• HESI RN 09/11/2026
PEDIATRICS Exam
HESI RN PEDIATRICS V3 3 FULL SET EXAMS WITH
CORRECT ANSWERS (NGN-STYLE QUESTIONS &
CASE SCENARIOS) Answers with detailed
Rationale
A seven-month old infant is admitted with nonorganic failure to thrive (NFTT). To aid the child's growth and
development, which intervention is most important for the nurse to implement?
Encourage the parents to participate in a planned program of play with the infant.
Refer the parents for psychological counseling to identify parental detachment.
P 1
, • HESI RN 09/11/2026
PEDIATRICS Exam
Demonstrate feeding strategies and infant cues that indicate hunger and satiation.
Provide instructions about formula preparation and feeding schedules. –
Correct Answer :Demonstrate feeding strategies and infant cues that indicate hunger and satiation.
NFTT most often occurs due to inadequate parental knowledge or a disturbance in parental-child attachment,
but the first goal for infants with NFTT is to provide nutrition to promote "catch-up" growth. The nurse should
demonstrate positive feeding strategies that reduce parent and infant frustration, such as recognizing the
infant's cues indicated by vigorous sucking and satiation.
The nurse is triaging a child with a fever brought to the emergency department by the parents. Which finding
requires the nurse's immediate intervention?
Prolonged exhalations.
Thick yellow rhinorrhea.
Frequent nonproductive cough.
Oxygen saturation is 95% by pulse oximeter. - Correct Answer :Prolonged exhalations.
Prolonged exhalation indicates breathing difficulty and requires immediate intervention. According to the
American Heart Association's Pediatric Advance Life Support (PALS) algorithm, a prolonged expiration in a
pediatric client is indicative of lower airway obstruction.
The nurse is assessing the coping behaviors of the parents whose child has been recently diagnosed with a
chronic illness. What reaction by the parents is a positive step in the ability to cope with this new situation?
P 2
, • HESI RN 09/11/2026
PEDIATRICS Exam
Endowing the illness with meaning.
Refusing to believe the child is ill.
Entertaining an unrealistic future plan for the child.
Placing complete faith in religion to the point of relinquishing own responsibility. - Correct Answer :Endowing
the illness with meaning.
Coping mechanisms are behaviors directed at reducing the tension elicited by a crisis. Approach behaviors are
coping mechanisms resulting in movement toward adjustment and resolution of the crisis. The parents' ability to
assign the illness meaning within an existing medical, scientific, or spiritual philosophy of life is a long-term coping
strategy significantly related to successful family functioning.
A 15-year-old girl tells the school nurse that she wants to have a baby. How should the nurse respond?
"Will you be able to support the baby?"
"Do you have plans to continue school?"
"Have you talked with your parents about this?"
"Can you tell me how your life will be if you have an infant?" - Correct Answer :"Can you tell me how your life will
be if you have an infant?"
Developing a dialogue with the teen is important. By using an open-ended question the nurse will encourage
communication and explanation. This question directs the teen to consider real life experiences and allows the
nurse to assess the teen's perception and reality orientation.
P 3
, • HESI RN 09/11/2026
PEDIATRICS Exam
The nurse is caring for a premature infant who needs an IV access restarted. What action should the nurse take
when using adhesive tape?
Use solvents such as water, mineral oil, or petrolatum to remove adhesives instead of pulling on skin.
Avoid using tape and adhesives until skin is more mature.
Use scissors carefully to remove tape instead of pulling tape off.
Use alcohol to remove the adhesives. - Correct Answer :Remove adhesives with water, mineral oil, or
petrolatum.
The use of adhesives should be minimized as much as possible in the treatment of preterm neonates. They
should be removed using water, mineral oil, or petrolatum. The skin of the premature infant is fragile, delicate,
and thinner compared to a full-term infant, and is easily traumatized. Alcohol should not be used to remove
adhesives.
The nurse calculates a 4 ml dose of prescribed digoxin a 9-month-old infant. What action should the nurse
implement?
Mix dose with juice to disguise its taste.
Suspect dosage error and do not give dose.
Check heart rate and administer dose by placing it to the back and side of mouth.
Check heart rate and administer dose by letting the infant suck it through a nipple. - Correct Answer :Suspect
dosage error and do not give dose.
