• HESI RN 09/11/2026
PEDIATRICS Exam
HESI RN Pediatrics V2 – 2026 3 Full Set Exams,
Questions & NGN-Style Case Scenarios FULL SET
EXAMS WITH CORRECT ANSWERS (NGN-STYLE
QUESTIONS & CASE SCENARIOS) Answers with
detailed Rationale
Which sign of malignant hyperthermia should the nurse assess for during the perioperative period in a child
receiving general anesthesia?
a. Apnea.
b. Tachypnea.
c. Bradycardia.
d. Decreased blood pressure. - Correct Answer :b. Tachypnea.
P 1
, • HESI RN 09/11/2026
PEDIATRICS Exam
Malignant hyperthermia, a potentially fatal autosomal genetic myopathy, can cause a change in vital signs that
demands immediate attention in the perioperative period when these individuals are exposed to anesthetic
agents. Early symptoms of the disorder include tachycardia and tachyarrhythmia, tachypnea, hypercarbia, and
metabolic and respiratory acidosis. An elevated temperature is a late sign of the disorder.
A child with a penetrating eye injury comes to the school clinic. Which action should the nurse implement?
a. Remove the object impaled in the eye and then apply a regular eye patch.
b. Place an ice bag over the eye until the healthcare provider is seen
c. .Irrigate the affected eye copiously with a cool sterile saline solution.
d. Apply a Fox shield to the affected eye and any type of patch to the other eye. - Correct Answer :d. Apply a
Fox shield to the affected eye and any type of patch to the other eye.
The treatment for a penetrating eye injury is not to remove or manipulate the impaled object, but to apply a Fox
shield over the eye, if available (not a regular eye patch). Place an eye patch over the unaffected eye to prevent
bilateral eye movement. The child should be transported to the emergency department immediately. If a Fox
shield is not available, tape a paper cup over the eye and object.
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?
a. Prolonged exhalations.
b. Thick yellow rhinorrhea.
c. Frequent nonproductive cough.
d. Oxygen saturation of 95% by pulse oximeter. - Correct Answer :a. 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.
P 2
, • HESI RN 09/11/2026
PEDIATRICS Exam
A newborn who is breastfeeding is diagnosed with galactosemia. Which action should the nurse implement?
a. Stop the infant breastfeeding.
b. Add amino acids to breast milk.
c. Give galactokinase with breast milk.
d. Substitute a lactose-containing formula. - Correct Answer :a. Stop the infant breastfeeding.
Galactosemia is a rare genetic disorder that involves an inborn error of carbohydrate metabolism in which a
hepatic enzyme, galactokinase, involved in the conversion of galactose to glucose is absent. Treatment consists
of eliminating all lactose-containing foods, including breast milk, so the infant should stop breastfeeding. Soy
protein formula is the feeding of choice during infancy.
A 12-year-old male client tells the nurse that he is happy to be taking growth hormones because now he can
grow to be as tall as his friends. What response is best for the nurse to provide?
a. "You must remember that this treatment regimen is not always effective."
b. "Although being tall is important to you, remember there are far more important characteristics than height."
c. You will grow with this medicine, and are likely to be taller than anyone in your family."
d. "Being taller is important to you and taking your injections will help achieve that goal." - Correct Answer :d.
"Being taller is important to you and taking your injections will help achieve that goal."
A 4-year-old child who is ventilator-dependent is receiving tube feedings in the home setting. The family wants to
begin oral feeding of the child and asks the home health nurse to orally feed the 4-year-old baby food. What
steps should be taken? (Rank in priority order.)
1. Acknowledge the request.
2. Explore available options.
3. Explain the risk of aspiration.
4. Contact the healthcare provider (HCP) and discuss suggested new options for further orders and additional
discussion. - Correct Answer :1. Acknowledge the request.
P 3
, • HESI RN 09/11/2026
PEDIATRICS Exam
2. Explain the risk of aspiration.
3. Explore available options.
4. Contact the healthcare provider (HCP) and discuss suggested new options for further orders and additional
discussion.
The request for oral feeding should be acknowledged, risk of aspiration should be discussed, and then options
should be explored. These options and suggested changes must be presented to the HCP and new orders must
be written before implementation. All education and outcomes should be thoroughly documented.
The nurse is developing a plan of care for a school-aged boy with a chronic disability. The child frequently
complains about being different from his siblings and wants others to do things for him that he is capable of
doing for himself. To assist the family in coping with this child's chronic illness, which intervention is most
important for the nurse to implement?
a. Recommend the use of consistent discipline and reward for acceptable behavior.
b. Allow the child to act out since he is chronically ill.
c. Suggest that all the children are included in family decision-making.
d. Evaluate the proper use of equipment that is provided to improve the child's lifestyle. - Correct Answer :a.
Recommend the use of consistent discipline and reward for acceptable behavior.
Focusing on the child, and not the condition, is essential in assisting the child to adapt to a chronic disability or
illness. Consistent family rules should be used with a chronically ill child, such as setting boundaries for
acceptable behavior, requiring participation in household activities, and fulfilling school responsibilities. Children
need solid boundaries, even if chronically ill.
Which research finding provides evidence-based practice for an infant's risk for sudden infant death syndrome
(SIDS)?
a. Breastfeeding reduces the risk for and the incidence of SIDS.
b. Infants should be positioned supine or supported laterally to sleep.
c. The prone position should be used when an infant sleeps after feeding.
