Peds HESI Version 2 Questions and
Answers | Latest Version | 2025/2026 |
Correct & Verified
Which sign indicates dehydration in a toddler?
A. Moist mucous membranes
B. Warm, elastic skin
✔✔C. Sunken fontanelle and dry lips
D. Normal urine output
Which intervention is priority for a child with epiglottitis?
A. Encourage oral fluids
✔✔B. Maintain airway and avoid throat manipulation
C. Administer antipyretics only
D. Encourage coughing
Which action should the nurse take first for a child with suspected meningitis?
A. Administer antibiotics immediately after blood cultures
B. Provide pain medication
1
,✔✔C. Isolate the child and obtain cultures
D. Encourage oral fluids
Which finding is most concerning in a 4-year-old with asthma?
A. Mild cough at night
✔✔B. Retractions and wheezing at rest
C. Intermittent use of rescue inhaler
D. Occasional shortness of breath with activity
Which immunization is contraindicated for a child with severe egg allergy?
A. Tdap
B. MMR
✔✔C. Influenza (live attenuated nasal spray)
D. Hepatitis B
Which parent statement indicates understanding of safe medication administration in children?
A. “I can give adult doses if my child is very sick.”
✔✔B. “I will calculate the dose using my child’s weight.”
2
,C. “It’s safe to double doses if a dose is missed.”
D. “I don’t need to shake liquid medications.”
Which symptom suggests increased intracranial pressure in an infant?
A. Sleeping longer than usual
B. Mild irritability
✔✔C. Bulging fontanelle and high-pitched cry
D. Normal feeding
Which position is best for a child experiencing respiratory distress?
A. Supine
B. Prone
✔✔C. Upright or tripod
D. Lying on the side
Which sign indicates hypoglycemia in a school-age child?
A. Flushed skin
✔✔B. Shakiness and irritability
3
, C. Polyuria
D. Bradycardia
Which action is most appropriate for a child with croup and stridor?
A. Encourage vigorous coughing
✔✔B. Provide humidified air and monitor airway
C. Administer antitussive medication
D. Restrict fluids
Which finding suggests a urinary tract infection in a toddler?
A. Increased appetite
B. Clear, odorless urine
✔✔C. Dysuria, frequency, and foul-smelling urine
D. Decreased thirst
Which intervention is priority for a child with suspected appendicitis?
A. Encourage ambulation
B. Administer laxatives
4
Answers | Latest Version | 2025/2026 |
Correct & Verified
Which sign indicates dehydration in a toddler?
A. Moist mucous membranes
B. Warm, elastic skin
✔✔C. Sunken fontanelle and dry lips
D. Normal urine output
Which intervention is priority for a child with epiglottitis?
A. Encourage oral fluids
✔✔B. Maintain airway and avoid throat manipulation
C. Administer antipyretics only
D. Encourage coughing
Which action should the nurse take first for a child with suspected meningitis?
A. Administer antibiotics immediately after blood cultures
B. Provide pain medication
1
,✔✔C. Isolate the child and obtain cultures
D. Encourage oral fluids
Which finding is most concerning in a 4-year-old with asthma?
A. Mild cough at night
✔✔B. Retractions and wheezing at rest
C. Intermittent use of rescue inhaler
D. Occasional shortness of breath with activity
Which immunization is contraindicated for a child with severe egg allergy?
A. Tdap
B. MMR
✔✔C. Influenza (live attenuated nasal spray)
D. Hepatitis B
Which parent statement indicates understanding of safe medication administration in children?
A. “I can give adult doses if my child is very sick.”
✔✔B. “I will calculate the dose using my child’s weight.”
2
,C. “It’s safe to double doses if a dose is missed.”
D. “I don’t need to shake liquid medications.”
Which symptom suggests increased intracranial pressure in an infant?
A. Sleeping longer than usual
B. Mild irritability
✔✔C. Bulging fontanelle and high-pitched cry
D. Normal feeding
Which position is best for a child experiencing respiratory distress?
A. Supine
B. Prone
✔✔C. Upright or tripod
D. Lying on the side
Which sign indicates hypoglycemia in a school-age child?
A. Flushed skin
✔✔B. Shakiness and irritability
3
, C. Polyuria
D. Bradycardia
Which action is most appropriate for a child with croup and stridor?
A. Encourage vigorous coughing
✔✔B. Provide humidified air and monitor airway
C. Administer antitussive medication
D. Restrict fluids
Which finding suggests a urinary tract infection in a toddler?
A. Increased appetite
B. Clear, odorless urine
✔✔C. Dysuria, frequency, and foul-smelling urine
D. Decreased thirst
Which intervention is priority for a child with suspected appendicitis?
A. Encourage ambulation
B. Administer laxatives
4
