1|Page
HESI PEDIATRIC TEST BANK EXAM WITH COMPLETE QUESTIONS
AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+ UPDATED 2026
A 15-month-old is admitted to the pediatric unit with a history of a recent upper
respiratory infection. Which symptom is consistent with the diagnosis of
laryngotracheobronchitis (croup)? Select all that apply.
1.Reported inspiratory stridor which is worse at night.
2.Suprasternal retractions are present upon examination.
3.The toddler has a barking, seal-like, harsh cough.
4.Lung sounds have inspiratory wheezing.
5.Lung sounds with crackles in the bases bilaterally. - ✔✔ANSWER✔✔-1,2,3
A four-year-old is presented to the urgent care center with a history of a sudden
onset of a severe sore throat. He began drooling and has difficulty swallowing. The
temperature is 102.2F (39.0C). Lung sounds are clear and there is no cough. The
child is very anxious and flushed and is leaning forward in a tripod position. Based
on these symptoms, the nurse anticipates a diagnosis of:
1.Acute Asthma Attack
2.Laryngotracheomalacia
3.Acute laryngotracheobronchitis (Croup)
4.Acute Epiglottitis - ✔✔ANSWER✔✔-4
Which should the nurse expect to be included in the treatment of the client
experiencing acute asthma symptoms? Select all that apply.
1.Bronchodilators
2.Corticosteroids
3.Oxygen
4.Montelukast (Singular)
5.Immediate Intubation - ✔✔ANSWER✔✔-1, 2, 3
The nurse understands that in a child with cystic fibrosis (CF) which vitamin
absorption is impaired? Select all that apply.
1.A
2.B
3.C
,2|Page
4.D
5.E - ✔✔ANSWER✔✔-1, 3, 4, 5
Which indicates the earliest sign of hemorrhage in a child who has just had a
tonsillectomy?
1.Frequent swallowing
2.Labored respirations
3.Tachypnea stridor
4.Dark brown emesis - ✔✔ANSWER✔✔-1
A child with chronic otitis media has bilateral myringotomy tubes placed. Which
statement would indicate that the parent understands education about myringotomy
tubes?
1."The tubes have to be surgically removed in 9 months or so."
2."The tubes were placed to equalize pressure."
3."These tubes won't affect my child being able to go swimming in the summer."
4."My child will still need to be on Amoxicillin prophylactically for six months." -
✔✔ANSWER✔✔-2
The nurse should instruct the parent whose child is diagnosed with respiratory
syncytial virus (RSV) to notify the healthcare provider for which issue? Select all that
apply.
1.The child is not eating
2.There is a decrease in wet diapers
3.There is increased work of breathing
4.The child develops yellow drainage from the nose
5.Only when the child wheezes - ✔✔ANSWER✔✔-1, 2, 3
Which child does the nurse anticipate to be most at risk for being hospitalized for
respiratory syncytial virus (RSV)?
1.A three-month-old who was born at 30 weeks gestation
2.A 18-month-old with a tracheostomy
3.A four-year-old with a ventricular septal defect (VSD)
4.A five-year-old who was term but has never received any immunizations -
✔✔ANSWER✔✔-1
The nursing student asks the nurse about genetic implications related to cystic
fibrosis (CF). How should the nurse respond?
1."It is inherited as an autosomal dominant trait."
2."It is a genetic defect found primarily in non-Caucasian people."
3."If it is present in a child, both parents are carriers of the defective gene."
