HESI PEDIATRICS ACTUAL EXAM LATEST
QUESTIONS AND CORRECT DETAILED
ANSWERS GRADED A+ NEWEST!!
120 Questions with Answers and Detailed Rationales
100 PERCENT GUARANTEED PASS
INSTANT DOWNLOAD ANSWERS INCLUDED
IMPORTANCE OF THIS DOCUMENT
This comprehensive examination preparation guide has been meticulously developed to help you succeed in the
HESI PEDIATRICS ACTUAL EXAM LATEST QUESTIONS AND CORRECT DETAILED ANSWERS GRADED A+
NEWEST!!. It contains 120 carefully selected questions that reflect the most current exam content and testing
strategies. Each question is accompanied by a correct answer and a detailed rationale that explains the
underlying pathophysiology, pharmacology, or clinical reasoning.
Self-Assessment – Test your knowledge and Exam Preparation – Familiarize yourself with the
identify areas requiring further question format and content
study areas
Concept Reinforcement – Deepen your Confidence Building – Develop test-taking
understanding through strategies and reduce
evidence-based exam anxiety
rationales
Time Management – Practice answering
questions under simulated
exam conditions
Review Summary 120 Questions
Foundations - Application - HESI Pediatrics Actual AND Correct Detailed A Newest Pediatric Nursing
Undergraduate YEAR 3 / Graduate
All answers with rationales
,Table of Contents
Content Area Questions Key Topics
Growth AND Development 1-20 Child, Finding, Prescribed, Presents, Indicates
Pediatric Nursing CARE 21-40 History, Child, Appropriate, Requires, Immediate
Pediatric Pharmacology 41-60 Pediatric, Child, Receiving, Finding, Immediate
Pediatric Emergencies 61-80 Child, Finding, Indicates, Presents, Shunt
Pediatric Nutrition 81-100 Child, Infant, Prescribed, Intervention, Receiving
Pediatric Infectious Diseases 101-120 Child, Finding, Severe, Disease, Likely
TOTAL 120 All questions include answers and detailed rationales
,Section A - Growth AND Development
Q1.
A child with severe dehydration is prescribed an intravenous bolus of 20 mL/kg of 0.9%
sodium chloride over 1 hour. The child weighs 15 kg. The drop factor is 15 gtt/mL. What is
the correct drop rate in drops per minute?
A. 50 gtt/min B. 75 gtt/min
C. 100 gtt/min D. 125 gtt/min
Correct: B - 75 gtt/min
Rationale:Total volume = 20 mL/kg × 15 kg = 300 mL. Infusion time = 60 min. Drop rate =
(300 mL × 15 gtt/mL) / 60 min = 75 gtt/min. This ensures accurate fluid resuscitation.
Why the other answers are wrong:
A. This would result from using a drop factor of 10 gtt/mL instead of 15.
C. This would result from miscalculating the volume as 400 mL.
D. This would result from using 1 hour as 45 minutes.
Reference: HESI Pediatrics Review, Fluid & Electrolyte Balance
Q2.
A preschooler is hospitalized and refuses to eat. Based on Erikson's psychosocial theory,
which nursing intervention best supports the child's developmental stage?
A. Allow the child to choose meals from a B. Provide a structured schedule for meals.
menu.
C. Encourage the parents to feed the child. D. Reward the child with a toy for eating.
Correct: A - Allow the child to choose meals from a menu.
Rationale:Preschoolers are in the initiative vs. guilt stage; offering choices fosters autonomy
and initiative, reducing power struggles. This supports the child's need for control.
Why the other answers are wrong:
B. Structured schedules may increase resistance as they limit the child's sense of control.
C. Parental feeding may promote regression and dependency.
D. Rewards are not developmentally appropriate for this stage and may create unhealthy
associations.
Reference: Hockenberry, Wong's Nursing Care of Infants and Children, Ch. 4
Page 3
, Section A - Growth AND Development
Q3.
A pediatric patient is receiving gentamicin. Which laboratory value indicates the highest
risk for nephrotoxicity?
A. Serum creatinine 0.6 mg/dL B. Urine output 2 mL/kg/hr
C. Blood urea nitrogen 8 mg/dL D. Glomerular filtration rate of 45
mL/min/1.73m²
Correct: D - Glomerular filtration rate of 45 mL/min/1.73m²
Rationale:A GFR of 45 mL/min/1.73m² indicates moderate renal impairment, increasing the
risk of drug accumulation and nephrotoxicity. Normal GFR in children is >90.
Why the other answers are wrong:
A. A creatinine of 0.6 mg/dL is normal in children.
B. Urine output of 2 mL/kg/hr is within normal limits.
C. BUN of 8 mg/dL is normal, not elevated.
Reference: Taketomo, Pediatric & Neonatal Dosage Handbook
Q4.
In a child with suspected intussusception, which finding on an abdominal radiograph is
most indicative of the condition?
A. Free air under the diaphragm B. Dilated loops of small bowel with air-fluid
levels
C. A soft-tissue mass in the right upper D. Sentinel loop sign
quadrant
Correct: C - A soft-tissue mass in the right upper quadrant
Rationale:Intussusception often presents with a soft-tissue mass (the intussusceptum) in the
right upper quadrant on plain radiograph, sometimes termed the 'target sign'. This is a classic
finding.
Why the other answers are wrong:
A. Free air indicates bowel perforation, a complication of intussusception but not the primary
finding.
B. Dilated loops with air-fluid levels suggest bowel obstruction, which can occur but is not
specific to intussusception.
