2026 HESI PEDS RN EXIT EXAM
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2026HESIPEDIATRIC(PEDS)RNEXITEXAM gz gz gz gz gz gz
Versions1 &2 — Redesigned StudyEdition gz gz gz g z g z gz gz
Spring2026 | Compiledwith CorrectAnswers gz g z g z gz gz gz
HOW TO USETHIS GUIDE | V1 uses multiple-choice format with highlighted correct answer(s). V2 uses short-answer/fill-in format
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with the answer displayed directly. Questions marked with a note contain clarifications where answers are debated.
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VERSION 1 — MultipleChoice(55Questions) gz g z g z gz gz gz
The nurse is assessing a 9-year-old boy admitted with possible acute poststreptococcal
Q1
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glomerulonephritis (APSGN). Inobtaining his history,whatinformation is mostsignificant?
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A ✔A sore throat last week
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B A history of hypertension
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D Back pain for a few days gz gz gz gz gz
ANSWER: A gz
The nurse is measuring the frontal occipital circumference (FOC) of a 3-month-old infant, and
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Q2 notes that the FOC has increased 5 inches (12.7cm) since birth and the child's head appears
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large in relation to body size. Which action is most important for the nurse to take next?
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A Plot the measurement on the infant's growth chart
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B Observe the infant for sunset eyes gz gz gz gz gz
C Measurethe infant's head-to-heel length gz gz gz gz
D ✔Palpatetheanterior fontanel for tension and bulging
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ANSWER: D gz
A female infantrecently admitted with vomiting and diarrhea now weighs 10kg. Her weight at a
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A 4%
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C 10%
D 5%
ANSWER: B gz
,2026 HESI PEDS RN EXIT EXAM
g z g z g z g z g z | Study
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z e 1 | For Study Purposes Only gz g z g z gz gz gz
A male highschool student with Type 1 diabetes tests his blood glucose level before playing a
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Q4 game of soccer, and he obtains a reading of 180 mg/dL (10 mmol/L). Based on this reading,
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which action should the nurse take?
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A ✔Tell him to eat a sandwich and fruit before beginning the game
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B Check his urine for ketones gz gz gz gz
C Give him permission to goahead and play soccer
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D Callthehealthcareprovider
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A 7-year-old child is admitted to the hospital with a diagnosis of acute rheumatic fever. In
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Q5 obtaining a healthhistory fromthe child's mother,the recent occurrence of which illness is most
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significant?
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ANSWER: A gz
A mother brings her 2-month-old son to the clinic for a well-baby exam. During the assessment
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Q6 the nurse finds that the right testicle is not descended into the scrotum but the left is palpable.
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Which action should the nurse take?
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A Prepare toobtain acatheterizedurine specimenforculture gz gz gz gz gz gz gz gz
B Address possible concerns about thechild's future fertility gz gz gz gz gz gz gz
C ✔Ask if the right testis has been seen in the scrotum before
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D Schedule an IV pyelogram tovalidate presenceof testicle gz gz gz gz gz gz gz gz
ANSWER: C gz
Thenurseis assessinga 6-month-old infant. Which response requires further evaluation by the
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nurse?
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A 4-year-old girl returns to the pediatrician's office for a postoperative visit following
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Q8 hospitalization for minor surgery.When observing the child in the waiting area,which behavior
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should the nurse consider normal for this age child?
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A Ignores other children in the play area gz gz gz gz gz gz
B Draws picture of self with facial features gz gz gz gz gz gz
C ✔Talks to an imaginaryfriend
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Page 2 | For Study Purposes Only gz g z g z gz gz gz
, 2026 HESI PEDS RN EXIT EXAM
g z g z g z g z g z | Study
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D Sits quietly in her mother's lapg z g z g z g z g z
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department by the parents. The child is anxious, has a temperature of 102.8°F (39.3°C),
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and is drooling from the mouth while leaning forward when sitting. Which action should
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A 6-year-old male with a body mass index (BMI) in the 95th percentile arrives at the clinic
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after a referral from the school nurse. His laboratory findings include hemoglobin A1c of
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D See a healthcare provider to further assess for diabetes and hypertension
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ANSWER:teA z
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When administering indomethacin to a premature infant who has patent ductus arteriosus,
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A Decreased urinary output g z g z
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Page g z 3 g z g z | For Study Purposes g z g z
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g z g z g z g z g z | Study
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2026HESIPEDIATRIC(PEDS)RNEXITEXAM gz gz gz gz gz gz
Versions1 &2 — Redesigned StudyEdition gz gz gz g z g z gz gz
Spring2026 | Compiledwith CorrectAnswers gz g z g z gz gz gz
HOW TO USETHIS GUIDE | V1 uses multiple-choice format with highlighted correct answer(s). V2 uses short-answer/fill-in format
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with the answer displayed directly. Questions marked with a note contain clarifications where answers are debated.