4."There is a 50% chance the siblings of an affected child will also be affected." -
✔✔ANSWER✔✔-3
,3|Page
what is the gold standard test in cystic fibrosis - ✔✔ANSWER✔✔-sweat test
A measurement of the maximum flow of air that can be forcefully exhaled in 1
second, a key measurement of pulmonary function - ✔✔ANSWER✔✔-Peak expiratory
flow rate
provides an objective method of evaluating the presence and degree of lung dz, as
well as the response of therapy - ✔✔ANSWER✔✔-Pulmonary Function Test (PFT)
cessation of breathing for more than 20 sec or for a shorter period of time when
associated w/ hypoxemia or bradycardia - ✔✔ANSWER✔✔-apnea
a medical emergency that can result in respiratory failure and death if untreated -
✔✔ANSWER✔✔-status asthmaticus
involves stimulating the production of sweat w/ a special device, collecting sweat and
measuring the sweat electrolytes. Used in the diagnosis of cystic fibrosis -
✔✔ANSWER✔✔-sweat chloride test
inability of the respiratory apparatus to maintain adequate oxygenation of the blood
w/ or w/out carbon dioxide retention - ✔✔ANSWER✔✔-respiratory failure
a serious obstructive inflammatory process in the upper airway may see absence of
a cough but drooling and agitation - ✔✔ANSWER✔✔-acute epiglottitis
in general applies to 2 conditions: increased work of breathing w/ near normal gas
exchange function or the inability to maintain normal blood gas tensions that
develops from carbon dioxide retention w/ subsequent hypoxemia and acidosis -
✔✔ANSWER✔✔-respiratory insuffuecuency
upper airway infection characterized by hoarseness and a barking cough -
✔✔ANSWER✔✔-croup
earliest manifestation of cystic fibrosis where the small intestine is blocked w/ thick
meconium in the newborn - ✔✔ANSWER✔✔-meconium ileus
the child insists on sitting upright and leaning foward w/ the chin thrust out, mouth
open and tongue protruding to facilitate breathing - ✔✔ANSWER✔✔-tripod
irritants such as house dust mites, tobacco smoke, mold or pets - ✔✔ANSWER✔✔-
allergens
, 4|Page
a serious possibly life-threatening obstructive inflammatory process of the upper
trachea w/ features of croup and epiglottitis - ✔✔ANSWER✔✔-bacterial tracheitis
considered to be the corner stone treatment for children and adolescents w/ cystic
fibrosis - ✔✔ANSWER✔✔-airway clearance therapies
The nurse in the emergency department (ED) is assessing a school-age child with a
new ventriculoperitoneal (VP) shunt. The child is being seen for lethargy, irritability,
vomiting, severe headache, and a fever of 102.4°. What initial action should the
nurse expect would be taken?
1.An admission to the hospital for IV fluids and monitoring
2.Give mannitol for increased intracranial pressure.
3.Obtain a CT scan of the brain with X-rays of the chest and abdomen.
4.A surgical intervention for hydrocephalus - ✔✔ANSWER✔✔-3
A nurse in the emergency department (ED) is assessing a pre-school age client who
had a febrile seizure at home. The parent is very concerned and asks the nurse if
this is very serious. How should the nurse respond?
1."Yes, the child is likely to get brain damage when a fever gets too high."
2."Generally they are not. But it is best to treat a fever when it starts."
3."No, they don't cause any issues."
4."Yes, you should consider this a medical emergency any time something like this
occurs." - ✔✔ANSWER✔✔-2
The nurse is doing post-procedure education with a school-age child after a lumbar
puncture. What factor is important for the nurse to emphasize?
1.The child will be NPO for 6 hours post-procedure.
2.The child will need to lay flat for 4 to 24 hours.
3.The child will need hourly vital signs for the first 6 hours post-procedure.
4.The child will need to be assessed for adequate urinary elimination within 4 hours
post-procedure. - ✔✔ANSWER✔✔-2
The nurse is assigned an adolescent client with newly diagnosed meningitis and is
going in the client's room to hang the antibiotics. What personal protective equipment
(PPE) should the nurse put on?
1.Gown and gloves
2.Gown, mask, and gloves
3.Gown, goggles, mask, and gloves
4.Gloves - ✔✔ANSWER✔✔-2
A mother is talking to the nurse and is concerned that her infant will get meningitis
and die like her cousin's child did many years ago. The mother asks the nurse,
"What is the best way I can protect my child?" How should the nurse respond?
1."There is no way to prevent it, unfortunately, but you must be quick to respond to
any symptoms."