D. Sentinel loop sign is seen in pancreatitis, not intussusception.
Reference: HESI Pediatrics, Gastrointestinal Disorders
Page 4
QUESTIONS AND CORRECT DETAILED
ANSWERS GRADED A+ NEWEST!!
120 Questions with Answers and Detailed Rationales
100 PERCENT GUARANTEED PASS
INSTANT DOWNLOAD ANSWERS INCLUDED
IMPORTANCE OF THIS DOCUMENT
This comprehensive examination preparation guide has been meticulously developed to help you succeed in the
HESI PEDIATRICS ACTUAL EXAM LATEST QUESTIONS AND CORRECT DETAILED ANSWERS GRADED A+
NEWEST!!. It contains 120 carefully selected questions that reflect the most current exam content and testing
strategies. Each question is accompanied by a correct answer and a detailed rationale that explains the
underlying pathophysiology, pharmacology, or clinical reasoning.
Self-Assessment – Test your knowledge and Exam Preparation – Familiarize yourself with the
identify areas requiring further question format and content
study areas
Concept Reinforcement – Deepen your Confidence Building – Develop test-taking
understanding through strategies and reduce
evidence-based exam anxiety
rationales
Time Management – Practice answering
questions under simulated
exam conditions
Review Summary 120 Questions
Foundations - Application - HESI Pediatrics Actual AND Correct Detailed A Newest Pediatric Nursing
Undergraduate YEAR 3 / Graduate
All answers with rationales
,Table of Contents
Content Area Questions Key Topics
Growth AND Development 1-20 Child, Finding, Prescribed, Presents, Indicates
Pediatric Nursing CARE 21-40 History, Child, Appropriate, Requires, Immediate
Pediatric Pharmacology 41-60 Pediatric, Child, Receiving, Finding, Immediate
Pediatric Emergencies 61-80 Child, Finding, Indicates, Presents, Shunt
Pediatric Nutrition 81-100 Child, Infant, Prescribed, Intervention, Receiving
Pediatric Infectious Diseases 101-120 Child, Finding, Severe, Disease, Likely
TOTAL 120 All questions include answers and detailed rationales
,Section A - Growth AND Development
Q1.
A child with severe dehydration is prescribed an intravenous bolus of 20 mL/kg of 0.9%
sodium chloride over 1 hour. The child weighs 15 kg. The drop factor is 15 gtt/mL. What is
the correct drop rate in drops per minute?
A. 50 gtt/min B. 75 gtt/min
C. 100 gtt/min D. 125 gtt/min
Correct: B - 75 gtt/min
Rationale:Total volume = 20 mL/kg × 15 kg = 300 mL. Infusion time = 60 min. Drop rate =
(300 mL × 15 gtt/mL) / 60 min = 75 gtt/min. This ensures accurate fluid resuscitation.
Why the other answers are wrong:
A. This would result from using a drop factor of 10 gtt/mL instead of 15.
C. This would result from miscalculating the volume as 400 mL.
D. This would result from using 1 hour as 45 minutes.
Reference: HESI Pediatrics Review, Fluid & Electrolyte Balance
Q2.
A preschooler is hospitalized and refuses to eat. Based on Erikson's psychosocial theory,
which nursing intervention best supports the child's developmental stage?
A. Allow the child to choose meals from a B. Provide a structured schedule for meals.
menu.
C. Encourage the parents to feed the child. D. Reward the child with a toy for eating.
Correct: A - Allow the child to choose meals from a menu.
Rationale:Preschoolers are in the initiative vs. guilt stage; offering choices fosters autonomy
and initiative, reducing power struggles. This supports the child's need for control.
Why the other answers are wrong:
B. Structured schedules may increase resistance as they limit the child's sense of control.
C. Parental feeding may promote regression and dependency.
D. Rewards are not developmentally appropriate for this stage and may create unhealthy
associations.
Reference: Hockenberry, Wong's Nursing Care of Infants and Children, Ch. 4
Page 3
, Section A - Growth AND Development
Q3.
A pediatric patient is receiving gentamicin. Which laboratory value indicates the highest
risk for nephrotoxicity?
A. Serum creatinine 0.6 mg/dL B. Urine output 2 mL/kg/hr
C. Blood urea nitrogen 8 mg/dL D. Glomerular filtration rate of 45
mL/min/1.73m²
Correct: D - Glomerular filtration rate of 45 mL/min/1.73m²
Rationale:A GFR of 45 mL/min/1.73m² indicates moderate renal impairment, increasing the
risk of drug accumulation and nephrotoxicity. Normal GFR in children is >90.
Why the other answers are wrong:
A. A creatinine of 0.6 mg/dL is normal in children.
B. Urine output of 2 mL/kg/hr is within normal limits.
C. BUN of 8 mg/dL is normal, not elevated.
Reference: Taketomo, Pediatric & Neonatal Dosage Handbook
Q4.
In a child with suspected intussusception, which finding on an abdominal radiograph is
most indicative of the condition?
A. Free air under the diaphragm B. Dilated loops of small bowel with air-fluid
levels
C. A soft-tissue mass in the right upper D. Sentinel loop sign
quadrant
Correct: C - A soft-tissue mass in the right upper quadrant
Rationale:Intussusception often presents with a soft-tissue mass (the intussusceptum) in the
right upper quadrant on plain radiograph, sometimes termed the 'target sign'. This is a classic
finding.
Why the other answers are wrong:
A. Free air indicates bowel perforation, a complication of intussusception but not the primary
finding.
B. Dilated loops with air-fluid levels suggest bowel obstruction, which can occur but is not
specific to intussusception.
D. Sentinel loop sign is seen in pancreatitis, not intussusception.
Reference: HESI Pediatrics, Gastrointestinal Disorders
Page 4
