PEDIATRICS - HESI PRACTICE EXAM. LATEST UPDATE 2026 QUESTIONS AND CORRECT VERIFIED ANSWERS

PEDIATRICS - HESI PRACTICE EXAM.
LATEST UPDATE 2026 QUESTIONS AND
CORRECT VERIFIED ANSWERS
TheA2nurseA2isA2givingA2preoperativeA2instructionsA2toA2aA214-
yearA2oldA2femaleA2clientA2whoA2isA2scheduledA2forA2surgeryA2toA2correctA2aA2spinalA2curv
ature.A2WhichA2statementA2byA2theA2clientA2bestA2demonstratesA2thatA2learningA2hasA2tak
enA2place?A2
A.A2IA2willA2readA2allA2theA2literatureA2youA2gaveA2meA2beforeA2surgery.
B.A2IA2haveA2hadA2surgeryA2beforeA2whenA2IA2brokeA2myA2wristA2inA2aA2bikeA2accident,A2so
A2IA2knowA2whatA2toA2expect.
C.A2AllA2theA2thingsA2peopleA2haveA2toldA2meA2willA2helpA2meA2takeA2careA2ofA2myA2back.A2
D.A2IA2understandA2thatA2IA2willA2beA2inA2aA2bodyA2castA2andA2IA2willA2showA2youA2howA2you
A2taughtA2meA2toA2turn.A2-A2Ans--
D.A2IA2understandA2thatA2IA2willA2beA2inA2aA2bodyA2castA2andA2IA2willA2showA2youA2howA2you
A2taughtA2meA2toA2turn.


OutcomeA2ofA2learningA2isA2bestA2demonstratedA2whenA2theA2clientA2notA2onlyA2verbalizes
A2anA2understanding,A2butA2alsoA2canA2provideA2aA2returnA2demonstration.A2AA214-
yearA2oldA2mayA2orA2mayA2notA2followA2throughA2withA2readingA2materialA2andA2thereA2isA2
noA2wayA2ofA2measuringA2thatA2wayA2ofA2learning.A2HaveA2aA2previousA2surgeryA2mayA2he
lpA2theA2clientA2understandA2theA2surgicalA2process,A2butA2wristA2surgeryA2isA2veryA2differe
ntA2fromA2spinalA2surgeryA2andA2emergencyA2surgeryA2isA2differentA2thanA2electiveA2surge
ry.A2InA2(C),A2theA2clientA2mayA2beA2sayingA2whatA2theA2nurseA2wantsA2toA2hear,A2withoutA2
expressingA2anyA2realA2understandingA2ofA2whatA2toA2doA2afterA2surgery.

ToA2takeA2theA2vitalA2signsA2ofA2aA24-
monthA2oldA2child,A2whichA2orderA2willA2giveA2theA2mostA2accurateA2results?A2
A.A2RespiratoryA2rate,A2heartA2rate,A2thenA2rectalA2temperature
B.A2HeartA2rate,A2rectalA2temperature,A2thenA2respiratoryA2rate.
C.A2RectalA2temperature,A2heartA2rate,A2thenA2respiratoryA2rate
D.A2RectalA2temperature,A2respiratoryA2rate,A2thenA2heartA2rateA2-A2Ans--
A.A2RespiratoryA2rate,A2heartA2rate,A2thenA2rectalA2temperature

TheA2respiratoryA2rateA2shouldA2beA2takenA2firstA2inA2infants,A2sinceA2touchingA2themA2orA2
performingA2unpleasantA2proceduresA2usuallyA2makesA2themA2cry,A2elevatingA2theA2heart
A2rateA2andA2makingA2respirationsA2difficultA2toA2count.A2RectalA2temperatureA2isA2theA2mo
stA2invasiveA2procedure,A2andA2isA2motA2likelyA2toA2precipitateA2crying,A2soA2shouldA2beA2d
oneA2last.

