HESI RN Pediatrics Exam 2025 – 55 Verified Questions & Answers with Detailed Rationales

HESI RN Pediatrics Exam 2026 – dt dt dt dt dt dt




1. The nurse is caring for a 3-
dt dt dt dt dt dt




year old child who is 2 hours postop from a cardiac catheterization via the right femoral artery. Which assessme
dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt




nt finding is an indication of arterial obstruction?
dt dt dt dt dt dt dt




a. Blood pressure trend is downward and pulse is rapid and irregular.
dt dt dt dt dt dt dt dt dt dt




b. Right foot is cool to the touch and appears pale and blanched.
dt dt dt dt dt dt dt dt dt dt dt




c. Pulse distal to the femoral artery is weaker on the left foot than right foot.
dt dt dt dt dt dt dt dt dt dt dt dt dt dt




d. The pressure dressing at right femoral area is moist and oozing blood.
dt dt dt dt dt dt dt dt dt dt dt




b. Right foot is cool to the touch and appears pale and blanched.
dt dt dt dt dt dt dt dt dt dt dt




2. Following a motor vehicle collision, a 3- dt dt dt dt dt dt




year old girl has a spica cast applied. Which toy is best for the nurse for this 3-year-old child?
dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt




A. Duckthatsqueaks.
dt




B. Fashiondollandclothes.
dt




C. Set of cloth and hand puppets.
dt dt dt dt dt dt




D. Hand held video game.
dt dt dt dt




C. Set of cloth and hand puppets.
dt dt dt dt dt dt




3. An infant with tetralogy of Fallot becomes acutely cyanotic and hyperpneic. Which action should the nurse i
dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt




mplement first? dt




A. Administer morphine sulphate.
dt dt dt




B. Start IV fluids.
dt dt dt




C. Place the infant in a knee-chest position.
dt dt dt dt dt dt dt




D. Provide 100% oxygen by face mask.
dt dt dt dt dt dt




C. Place the infant in a knee-chest position.
dt dt dt dt dt dt dt




4. A child admitted with diabetic ketoacidosis is demonstrating Kussmaul respirations. The nurse determines th
dt dt dt dt dt dt dt dt dt dt dt dt dt




at the increased respiratory rate is a compensatory mechanism for which acid base alteration?
dt dt dt dt dt dt dt dt dt dt dt dt dt




A. Metabolicalkalosis.
dt




B. Respiratory acidosis.
dt dt




C. Respiratoryalkalosis.
dt




D. Metabolic acidosis.
dt dt




D. Metabolic acidosis.
dt dt

,5. 7 years old is admitted to the hospital with persistent vomiting, and a nasogastric tube attached to low int
dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt




ermittent suction is applied. Which finding is most important for the nurse to report to the healthcare provi
dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt




der?
A. Gastric output of 100 mL in the last 8 hours.
dt dt dt dt dt dt dt dt dt dt




B. Shift intake of 640 mL IV fluids plus 30 mL PO ice chips.
dt dt dt dt dt dt dt dt dt dt dt dt dt




C. Serum potassium of 3.0 mg/dL.
dt dt dt dt dt




D. Serum pH of 7.45.
dt dt dt dt




C. Serum potassium of 3.0 mg/dL.
dt dt dt dt dt




6. The nurse is evaluating diet teaching for a client who has nontropical sprue (celiac disease). Choosing which fo
dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt




od indicates that the teaching has been effective?
dt dt dt dt dt dt dt




A. Creamed corn. dt




B. Pancakes.

C. Rye crackers. dt




D. Cooked oatmeal. dt




A. Creamed corn. dt




7. During a well- dt dt




baby check, the nurse hides a block under the baby's blanket, and the baby looks for the block. Which normal gro
dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt




wth and development milestone is the baby developing?
dt dt dt dt dt dt dt




A. Separation anxiety.
dt dt




B. Associativeplay.
dt




C. Object prehension.
dt dt




D. Object permanence.
dt dt




D. Object permanence.
dt dt




8. The nurse is measuring the frontal occipital circumference (FOC) of a 3-
dt dt dt dt dt dt dt dt dt dt dt




months old infant, and notes that the FOC has increased 5 inches since birth and the child's head appears large in r
dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt




elation to body size. Which action is most important for the nurse to take next?
dt dt dt dt dt dt dt dt dt dt dt dt dt dt




