• 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
The nurse is giving a liquid iron preparation to a 3 year old child. Which technique should the nurse implement to
engage the child's cooperation?
A. use a colorful straw
B. mix the medication in water
C. administer the medication using an oral syringe
D. ask the pharmacy to provide an enteric tablet. - Correct Answer :A. use a colorful straw
P 1
, • HESI RN 09/11/2026
PEDIATRICS Exam
A liquid iron preparation administered through a straw may help the child to accept the medication since young
children consider drinking from a colorful straw fun. (B) may cause staining of the child's teeth. (C) is often used
if the child is uncooperative. (D) is ineffective and should be requested from the healthcare provider.
The nurse is teaching a mother to give 4 mL of liquid antibiotic to a 10 month old infant. Which statement by the
parent indicates a need for further teaching?
A. I will give this antibiotic to my child until it is finished
B. using a teaspoon will help me measure this correctly.
C. I will call the clinic if my child develops a rash or itching
D. my baby should begin to eel better within a few days - Correct Answer :B. using a teaspoon will help me
measure this correctly.
The prescribed medication is 4 mL per dosage and is measured with the most accuracy using a syringe, so if the
parent uses a teaspoon, which is equivalent to 5 mL, further teaching is indicated. (A, C and D) indicate correct
understanding and require no further intervention by the nurse.
Which growth and development characteristic should the nurse consider when monitoring the effects of a
topical medication for an infant?
A. a lower sensitivity reaction to skin irritants
B. a thin stratum corneum that increases topical absorption
C. a smaller percentage of muscle mass
D. a greater body surface area that requires larger doses - Correct Answer :B. a thin stratum corneum that
increases topical absorption
infants have a thin outer skin later (stratum corneum), so the nurse should monitor the infant for a prompt onset
and response to the application of topical medication.
A 2 year old child recently diagnosed with hemophilia A is discharged home. What information should the nurse
include in a teaching plan about home care?
A. Minimize interactive play with other children to lessen chances for injury
B. give low-dose children's chewable aspirin in orange flavor for joint discomfort
P 2
, • HESI RN 09/11/2026
PEDIATRICS Exam
C. use a firm and dry toothbrush to clean teeth at least twice per day
D. apply pressure and ice for bleeding while elevating and resting the extremity. - Correct Answer :D. apply
pressure and ice for bleeding while elevating and resting the extremity.
Hemophilia, a blood disorder, causes joint bleeding which is treated with rest, ice, compression, and elevation
(RICE)
A nurse provides the parents with information on health maintenance for their child with sickle cell disease.
Which information reflected by the parents indicates understanding of the child's care?
A. daily iron supplements should be given
B. plenty of fluids should be consumed daily
C. immunizations should be delayed for a few years
D. protective equipment should be worn for contact sports. - Correct Answer :B. plenty of fluids should be
consumed daily
Adequate fluid intake decreases the viscosity of the blood which affects the incidence of vasocclusive crisis. (A
and D) are not commonly indicated for a child with sickle cell disease. A routine immunization schedule is
recommended for a child with SCD because of their increased susceptibility to infection that predisposes to
sickling phenomena.
The nurse reviews the latest laboratory results for a child who received chemotherapy last week and identifies a
reduced neutrophil count. Which nursing diagnosis has the highest priority for this child?
A. risk for infection
B. risk for hemorrhage
C. altered skin integrity
D. disturbance in body image - Correct Answer :A. risk for infection
Chemotherapy suppresses phagocytotic neutrophils and places the child at risk for infection which is the priority
nursing diagnosis. (B, C and D) may be related to the care of a child receiving CT are not related to neutropenia.
P 3
, • HESI RN 09/11/2026
PEDIATRICS Exam
During administration of a blood transfusion, a child complains of chills, headache and nausea. Which action
should the nurse implement?
A. start another IV of dextrose solution and stay with the child
B. continue the tranfusion and monitor the child's vital signs
C. stop the infusion immediately and notify the healthcare provider
D. slow the transfusion and assess for cessation of symptoms - Correct Answer :C. stop the infusion
immediately and notify the healthcare provider
The child is exhibiting signs of a reaction to the blood transfusion. The blood transfusion should be stopped
immediately and the healthcare provider notified. After the transfusion is discontinued, IV access should be
maintained with fluids that do not introduce and more cellular products. (B and D place the child at risk for
further blood reactions
The nurse is teaching the parents of a 5 year old with cystic fibrosis about respiratory treatments. Which
statement indicates to the nurse that the parents understand?
A. perform postural drainage before starting aerosol therapy
B. Give respiratory treatments when the child is coughing a lot
C. Administer aerosol therapy followed by postural drainage before meals
D. ensure respiratory therapy is done daily during any respiratory infection - Correct Answer :C. Administer
aerosol therapy followed by postural drainage before meals
Postural drainage for a child with cystic fibrosis is most effective when performed after nebulization and before
meals, or at least 1 hour after eating to prevent N/V. Postural drainage uses gravity to promote mucous removal
after nebulization treatments which open the airways. Pulmonary toileting or respiratory treatments should be
given 3 to 4 times daily, not episodically.
The nurse is assessing the neurovascular status of a child in Russell's traction. Which finding should the nurse
report to the healthcare provider?
