PEDIATRICS - HESI PRACTICE EXAM
LATEST 2026 EXAM ACTUAL
QUESTIONS WITH VERIFIED ANSWERS
ASSUERED TO PASS!!
The nurse is giving preoperative instructions to a 14-year old female client who is
scheduled for surgery to correct a spinal curvature. Which statement by the client best
demonstrates that learning has taken place? - CORRECT ANSWERS-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 will give the most accurate
results? - CORRECT ANSWERS-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? - CORRECT ANSWERS-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? - CORRECT
ANSWERS-C. elbow restraints
What preoperative nursing intervention should be included in the plan of care for an
infant with pyloric stenosis? - CORRECT ANSWERS-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? - CORRECT ANSWERS-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? - CORRECT ANSWERS-A. congenital heart disease
When assessing a child with asthma, the nurse should expect intercostal retractions
during - CORRECT ANSWERS-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 - CORRECT ANSWERS-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? - CORRECT ANSWERS-A. choking, coughing, and
cyanosis
Which behavior would the nurse expect a two-year-old child to exhibit? - CORRECT
ANSWERS-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? - CORRECT ANSWERS-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? - CORRECT ANSWERS-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? - CORRECT
ANSWERS-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? - CORRECT ANSWERS-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? - CORRECT ANSWERS-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. - CORRECT ANSWERS-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? - CORRECT ANSWERS-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: - CORRECT ANSWERS-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? - CORRECT ANSWERS-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? -
CORRECT ANSWERS-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? - CORRECT ANSWERS-C. concern for body integrity
An infant is born with a ventricular septal defect (VSD) and surgery is planned to correct
the defect. The nurse recognizes that surgical correction is designed to achieve which
outcome? - CORRECT ANSWERS-C. prevent the return of oxygenated blood to the
lungs.
A three-month old boy weighing 10 lbs, 15 oz has an axillary temperature of 98.9
degrees F. The nurse determines the daily caloric need for this child is approximately: -
CORRECT ANSWERS-C. 600 cal/day
10 lbs, 15 oz = 10.9 lbs. Convert lbs to kg by dividing pounds by 2.2 (10.9/2.2) = 4.954
kg rounded to 5 kg. an infant requires 108 cal/kg/day (108 x 5 = 540 cal/day). However
this infant requires 10% more calories because he has one degree temperature
elevation. 10% of 540 is 54 and 54 + 540 = 594. This infant will require approximately
600 calories/day. Remember that a temperature elevation necessitates consumption of
more calories.
The nurse is preparing a health teaching program for parents of toddlers and
preschoolers and plans to include information about prevention of accidental
poisonings. It is most important for the nurse to include which instructions? - CORRECT
ANSWERS-B. store all toxic agents and medicines in locked cabinets.
A 6-month old infant with congestive heart failure (CHF) is receiving digoxin elixer.
Which observation by the nurse warrants immediate intervention? - CORRECT
ANSWERS-A. apical heart rate of 60.
At 8am, the unlicensed assistive personnel (UAP) informs the charge nurse that a
female adolescent client with acute glomerulonephritis has a blood pressure of 210/110.
The 4am BP reading was 170/88. The client reports to the UAP that she is upset
because her boyfriend did not visit last night. What action should the nurse take? -
CORRECT ANSWERS-B. administer PRN prescription of nifedipine (Procardia)
sublingually.
, A premature newborn girl, born 24 hours ago, is diagnosed with a patent ductus
arteriosus (PDA) and placed under an oxygen hood at 35%. The parents visit the
nursery and ask to hold her. Which response should the nurse provide to the parents? -
CORRECT ANSWERS-B. the oxygen hood is holding the baby's oxygen level just at the
point which is needed. You may stroke and talk to her.
The nurse is developing a plan of care for a 3-year old who is scheduled for a cardiac
catheterization. To assist in decreasing anxiety for the child on the day of the procedure,
which intervention is best for the nurse to implement? - CORRECT ANSWERS-C. give
the child a ride on a gurney to visit the cardiac catheterization lab and meet a nurse who
works there.
When taking the health history of a child, the nurse knows that which finding is an early
indication of hypothyroidism in children? - CORRECT ANSWERS-D. cessation of
growth in a child that had been normal.
The nurse is teaching a 12-year old male adolescent and his family about taking
injections of growth hormone for idiopathic hypopituitarism. Which adverse symptoms,
commonly associated with growth hormone therapy should the nurse plan to describe to
the child and his family? - CORRECT ANSWERS-A. polyuria and polydipsia
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? -
CORRECT ANSWERS-B. changes in LOC
A four-year old girl continues to interrupt her mother during a routine clinic visit. the
mother appears irritated with the child and asks the nurse, "Is this normal behavior for a
child this age?" The nurse's response should be based on which information? -
CORRECT ANSWERS-A. children need to retain a sense of initiative without impinging
on the rights and privileges of others.
a 14-year old female client tells the nurse that she is concerned about the acne she has
recently developed. Which recommendation should the nurse provide? - CORRECT
ANSWERS-C. Wash the hair and skin frequently with soap and hot water
The mother of a 2-year old boy consults the nurse about her son's increased tempter
tantrums. The mother states, "Yesterday he threw a fit in the grocery store, and I did not
know what to do. I was embarrassed. What can I do if this occurs again?" Which
recommendation is best for the nurse to provide this mother? - CORRECT ANSWERS-
D. walk away from him and ignore the behavior
During discharge teaching of a child with juvenile rheumatoid arthritis, the nurse should
stress to the parents the importance of obtaining which diagnostic testing? - CORRECT
ANSWERS-B. eye exam
LATEST 2026 EXAM ACTUAL
QUESTIONS WITH VERIFIED ANSWERS
ASSUERED TO PASS!!
