HESI PEDIATRICS EXAM:
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Title: Comprehensive Review for Nursing Licensure
Total Questions: 85
Format: Multiple Choice
Instructions: Select the best answer. Correct answers are marked in bold.
Section 1: Growth & Development (Questions 1–15)
1. A 4-month-old infant should be able to perform which gross motor
milestone?
A. Sit without support
B. Roll from abdomen to back
C. Crawl on hands and knees
D. Pull to stand
Correct Answer: B – Roll from abdomen to back
Rationale: By 4 months, infants typically roll from abdomen to back. Sitting
without support occurs around 6–8 months, crawling at 6–10 months, and pulling
to stand at 8–10 months.
2. The nurse expects a 2-year-old child to exhibit which behavior?
A. Parallel play
B. Cooperative play
C. Solitary play
D. Associative play
,Correct Answer: A – Parallel play
Rationale: Toddlers (1–3 years) engage in parallel play (playing alongside but not
with others). Cooperative play emerges around 4–5 years.
3. According to Erikson, the primary psychosocial task of adolescence is:
A. Industry vs. Inferiority
B. Identity vs. Role Confusion
C. Autonomy vs. Shame and Doubt
D. Intimacy vs. Isolation
Correct Answer: B – Identity vs. Role Confusion
Rationale: Erikson’s adolescent stage (12–18 years) focuses on forming a personal
identity. Industry vs. Inferiority is school-age (6–12 years).
4. A mother asks when to introduce solid foods. The nurse advises:
A. 1–2 months
B. 4–6 months
C. 8–10 months
D. 12 months
Correct Answer: B – 4–6 months
Rationale: The AAP recommends introducing solids at 4–6 months when the infant
demonstrates head control and loss of the extrusion reflex.
5. Which finding indicates a newborn is developing normally at 1 month of
age?
A. Reaches for objects
B. Follows a bright light past midline
C. Lifts head 90 degrees when prone
D. Social smile
Correct Answer: D – Social smile
Rationale: Social smile appears by 6–8 weeks (approximately 2 months). Lifting
head 90 degrees occurs by 4 months.
6. The nurse identifies a deviation from expected development when a 9-
month-old cannot:
A. Say "mama" specifically
B. Sit unsupported
C. Wave bye-bye
D. Drink from a cup
, Correct Answer: B – Sit unsupported
Rationale: Most infants sit without support by 8 months. Inability to do so by 9
months warrants further evaluation.
7. A 5-year-old child is hospitalized. Which action best supports Erikson’s
stage of Initiative vs. Guilt?
A. Allowing the child to choose their meal from a limited menu
B. Restricting all choices to reduce anxiety
C. Encouraging the child to complete a puzzle independently
D. Having parents feed the child
Correct Answer: A – Allowing the child to choose their meal from a limited
menu
Rationale: Preschoolers need to initiate decisions. Offering limited choices fosters
initiative without overwhelming guilt.
8. Which immunization is first given at 12–15 months?
A. Hepatitis B
B. MMR (Measles, Mumps, Rubella)
C. DTaP
D. Rotavirus
Correct Answer: B – MMR
Rationale: The first dose of MMR is given at 12–15 months. Hep B is given at
birth, DTaP at 2 months, Rotavirus at 2 months.
9. A toddler’s anterior fontanelle closes normally by:
A. 2 months
B. 6 months
C. 12–18 months
D. 24–30 months
Correct Answer: C – 12–18 months
Rationale: The anterior fontanelle closes between 12–18 months. Posterior
fontanelle closes by 2–3 months.
10. The nurse teaches parents that a 3-year-old’s concept of death is typically:
A. Irreversible and universal
B. Reversible, like a long sleep
C. Punishment for bad behavior
D. Understood as final
LATEST 2026 TOPIC
TEST|||questions and answers with
rationales/graded A+/2026
update/100% correct /instant
download
Title: Comprehensive Review for Nursing Licensure
Total Questions: 85
Format: Multiple Choice
Instructions: Select the best answer. Correct answers are marked in bold.
Section 1: Growth & Development (Questions 1–15)
1. A 4-month-old infant should be able to perform which gross motor
milestone?
A. Sit without support
B. Roll from abdomen to back
C. Crawl on hands and knees
D. Pull to stand
Correct Answer: B – Roll from abdomen to back
Rationale: By 4 months, infants typically roll from abdomen to back. Sitting
without support occurs around 6–8 months, crawling at 6–10 months, and pulling
to stand at 8–10 months.
2. The nurse expects a 2-year-old child to exhibit which behavior?
A. Parallel play
B. Cooperative play
C. Solitary play
D. Associative play
,Correct Answer: A – Parallel play
Rationale: Toddlers (1–3 years) engage in parallel play (playing alongside but not
with others). Cooperative play emerges around 4–5 years.
3. According to Erikson, the primary psychosocial task of adolescence is:
A. Industry vs. Inferiority
B. Identity vs. Role Confusion
C. Autonomy vs. Shame and Doubt
D. Intimacy vs. Isolation
Correct Answer: B – Identity vs. Role Confusion
Rationale: Erikson’s adolescent stage (12–18 years) focuses on forming a personal
identity. Industry vs. Inferiority is school-age (6–12 years).
4. A mother asks when to introduce solid foods. The nurse advises:
A. 1–2 months
B. 4–6 months
C. 8–10 months
D. 12 months
Correct Answer: B – 4–6 months
Rationale: The AAP recommends introducing solids at 4–6 months when the infant
demonstrates head control and loss of the extrusion reflex.
5. Which finding indicates a newborn is developing normally at 1 month of
age?
A. Reaches for objects
B. Follows a bright light past midline
C. Lifts head 90 degrees when prone
D. Social smile
Correct Answer: D – Social smile
Rationale: Social smile appears by 6–8 weeks (approximately 2 months). Lifting
head 90 degrees occurs by 4 months.
6. The nurse identifies a deviation from expected development when a 9-
month-old cannot:
A. Say "mama" specifically
B. Sit unsupported
C. Wave bye-bye
D. Drink from a cup
, Correct Answer: B – Sit unsupported
Rationale: Most infants sit without support by 8 months. Inability to do so by 9
months warrants further evaluation.
7. A 5-year-old child is hospitalized. Which action best supports Erikson’s
stage of Initiative vs. Guilt?
A. Allowing the child to choose their meal from a limited menu
B. Restricting all choices to reduce anxiety
C. Encouraging the child to complete a puzzle independently
D. Having parents feed the child
Correct Answer: A – Allowing the child to choose their meal from a limited
menu
Rationale: Preschoolers need to initiate decisions. Offering limited choices fosters
initiative without overwhelming guilt.
8. Which immunization is first given at 12–15 months?
A. Hepatitis B
B. MMR (Measles, Mumps, Rubella)
C. DTaP
D. Rotavirus
Correct Answer: B – MMR
Rationale: The first dose of MMR is given at 12–15 months. Hep B is given at
birth, DTaP at 2 months, Rotavirus at 2 months.
9. A toddler’s anterior fontanelle closes normally by:
A. 2 months
B. 6 months
C. 12–18 months
D. 24–30 months
Correct Answer: C – 12–18 months
Rationale: The anterior fontanelle closes between 12–18 months. Posterior
fontanelle closes by 2–3 months.
10. The nurse teaches parents that a 3-year-old’s concept of death is typically:
A. Irreversible and universal
B. Reversible, like a long sleep
C. Punishment for bad behavior
D. Understood as final
