HESI RN Pediatrics Exam Updated Actual
Exam Question and Answer (2026/2027) |
Grade A+
• A 2-year old child with HF is admitted to replacement of a graft for coarctation of
the aorta. Prior to administering the next dose of digoxin, the nurse obtains an
apical heart rate of 128 beats/minute. What action should the nurse implement?
A - calculate the safe dose range
B - administer the schedule dose
C - review the serum digoxin level
D - determine the pulse deficit -✓✓ B
• A 3 year old child with HIV infection is staying with a foster family who is
caring for three other foster children in their home. When one of the children
acquires pertussis, the foster parent calls the clinic and asks the nurse what they
should do. Which action should the nurse take first?
A - review immunization records of the child with an HIV infection
B - place the child with an HIV infection in a protective environment
C - report the exposure of the child with HIV to the health department
D - remove the child with an HIV infection from the foster home -✓✓ A
• A 4-year-old girl returns to the pediatrician's office for a postoperative visit
following hospitalization for minor surgery. When observing the child in the
waiting area, which behavior should the nurse consider normal for this age child?
A - ignores other children in the play area
B - draws picture of self with facial features
C - "talks" to imaginary friend
D - sits quietly in her mother's lap -✓✓ C
, • A 6 month old, diagnosed with short bowel syndrome, began enteral feedings
yesterday. To maintain normal growth and development of the child during this
period, what action should the nurse include in the infant's plan of care?
A - give the infant a pacifier during feedings
B - use sterile technique during feedings
C - speak to the healthcare provider about instituting physical therapy
D - ensure placement of the NG tube with an abdominal x-ray -✓✓ A
• A 6 year old male with a BMI in the 95th percentile for gender and age arrives at
the clinic after a referral from the school nurse. His laboratory findings include
hemoglobin A1c of 5.5%, BP in the 50th percentile for age, height in the 75th
percentile, and an LDL cholesterol of 90 mg/dL (2.33mmol/L). Which lifestyle
modification should the nurse discuss with the parents?
A - recommend increasing daily fruits and vegetable and daily exercise
B - return in one month for another evaluation of serum lipids and blood pressure
C - instruct the parents to weigh the child weekly and measure his BP daily
D - see a healthcare provider to further assess for diabetes and hypertension -✓✓ A
• A 7-year-old child is admitted to the hospital with a diagnosis of acute rheumatic
fever. In obtaining a health hx from the child's mother, the recent occurrence of
which illness is MOST significant?
A - sore throat
B - chickenpox
C - mumps
D - influenza -✓✓ A
Exam Question and Answer (2026/2027) |
Grade A+
• A 2-year old child with HF is admitted to replacement of a graft for coarctation of
the aorta. Prior to administering the next dose of digoxin, the nurse obtains an
apical heart rate of 128 beats/minute. What action should the nurse implement?
A - calculate the safe dose range
B - administer the schedule dose
C - review the serum digoxin level
D - determine the pulse deficit -✓✓ B
• A 3 year old child with HIV infection is staying with a foster family who is
caring for three other foster children in their home. When one of the children
acquires pertussis, the foster parent calls the clinic and asks the nurse what they
should do. Which action should the nurse take first?
A - review immunization records of the child with an HIV infection
B - place the child with an HIV infection in a protective environment
C - report the exposure of the child with HIV to the health department
D - remove the child with an HIV infection from the foster home -✓✓ A
• A 4-year-old girl returns to the pediatrician's office for a postoperative visit
following hospitalization for minor surgery. When observing the child in the
waiting area, which behavior should the nurse consider normal for this age child?
A - ignores other children in the play area
B - draws picture of self with facial features
C - "talks" to imaginary friend
D - sits quietly in her mother's lap -✓✓ C
, • A 6 month old, diagnosed with short bowel syndrome, began enteral feedings
yesterday. To maintain normal growth and development of the child during this
period, what action should the nurse include in the infant's plan of care?
A - give the infant a pacifier during feedings
B - use sterile technique during feedings
C - speak to the healthcare provider about instituting physical therapy
D - ensure placement of the NG tube with an abdominal x-ray -✓✓ A
• A 6 year old male with a BMI in the 95th percentile for gender and age arrives at
the clinic after a referral from the school nurse. His laboratory findings include
hemoglobin A1c of 5.5%, BP in the 50th percentile for age, height in the 75th
percentile, and an LDL cholesterol of 90 mg/dL (2.33mmol/L). Which lifestyle
modification should the nurse discuss with the parents?
A - recommend increasing daily fruits and vegetable and daily exercise
B - return in one month for another evaluation of serum lipids and blood pressure
C - instruct the parents to weigh the child weekly and measure his BP daily
D - see a healthcare provider to further assess for diabetes and hypertension -✓✓ A
• A 7-year-old child is admitted to the hospital with a diagnosis of acute rheumatic
fever. In obtaining a health hx from the child's mother, the recent occurrence of
which illness is MOST significant?
A - sore throat
B - chickenpox
C - mumps
D - influenza -✓✓ A
