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PEDS HESI Practice Test | Pediatric Nursing Study Guide with Questions, Answers, and Rationales

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Prepare confidently for your HESI Exam with this comprehensive Pediatric Nursing (PEDS) practice test study guide designed to strengthen clinical knowledge in child health care. This resource includes carefully selected practice questions, correct answers, and detailed rationales covering key topics such as growth and development, pediatric assessment, immunizations, medication safety, and common childhood illnesses. Ideal for structured study and last-minute revision, it enhances clinical reasoning, improves exam performance, and builds confidence for success in pediatric nursing exams.

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PEDS HESI Practice Test |
Pediatric Nursing Study
Guide with Questions,
Answers, and Rationales |
Graded A+ | Guaranteed
Success



Updated 2026 Questions and Answers

100% Verified Exam Prep and Comprehensive Rationales
Included

, The nurse is giving preoperative instructions to a 14-year- D. "I understand that I will be in a body cast and I will show you how you taught me
old female client who is scheduled for surgery to correct a to turn."
spinal curvature. Which statement by the client best
demonstrates that learning has taken place?
A. "I will read all the literature you gave me before
surgery."
B. "I have had surgery before when I broke my wrist in a
bike accident, so I know what to expect."
C. "All the things people have told me will help me take
care of my back."
D. "I understand that I will be in a body cast and I will show
you how you taught me to turn."


To take the vital signs of a 4-month-old child, which order A. Respiratory rate, heart rate, then rectal temperature.
will give the most accurate results?
A. Respiratory rate, heart rate, then rectal temperature.
B. Heart rate, rectal temperature, then respiratory rate.
C. Rectal temperature, heart rate, then respiratory rate.
D. Rectal temperature, respiratory rate, then heart rate.


During routine screening at a school clinic, an otoscope B. Ask the child if he/she has had a cold, runny nose, or any ear pain lately.
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?
A. No action required, as this is an expected finding for a
school-aged child.
B. Ask the child if he/she has had a cold, runny nose, or
any ear pain lately.
C. Send a note home advising the parents to have the
child evaluated by a healthcare provider as soon as
possible.
D. Call the parents and have them take the child home
from school for the rest of the day.


Which restraint should be used for a toddler after a cleft C. Elbow.
palate repair?
A. Clove hitch.
B. Mummy.
C. Elbow.
D. Jacket.


What preoperative nursing intervention should be included D. Observe for projectile vomiting.
in the plan of care for an infant with pyloric stenosis?
A. Monitor for signs of metabolic acidosis.
B. Estimate the quantity of diarrhea stools.
C. Place in a supine position after feeding.
D. Observe for projectile vomiting.


A six-month-old returns from surgery with elbow restraints B. Remove restraints one at a time and provide range of motion exercises.
in place. What nursing care should be included when
caring for any restrained child?
A. Keep restraints on at all times.
B. Remove restraints one at a time and provide range of
motion exercises.
C. Remove all restraints simultaneously and provide play
activities.
D. Renew the healthcare provider's prescription for
restraints every 72 hours.


A 2-year-old child with Down syndrome is brought to the A. Congenital heart disease.
clinic for his regular physical examination. The nurse
knows which problem is frequently associated with Down
syndrome?
A. Congenital heart disease.
B. Fragile X chromosome.
C. Trisomy 13.
D. Pyloric stenosis.

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