P 4
PEDIATRICS Exam
HESI RN PEDIATRICS V3 3 FULL SET EXAMS WITH
CORRECT ANSWERS (NGN-STYLE QUESTIONS &
CASE SCENARIOS) Answers with detailed
Rationale
A seven-month old infant is admitted with nonorganic failure to thrive (NFTT). To aid the child's growth and
development, which intervention is most important for the nurse to implement?
Encourage the parents to participate in a planned program of play with the infant.
Refer the parents for psychological counseling to identify parental detachment.
P 1
, • HESI RN 09/11/2026
PEDIATRICS Exam
Demonstrate feeding strategies and infant cues that indicate hunger and satiation.
Provide instructions about formula preparation and feeding schedules. –
Correct Answer :Demonstrate feeding strategies and infant cues that indicate hunger and satiation.
NFTT most often occurs due to inadequate parental knowledge or a disturbance in parental-child attachment,
but the first goal for infants with NFTT is to provide nutrition to promote "catch-up" growth. The nurse should
demonstrate positive feeding strategies that reduce parent and infant frustration, such as recognizing the
infant's cues indicated by vigorous sucking and satiation.
The nurse is triaging a child with a fever brought to the emergency department by the parents. Which finding
requires the nurse's immediate intervention?
Prolonged exhalations.
Thick yellow rhinorrhea.
Frequent nonproductive cough.
Oxygen saturation is 95% by pulse oximeter. - Correct Answer :Prolonged exhalations.
Prolonged exhalation indicates breathing difficulty and requires immediate intervention. According to the
American Heart Association's Pediatric Advance Life Support (PALS) algorithm, a prolonged expiration in a
pediatric client is indicative of lower airway obstruction.
The nurse is assessing the coping behaviors of the parents whose child has been recently diagnosed with a
chronic illness. What reaction by the parents is a positive step in the ability to cope with this new situation?
P 2
, • HESI RN 09/11/2026
PEDIATRICS Exam
Endowing the illness with meaning.
Refusing to believe the child is ill.
Entertaining an unrealistic future plan for the child.
Placing complete faith in religion to the point of relinquishing own responsibility. - Correct Answer :Endowing
the illness with meaning.
Coping mechanisms are behaviors directed at reducing the tension elicited by a crisis. Approach behaviors are
coping mechanisms resulting in movement toward adjustment and resolution of the crisis. The parents' ability to
assign the illness meaning within an existing medical, scientific, or spiritual philosophy of life is a long-term coping
strategy significantly related to successful family functioning.
A 15-year-old girl tells the school nurse that she wants to have a baby. How should the nurse respond?
"Will you be able to support the baby?"
"Do you have plans to continue school?"
"Have you talked with your parents about this?"
"Can you tell me how your life will be if you have an infant?" - Correct Answer :"Can you tell me how your life will
be if you have an infant?"
Developing a dialogue with the teen is important. By using an open-ended question the nurse will encourage
communication and explanation. This question directs the teen to consider real life experiences and allows the
nurse to assess the teen's perception and reality orientation.
P 3
, • HESI RN 09/11/2026
PEDIATRICS Exam
The nurse is caring for a premature infant who needs an IV access restarted. What action should the nurse take
when using adhesive tape?
Use solvents such as water, mineral oil, or petrolatum to remove adhesives instead of pulling on skin.
Avoid using tape and adhesives until skin is more mature.
Use scissors carefully to remove tape instead of pulling tape off.
Use alcohol to remove the adhesives. - Correct Answer :Remove adhesives with water, mineral oil, or
petrolatum.
The use of adhesives should be minimized as much as possible in the treatment of preterm neonates. They
should be removed using water, mineral oil, or petrolatum. The skin of the premature infant is fragile, delicate,
and thinner compared to a full-term infant, and is easily traumatized. Alcohol should not be used to remove
adhesives.
The nurse calculates a 4 ml dose of prescribed digoxin a 9-month-old infant. What action should the nurse
implement?
Mix dose with juice to disguise its taste.
Suspect dosage error and do not give dose.
Check heart rate and administer dose by placing it to the back and side of mouth.
Check heart rate and administer dose by letting the infant suck it through a nipple. - Correct Answer :Suspect
dosage error and do not give dose.
P 4
