Pediatric HESI Questions and Answers
| Latest Version | 2025/2026 | Correct &
Verified
What is the safest fluid to avoid in rehydration therapy?
✔✔Fruit juice
What is the best nursing intervention when a dehydrated child refuses oral fluids?
✔✔Offer oral rehydration solution in small frequent amounts with a spoon or syringe
Which electrolyte imbalance is common in dehydration caused by diarrhea?
✔✔Hyponatremia
What is the most important nursing assessment in a dehydrated infant with diarrhea?
✔✔Frequency and consistency of stools
Which clinical sign indicates worsening dehydration in a child?
✔✔Decreased tear production
1
,Which parameter best reflects severity of dehydration?
✔✔Percentage of body weight lost
What is the recommended first-line therapy for moderate dehydration in children?
✔✔Oral rehydration therapy
What is the most serious potential complication of severe dehydration?
✔✔Seizures and shock
Which physical sign is the most accurate in determining fluid loss in infants?
✔✔Daily weight change
What is the appropriate nursing action for a child with mild dehydration and no vomiting?
✔✔Encourage oral rehydration solution
Which vital sign change is most consistent with dehydration in children?
✔✔Increased heart rate
2
, What is the best way to prevent dehydration in children with diarrhea?
✔✔Early initiation of oral rehydration solution
What is the first sign of effective oral rehydration therapy in a child?
✔✔Improved activity and alertness
Which symptom suggests that a child is progressing to severe dehydration?
✔✔Minimal urine output
What should parents be taught to monitor at home in a child recovering from dehydration?
✔✔Number of wet diapers or voids
Which intervention prevents recurrence of dehydration in children with gastroenteritis?
✔✔Continued feeding with oral rehydration solution after each stool or vomit
What is the most reliable method to assess fluid status in a dehydrated child?
✔✔Daily weight measurement
3
| Latest Version | 2025/2026 | Correct &
Verified
What is the safest fluid to avoid in rehydration therapy?
✔✔Fruit juice
What is the best nursing intervention when a dehydrated child refuses oral fluids?
✔✔Offer oral rehydration solution in small frequent amounts with a spoon or syringe
Which electrolyte imbalance is common in dehydration caused by diarrhea?
✔✔Hyponatremia
What is the most important nursing assessment in a dehydrated infant with diarrhea?
✔✔Frequency and consistency of stools
Which clinical sign indicates worsening dehydration in a child?
✔✔Decreased tear production
1
,Which parameter best reflects severity of dehydration?
✔✔Percentage of body weight lost
What is the recommended first-line therapy for moderate dehydration in children?
✔✔Oral rehydration therapy
What is the most serious potential complication of severe dehydration?
✔✔Seizures and shock
Which physical sign is the most accurate in determining fluid loss in infants?
✔✔Daily weight change
What is the appropriate nursing action for a child with mild dehydration and no vomiting?
✔✔Encourage oral rehydration solution
Which vital sign change is most consistent with dehydration in children?
✔✔Increased heart rate
2
, What is the best way to prevent dehydration in children with diarrhea?
✔✔Early initiation of oral rehydration solution
What is the first sign of effective oral rehydration therapy in a child?
✔✔Improved activity and alertness
Which symptom suggests that a child is progressing to severe dehydration?
✔✔Minimal urine output
What should parents be taught to monitor at home in a child recovering from dehydration?
✔✔Number of wet diapers or voids
Which intervention prevents recurrence of dehydration in children with gastroenteritis?
✔✔Continued feeding with oral rehydration solution after each stool or vomit
What is the most reliable method to assess fluid status in a dehydrated child?
✔✔Daily weight measurement
3
