• 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 2-year old with gastro-esophageal reflux has developed a fear of eating. What instruction should the nurse
include in the parents' teaching plan?
A. invite other children home to share meals
B. accept that he will eat when he is hungry
C. reward the child with a nap after eating
D. consistently follow a set mealtime routine. - Correct Answer :D. consistently follow a set mealtime routine.
P 1
, • HESI RN 09/11/2026
PEDIATRICS Exam
A 2-year old child is comforted by consistency. (A) is contraindicate because 2 year olds may participate in parallel
activities with other children but are too young to feel comfort and support by the presence of other children
when anxious or afraid. (B) may or may not be true and does not address the child's fears. The child with reflux
should remain upright at least 2 hours after eating to reduce symptoms.
A 6-month old boy and his mother are at the healthcare provider's office for a well-baby checkup and routine
immunizations. the healthcare provider recommends to the mother that the child receive an influenza vaccine.
What medications should the nurse plan to administer today?
A. The routine immunizations and schedule another appointment to administer the influenza vaccine
B. All the immunizations with the influenza vaccine given at a separate site from any other injection.
C. the influenza vaccine and schedule another appointment to administer the immunizations
D. The influenza vaccine and the polio vaccine and schedule another appointment to administer the remaining
immunizations. - Correct Answer :B. All the immunizations with the influenza vaccine given at a separate site
from any other injection.
At 6 months of age, the routine immunizations include Hepatitis B, DTaP, Hib (Haemophilus influenza type b),
PCV (Pneumococcal), IPV (inactive poliovirus) and influenza. the influenza vaccine should be given at a separate
site from any other injection. Scheduling a return visit increases the risk that the mother will not bring the child
back for the immunizations.
The nurse is assessing a 13-year old girl with suspected hyperthyroidism. Which question is most important for
the nurse to ask her during the admission interview?
A. Have you lost any weight in the last month?
B. Are you experiencing any type of nervousness?
C. When was the last time you took synthroid?
D. Are you having any problems with your vision? - Correct Answer :B. Are you experiencing any type of
nervousness?
Assessing the client's physiological state upon admission is a priority, and nervousness, apprehension,
hyperexcitability, and palpitations are signs of hyperthyroidism. Weight loss (even with a hearty appetite) occurs
in those with hyperthyroidism, but assessing the client's neurological state has a higher priority. Hormone
P 2
, • HESI RN 09/11/2026
PEDIATRICS Exam
replacement is not administered to a client who is already producing too much thyroid. The client may have
exophthalmus (bulging eyes), but hyperthyroidism does not cause vision problems.
The nurse is planning care for school aged children at a community care center. Which activity is best for the
children?
A. building model airplanes
B. playing follow-the-leader
C. stringing large and small beads
D. Playing with playdough and clay - Correct Answer :B. playing follow-the-leader
School-aged children strive for independence and productivity (Erikson's Industry vs. Inferiority) and enjoy
individual and group activities related to real life situations, such as playing follow the leader. (A) is an individual
activity that could contribute to feelings of inferiority and inadequacy if the task if too complex, although school-
aged children enjoy crafts. (C and D) are more appropriate for pre-school children.
Surgery is being delayed for an infant with undescended testes. In collaboration with the healthcare provider
and the family, which prescription should the nurse anticipate?
A. a trial of adrenocorticotropic hormone injections
B. Frequent stimulation of the cremasteric reflex
C. a trial of human chorionic gonadotrophic hormone
D. frequent warm baths to gently dilate the scrotal area. - Correct Answer :C. a trial of human chorionic
gonadotrophic hormone
A trial of HCG (human chorionic gonadotrophic) hormone may aid in testicular descent, but does not replace
surgical repair for true undescended testes. Undescended testes (cryptorchidism) may be found in the inguinal
canal due to exaggerated cremasteric reflex. (A) is not indicated. Stimulation of the cremasteric reflex causes
the testes to ascend rather than to descend in the scrotum. (D) may relax the cremasteric muscle, but may not
cause the testes to descend.
A 3 year old client with sickle cell anemia is admitted to the Emergency Department with abdominal pain. The
nurse palpates an enlarged liver, an x-ray reveals an enlarged spleen, and a CBC reveals anemia. these findings
indicate which type of crisis?
P 3
, • HESI RN 09/11/2026
PEDIATRICS Exam
A. Aplastic
B. sequestration
C. hyperhemolytic
D. vaso-occlusive - Correct Answer :B. sequestration
The findings support a sequestration crisis, where blood pools in the spleen, and is characterized by abdominal
pain and anemia. (A and C) crises produce anemia but no abdominal pain or splenic enlargement. (D) crisis may
produce abdominal pain but no splenic enlargement or exacerbation of anemia.
To assess the effectiveness of an analgesic administered to a 4 year old, what intervention is best for the nurse
to implement?
A. use a happy face/sad face pain scale
B. ask the mother if she thinks the analgesic is working
C. assess for changes in the child's vital signs
D. teach the child to point to a numeric pain scale - Correct Answer :A. use a happy face/sad face pain scale
A 4 year old can readily identify with simple pictures to show the nurse how he/she is feeling. (B) could be used
to validate what the child is telling the nurse via the "faces" pain scale, but it is best to elicit the child's
assessment of his/her pain level. (C) may not accurately reflect the effectiveness of pain medication as they can
also be affected by other variables, such as fear. (D) requires abstract number skills beyond the level of a 4 year
old.
In developing a teaching plan for a 5 year old child with diabetes, which component of diabetic management
should the nurse plan for the child to manage first?
A. food planning and selection
B. administering insulin injections
C. process of glucose testing
D. drawing up the correct insulin dose - Correct Answer :C. process of glucose testing
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 2-year old with gastro-esophageal reflux has developed a fear of eating. What instruction should the nurse
include in the parents' teaching plan?
