HESI RN PEDIATRICS STUDY GUIDE
2026 COMPLETE QUESTIONS WITH
CORRECT SOLUTIONS GRADED A+
◉ To take the vital signs of a 4-month old child, which order will give
the most accurate results? Answer: A. Respiratory rate, heart rate,
then rectal temperature
◉ During routine screening at a school clinic, an otoscope
examination of a child's ear reveals a tympanic membrane that is
pearly gray, slightly bulging, and not movable. What action should
the nurse take next? Answer: B. Ask the child if he/she has had a
cold, runny nose, or any ear pain lately.
◉ Which restraint should be used for a toddler after a cleft palate
repair? Answer: C. elbow restraints
◉ What preoperative nursing intervention should be included in the
plan of care for an infant with pyloric stenosis? Answer: D. observe
for projectile vomiting.
◉ A six-month-old returns from surgery with elbow restraints in
place. What nursing care should be included when caring for any
,restrained child? Answer: B. remove restraints one at a time and
provide range of motion exercises
◉ A 2-year old child with Down syndrome is brought to the clinic for
his regular physical examination. The nurse knows which problem is
frequently associated with Down syndrome? Answer: A. congenital
heart disease
◉ When assessing a child with asthma, the nurse should expect
intercostal retractions during Answer: A. inspiration
◉ When planning the care for a child who has had a cleft lip repair,
the nurse knows that crying should be minimized because it Answer:
D. stresses the suture line
◉ A full-term infant is admitted to the newborn nursery. After
careful assessment, the nurse suspects that the infant may have an
esophageal atresia. Which symptoms is this newborn likely to have
exhibited? Answer: A. choking, coughing, and cyanosis
◉ Which behavior would the nurse expect a two-year-old child to
exhibit? Answer: C. display possessiveness of toys
◉ the mother of a preschool-aged client asks the nurse if it is all
right to administer Pepto Bismal to her son when he 'has a tummy
ache." After reminding the mother to check the label of all OTC drugs
,for the presence of aspirin, which instruction should the nurse
include when replying to this mother's question? Answer: B. do not
give if the child has chickenpox, the flu, or any other viral illness.
◉ The nurse observes a 4-year old boy in a daycare setting. Which
behavior should the nurse consider normal for this client? Answer: C.
demonstrates aggressiveness by boasting when telling a story
◉ A burned child is brought to the emergency room. In estimating
the percentage of the body burned, the nurse uses a modified "Rule
of Nines." Which part of a child's body is calculated as a larger
percentage of total body surface than an adult? Answer: A. head and
neck
◉ The nurse receives a lab report stating a child with asthma has a
theophylline level of 15 mcg/dl. What action will the nurse take?
Answer: A. pass the information on in the report
◉ A 12-month old boy is admitted with a respiratory infection and
possible pneumonia. He is placed in a mist tent with oxygen. Which
nursing intervention has the greatest priority for this infant? Answer:
C. have a bulb syringe readily available to remove secretions
◉ All of the following interventions can be used to evaluate the
effectiveness of nursing and medical interventions used to treat
diarrhea. Which intervention is least useful in the nurse's evaluation
of a 20-month-old child. Answer: B. assessing fontanels
, ◉ A 5-month-old is admitted to the hospital with vomiting and
diarrhea. The pediatrician prescribed dextrose 5% and 0.25% normal
saline with 2 mEq KCI/100 mL to be infused at 25mL/hr. Prior to
initiating the infusion, the nurse should obtain which assessment
finding? Answer: B. serum BUN and creatinine levels
◉ The nurse is assigning care for a 4-year old child with otitis media
and is concerned about the child's increasing temperature over the
past 24 hours. When planning care for this child, it is important for
the nurse to consider that: Answer: B. a tympanic measurement of
temperature will provide the most accurate reading
◉ The nurse is assessing an 8-month old child who has a medical
diagnosis of Tetrology of Fallot. Which symptom is this client most
likely to exhibit? Answer: D. clubbed fingers
◉ As part of the physical assessment of children, the nurse observes
and palpates the fontanels. Which child's fontanel finding should be
reported to the healthcare provider? Answer: A. A 5-month old with
failure to thrive that has a closed anterior fontanel
◉ A preschool-age child who is hospitalized for hypospadias repair is
most strongly influenced by which behavior? Answer: C. concern for
body integrity
2026 COMPLETE QUESTIONS WITH
CORRECT SOLUTIONS GRADED A+
◉ To take the vital signs of a 4-month old child, which order will give
the most accurate results? Answer: A. Respiratory rate, heart rate,
then rectal temperature
◉ During routine screening at a school clinic, an otoscope
examination of a child's ear reveals a tympanic membrane that is
pearly gray, slightly bulging, and not movable. What action should
the nurse take next? Answer: B. Ask the child if he/she has had a
cold, runny nose, or any ear pain lately.
