HESI RN PEDIATRICS V2 EXAM – QUESTIONS AND ANSWERS | VERIFIED AND WELL DETAILED
ANSWERS | PLUS RATIONALES | DOWNLOAD AND PASS | LATEST EXAM UPDATE 2026/2027] –
QUESTIONS AND ANSWERS | VERIFIED AND WELL DETAILED ANSWERS | PLUS RATIONALES |
GUARANTEED PASS | LATEST EXAM UPDATE
CORE DOMAINS
Growth and Development
Pediatric Assessment and Health Promotion
Immunizations and Communicable Diseases
Respiratory and Cardiovascular Disorders
Gastrointestinal and Genitourinary Disorders
Neurological and Musculoskeletal Disorders
Hematologic and Oncologic Disorders
Pharmacology and Medication Administration
Safety, Advocacy, and Ethical-Legal Issues
Emergency and Critical Care Nursing
INTRODUCTION
The HESI RN Pediatrics V2 Examination assesses the candidate's mastery of nursing care for infants,
children, and adolescents. This comprehensive assessment evaluates knowledge of growth and
development, pediatric pathophysiology, pharmacological interventions, family-centered care, and safety
principles. The examination employs multiple-choice and scenario-based questions designed to measure
critical thinking, clinical judgment, and the application of evidence-based practice. Emphasis is placed on
real-world decision-making, prioritization, and professional accountability in diverse pediatric healthcare
settings. Candidates must demonstrate the ability to analyze complex clinical situations and select the
most appropriate nursing interventions to ensure optimal patient outcomes.
SECTION ONE – QUESTIONS 1–100
,1. A nurse is assessing a 6-month-old infant during a well-child visit. Which developmental
milestone should the nurse expect the infant to have achieved?
A. Rolling from stomach to back
B. Sitting without support
C. Transferring objects from hand to hand
D. Pulling to a standing position
🟢 Correct answer: A
🔴 Explanation: A 6-month-old infant should typically be able to roll from stomach to back. Sitting
without support is expected at 8 months, transferring objects at 7 months, and pulling to stand at 9
months.
2. The parent of a 2-year-old asks the nurse how to manage temper tantrums. Which response by
the nurse is most appropriate?
A. "You should spank the child when a tantrum occurs."
B. "Ignore the behavior and ensure the child is safe."
C. "Give the child a time-out for 10 minutes."
D. "Offer the child a reward to stop the tantrum."
🟢 Correct answer: B
🔴 Explanation: Ignoring tantrum behavior while ensuring safety is the recommended approach for
toddlers. Spanking reinforces aggression, time-out should be 1 minute per year of age, and rewarding
tantrums reinforces negative behavior.
3. A nurse is preparing to administer immunizations to a 4-month-old infant. Which vaccine is
contraindicated if the infant has a severe allergy to eggs?
A. Hepatitis B
B. Inactivated polio vaccine
C. Influenza vaccine
D. Diphtheria, tetanus, and acellular pertussis
🟢 Correct answer: C
🔴 Explanation: The influenza vaccine is grown in eggs and is contraindicated for individuals with
severe egg allergies. Hepatitis B, IPV, and DTaP are not egg-based vaccines.
,4. A child with acute epiglottitis is admitted to the pediatric unit. Which nursing action is the
priority?
A. Obtain a throat culture
B. Maintain a patent airway
C. Administer oral antibiotics
D. Place the child in a supine position
🟢 Correct answer: B
🔴 Explanation: Airway maintenance is the priority for a child with epiglottitis due to the risk of
complete airway obstruction. Throat cultures are contraindicated as they may trigger laryngospasm.
Oral antibiotics are not given during acute distress.
5. A nurse is caring for a child with nephrotic syndrome. Which assessment finding requires
immediate intervention?
A. Periorbital edema
B. Weight gain of 1 kg in 24 hours
C. Abdominal distension
D. Respiratory rate of 24 breaths per minute
🟢 correct answer: B
🔴 Explanation: A weight gain of 1 kg in 24 hours indicates significant fluid retention and requires
immediate intervention. Periorbital edema and abdominal distension are expected findings. A
respiratory rate of 24 is within normal limits for a child.