P 4
PEDIATRICS Exam
HESI RN Pediatrics V2 – 2026 3 Full Set Exams,
Questions & NGN-Style Case Scenarios FULL SET
EXAMS WITH CORRECT ANSWERS (NGN-STYLE
QUESTIONS & CASE SCENARIOS) Answers with
detailed Rationale
Which sign of malignant hyperthermia should the nurse assess for during the perioperative period in a child
receiving general anesthesia?
a. Apnea.
b. Tachypnea.
c. Bradycardia.
d. Decreased blood pressure. - Correct Answer :b. Tachypnea.
P 1
, • HESI RN 09/11/2026
PEDIATRICS Exam
Malignant hyperthermia, a potentially fatal autosomal genetic myopathy, can cause a change in vital signs that
demands immediate attention in the perioperative period when these individuals are exposed to anesthetic
agents. Early symptoms of the disorder include tachycardia and tachyarrhythmia, tachypnea, hypercarbia, and
metabolic and respiratory acidosis. An elevated temperature is a late sign of the disorder.
A child with a penetrating eye injury comes to the school clinic. Which action should the nurse implement?
a. Remove the object impaled in the eye and then apply a regular eye patch.
b. Place an ice bag over the eye until the healthcare provider is seen
c. .Irrigate the affected eye copiously with a cool sterile saline solution.
d. Apply a Fox shield to the affected eye and any type of patch to the other eye. - Correct Answer :d. Apply a
Fox shield to the affected eye and any type of patch to the other eye.
The treatment for a penetrating eye injury is not to remove or manipulate the impaled object, but to apply a Fox
shield over the eye, if available (not a regular eye patch). Place an eye patch over the unaffected eye to prevent
bilateral eye movement. The child should be transported to the emergency department immediately. If a Fox
shield is not available, tape a paper cup over the eye and object.
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?
a. Prolonged exhalations.
b. Thick yellow rhinorrhea.
c. Frequent nonproductive cough.
d. Oxygen saturation of 95% by pulse oximeter. - Correct Answer :a. 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.
P 2
, • HESI RN 09/11/2026
PEDIATRICS Exam
A newborn who is breastfeeding is diagnosed with galactosemia. Which action should the nurse implement?
a. Stop the infant breastfeeding.
b. Add amino acids to breast milk.
c. Give galactokinase with breast milk.
d. Substitute a lactose-containing formula. - Correct Answer :a. Stop the infant breastfeeding.
Galactosemia is a rare genetic disorder that involves an inborn error of carbohydrate metabolism in which a
hepatic enzyme, galactokinase, involved in the conversion of galactose to glucose is absent. Treatment consists
of eliminating all lactose-containing foods, including breast milk, so the infant should stop breastfeeding. Soy
protein formula is the feeding of choice during infancy.
A 12-year-old male client tells the nurse that he is happy to be taking growth hormones because now he can
grow to be as tall as his friends. What response is best for the nurse to provide?
a. "You must remember that this treatment regimen is not always effective."
b. "Although being tall is important to you, remember there are far more important characteristics than height."
c. You will grow with this medicine, and are likely to be taller than anyone in your family."
d. "Being taller is important to you and taking your injections will help achieve that goal." - Correct Answer :d.
"Being taller is important to you and taking your injections will help achieve that goal."
A 4-year-old child who is ventilator-dependent is receiving tube feedings in the home setting. The family wants to
begin oral feeding of the child and asks the home health nurse to orally feed the 4-year-old baby food. What
steps should be taken? (Rank in priority order.)
1. Acknowledge the request.
2. Explore available options.
3. Explain the risk of aspiration.
4. Contact the healthcare provider (HCP) and discuss suggested new options for further orders and additional
discussion. - Correct Answer :1. Acknowledge the request.
P 3
, • HESI RN 09/11/2026
PEDIATRICS Exam
2. Explain the risk of aspiration.
3. Explore available options.
4. Contact the healthcare provider (HCP) and discuss suggested new options for further orders and additional
discussion.
The request for oral feeding should be acknowledged, risk of aspiration should be discussed, and then options
should be explored. These options and suggested changes must be presented to the HCP and new orders must
be written before implementation. All education and outcomes should be thoroughly documented.
The nurse is developing a plan of care for a school-aged boy with a chronic disability. The child frequently
complains about being different from his siblings and wants others to do things for him that he is capable of
doing for himself. To assist the family in coping with this child's chronic illness, which intervention is most
important for the nurse to implement?
a. Recommend the use of consistent discipline and reward for acceptable behavior.
b. Allow the child to act out since he is chronically ill.
c. Suggest that all the children are included in family decision-making.
d. Evaluate the proper use of equipment that is provided to improve the child's lifestyle. - Correct Answer :a.
Recommend the use of consistent discipline and reward for acceptable behavior.
Focusing on the child, and not the condition, is essential in assisting the child to adapt to a chronic disability or
illness. Consistent family rules should be used with a chronically ill child, such as setting boundaries for
acceptable behavior, requiring participation in household activities, and fulfilling school responsibilities. Children
need solid boundaries, even if chronically ill.
Which research finding provides evidence-based practice for an infant's risk for sudden infant death syndrome
(SIDS)?
a. Breastfeeding reduces the risk for and the incidence of SIDS.
b. Infants should be positioned supine or supported laterally to sleep.
c. The prone position should be used when an infant sleeps after feeding.
P 4