A. pale bluish coloration of the toes
B. skin is warm and dry to the touch
C. toes are wiggled upon command
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
The nurse is giving a liquid iron preparation to a 3 year old child. Which technique should the nurse implement to
engage the child's cooperation?
A. use a colorful straw
B. mix the medication in water
C. administer the medication using an oral syringe
D. ask the pharmacy to provide an enteric tablet. - Correct Answer :A. use a colorful straw
P 1
, • HESI RN 09/11/2026
PEDIATRICS Exam
A liquid iron preparation administered through a straw may help the child to accept the medication since young
children consider drinking from a colorful straw fun. (B) may cause staining of the child's teeth. (C) is often used
if the child is uncooperative. (D) is ineffective and should be requested from the healthcare provider.
The nurse is teaching a mother to give 4 mL of liquid antibiotic to a 10 month old infant. Which statement by the
parent indicates a need for further teaching?
A. I will give this antibiotic to my child until it is finished
B. using a teaspoon will help me measure this correctly.
C. I will call the clinic if my child develops a rash or itching
D. my baby should begin to eel better within a few days - Correct Answer :B. using a teaspoon will help me
measure this correctly.
The prescribed medication is 4 mL per dosage and is measured with the most accuracy using a syringe, so if the
parent uses a teaspoon, which is equivalent to 5 mL, further teaching is indicated. (A, C and D) indicate correct
understanding and require no further intervention by the nurse.
Which growth and development characteristic should the nurse consider when monitoring the effects of a
topical medication for an infant?
A. a lower sensitivity reaction to skin irritants
B. a thin stratum corneum that increases topical absorption
C. a smaller percentage of muscle mass
D. a greater body surface area that requires larger doses - Correct Answer :B. a thin stratum corneum that
increases topical absorption
infants have a thin outer skin later (stratum corneum), so the nurse should monitor the infant for a prompt onset
and response to the application of topical medication.
A 2 year old child recently diagnosed with hemophilia A is discharged home. What information should the nurse
include in a teaching plan about home care?
A. Minimize interactive play with other children to lessen chances for injury
B. give low-dose children's chewable aspirin in orange flavor for joint discomfort
P 2
, • HESI RN 09/11/2026
PEDIATRICS Exam
C. use a firm and dry toothbrush to clean teeth at least twice per day
D. apply pressure and ice for bleeding while elevating and resting the extremity. - Correct Answer :D. apply
pressure and ice for bleeding while elevating and resting the extremity.
Hemophilia, a blood disorder, causes joint bleeding which is treated with rest, ice, compression, and elevation
(RICE)
A nurse provides the parents with information on health maintenance for their child with sickle cell disease.
Which information reflected by the parents indicates understanding of the child's care?
A. daily iron supplements should be given
B. plenty of fluids should be consumed daily
C. immunizations should be delayed for a few years
D. protective equipment should be worn for contact sports. - Correct Answer :B. plenty of fluids should be
consumed daily
Adequate fluid intake decreases the viscosity of the blood which affects the incidence of vasocclusive crisis. (A
and D) are not commonly indicated for a child with sickle cell disease. A routine immunization schedule is
recommended for a child with SCD because of their increased susceptibility to infection that predisposes to
sickling phenomena.
The nurse reviews the latest laboratory results for a child who received chemotherapy last week and identifies a
reduced neutrophil count. Which nursing diagnosis has the highest priority for this child?
A. risk for infection
B. risk for hemorrhage
C. altered skin integrity
D. disturbance in body image - Correct Answer :A. risk for infection
Chemotherapy suppresses phagocytotic neutrophils and places the child at risk for infection which is the priority
nursing diagnosis. (B, C and D) may be related to the care of a child receiving CT are not related to neutropenia.
P 3
, • HESI RN 09/11/2026
PEDIATRICS Exam
During administration of a blood transfusion, a child complains of chills, headache and nausea. Which action
should the nurse implement?
A. start another IV of dextrose solution and stay with the child
B. continue the tranfusion and monitor the child's vital signs
C. stop the infusion immediately and notify the healthcare provider
D. slow the transfusion and assess for cessation of symptoms - Correct Answer :C. stop the infusion
immediately and notify the healthcare provider
The child is exhibiting signs of a reaction to the blood transfusion. The blood transfusion should be stopped
immediately and the healthcare provider notified. After the transfusion is discontinued, IV access should be
maintained with fluids that do not introduce and more cellular products. (B and D place the child at risk for
further blood reactions
The nurse is teaching the parents of a 5 year old with cystic fibrosis about respiratory treatments. Which
statement indicates to the nurse that the parents understand?
A. perform postural drainage before starting aerosol therapy
B. Give respiratory treatments when the child is coughing a lot
C. Administer aerosol therapy followed by postural drainage before meals
D. ensure respiratory therapy is done daily during any respiratory infection - Correct Answer :C. Administer
aerosol therapy followed by postural drainage before meals
Postural drainage for a child with cystic fibrosis is most effective when performed after nebulization and before
meals, or at least 1 hour after eating to prevent N/V. Postural drainage uses gravity to promote mucous removal
after nebulization treatments which open the airways. Pulmonary toileting or respiratory treatments should be
given 3 to 4 times daily, not episodically.
The nurse is assessing the neurovascular status of a child in Russell's traction. Which finding should the nurse
report to the healthcare provider?
A. pale bluish coloration of the toes
B. skin is warm and dry to the touch
C. toes are wiggled upon command
P 4
