Evolve HESI Pediatrics Practice Exam Prep
EVOLVE HESI PEDIATRICS PRACTICE EXAM PREP NEWEST
2026/2027 ACTUAL EXAM COMPLETE 100 QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY
GRADED A+||BRAND NEW VERSION!!
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?
Weighing diapers.
Assessing fontanels.
Checking skin turgor.
Observing mucous membranes for moisture. - Correct Answer-Assessing
fontanels.
All of these interventions evaluate fluid status in infants. But, how old is this child?
Posterior fontanel closes at 2 months and anterior fontanel closes by 18 months of
age (B)! Remember normal growth and development!
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?
A 6-month-old with failure to thrive that has a closed anterior fontanel.
A 24-month-old with gastroenteritis that has a closed posterior fontanel.
A 2-month-old with chickenpox that has an open posterior fontanel.
1|Page
, Evolve HESI Pediatrics Practice Exam Prep
A 28-month-old with hydrocephalus that has an open anterior fontanel. - Correct
Answer-A 6-month-old with failure to thrive that has a closed anterior fontanel.
At six months of age the anterior fontanel should be open, and it should not be
closed until approximately 18 months of age. (B and C) are normal findings. A child
with hydrocephalus may have a delayed closing of the fontanel (D).
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?
Pass the information on in the report.
Notify the healthcare provider because the value is high.
Repeat the lab study because the value is too high.
Hold the next dose of theophylline. - Correct Answer-Pass the information on in
the report.
The therapeutic level of theophylline is 10 to 20 mcg/dl, so the child's level is
within the therapeutic range. This information evaluates the prescribed therapy
and should be communicated in the nurse's report (A). (B, C, and D) would be
inappropriate actions in view of the laboratory finding.
The nurse is having difficulty communicating with a hospitalized 6-year-old child.
Which approach by the nurse is most helpful in establishing communication?
Engage the child through drawing pictures.
Suggest that the parent read a book to the child.
Provide paper and pencil for the child to keep a diary.
2|Page
, Evolve HESI Pediatrics Practice Exam Prep
Ask the parent if the child is always uncommunicative. - Correct Answer-Engage
the child through drawing pictures.
Drawing pictures (A) is a valuable form of non-verbal communication. As the nurse
and child look at the drawings, a verbal story can be told that projects the child's
thinking. (B) may distract the child, but does not establish communication with the
nurse. (C) is useful for an older child who is able to write. (D) is important, but
engaging the child is more effective in establishing communication patterns.
The nurse is caring for a 12-year-old with Syndrome of Inappropriate Antidiuretic
Hormone (SIADH). This child should be carefully assessed for which complication?
Poor skin turgor resulting from dehydration.
Changes in level of consciousness.
Premature aging as the disease progresses.
Severe edema from an excess of water and sodium. - Correct Answer-Changes in
level of consciousness.
The child must be monitored for signs and symptoms of hyponatremia, which
creates secondary central nervous system alterations such as changes in level of
consciousness, seizure, and coma (B). Fluid overload occurs with SIADH, not (A)
(which occurs with diabetes insipidus). (C) is caused by hypersecretion of growth
hormone, not SIADH. (D) is not found in children with SIADH because edema is
caused by an excess of both water and sodium.
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
3|Page
, Evolve HESI Pediatrics Practice Exam Prep
A. Only an RN should be assigned to monitor this child's temperature. Incorrect
B. A tympanic measurement of temperature will provide the most accurate
reading.
C. The licensed practical nurse should be instructed to obtain rectal temperatures
on this child.
D. The healthcare provider should be asked to prescribe the method for
measurement of the child's temperatures. - Correct Answer-B. A tympanic
measurement of temperature will provide the most accurate reading.
(B) A tympanic membrane sensor is an excellent site because both the eardrum
and hypothalamus (temperature-regulating center) are perfused by the same
circulation. The sensor is unaffected by cerumen and the presence of suppurative
or unsuppurative otitis media does not effect measurement. RULE OF THUMB: for
management--sterile procedures should be assigned to licensed personnel.
Management skills will be tested on the NCLEX! An RN is not required (A). Rectal
temperature measurement (C) is less accurate because of the possibility of stool in
the rectum. (D) is unnecessary.
A 3-year-old boy is brought to the emergency room because he swallowed an
entire bottle of children's vitamin pills. Which intervention should the nurse
implement first?
Insert N/G tube for gastric lavage.
Determine the child's pulse and respirations.
Assess the child's level of consciousness.
Administer an IV D5/0.25 NS as prescribed. - Correct Answer-Determine the
child's pulse and respirations.