A. invite other children home to share meals
B. accept that he will eat when he is hungry
C. reward the child with a nap after eating
D. consistently follow a set mealtime routine. - Correct Answer :D. consistently follow a set mealtime routine.
P 1
, • HESI RN 09/11/2026
PEDIATRICS Exam
A 2-year old child is comforted by consistency. (A) is contraindicate because 2 year olds may participate in parallel
activities with other children but are too young to feel comfort and support by the presence of other children
when anxious or afraid. (B) may or may not be true and does not address the child's fears. The child with reflux
should remain upright at least 2 hours after eating to reduce symptoms.
A 6-month old boy and his mother are at the healthcare provider's office for a well-baby checkup and routine
immunizations. the healthcare provider recommends to the mother that the child receive an influenza vaccine.
What medications should the nurse plan to administer today?
A. The routine immunizations and schedule another appointment to administer the influenza vaccine
B. All the immunizations with the influenza vaccine given at a separate site from any other injection.
C. the influenza vaccine and schedule another appointment to administer the immunizations
D. The influenza vaccine and the polio vaccine and schedule another appointment to administer the remaining
immunizations. - Correct Answer :B. All the immunizations with the influenza vaccine given at a separate site
from any other injection.
At 6 months of age, the routine immunizations include Hepatitis B, DTaP, Hib (Haemophilus influenza type b),
PCV (Pneumococcal), IPV (inactive poliovirus) and influenza. the influenza vaccine should be given at a separate
site from any other injection. Scheduling a return visit increases the risk that the mother will not bring the child
back for the immunizations.
The nurse is assessing a 13-year old girl with suspected hyperthyroidism. Which question is most important for
the nurse to ask her during the admission interview?
A. Have you lost any weight in the last month?
B. Are you experiencing any type of nervousness?
C. When was the last time you took synthroid?
D. Are you having any problems with your vision? - Correct Answer :B. Are you experiencing any type of
nervousness?
Assessing the client's physiological state upon admission is a priority, and nervousness, apprehension,
hyperexcitability, and palpitations are signs of hyperthyroidism. Weight loss (even with a hearty appetite) occurs
in those with hyperthyroidism, but assessing the client's neurological state has a higher priority. Hormone
P 2
, • HESI RN 09/11/2026
PEDIATRICS Exam
replacement is not administered to a client who is already producing too much thyroid. The client may have
exophthalmus (bulging eyes), but hyperthyroidism does not cause vision problems.
The nurse is planning care for school aged children at a community care center. Which activity is best for the
children?
A. building model airplanes
B. playing follow-the-leader
C. stringing large and small beads
D. Playing with playdough and clay - Correct Answer :B. playing follow-the-leader
School-aged children strive for independence and productivity (Erikson's Industry vs. Inferiority) and enjoy
individual and group activities related to real life situations, such as playing follow the leader. (A) is an individual
activity that could contribute to feelings of inferiority and inadequacy if the task if too complex, although school-
aged children enjoy crafts. (C and D) are more appropriate for pre-school children.
Surgery is being delayed for an infant with undescended testes. In collaboration with the healthcare provider
and the family, which prescription should the nurse anticipate?
A. a trial of adrenocorticotropic hormone injections
B. Frequent stimulation of the cremasteric reflex
C. a trial of human chorionic gonadotrophic hormone
D. frequent warm baths to gently dilate the scrotal area. - Correct Answer :C. a trial of human chorionic
gonadotrophic hormone
A trial of HCG (human chorionic gonadotrophic) hormone may aid in testicular descent, but does not replace
surgical repair for true undescended testes. Undescended testes (cryptorchidism) may be found in the inguinal
canal due to exaggerated cremasteric reflex. (A) is not indicated. Stimulation of the cremasteric reflex causes
the testes to ascend rather than to descend in the scrotum. (D) may relax the cremasteric muscle, but may not
cause the testes to descend.
A 3 year old client with sickle cell anemia is admitted to the Emergency Department with abdominal pain. The
nurse palpates an enlarged liver, an x-ray reveals an enlarged spleen, and a CBC reveals anemia. these findings
indicate which type of crisis?
P 3
, • HESI RN 09/11/2026
PEDIATRICS Exam
A. Aplastic
B. sequestration
C. hyperhemolytic
D. vaso-occlusive - Correct Answer :B. sequestration
The findings support a sequestration crisis, where blood pools in the spleen, and is characterized by abdominal
pain and anemia. (A and C) crises produce anemia but no abdominal pain or splenic enlargement. (D) crisis may
produce abdominal pain but no splenic enlargement or exacerbation of anemia.
To assess the effectiveness of an analgesic administered to a 4 year old, what intervention is best for the nurse
to implement?
A. use a happy face/sad face pain scale
B. ask the mother if she thinks the analgesic is working
C. assess for changes in the child's vital signs
D. teach the child to point to a numeric pain scale - Correct Answer :A. use a happy face/sad face pain scale
A 4 year old can readily identify with simple pictures to show the nurse how he/she is feeling. (B) could be used
to validate what the child is telling the nurse via the "faces" pain scale, but it is best to elicit the child's
assessment of his/her pain level. (C) may not accurately reflect the effectiveness of pain medication as they can
also be affected by other variables, such as fear. (D) requires abstract number skills beyond the level of a 4 year
old.
In developing a teaching plan for a 5 year old child with diabetes, which component of diabetic management
should the nurse plan for the child to manage first?
A. food planning and selection
B. administering insulin injections
C. process of glucose testing
D. drawing up the correct insulin dose - Correct Answer :C. process of glucose testing
P 4