6. A nurse is teaching a parent about the administration of digoxin to a child with heart failure.
Which statement by the parent indicates understanding?
A. "I will give the dose if the heart rate is below 90."
B. "I will check the heart rate before each dose."
C. "I will mix the medication with cereal."
D. "I will double the dose if a dose is missed."
🟢 Correct answer: B
🔴 Explanation: The heart rate should be checked before administering digoxin. The dose is withheld if
the heart rate is below the specified parameter (usually 90-110 depending on age). Medication should
not be mixed with food. Missed doses should not be doubled.
, 7. A child is admitted with suspected bacterial meningitis. Which isolation precaution is required?
A. Standard precautions
B. Contact precautions
C. Droplet precautions
D. Airborne precautions
🟢 Correct answer: C
🔴 Explanation: Bacterial meningitis requires droplet precautions until 24 hours after the initiation of
effective antibiotic therapy. Airborne precautions are required for tuberculosis and varicella.
8. A nurse is assessing a newborn immediately after birth. Which finding indicates respiratory
distress?
A. Respiratory rate of 40 breaths per minute
B. Acrocyanosis
C. Nasal flaring and grunting
D. Heart rate of 130 beats per minute
🟢 Correct answer: C
🔴 Explanation: Nasal flaring and grunting are signs of respiratory distress in a newborn. A respiratory
rate of 40 and heart rate of 130 are normal. Acrocyanosis is a normal finding in the first few hours after
birth.
9. A nurse is providing education to the parents of a child with asthma. Which statement indicates
the need for further teaching?
A. "We will use a peak flow meter daily."
B. "We will avoid triggers such as smoke and dust."
C. "We will stop the controller medication when the child feels better."
D. "We will keep a rescue inhaler available at all times."
🟢 Correct answer: C
🔴 Explanation: Controller medications must be continued even when the child feels better to prevent
exacerbations. Stopping the medication can lead to increased frequency and severity of asthma
attacks.
10. A nurse is caring for a child with sickle cell anemia who is experiencing a vaso-occlusive crisis.
Which intervention is the priority?
ANSWERS | PLUS RATIONALES | DOWNLOAD AND PASS | LATEST EXAM UPDATE 2026/2027] –
QUESTIONS AND ANSWERS | VERIFIED AND WELL DETAILED ANSWERS | PLUS RATIONALES |
GUARANTEED PASS | LATEST EXAM UPDATE
CORE DOMAINS
Growth and Development
Pediatric Assessment and Health Promotion
Immunizations and Communicable Diseases
Respiratory and Cardiovascular Disorders
Gastrointestinal and Genitourinary Disorders
Neurological and Musculoskeletal Disorders
Hematologic and Oncologic Disorders
Pharmacology and Medication Administration
Safety, Advocacy, and Ethical-Legal Issues
Emergency and Critical Care Nursing
INTRODUCTION
The HESI RN Pediatrics V2 Examination assesses the candidate's mastery of nursing care for infants,
children, and adolescents. This comprehensive assessment evaluates knowledge of growth and
development, pediatric pathophysiology, pharmacological interventions, family-centered care, and safety
principles. The examination employs multiple-choice and scenario-based questions designed to measure
critical thinking, clinical judgment, and the application of evidence-based practice. Emphasis is placed on
real-world decision-making, prioritization, and professional accountability in diverse pediatric healthcare
settings. Candidates must demonstrate the ability to analyze complex clinical situations and select the
most appropriate nursing interventions to ensure optimal patient outcomes.
SECTION ONE – QUESTIONS 1–100
,1. A nurse is assessing a 6-month-old infant during a well-child visit. Which developmental
milestone should the nurse expect the infant to have achieved?
A. Rolling from stomach to back
B. Sitting without support
C. Transferring objects from hand to hand
D. Pulling to a standing position
🟢 Correct answer: A
🔴 Explanation: A 6-month-old infant should typically be able to roll from stomach to back. Sitting
without support is expected at 8 months, transferring objects at 7 months, and pulling to stand at 9
months.
