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HESI Pediatrics Study Guide 2026/2027 | Pediatric Nursing Practice Questions & Exam Review

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HESI Pediatrics Study Guide 2026/2027 | Pediatric Nursing Practice Questions & Exam Review

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PEDI HESI STUDY GUIDE

A. A sore throat

The nurse is assessing a 9-year-old boy who has been admitted to the hospital with possible acute
poststreptococcal glomerulonephritis (APSGN). In obtaining his history, what information is most
significant.

A. A sore throat

B. A history of hypertension

c. Diuresis during the night

d. Back pain for a few days




D. Palpate the anterior fontanel for tension and bulging

The nurse is measuring the frontal occipital circumference (FOC) of a 3- month-old infant, and notes that
the FOC has increased 5 inches since birth and the child's head appears large in relation to body size.
Which action is most important for the nurse to take next?

A. Plot the measurement on the infant's growth chart

B. Observe the infant for sunset eyes

C. measure the infants head-to-heel length

D. Palpate the anterior fontanel for tension and bulging




B 9%

A infant recently admitted with vomiting and diarrhea now weighs 10kg. Her weight at previous visit was
11kg. What is the percentage of baby weight loss for this infant?

A 4%

B 9%

C 10%

D 5%


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A. Tell him to eat a sandwich and fruit before beginning the game

A male high school student with type 1 diabetes test his blood glucose level before playing a game of
soccer, and he obtains a reading of 180 mg/dl (10 mmol/L). Based on this reading, which action should
the nurse take?

A. Tell him to eat a sandwich and fruit before beginning the game

B check his urine for ketones

C Give him permission to go ahead and play soccer

D call the healthcare provider




A. Sore throat

A 7-year-old child is admitted to the hospital with a diagnosis of acute rheumatic fever. In obtaining a
health history from the child's mother, the recent occurrence of which illness is most significant.

A. Sore throat

B Chickenpox

C. Mumps

D. influenza




C Ask if the right testis has been seen in the scrotum before

A mother brings her 2-month-old son to the clinic for a well-baby exam. During the assessment the
nurse finds that the right testicle in not descended into the scrotum, but the left is palpable. Which
action should the nurse take?

A. prepare to obtain a catheterized urine specimen for culture

B address possible concerns about the child's future fertility

C Ask if the right testis has been seen in the scrotum before

D Schedule an IV pyelogram to validate presence of testicle




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D Demonstrates startle reflex

The nurse is assessing a 6-month-old infant. Which response required further evaluation by the nurse?

A Has double birth weight

B Turns head to locate sound

C Plays "peek-a-boo"

D Demonstrates startle reflex




C. "Talks" to an imaginary friend

A 4-year-old girl returns to the pediatrician's office for a postoperative visit following hospitalization for
minor surgery. When observing the child in the waiting area, which behavior should the nurse consider
normal for this age child?

A. Ignores other children in the play area

B. Draws pictures of self with facial features

C. "Talks" to an imaginary friend

D. Sits quietly in her mother's lap

C. "Talks" to an imaginary friend




A Obtain bedside trays for intubation or tracheotomy by the healthcare provider

A preschool-age child in experiencing respiratory distress is brought to the emergency department by
the parents. The child is anxious, has a temperature of 102.8 F (39.3C), and is drooling from the mouth
while leaning forward when sitting. Which action should the nurse prepare the child next?

A Obtain bedside trays for intubation or tracheotomy by the healthcare provider

B Begin prescribed intravenous antibiotic administration

C Provide a nebulizer treatment with bronchodilators

D Schedule the child for a stat magnetic resonance imaging (MRI) of the neck

A Obtain bedside trays for intubation or tracheotomy by the healthcare provider




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