HESI PEDIATRIC TEST BANK 2026/2027 EXIT ACTUAL EXAM | VERIFIED ANSWERS |
ALREADY GRADED A+
HESI Pediatric Exit Examination Comprehensive Test Bank | Core Domains: Pediatric Growth &
Development, Pediatric Assessment, Acute & Chronic Pediatric Conditions, Pediatric Pharmacology,
Family-Centered Care, Pediatric Emergencies, Health Promotion & Prevention, and Ethical/Legal
Considerations in Pediatric Nursing | NCLEX-PN®/RN® Focus | Comprehensive Nursing Exit Exam
Format
Exam Structure
The HESI Pediatric Exit Exam for the 2026/2027 academic cycle is a 55-question, multiple-choice
examination.
Introduction
This HESI Pediatric Exit Exam test bank for the 2026/2027 academic year reflects the latest
evidence-based pediatric nursing practices and NCLEX® test plans. The content emphasizes clinical
judgment, developmentally appropriate care, safe medication administration, and family education for
pediatric patients from infancy through adolescence.
Answer Format
All correct answers and nursing interventions must be presented in bold and green, followed by
detailed rationales incorporating pediatric pathophysiology, developmental theories, pharmacological
principles, and the NCLEX® clinical judgment measurement model.
1. A nurse is assessing a 6-month-old infant. Which finding is expected?
A. Walks with assistance
B. Says "mama" and "dada" with meaning
C. Rolls from back to front
D. Uses a pincer grasp
, By 6 months, infants typically roll from back to front, sit with support, and babble. Walking with
assistance occurs around 9–12 months. Meaningful "mama/dada" and pincer grasp develop at 9–12
months.
2. A 2-year-old child is admitted with suspected epiglottitis. What is the priority nursing
action?
A. Obtain a throat culture
B. Administer nebulized epinephrine
C. Maintain airway and avoid examining the throat
D. Encourage oral fluids
Epiglottitis is a medical emergency. Any stimulation (e.g., tongue depressor) can cause complete
airway obstruction. The child should be kept calm, and airway support (e.g., preparation for
intubation) prioritized.
3. A newborn is 1 hour old and has central cyanosis. What should the nurse do first?
A. Administer vitamin K
B. Perform the Apgar score
C. Assess oxygen saturation and provide oxygen
D. Bathe the infant
Central cyanosis (bluish trunk/mucous membranes) indicates hypoxia. Immediate assessment of
SpO₂ and oxygen support are critical. Acrocyanosis (blue hands/feet) is normal in the first 24–48
hours.
4. A 4-year-old has a fractured femur and is in Buck’s traction. What is the priority nursing
action?
A. Remove traction for bathing
, B. Elevate the foot of the bed
C. Ensure weights hang freely and ropes are aligned
D. Massage the affected leg
In traction, weights must hang freely without touching the floor or bed, and ropes must stay in the
pulley grooves. Removing traction or massaging the leg is contraindicated.
5. A 10-year-old with type 1 diabetes has a blood glucose of 280 mg/dL and positive ketones.
What is the priority action?
A. Administer glucagon
B. Give a snack with protein
C. Administer prescribed rapid-acting insulin
D. Restrict fluids
Blood glucose >240 mg/dL with ketones indicates impending diabetic ketoacidosis (DKA). Insulin is
needed to lower glucose and stop ketone production. Fluids should be encouraged to prevent
dehydration.
6. Which immunization should be administered to a healthy 2-month-old infant?
A. MMR
B. Varicella
C. DTaP, Hib, PCV13, IPV, HepB, Rotavirus
D. Influenza
At 2 months, CDC recommends: DTaP, Hib, PCV13, IPV, HepB, and oral rotavirus. MMR and
varicella are given at 12 months; flu vaccine starts at 6 months.
ALREADY GRADED A+
HESI Pediatric Exit Examination Comprehensive Test Bank | Core Domains: Pediatric Growth &
Development, Pediatric Assessment, Acute & Chronic Pediatric Conditions, Pediatric Pharmacology,
Family-Centered Care, Pediatric Emergencies, Health Promotion & Prevention, and Ethical/Legal
Considerations in Pediatric Nursing | NCLEX-PN®/RN® Focus | Comprehensive Nursing Exit Exam
Format
Exam Structure
The HESI Pediatric Exit Exam for the 2026/2027 academic cycle is a 55-question, multiple-choice
examination.
Introduction
This HESI Pediatric Exit Exam test bank for the 2026/2027 academic year reflects the latest
evidence-based pediatric nursing practices and NCLEX® test plans. The content emphasizes clinical
judgment, developmentally appropriate care, safe medication administration, and family education for
pediatric patients from infancy through adolescence.
Answer Format
All correct answers and nursing interventions must be presented in bold and green, followed by
detailed rationales incorporating pediatric pathophysiology, developmental theories, pharmacological
principles, and the NCLEX® clinical judgment measurement model.
1. A nurse is assessing a 6-month-old infant. Which finding is expected?
A. Walks with assistance
B. Says "mama" and "dada" with meaning
C. Rolls from back to front
D. Uses a pincer grasp
, By 6 months, infants typically roll from back to front, sit with support, and babble. Walking with
assistance occurs around 9–12 months. Meaningful "mama/dada" and pincer grasp develop at 9–12
months.
2. A 2-year-old child is admitted with suspected epiglottitis. What is the priority nursing
action?
A. Obtain a throat culture
B. Administer nebulized epinephrine
C. Maintain airway and avoid examining the throat
D. Encourage oral fluids
Epiglottitis is a medical emergency. Any stimulation (e.g., tongue depressor) can cause complete
airway obstruction. The child should be kept calm, and airway support (e.g., preparation for
intubation) prioritized.
3. A newborn is 1 hour old and has central cyanosis. What should the nurse do first?
A. Administer vitamin K
B. Perform the Apgar score
C. Assess oxygen saturation and provide oxygen
D. Bathe the infant
Central cyanosis (bluish trunk/mucous membranes) indicates hypoxia. Immediate assessment of
SpO₂ and oxygen support are critical. Acrocyanosis (blue hands/feet) is normal in the first 24–48
hours.
4. A 4-year-old has a fractured femur and is in Buck’s traction. What is the priority nursing
action?
A. Remove traction for bathing
, B. Elevate the foot of the bed
C. Ensure weights hang freely and ropes are aligned
D. Massage the affected leg
In traction, weights must hang freely without touching the floor or bed, and ropes must stay in the
pulley grooves. Removing traction or massaging the leg is contraindicated.
5. A 10-year-old with type 1 diabetes has a blood glucose of 280 mg/dL and positive ketones.
What is the priority action?
A. Administer glucagon
B. Give a snack with protein
C. Administer prescribed rapid-acting insulin
D. Restrict fluids
Blood glucose >240 mg/dL with ketones indicates impending diabetic ketoacidosis (DKA). Insulin is
needed to lower glucose and stop ketone production. Fluids should be encouraged to prevent
dehydration.
6. Which immunization should be administered to a healthy 2-month-old infant?
A. MMR
B. Varicella
C. DTaP, Hib, PCV13, IPV, HepB, Rotavirus
D. Influenza
At 2 months, CDC recommends: DTaP, Hib, PCV13, IPV, HepB, and oral rotavirus. MMR and
varicella are given at 12 months; flu vaccine starts at 6 months.