◉ Which restraint should be used for a toddler after a cleft palate
repair? Answer: C. elbow restraints
◉ What preoperative nursing intervention should be included in the
plan of care for an infant with pyloric stenosis? Answer: D. observe
for projectile vomiting.
◉ A six-month-old returns from surgery with elbow restraints in
place. What nursing care should be included when caring for any
,restrained child? Answer: B. remove restraints one at a time and
provide range of motion exercises
◉ A 2-year old child with Down syndrome is brought to the clinic for
his regular physical examination. The nurse knows which problem is
frequently associated with Down syndrome? Answer: A. congenital
heart disease
◉ When assessing a child with asthma, the nurse should expect
intercostal retractions during Answer: A. inspiration
◉ When planning the care for a child who has had a cleft lip repair,
the nurse knows that crying should be minimized because it Answer:
D. stresses the suture line
◉ A full-term infant is admitted to the newborn nursery. After
careful assessment, the nurse suspects that the infant may have an
esophageal atresia. Which symptoms is this newborn likely to have
exhibited? Answer: A. choking, coughing, and cyanosis
◉ Which behavior would the nurse expect a two-year-old child to
exhibit? Answer: C. display possessiveness of toys
◉ the mother of a preschool-aged client asks the nurse if it is all
right to administer Pepto Bismal to her son when he 'has a tummy
ache." After reminding the mother to check the label of all OTC drugs
,for the presence of aspirin, which instruction should the nurse
include when replying to this mother's question? Answer: B. do not
give if the child has chickenpox, the flu, or any other viral illness.
◉ The nurse observes a 4-year old boy in a daycare setting. Which
behavior should the nurse consider normal for this client? Answer: C.
demonstrates aggressiveness by boasting when telling a story
◉ A burned child is brought to the emergency room. In estimating
the percentage of the body burned, the nurse uses a modified "Rule
of Nines." Which part of a child's body is calculated as a larger
percentage of total body surface than an adult? Answer: A. head and
neck
◉ The nurse receives a lab report stating a child with asthma has a
theophylline level of 15 mcg/dl. What action will the nurse take?
Answer: A. pass the information on in the report
◉ A 12-month old boy is admitted with a respiratory infection and
possible pneumonia. He is placed in a mist tent with oxygen. Which
nursing intervention has the greatest priority for this infant? Answer:
C. have a bulb syringe readily available to remove secretions
◉ All of the following interventions can be used to evaluate the
effectiveness of nursing and medical interventions used to treat
diarrhea. Which intervention is least useful in the nurse's evaluation
of a 20-month-old child. Answer: B. assessing fontanels
, ◉ A 5-month-old is admitted to the hospital with vomiting and
diarrhea. The pediatrician prescribed dextrose 5% and 0.25% normal
saline with 2 mEq KCI/100 mL to be infused at 25mL/hr. Prior to
initiating the infusion, the nurse should obtain which assessment
finding? Answer: B. serum BUN and creatinine levels
◉ The nurse is assigning care for a 4-year old child with otitis media
and is concerned about the child's increasing temperature over the
past 24 hours. When planning care for this child, it is important for
the nurse to consider that: Answer: B. a tympanic measurement of
temperature will provide the most accurate reading
◉ The nurse is assessing an 8-month old child who has a medical
diagnosis of Tetrology of Fallot. Which symptom is this client most
likely to exhibit? Answer: D. clubbed fingers
◉ As part of the physical assessment of children, the nurse observes
and palpates the fontanels. Which child's fontanel finding should be
reported to the healthcare provider? Answer: A. A 5-month old with
failure to thrive that has a closed anterior fontanel
◉ A preschool-age child who is hospitalized for hypospadias repair is
most strongly influenced by which behavior? Answer: C. concern for
body integrity
