2026/2027 HESI RN
PEDIATRICS V3
3 FULL SET EXAMS
WITH CORRECT ANSWERS
(NGN-STYLE QUESTIONS & CASE SCENARIOS)
Answers with detailed Rationale
What You'll Get:
EACH EXAM SET HAS 55 questions
quick review
Printable, easy-to-study PDF
Actual questions and correct answers
,Table of Contents
SET 1 EXAM ..............................................................2
SET 2 EXAM ............................................................40
SET 3 EXAM ............................................................75
SET 1 EXAM
1. The nurse is providing discharge instructions to the caregiver of an infant with
recurrent otitis media. Which statement made by the caregiver should the nurse
recognize as needing additional education about minimizing subsequent infections?
A. Schedule visit for pneumococcal vaccine
B. Avoid any smoking inside the house
C. Instill benzocaine otic drops regularly
D. Give infant the full course of antibiotics
Correct Answer: C
Rationale: Benzocaine ear drops are used only for short-term pain relief and do not
prevent infections. Regular use is unsafe, as it may mask symptoms of worsening
infection and cause local irritation or allergic reactions. The pneumococcal vaccine (A)
helps prevent bacterial ear infections. Avoiding secondhand smoke (B) reduces
respiratory and ear infection risk. Completing the full antibiotic course (D) is essential
to eradicate infection and prevent resistance.
,2. A mother brings her male preschooler to the clinic because he has had diarrhea,
vomiting, and high fevers for the past three days. The child begins to cry and cling to
his mother when the nurse enters the examination room. Which action should the
nurse implement to get the child to cooperate?
A. Talk to the mother and gradually focus on the child's toy
B. Request extra staff to help with the nursing assessments
C. Explain to the child the reasons an examination is needed
D. Complete the assessment while allowing the child to cry
Correct Answer: A
Rationale: Preschoolers often feel threatened by unfamiliar adults, especially when ill.
By first engaging with the mother and then showing interest in the child's toy, the
nurse builds trust indirectly and reduces the child's anxiety, promoting cooperation
during the assessment. Requesting extra staff (B) may increase the child's fear.
Explaining reasons (C) is beyond a preschooler's cognitive understanding. Allowing the
child to cry (D) does not facilitate assessment completion.
3. A 38-year-old primiparous client is seen 2 weeks postpartum after a spontaneous
vaginal birth of a full-term infant after rupture of membranes for 16 hours. The client
was discharged on day 2. Current findings include:
Table
Assessment Finding
Temperature 101.2°F (38.4°C)
Heart rate 105 beats/minute
Respirations 18 breaths/minute
, Assessment Finding
Blood pressure 138/72 mm Hg
Pain rating 4 on a 0–10 scale
Additional History: Breastfeeding 7–8 times/day for 10 minutes each; went shopping
yesterday for 5 hours; baby fed pumped breast milk during absence; noticed red, warm,
firm spot on outer right breast this morning; feeling chilled, achy, fatigued, dizzy; small
amount of foul-smelling lochia rubra.
Select the findings that will help the nurse determine what is causing the client's
symptoms. (Select all that apply.)
A. Rupture of membranes for 16 hours
B. Normal spontaneous vaginal birth
C. Breastfeeding 7 or 8 times a day for 10 minutes
D. Discharge hemoglobin of 9.2 g/dL
E. Current vital signs
F. Shopping yesterday for 5 hours
G. Foul-smelling lochia rubra
Correct Answers: A, E, F, G
Rationale:
Table
Finding Rationale
A. Rupture of Prolonged rupture of membranes increases the risk of bacterial
membranes for 16 invasion in the uterus, predisposing the client to postpartum
hours infection such as endometritis, which aligns with her fever and
PEDIATRICS V3
3 FULL SET EXAMS
WITH CORRECT ANSWERS
(NGN-STYLE QUESTIONS & CASE SCENARIOS)
Answers with detailed Rationale
What You'll Get:
EACH EXAM SET HAS 55 questions
quick review
Printable, easy-to-study PDF
Actual questions and correct answers
,Table of Contents
SET 1 EXAM ..............................................................2
SET 2 EXAM ............................................................40
SET 3 EXAM ............................................................75
SET 1 EXAM
1. The nurse is providing discharge instructions to the caregiver of an infant with
recurrent otitis media. Which statement made by the caregiver should the nurse
recognize as needing additional education about minimizing subsequent infections?
A. Schedule visit for pneumococcal vaccine
B. Avoid any smoking inside the house
C. Instill benzocaine otic drops regularly
D. Give infant the full course of antibiotics
Correct Answer: C
Rationale: Benzocaine ear drops are used only for short-term pain relief and do not
prevent infections. Regular use is unsafe, as it may mask symptoms of worsening
infection and cause local irritation or allergic reactions. The pneumococcal vaccine (A)
helps prevent bacterial ear infections. Avoiding secondhand smoke (B) reduces
respiratory and ear infection risk. Completing the full antibiotic course (D) is essential
to eradicate infection and prevent resistance.
,2. A mother brings her male preschooler to the clinic because he has had diarrhea,
vomiting, and high fevers for the past three days. The child begins to cry and cling to
his mother when the nurse enters the examination room. Which action should the
nurse implement to get the child to cooperate?
A. Talk to the mother and gradually focus on the child's toy
B. Request extra staff to help with the nursing assessments
C. Explain to the child the reasons an examination is needed
D. Complete the assessment while allowing the child to cry
Correct Answer: A
Rationale: Preschoolers often feel threatened by unfamiliar adults, especially when ill.
By first engaging with the mother and then showing interest in the child's toy, the
nurse builds trust indirectly and reduces the child's anxiety, promoting cooperation
during the assessment. Requesting extra staff (B) may increase the child's fear.
Explaining reasons (C) is beyond a preschooler's cognitive understanding. Allowing the
child to cry (D) does not facilitate assessment completion.
3. A 38-year-old primiparous client is seen 2 weeks postpartum after a spontaneous
vaginal birth of a full-term infant after rupture of membranes for 16 hours. The client
was discharged on day 2. Current findings include:
Table
Assessment Finding
Temperature 101.2°F (38.4°C)
Heart rate 105 beats/minute
Respirations 18 breaths/minute
, Assessment Finding
Blood pressure 138/72 mm Hg
Pain rating 4 on a 0–10 scale
Additional History: Breastfeeding 7–8 times/day for 10 minutes each; went shopping
yesterday for 5 hours; baby fed pumped breast milk during absence; noticed red, warm,
firm spot on outer right breast this morning; feeling chilled, achy, fatigued, dizzy; small
amount of foul-smelling lochia rubra.
Select the findings that will help the nurse determine what is causing the client's
symptoms. (Select all that apply.)
A. Rupture of membranes for 16 hours
B. Normal spontaneous vaginal birth
C. Breastfeeding 7 or 8 times a day for 10 minutes
D. Discharge hemoglobin of 9.2 g/dL
E. Current vital signs
F. Shopping yesterday for 5 hours
G. Foul-smelling lochia rubra
Correct Answers: A, E, F, G
Rationale:
Table
Finding Rationale
A. Rupture of Prolonged rupture of membranes increases the risk of bacterial
membranes for 16 invasion in the uterus, predisposing the client to postpartum
hours infection such as endometritis, which aligns with her fever and