HESI PEDIATRIC TEST BANK EXAM WITH COMPLETE QUESTIONS
AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+ UPDATED 2026
A 15-month-old is admitted to the pediatric unit with a history of a recent upper
respiratory infection. Which symptom is consistent with the diagnosis of
laryngotracheobronchitis (croup)? Select all that apply.
1.Reported inspiratory stridor which is worse at night.
2.Suprasternal retractions are present upon examination.
3.The toddler has a barking, seal-like, harsh cough.
4.Lung sounds have inspiratory wheezing.
5.Lung sounds with crackles in the bases bilaterally. - ✔✔ANSWER✔✔-1,2,3
A four-year-old is presented to the urgent care center with a history of a sudden
onset of a severe sore throat. He began drooling and has difficulty swallowing. The
temperature is 102.2F (39.0C). Lung sounds are clear and there is no cough. The
child is very anxious and flushed and is leaning forward in a tripod position. Based
on these symptoms, the nurse anticipates a diagnosis of:
1.Acute Asthma Attack
2.Laryngotracheomalacia
3.Acute laryngotracheobronchitis (Croup)
4.Acute Epiglottitis - ✔✔ANSWER✔✔-4
Which should the nurse expect to be included in the treatment of the client
experiencing acute asthma symptoms? Select all that apply.
1.Bronchodilators
2.Corticosteroids
3.Oxygen
4.Montelukast (Singular)
5.Immediate Intubation - ✔✔ANSWER✔✔-1, 2, 3
The nurse understands that in a child with cystic fibrosis (CF) which vitamin
absorption is impaired? Select all that apply.
1.A
2.B
3.C
,2|Page
4.D
5.E - ✔✔ANSWER✔✔-1, 3, 4, 5
Which indicates the earliest sign of hemorrhage in a child who has just had a
tonsillectomy?
1.Frequent swallowing
2.Labored respirations
3.Tachypnea stridor
4.Dark brown emesis - ✔✔ANSWER✔✔-1
A child with chronic otitis media has bilateral myringotomy tubes placed. Which
statement would indicate that the parent understands education about myringotomy
tubes?
1."The tubes have to be surgically removed in 9 months or so."
2."The tubes were placed to equalize pressure."
3."These tubes won't affect my child being able to go swimming in the summer."
4."My child will still need to be on Amoxicillin prophylactically for six months." -
✔✔ANSWER✔✔-2
The nurse should instruct the parent whose child is diagnosed with respiratory
syncytial virus (RSV) to notify the healthcare provider for which issue? Select all that
apply.
1.The child is not eating
2.There is a decrease in wet diapers
3.There is increased work of breathing
4.The child develops yellow drainage from the nose
5.Only when the child wheezes - ✔✔ANSWER✔✔-1, 2, 3
Which child does the nurse anticipate to be most at risk for being hospitalized for
respiratory syncytial virus (RSV)?
1.A three-month-old who was born at 30 weeks gestation
2.A 18-month-old with a tracheostomy
3.A four-year-old with a ventricular septal defect (VSD)
4.A five-year-old who was term but has never received any immunizations -
✔✔ANSWER✔✔-1
The nursing student asks the nurse about genetic implications related to cystic
fibrosis (CF). How should the nurse respond?
1."It is inherited as an autosomal dominant trait."
2."It is a genetic defect found primarily in non-Caucasian people."
3."If it is present in a child, both parents are carriers of the defective gene."