4|Page
EVOLVE HESI PEDIATRICS PRACTICE EXAM PREP NEWEST
2026/2027 ACTUAL EXAM COMPLETE 100 QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY
GRADED A+||BRAND NEW VERSION!!
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?
Weighing diapers.
Assessing fontanels.
Checking skin turgor.
Observing mucous membranes for moisture. - Correct Answer-Assessing
fontanels.
All of these interventions evaluate fluid status in infants. But, how old is this child?
Posterior fontanel closes at 2 months and anterior fontanel closes by 18 months of
age (B)! Remember normal growth and development!
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?
A 6-month-old with failure to thrive that has a closed anterior fontanel.
A 24-month-old with gastroenteritis that has a closed posterior fontanel.
A 2-month-old with chickenpox that has an open posterior fontanel.
1|Page
, Evolve HESI Pediatrics Practice Exam Prep
A 28-month-old with hydrocephalus that has an open anterior fontanel. - Correct
Answer-A 6-month-old with failure to thrive that has a closed anterior fontanel.
At six months of age the anterior fontanel should be open, and it should not be
closed until approximately 18 months of age. (B and C) are normal findings. A child
with hydrocephalus may have a delayed closing of the fontanel (D).
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?
Pass the information on in the report.
Notify the healthcare provider because the value is high.
Repeat the lab study because the value is too high.
Hold the next dose of theophylline. - Correct Answer-Pass the information on in
the report.
The therapeutic level of theophylline is 10 to 20 mcg/dl, so the child's level is
within the therapeutic range. This information evaluates the prescribed therapy
and should be communicated in the nurse's report (A). (B, C, and D) would be
inappropriate actions in view of the laboratory finding.
The nurse is having difficulty communicating with a hospitalized 6-year-old child.
Which approach by the nurse is most helpful in establishing communication?
Engage the child through drawing pictures.
Suggest that the parent read a book to the child.
Provide paper and pencil for the child to keep a diary.
2|Page
, Evolve HESI Pediatrics Practice Exam Prep
Ask the parent if the child is always uncommunicative. - Correct Answer-Engage
the child through drawing pictures.
Drawing pictures (A) is a valuable form of non-verbal communication. As the nurse
and child look at the drawings, a verbal story can be told that projects the child's
thinking. (B) may distract the child, but does not establish communication with the
nurse. (C) is useful for an older child who is able to write. (D) is important, but
engaging the child is more effective in establishing communication patterns.
The nurse is caring for a 12-year-old with Syndrome of Inappropriate Antidiuretic
Hormone (SIADH). This child should be carefully assessed for which complication?
Poor skin turgor resulting from dehydration.
Changes in level of consciousness.
Premature aging as the disease progresses.
Severe edema from an excess of water and sodium. - Correct Answer-Changes in
level of consciousness.
The child must be monitored for signs and symptoms of hyponatremia, which
creates secondary central nervous system alterations such as changes in level of
consciousness, seizure, and coma (B). Fluid overload occurs with SIADH, not (A)
(which occurs with diabetes insipidus). (C) is caused by hypersecretion of growth
hormone, not SIADH. (D) is not found in children with SIADH because edema is
caused by an excess of both water and sodium.
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
3|Page
, Evolve HESI Pediatrics Practice Exam Prep
A. Only an RN should be assigned to monitor this child's temperature. Incorrect
B. A tympanic measurement of temperature will provide the most accurate
reading.
C. The licensed practical nurse should be instructed to obtain rectal temperatures
on this child.
D. The healthcare provider should be asked to prescribe the method for
measurement of the child's temperatures. - Correct Answer-B. A tympanic
measurement of temperature will provide the most accurate reading.
(B) A tympanic membrane sensor is an excellent site because both the eardrum
and hypothalamus (temperature-regulating center) are perfused by the same
circulation. The sensor is unaffected by cerumen and the presence of suppurative
or unsuppurative otitis media does not effect measurement. RULE OF THUMB: for
management--sterile procedures should be assigned to licensed personnel.
Management skills will be tested on the NCLEX! An RN is not required (A). Rectal
temperature measurement (C) is less accurate because of the possibility of stool in
the rectum. (D) is unnecessary.
A 3-year-old boy is brought to the emergency room because he swallowed an
entire bottle of children's vitamin pills. Which intervention should the nurse
implement first?
Insert N/G tube for gastric lavage.
Determine the child's pulse and respirations.
Assess the child's level of consciousness.
Administer an IV D5/0.25 NS as prescribed. - Correct Answer-Determine the
child's pulse and respirations.
4|Page
