
an infant w/ pyloric stenosis? (remember that projectile vomiting leads to metabolic alkalosis)

A 6 month old returns from surgery Remove the restraints one at a time and provide ROM exercises
w/ elbow restraints in place. What
nsg care should be included when (Removing them 1 at a time is safer than all at once)
caring for any restrained child?

A 2 yr old w/ Down syndrome is Congenital heart disease
brought to the clinic for his regular
physical exam. The nurse knows (CHD is the most common associated defect w/ Downs. - also,
which problem is requently remember Professor Moore said that heart and ear problems go hand in
associated w/ Downs? hand)

When assessing a child w/ asthma, Inspriation
the nurse should expect intercostal
retractions during

When planning the care for a child Stresses the suture line
who has had a cleft lip repair, the
nurse know that crying should be
minimized because it

, Hesi Pediatric Practice Exam

A full-term infant is admitted to the Choking , coughing, and cyanosis
newborn nursery. After careful
assessment, the nurse suspects that (this answer includes the 3 "C"s of esophageal atresia caused by the
the infant may have an esophageal overflow of secretions to the trachea)
atresia. Which sx's is this newborn
likely to have exhibited?

Display possessiveness of toys
Which behavior would the nurse
expect a 2 yr old to exhibit?
(they are egocentric and unable to share w/ others)

the other of a preschool-aged child Do not give if they have chicken pox, the flue, or any other viral illness
asks the nurse if it is all right to
administer Pepto Bismol to her son (ASA can cause Reye's syndrome)
when he has a tummy ache. After
reminding her to check the label of
all OTC meds for the presence of
ASA, which instruction should the
nurse include when replying to the
mom's question?

the nurse observes a 4 yr old boy in Demonstrates aggressiveness by boasting when telling a story
a daycare. Which behavior should
the nurse consider normal for this
child?
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