The nurse is giving preoperative instructions to a 14-year old female client who is
scheduled for surgery to correct a spinal curvature. Which statement by the client best
demonstrates that learning has taken place? - CORRECT ANSWERS-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 will give the most accurate
results? - CORRECT ANSWERS-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? - CORRECT ANSWERS-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? - CORRECT
ANSWERS-C. elbow restraints
What preoperative nursing intervention should be included in the plan of care for an
infant with pyloric stenosis? - CORRECT ANSWERS-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? - CORRECT ANSWERS-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? - CORRECT ANSWERS-A. congenital heart disease
When assessing a child with asthma, the nurse should expect intercostal retractions
during - CORRECT ANSWERS-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 - CORRECT ANSWERS-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? - CORRECT ANSWERS-A. choking, coughing, and
cyanosis
Which behavior would the nurse expect a two-year-old child to exhibit? - CORRECT
ANSWERS-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? - CORRECT ANSWERS-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? - CORRECT ANSWERS-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? - CORRECT
ANSWERS-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? - CORRECT ANSWERS-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? - CORRECT ANSWERS-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. - CORRECT ANSWERS-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? - CORRECT ANSWERS-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: - CORRECT ANSWERS-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? - CORRECT ANSWERS-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? -
CORRECT ANSWERS-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? - CORRECT ANSWERS-C. concern for body integrity
An infant is born with a ventricular septal defect (VSD) and surgery is planned to correct
the defect. The nurse recognizes that surgical correction is designed to achieve which
outcome? - CORRECT ANSWERS-C. prevent the return of oxygenated blood to the
lungs.
A three-month old boy weighing 10 lbs, 15 oz has an axillary temperature of 98.9
degrees F. The nurse determines the daily caloric need for this child is approximately: -
CORRECT ANSWERS-C. 600 cal/day
10 lbs, 15 oz = 10.9 lbs. Convert lbs to kg by dividing pounds by 2.2 (10.9/2.2) = 4.954
kg rounded to 5 kg. an infant requires 108 cal/kg/day (108 x 5 = 540 cal/day). However
this infant requires 10% more calories because he has one degree temperature
elevation. 10% of 540 is 54 and 54 + 540 = 594. This infant will require approximately
600 calories/day. Remember that a temperature elevation necessitates consumption of
more calories.
The nurse is preparing a health teaching program for parents of toddlers and
preschoolers and plans to include information about prevention of accidental
poisonings. It is most important for the nurse to include which instructions? - CORRECT
ANSWERS-B. store all toxic agents and medicines in locked cabinets.
A 6-month old infant with congestive heart failure (CHF) is receiving digoxin elixer.
Which observation by the nurse warrants immediate intervention? - CORRECT
ANSWERS-A. apical heart rate of 60.
At 8am, the unlicensed assistive personnel (UAP) informs the charge nurse that a
female adolescent client with acute glomerulonephritis has a blood pressure of 210/110.
The 4am BP reading was 170/88. The client reports to the UAP that she is upset
because her boyfriend did not visit last night. What action should the nurse take? -
CORRECT ANSWERS-B. administer PRN prescription of nifedipine (Procardia)
sublingually.
, A premature newborn girl, born 24 hours ago, is diagnosed with a patent ductus
arteriosus (PDA) and placed under an oxygen hood at 35%. The parents visit the
nursery and ask to hold her. Which response should the nurse provide to the parents? -
CORRECT ANSWERS-B. the oxygen hood is holding the baby's oxygen level just at the
point which is needed. You may stroke and talk to her.
The nurse is developing a plan of care for a 3-year old who is scheduled for a cardiac
catheterization. To assist in decreasing anxiety for the child on the day of the procedure,
which intervention is best for the nurse to implement? - CORRECT ANSWERS-C. give
the child a ride on a gurney to visit the cardiac catheterization lab and meet a nurse who
works there.
When taking the health history of a child, the nurse knows that which finding is an early
indication of hypothyroidism in children? - CORRECT ANSWERS-D. cessation of
growth in a child that had been normal.
The nurse is teaching a 12-year old male adolescent and his family about taking
injections of growth hormone for idiopathic hypopituitarism. Which adverse symptoms,
commonly associated with growth hormone therapy should the nurse plan to describe to
the child and his family? - CORRECT ANSWERS-A. polyuria and polydipsia
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? -
CORRECT ANSWERS-B. changes in LOC
A four-year old girl continues to interrupt her mother during a routine clinic visit. the
mother appears irritated with the child and asks the nurse, "Is this normal behavior for a
child this age?" The nurse's response should be based on which information? -
CORRECT ANSWERS-A. children need to retain a sense of initiative without impinging
on the rights and privileges of others.
a 14-year old female client tells the nurse that she is concerned about the acne she has
recently developed. Which recommendation should the nurse provide? - CORRECT
ANSWERS-C. Wash the hair and skin frequently with soap and hot water
The mother of a 2-year old boy consults the nurse about her son's increased tempter
tantrums. The mother states, "Yesterday he threw a fit in the grocery store, and I did not
know what to do. I was embarrassed. What can I do if this occurs again?" Which
recommendation is best for the nurse to provide this mother? - CORRECT ANSWERS-
D. walk away from him and ignore the behavior
During discharge teaching of a child with juvenile rheumatoid arthritis, the nurse should
stress to the parents the importance of obtaining which diagnostic testing? - CORRECT
ANSWERS-B. eye exam