4."There is a 50% chance the siblings of an affected child will also be affected." -
✔✔ANSWER✔✔-3
,3|Page
what is the gold standard test in cystic fibrosis - ✔✔ANSWER✔✔-sweat test
A measurement of the maximum flow of air that can be forcefully exhaled in 1
second, a key measurement of pulmonary function - ✔✔ANSWER✔✔-Peak expiratory
flow rate
provides an objective method of evaluating the presence and degree of lung dz, as
well as the response of therapy - ✔✔ANSWER✔✔-Pulmonary Function Test (PFT)
cessation of breathing for more than 20 sec or for a shorter period of time when
associated w/ hypoxemia or bradycardia - ✔✔ANSWER✔✔-apnea
a medical emergency that can result in respiratory failure and death if untreated -
✔✔ANSWER✔✔-status asthmaticus
involves stimulating the production of sweat w/ a special device, collecting sweat and
measuring the sweat electrolytes. Used in the diagnosis of cystic fibrosis -
✔✔ANSWER✔✔-sweat chloride test
inability of the respiratory apparatus to maintain adequate oxygenation of the blood
w/ or w/out carbon dioxide retention - ✔✔ANSWER✔✔-respiratory failure
a serious obstructive inflammatory process in the upper airway may see absence of
a cough but drooling and agitation - ✔✔ANSWER✔✔-acute epiglottitis
in general applies to 2 conditions: increased work of breathing w/ near normal gas
exchange function or the inability to maintain normal blood gas tensions that
develops from carbon dioxide retention w/ subsequent hypoxemia and acidosis -
✔✔ANSWER✔✔-respiratory insuffuecuency
upper airway infection characterized by hoarseness and a barking cough -
✔✔ANSWER✔✔-croup
earliest manifestation of cystic fibrosis where the small intestine is blocked w/ thick
meconium in the newborn - ✔✔ANSWER✔✔-meconium ileus
the child insists on sitting upright and leaning foward w/ the chin thrust out, mouth
open and tongue protruding to facilitate breathing - ✔✔ANSWER✔✔-tripod
irritants such as house dust mites, tobacco smoke, mold or pets - ✔✔ANSWER✔✔-
allergens
, 4|Page
a serious possibly life-threatening obstructive inflammatory process of the upper
trachea w/ features of croup and epiglottitis - ✔✔ANSWER✔✔-bacterial tracheitis
considered to be the corner stone treatment for children and adolescents w/ cystic
fibrosis - ✔✔ANSWER✔✔-airway clearance therapies
The nurse in the emergency department (ED) is assessing a school-age child with a
new ventriculoperitoneal (VP) shunt. The child is being seen for lethargy, irritability,
vomiting, severe headache, and a fever of 102.4°. What initial action should the
nurse expect would be taken?
1.An admission to the hospital for IV fluids and monitoring
2.Give mannitol for increased intracranial pressure.
3.Obtain a CT scan of the brain with X-rays of the chest and abdomen.
4.A surgical intervention for hydrocephalus - ✔✔ANSWER✔✔-3
A nurse in the emergency department (ED) is assessing a pre-school age client who
had a febrile seizure at home. The parent is very concerned and asks the nurse if
this is very serious. How should the nurse respond?
1."Yes, the child is likely to get brain damage when a fever gets too high."
2."Generally they are not. But it is best to treat a fever when it starts."
3."No, they don't cause any issues."
4."Yes, you should consider this a medical emergency any time something like this
occurs." - ✔✔ANSWER✔✔-2
The nurse is doing post-procedure education with a school-age child after a lumbar
puncture. What factor is important for the nurse to emphasize?
1.The child will be NPO for 6 hours post-procedure.
2.The child will need to lay flat for 4 to 24 hours.
3.The child will need hourly vital signs for the first 6 hours post-procedure.
4.The child will need to be assessed for adequate urinary elimination within 4 hours
post-procedure. - ✔✔ANSWER✔✔-2
The nurse is assigned an adolescent client with newly diagnosed meningitis and is
going in the client's room to hang the antibiotics. What personal protective equipment
(PPE) should the nurse put on?
1.Gown and gloves
2.Gown, mask, and gloves
3.Gown, goggles, mask, and gloves
4.Gloves - ✔✔ANSWER✔✔-2
A mother is talking to the nurse and is concerned that her infant will get meningitis
and die like her cousin's child did many years ago. The mother asks the nurse,
"What is the best way I can protect my child?" How should the nurse respond?
1."There is no way to prevent it, unfortunately, but you must be quick to respond to
any symptoms."