2. The parent of a 2-year-old asks the nurse how to manage temper tantrums. Which response by
the nurse is most appropriate?
A. "You should spank the child when a tantrum occurs."
B. "Ignore the behavior and ensure the child is safe."
C. "Give the child a time-out for 10 minutes."
D. "Offer the child a reward to stop the tantrum."
🟢 Correct answer: B
🔴 Explanation: Ignoring tantrum behavior while ensuring safety is the recommended approach for
toddlers. Spanking reinforces aggression, time-out should be 1 minute per year of age, and rewarding
tantrums reinforces negative behavior.
3. A nurse is preparing to administer immunizations to a 4-month-old infant. Which vaccine is
contraindicated if the infant has a severe allergy to eggs?
A. Hepatitis B
B. Inactivated polio vaccine
C. Influenza vaccine
D. Diphtheria, tetanus, and acellular pertussis
🟢 Correct answer: C
🔴 Explanation: The influenza vaccine is grown in eggs and is contraindicated for individuals with
severe egg allergies. Hepatitis B, IPV, and DTaP are not egg-based vaccines.
,4. A child with acute epiglottitis is admitted to the pediatric unit. Which nursing action is the
priority?
A. Obtain a throat culture
B. Maintain a patent airway
C. Administer oral antibiotics
D. Place the child in a supine position
🟢 Correct answer: B
🔴 Explanation: Airway maintenance is the priority for a child with epiglottitis due to the risk of
complete airway obstruction. Throat cultures are contraindicated as they may trigger laryngospasm.
Oral antibiotics are not given during acute distress.
5. A nurse is caring for a child with nephrotic syndrome. Which assessment finding requires
immediate intervention?
A. Periorbital edema
B. Weight gain of 1 kg in 24 hours
C. Abdominal distension
D. Respiratory rate of 24 breaths per minute
🟢 correct answer: B
🔴 Explanation: A weight gain of 1 kg in 24 hours indicates significant fluid retention and requires
immediate intervention. Periorbital edema and abdominal distension are expected findings. A
respiratory rate of 24 is within normal limits for a child.
6. A nurse is teaching a parent about the administration of digoxin to a child with heart failure.
Which statement by the parent indicates understanding?
A. "I will give the dose if the heart rate is below 90."
B. "I will check the heart rate before each dose."
C. "I will mix the medication with cereal."
D. "I will double the dose if a dose is missed."
🟢 Correct answer: B
🔴 Explanation: The heart rate should be checked before administering digoxin. The dose is withheld if
the heart rate is below the specified parameter (usually 90-110 depending on age). Medication should
not be mixed with food. Missed doses should not be doubled.
, 7. A child is admitted with suspected bacterial meningitis. Which isolation precaution is required?
A. Standard precautions
B. Contact precautions
C. Droplet precautions
D. Airborne precautions
🟢 Correct answer: C
🔴 Explanation: Bacterial meningitis requires droplet precautions until 24 hours after the initiation of
effective antibiotic therapy. Airborne precautions are required for tuberculosis and varicella.
8. A nurse is assessing a newborn immediately after birth. Which finding indicates respiratory
distress?
A. Respiratory rate of 40 breaths per minute
B. Acrocyanosis
C. Nasal flaring and grunting
D. Heart rate of 130 beats per minute
🟢 Correct answer: C
🔴 Explanation: Nasal flaring and grunting are signs of respiratory distress in a newborn. A respiratory
rate of 40 and heart rate of 130 are normal. Acrocyanosis is a normal finding in the first few hours after
birth.
9. A nurse is providing education to the parents of a child with asthma. Which statement indicates
the need for further teaching?
A. "We will use a peak flow meter daily."
B. "We will avoid triggers such as smoke and dust."
C. "We will stop the controller medication when the child feels better."
D. "We will keep a rescue inhaler available at all times."
🟢 Correct answer: C
🔴 Explanation: Controller medications must be continued even when the child feels better to prevent
exacerbations. Stopping the medication can lead to increased frequency and severity of asthma
attacks.
10. A nurse is caring for a child with sickle cell anemia who is experiencing a vaso-occlusive crisis.
Which intervention is the priority?