DuringA2routineA2screeningA2atA2aA2schoolA2clinic,A2anA2otoscopeA2examinationA2ofA2aA2chi
ld'sA2earA2revealsA2aA2tympanicA2membraneA2thatA2isA2pearlyA2gray,A2slightlyA2bulging,A2a
ndA2notA2movable.A2WhatA2actionA2shouldA2theA2nurseA2takeA2next?A2
A.A2NoA2actionA2required,A2asA2thisA2isA2anA2expectedA2findingA2forA2aA2school-agedA2child

,B.A2AskA2theA2childA2ifA2he/
sheA2hasA2hadA2aA2cold,A2runnyA2nose,A2orA2anyA2earA2painA2lately.
C.A2SendA2aA2noteA2homeA2advisingA2theA2parentsA2toA2haveA2theA2childA2evaluatedA2byA2
aA2healthcareA2providerA2asA2soonA2asA2possible.
d.A2CallA2theA2parentsA2andA2haveA2themA2takeA2theA2childA2homeA2fromA2schoolA2forA2the
A2restA2ofA2theA2day.A2-A2Ans--B.A2AskA2theA2childA2ifA2he/
sheA2hasA2hadA2aA2cold,A2runnyA2nose,A2orA2anyA2earA2painA2lately.

MoreA2informationA2isA2neededA2toA2interpretA2theseA2findings.A2TheA2tympanicA2membra
neA2isA2normallyA2pearlyA2gray,A2notA2bulging,A2andA2movesA2whenA2theA2clientA2blowsA2a
gainstA2resistanceA2orA2aA2smallA2puffA2ofA2airA2isA2blownA2intoA2theA2earA2canal.A2SinceA2t
hisA2child'sA2findingsA2areA2notA2completelyA2normal,A2furtherA2assessmentA2ofA2historyA2a
ndA2relatedA2signsA2andA2symptomsA2isA2indicatedA2forA2accurateA2interpretationA2ofA2theA
2findings.A2(A),A2(C),A2andA2(D)A2areA2inappropriateA2actionsA2basedA2onA2theA2dataA2obtai
nedA2fromA2theA2otoscopeA2examination.

WhichA2restraintA2shouldA2beA2usedA2forA2aA2toddlerA2afterA2aA2cleftA2palateA2repair?A2
A.A2cloveA2hitch
B.A2Mummy
C.A2elbow
D.A2jacketA2-A2Ans--C.A2elbow

ElbowA2restraints

ElbowA2restraintsA2preventA2childrenA2fromA2bendingA2theirA2armsA2andA2bringingA2theirA2h
andsA2toA2theA2oralA2surgicalA2site.A2AA2cloveA2hitchA2restrainsA2theA2hands,A2butA2theA2chil
dA2canA2bendA2andA2bringA2theirA2headA2toA2theirA2hands.A2AA2mummyA2restraintA2isA2used
A2duringA2procedures.A2AA2jacketA2restraintA2restrainsA2theA2bodyA2torsoA2andA2isA2notA2ap
propriate.

WhatA2preoperativeA2nursingA2interventionA2shouldA2beA2includedA2inA2theA2planA2ofA2care
A2forA2anA2infantA2withA2pyloricA2stenosis?A2
A.A2MonitorA2forA2signsA2ofA2metabolicA2acidosis.
B.A2estimateA2theA2quantityA2ofA2diarrheaA2stools.
C.A2placeA2inA2aA2supineA2positionA2afterA2feeding
D.A2observeA2forA2projectileA2vomiting.A2-A2Ans--D.A2observeA2forA2projectileA2vomiting.

ProjectileA2vomitingA2whichA2contributesA2toA2metabolicA2alkalosis,A2isA2theA2classicA2signA
2ofA2pyloricA2stenosis.A2EstimatingA2theA2quantityA2ofA2diarrheaA2stoolsA2isA2notA2indicated.
A2PlacingA2theA2childA2inA2aA2supineA2positionA2isA2dangerousA2dueA2toA2theA2potentialA2for
A2aspirationA2withA2frequentA2vomiting.


