Pediatric HESI V1 Questions and
Answers | Latest Version | 2025/2026 |
Correct & Verified
A nurse assesses a toddler with suspected dehydration. Which finding indicates moderate
dehydration?
A. Capillary refill less than 2 seconds
✔✔B. Sunken eyes and decreased tears
C. Bounding peripheral pulses
D. Moist mucous membranes
A school-age child with asthma develops wheezing and shortness of breath after recess. What is
the priority nursing action?
A. Encourage pursed-lip breathing
✔✔B. Administer prescribed short-acting bronchodilator
C. Offer oral fluids immediately
D. Place child in supine position
A parent asks how to prevent sudden infant death syndrome (SIDS). Which statement by the
nurse is correct?
1
,✔✔A. Place infant on their back to sleep
B. Place infant on their stomach to strengthen muscles
C. Use soft pillows and blankets for comfort
D. Allow co-sleeping to monitor breathing
A 6-year-old hospitalized child refuses to take oral medication. What is the best initial nursing
action?
A. Restrain the child and administer
✔✔B. Offer choices and involve the child in the process
C. Hide medication in food without telling
D. Delay medication until later in the day
A nurse cares for a newborn with hypoglycemia. Which sign would the nurse expect?
A. Hyperactivity and loud cry
✔✔B. Jitteriness and poor feeding
C. Warm, flushed skin
D. Relaxed muscle tone
2
,A child is admitted with Kawasaki disease. Which nursing intervention is most important?
A. Provide quiet play activities
✔✔B. Administer aspirin as prescribed
C. Restrict oral fluids
D. Apply cool compresses
A toddler ingests a bottle of acetaminophen. What is the priority nursing action?
✔✔A. Administer N-acetylcysteine as prescribed
B. Encourage milk intake
C. Give activated charcoal after 24 hours
D. Place child in Trendelenburg position
A nurse is teaching parents of a preschooler about injury prevention. Which statement shows
understanding?
✔✔A. "We will use car seats or boosters based on height and weight."
B. "We will allow our child to ride in the front seat for visibility."
C. "We don’t need helmets yet for bicycle riding."
D. "We will avoid sunscreen so vitamin D is absorbed."
3
, A nurse cares for a child with sickle cell crisis. Which is the priority intervention?
A. Encourage ambulation
✔✔B. Administer IV fluids and pain relief
C. Provide a high-iron diet
D. Apply cold packs to joints
A school-age child with nephrotic syndrome has periorbital edema. Which nursing intervention is
expected?
✔✔A. Administer corticosteroids as prescribed
B. Restrict all protein intake
C. Encourage unlimited fluids
D. Place child in prone position
A nurse teaches an adolescent with type 1 diabetes about exercise. Which instruction is most
appropriate?
✔✔A. Eat a snack before vigorous activity
B. Avoid checking blood sugar before sports
4
Answers | Latest Version | 2025/2026 |
Correct & Verified
A nurse assesses a toddler with suspected dehydration. Which finding indicates moderate
dehydration?
A. Capillary refill less than 2 seconds
✔✔B. Sunken eyes and decreased tears
C. Bounding peripheral pulses
D. Moist mucous membranes
A school-age child with asthma develops wheezing and shortness of breath after recess. What is
the priority nursing action?
A. Encourage pursed-lip breathing
✔✔B. Administer prescribed short-acting bronchodilator
C. Offer oral fluids immediately
D. Place child in supine position
A parent asks how to prevent sudden infant death syndrome (SIDS). Which statement by the
nurse is correct?
1
,✔✔A. Place infant on their back to sleep
B. Place infant on their stomach to strengthen muscles
C. Use soft pillows and blankets for comfort
D. Allow co-sleeping to monitor breathing
A 6-year-old hospitalized child refuses to take oral medication. What is the best initial nursing
action?
A. Restrain the child and administer
✔✔B. Offer choices and involve the child in the process
C. Hide medication in food without telling
D. Delay medication until later in the day
A nurse cares for a newborn with hypoglycemia. Which sign would the nurse expect?
A. Hyperactivity and loud cry
✔✔B. Jitteriness and poor feeding
C. Warm, flushed skin
D. Relaxed muscle tone
2
,A child is admitted with Kawasaki disease. Which nursing intervention is most important?
A. Provide quiet play activities
✔✔B. Administer aspirin as prescribed
C. Restrict oral fluids
D. Apply cool compresses
A toddler ingests a bottle of acetaminophen. What is the priority nursing action?
✔✔A. Administer N-acetylcysteine as prescribed
B. Encourage milk intake
C. Give activated charcoal after 24 hours
D. Place child in Trendelenburg position
A nurse is teaching parents of a preschooler about injury prevention. Which statement shows
understanding?
✔✔A. "We will use car seats or boosters based on height and weight."
B. "We will allow our child to ride in the front seat for visibility."
C. "We don’t need helmets yet for bicycle riding."
D. "We will avoid sunscreen so vitamin D is absorbed."
3
, A nurse cares for a child with sickle cell crisis. Which is the priority intervention?
A. Encourage ambulation
✔✔B. Administer IV fluids and pain relief
C. Provide a high-iron diet
D. Apply cold packs to joints
A school-age child with nephrotic syndrome has periorbital edema. Which nursing intervention is
expected?
✔✔A. Administer corticosteroids as prescribed
B. Restrict all protein intake
C. Encourage unlimited fluids
D. Place child in prone position
A nurse teaches an adolescent with type 1 diabetes about exercise. Which instruction is most
appropriate?
✔✔A. Eat a snack before vigorous activity
B. Avoid checking blood sugar before sports
4