A. Measuretheinfant'shead-to-toelength.
B. Palpate the anterior fontanel for tension and bulging.
dt dt dt dt dt dt dt




C. Observe the infant for sunken eyes. dt dt dt dt dt




D. Plot the measurement on the infant's growth chart.
dt dt dt dt dt dt dt




B. Palpate the anterior fontanel for tension and bulging.
dt dt dt dt dt dt dt




9. The nurse is preparing a 10-year-old with a lacerated forehead for suturing. Both parents and 12-year-
dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt




old sibling are at the child's bedside. Which instruction best supports family?
dt dt dt dt dt dt dt dt dt dt dt

, A. While waiting for the healthcare provider, only one visitor may stay with the child.
dt dt dt dt dt dt dt dt dt dt dt dt dt dt




B. All of you should leave while the healthcare provider sutures the child's forehead.
dt dt dt dt dt dt dt dt dt dt dt dt dt




C. It is best if the sibling goes to the waiting room until the suturing is completed.
dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt




D. Please decide who will stay when the healthcare provider begins suturing.
dt dt dt dt dt dt dt dt dt dt dt




D. Please decide who will stay when the healthcare provider begins suturing.
dt dt dt dt dt dt dt dt dt dt dt




10. The nurse is planning for a 5- dt dt dt dt dt dt




month old with gastroesophageal reflux disease whose weight has decreased by 3 ounces since the last clinic vis
dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt




it one month ago. To increase caloric intake and decrease vomiting, what
dt dt dt dt dt dt dt dt dt dt dt




instructions should the nurse provide this mother? dt dt dt dt dt dt




A. Givesmallamountsofbabyfoodwitheachfeeding.
dt




B. Thicken formula with cereal for each feeding.
dt dt dt dt dt dt dt




C. Dilute the child's formula with equal parts of water.
dt dt dt dt dt dt dt dt dt




D. Offer 10 % dextrose in water between most feedings.
dt dt dt dt dt dt dt dt dt




B. Thicken formula with cereal for each feeding.
dt dt dt dt dt dt dt




11. While teaching a parenting class to new parents the nurse describes the needs of infants and toddlers
dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt




regarding discipline and limit setting. What is the most important reason for implementing such parenting behavior
dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt




s?
A. Children need help in developing social skills.This age child fears loss of self-control.
dt dt dt dt dt dt dt dt dt dt dt dt dt




B.They provide the child with a sense of security
dt dt dt dt dt dt dt dt




.C. Children must to learn to deal with authority.
dt dt dt dt dt dt dt dt




B.They provide the child with a sense of security
dt dt dt dt dt dt dt dt




12. The parents of a newborn infant with hypospadia are concerned about when the surgical correction should oc
dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt




cur. What information should the nurse provide?
dt dt dt dt dt dt




A. Repair should be done by one month to prevent bladder infection. B.Toformaproperurethrarepair,itshouldbedone
dt dt dt dt dt dt dt dt dt dt dt dt




aftersexualmaturity.

C. Repairs typically should be done before the child is potty trained.
dt dt dt dt dt dt dt dt dt dt dt




D. Delaying the repair until school age reduces castration fears.
dt dt dt dt dt dt dt dt dt




C. Repairs typically should be done before the child is potty trained.
dt dt dt dt dt dt dt dt dt dt dt




13. Which drink choice on a hot day indicates to the nurse that a teenager with sickle cell anemia understands di
dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt




etary consideration related to the disease?
dt dt dt dt dt




A. Milkshake.
dt




B. Iced tea.
dt dt




C. Diet cola.
dt dt