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VERSION 1 — MultipleChoice(55Questions) gz g z g z gz gz gz
The nurse is assessing a 9-year-old boy admitted with possible acute poststreptococcal
Q1
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glomerulonephritis (APSGN). Inobtaining his history,whatinformation is mostsignificant?
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A ✔A sore throat last week
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B A history of hypertension
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C Diuresisduring the night z
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D Back pain for a few days gz gz gz gz gz
ANSWER: A gz
The nurse is measuring the frontal occipital circumference (FOC) of a 3-month-old infant, and
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Q2 notes that the FOC has increased 5 inches (12.7cm) since birth and the child's head appears
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large in relation to body size. Which action is most important for the nurse to take next?
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A Plot the measurement on the infant's growth chart
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B Observe the infant for sunset eyes gz gz gz gz gz
C Measurethe infant's head-to-heel length gz gz gz gz
D ✔Palpatetheanterior fontanel for tension and bulging
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ANSWER: D gz
A female infantrecently admitted with vomiting and diarrhea now weighs 10kg. Her weight at a
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A 4%
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C 10%
D 5%
ANSWER: B gz
,2026 HESI PEDS RN EXIT EXAM
g z g z g z g z g z | Study
gEdition
z e 1 | For Study Purposes Only gz g z g z gz gz gz
A male highschool student with Type 1 diabetes tests his blood glucose level before playing a
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Q4 game of soccer, and he obtains a reading of 180 mg/dL (10 mmol/L). Based on this reading,
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which action should the nurse take?
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A ✔Tell him to eat a sandwich and fruit before beginning the game
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B Check his urine for ketones gz gz gz gz
C Give him permission to goahead and play soccer
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D Callthehealthcareprovider
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ANSWER: A gz
A 7-year-old child is admitted to the hospital with a diagnosis of acute rheumatic fever. In
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Q5 obtaining a healthhistory fromthe child's mother,the recent occurrence of which illness is most
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significant?
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A ✔Sore throat
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B Chickenpox
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ANSWER: A gz
A mother brings her 2-month-old son to the clinic for a well-baby exam. During the assessment
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Q6 the nurse finds that the right testicle is not descended into the scrotum but the left is palpable.
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Which action should the nurse take?
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A Prepare toobtain acatheterizedurine specimenforculture gz gz gz gz gz gz gz gz
B Address possible concerns about thechild's future fertility gz gz gz gz gz gz gz
C ✔Ask if the right testis has been seen in the scrotum before
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D Schedule an IV pyelogram tovalidate presenceof testicle gz gz gz gz gz gz gz gz
ANSWER: C gz
Thenurseis assessinga 6-month-old infant. Which response requires further evaluation by the
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nurse?
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ANSWER: D gz
A 4-year-old girl returns to the pediatrician's office for a postoperative visit following
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Q8 hospitalization for minor surgery.When observing the child in the waiting area,which behavior
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should the nurse consider normal for this age child?
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B Draws picture of self with facial features gz gz gz gz gz gz
C ✔Talks to an imaginaryfriend
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Page 2 | For Study Purposes Only gz g z g z gz gz gz
, 2026 HESI PEDS RN EXIT EXAM
g z g z g z g z g z | Study
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A preschool-aged child experiencing respiratory distress is brought to the emergency
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department by the parents. The child is anxious, has a temperature of 102.8°F (39.3°C),
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A Decreased urinary output g z g z
B ✔ Decreased cardiac murmur
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C Increased number of red blood cells g z g z g z g z g z
D Increased respiratory effort g z g z
ANSWER:teB z
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Page g z 3 g z g z | For Study Purposes g z g z
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