AA2six-month-
oldA2returnsA2fromA2surgeryA2withA2elbowA2restraintsA2inA2place.A2WhatA2nursingA2careA2sh
ouldA2beA2includedA2whenA2caringA2forA2anyA2restrainedA2child?A2
A.A2keepA2restraintsA2onA2atA2allA2times.A2

, B.A2removeA2restraintsA2oneA2atA2aA2timeA2andA2provideA2rangeA2ofA2motionA2exercises
C.A2RemoveA2allA2restraintsA2simultaneouslyA2andA2provideA2layA2activities
D.A2renewA2theA2healthcareA2provider'sA2prescriptionA2forA2restraintsA2everyA272A2hours.A2
-A2Ans--
B.A2removeA2restraintsA2oneA2atA2aA2timeA2andA2provideA2rangeA2ofA2motionA2exercises

RemovingA2restraintsA2oneA2atA2aA2timeA2isA2saferA2thanA2removingA2allA2ofA2themA2atA2on
ce.A2TheA2childA2needsA2toA2exerciseA2andA2shouldA2notA2beA2keptA2inA2restraintsA2atA2allA2
times.A2TheA2renewalA2ofA2theA2healthcareA2provider'sA2prescriptionA2variesA2withA2hospit
alsA2andA2itA2doesA2notA2reallyA2answerA2theA2question.

AA22-
yearA2oldA2childA2withA2DownA2syndromeA2isA2broughtA2toA2theA2clinicA2forA2hisA2regularA2p
hysicalA2examination.A2TheA2nurseA2knowsA2whichA2problemA2isA2frequentlyA2associatedA2
withA2DownA2syndrome?A2
A.A2congenitalA2heartA2disease
B.A2fragileA2x-chromosome
C.A2trisomyA213
D.A2pyloricA2stenosisA2-A2Ans--A.A2congenitalA2heartA2disease

CongenitalA2heartA2diseaseA2isA2theA2mostA2commonA2associatedA2defectA2inA2childrenA2w
ithA2DownA2syndrome.A2TrisomyA213A2myA2haveA2seemedA2possibleA2sinceA2DownA2syndr
omeA2isA2aA2trisomalA2chromosomalA2abnormalityA2oA2chromosomeA221.A2FragileA2x-
chromosomeA2isA2aA2sex-
linkedA2abnormalityA2alsoA2causingA2mentalA2retardation.A2PyloricA2stenosisA2isA2notA2ass
ociatedA2withA2DownA2syndrome.

WhenA2assessingA2aA2childA2withA2asthma,A2theA2nurseA2shouldA2expectA2intercostalA2retr
actionsA2during
A.A2inspiration
B.A2coughing
C.A2apneicA2episodes
D.A2expirationA2-A2Ans--A.A2inspiration

IntercostalA2retractionsA2resultA2fromA2respiratoryA2effortA2toA2drawA2airA2intoA2restrictedA2a
irways.

WhenA2planningA2theA2careA2forA2aA2childA2whoA2hasA2hadA2aA2cleftA2lipA2repair,A2theA2nurs
eA2knowsA2thatA2cryingA2shouldA2beA2minimizedA2becauseA2it
A.A2increasesA2salivation
B.A2increasesA2theA2respiratoryA2rate
C.A2leadsA2toA2vomiting
D.A2stressesA2theA2sutureA2lineA2-A2Ans--D.A2stressesA2theA2sutureA2line

PreventionA2ofA2stressA2onA2theA2lipA2sutureA2lineA2isA2essentialA2forA2optimumA2healingA2a
ndA2theA2cosmeticA2appearanceA2ofA2aA2cleftA2lipA2repair.A2AlthoughA2cryingA2alsoA2causes