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HESI Pediatrics Exit Exam 2025 — Study Guide, Practice
Questions & Pediatric Nursing Exam Prep
Prepare for the HESI Pediatrics Exit Exam 2025 with a complete study guide, practice
questions, and review materials. Master essential pediatric nursing concepts, growth and
development, immunizations, common childhood illnesses, patient care, and clinical skills
to excel in your HESI Pediatrics Exit Exam and advance your nursing career.
• HESI Pediatrics Exit Exam 2025
• Pediatric nursing HESI study guide
• HESI Pediatrics practice questions
• How to pass HESI Pediatrics Exit Exam
The nurse is caring for a 7-year-old client and obtains these vital signs: temperature 98.2°F, pulse 90,
respirations 22, and blood pressure 93/60. What will the nurse do next?
1.Cover the client with a warm blanket.
2.Document these normal vital signs.
3.Contact the healthcare provider regarding the low blood pressure.
4.Repeat the vital signs for accuracy. - ANSWER-2
The 4-year-old sibling asks the nurse if she caused her brother to be sick because she "wanted him to go
away." The nurse should recognize this as what?
1.Normal thinking for this age
2.A sign of potential abuse in the home
3.Concerning signs of emotional distress due to so much sibling anger
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4.Highly developed language and thoughts for this age - ANSWER-1
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
According to Piaget, a school-age child (age 7-11) is in a phase of concrete operation. Which information
does the nurse understand to be describing this stage?
1.Can think of one idea at a time
2.Thought process more coherent and logical
3.Is egocentric
4.Thinks abstractly and rationally - ANSWER-2
Which skills would the nurse assessing appropriate developmental skills expect to see for a 2 year old?
Select all that apply.
1.Climbing up and down stairs
2.Turning a door knob
3.Having conversations using two to three sentences
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4.Following simple instructions
5.Demonstrating separation anxiety - ANSWER-1, 2, 4, 5
The nurse is educating the parents of a three-week-old infant being admitted for colic. What teaching
interventions are included for the parents? Select all that apply.
1.Reinforce that intestinal gas is not a reflection of the caregiving skills.
2.Swaddle the infant during the crying times.
3.Educate the parents that the colic can persist for 12 months.
4.White noise may cause the infant to be fussier.
5.Limit the infant's time with a pacifier. - ANSWER-1, 2
A nurse is caring for a toddler on an inpatient unit. Which developmental milestones should be expected
at this stage by the nurse? Select all that apply.
1.Gross motor development milestones include learning to ride a bike.
2.Speech and language milestones include learning to put three or more words together to form a
sentence.
3.Fine motor development milestones include learning to use a fine pincer grasp.
4.Fine motor development milestones include stacking 6 or more blocks on top of one another.
5.Cognitive development milestones include understanding the concept of object permanence. -
ANSWER-2, 4
The nurse is assessing a 6-year-old child. According to Piaget, what should the nurse expect to observe in
the child at this stage? Select all that apply.
1.The child's thinking is influenced by fantasy.
2.The child understands the concept of time.
3.The child is able to think abstractly.
4.The child is able to think about things that are not in the present.
5.The child's language skills are fully developed. - ANSWER-1, 4
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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
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
HESI Pediatrics Exit Exam 2025 — Study Guide, Practice
Questions & Pediatric Nursing Exam Prep
Prepare for the HESI Pediatrics Exit Exam 2025 with a complete study guide, practice
questions, and review materials. Master essential pediatric nursing concepts, growth and
development, immunizations, common childhood illnesses, patient care, and clinical skills
to excel in your HESI Pediatrics Exit Exam and advance your nursing career.
• HESI Pediatrics Exit Exam 2025
• Pediatric nursing HESI study guide
• HESI Pediatrics practice questions
• How to pass HESI Pediatrics Exit Exam
The nurse is caring for a 7-year-old client and obtains these vital signs: temperature 98.2°F, pulse 90,
respirations 22, and blood pressure 93/60. What will the nurse do next?
1.Cover the client with a warm blanket.
2.Document these normal vital signs.
3.Contact the healthcare provider regarding the low blood pressure.
4.Repeat the vital signs for accuracy. - ANSWER-2
The 4-year-old sibling asks the nurse if she caused her brother to be sick because she "wanted him to go
away." The nurse should recognize this as what?
1.Normal thinking for this age
2.A sign of potential abuse in the home
3.Concerning signs of emotional distress due to so much sibling anger
,2|Page
4.Highly developed language and thoughts for this age - ANSWER-1
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
According to Piaget, a school-age child (age 7-11) is in a phase of concrete operation. Which information
does the nurse understand to be describing this stage?
1.Can think of one idea at a time
2.Thought process more coherent and logical
3.Is egocentric
4.Thinks abstractly and rationally - ANSWER-2
Which skills would the nurse assessing appropriate developmental skills expect to see for a 2 year old?
Select all that apply.
1.Climbing up and down stairs
2.Turning a door knob
3.Having conversations using two to three sentences
,3|Page
4.Following simple instructions
5.Demonstrating separation anxiety - ANSWER-1, 2, 4, 5
The nurse is educating the parents of a three-week-old infant being admitted for colic. What teaching
interventions are included for the parents? Select all that apply.
1.Reinforce that intestinal gas is not a reflection of the caregiving skills.
2.Swaddle the infant during the crying times.
3.Educate the parents that the colic can persist for 12 months.
4.White noise may cause the infant to be fussier.
5.Limit the infant's time with a pacifier. - ANSWER-1, 2
A nurse is caring for a toddler on an inpatient unit. Which developmental milestones should be expected
at this stage by the nurse? Select all that apply.
1.Gross motor development milestones include learning to ride a bike.
2.Speech and language milestones include learning to put three or more words together to form a
sentence.
3.Fine motor development milestones include learning to use a fine pincer grasp.
4.Fine motor development milestones include stacking 6 or more blocks on top of one another.
5.Cognitive development milestones include understanding the concept of object permanence. -
ANSWER-2, 4
The nurse is assessing a 6-year-old child. According to Piaget, what should the nurse expect to observe in
the child at this stage? Select all that apply.
1.The child's thinking is influenced by fantasy.
2.The child understands the concept of time.
3.The child is able to think abstractly.
4.The child is able to think about things that are not in the present.
5.The child's language skills are fully developed. - ANSWER-1, 4
, 4|Page
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
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
