HESI Exit RN Exam – Newest
Versions V1-V6 Complete Test
Bank – 2026 Latest Update:
Questions with Correct Answers
& Rationales (Verified Answers –
Already Graded A+)
Developmental & Pediatric Nursing
1. In planning care for a 6-month-old infant, what
must the nurse provide to assist in the development
of trust?
A. Food
B. Warmth
C. Security
D. Comfort
Ans: C. Security
Rationale: According to Erikson's psychosocial development
theory, the infant (birth to 18 months) is in the trust vs.
mistrust stage. Providing consistent, reliable care and
security helps the infant develop a sense of trust.
2. What is the most important consideration when
teaching parents how to reduce risks in the home?
A. Age and knowledge level of the parents
B. Proximity to emergency services
C. Number of children in the home
D. Age of children in the home
Ans: D. Age of children in the home
Rationale: The age of the children in the home is the most
important consideration because developmental stages
determine what safety risks are present (e.g., toddlers are at
risk for poisoning and falls, while infants are at risk for
suffocation).
1
,3. While caring for a toddler with croup, which initial
sign of croup requires the nurse's immediate
attention?
A. Respiratory rate of 42
B. Lethargy for the past hour
C. Apical pulse of 54
D. Coughing up copious secretions
Ans: A. Respiratory rate of 42
Rationale: A respiratory rate of 42 in a toddler indicates
tachypnea and possible respiratory distress, which requires
immediate attention in a child with croup.
4. The emergency room nurse admits a child who
experienced a seizure at school. The father comments
that this is the first occurrence and denies any family
history of epilepsy. What is the best response by the
nurse?
A. "Do not worry. Epilepsy can be treated with medications."
B. "The seizure may or may not mean your child has
epilepsy."
C. "Since this was the first convulsion, it may not happen
again."
D. "Long term treatment will prevent future seizures."
Ans: B. "The seizure may or may not mean your child has
epilepsy."
Rationale: This response is honest and non-committal. A
single seizure does not necessarily indicate epilepsy, and
further evaluation is needed.
5. Which of these findings would the nurse more
closely associate with anemia in a 10-month-old
infant?
A. Hemoglobin level of 12 g/dL
B. Pale mucosa of the eyelids and lips
C. Hypoactivity
D. A heart rate between 140 to 160
Ans: B. Pale mucosa of the eyelids and lips
Rationale: Pale mucosa of the eyelids and lips is a classic
sign of anemia in infants due to decreased hemoglobin and
reduced oxygen-carrying capacity.
2
,6. Which of these clients who are all in the terminal
stage of cancer is least appropriate to suggest the
use of patient-controlled analgesia (PCA) with a
pump?
A. A young adult with a history of Down's syndrome
B. A teenager who reads at a 4th grade level
C. An elderly client with numerous arthritic nodules on the
hands
D. A preschooler with intermittent episodes of alertness
Ans: D. A preschooler with intermittent episodes of alertness
Rationale: A preschooler with intermittent episodes of
alertness is least appropriate for PCA because the child may
not be able to understand and safely use the pump.
7. The nurse is about to assess a 6-month-old child
with nonorganic failure-to-thrive (NOFTT). Upon
entering the room, the nurse would expect the baby
to be:
A. Irritable and "colicky" with no attempts to pull to standing
B. Alert, laughing and playing with a rattle, sitting with
support
C. Skin color dusky with poor skin turgor over abdomen
D. Pale, thin arms and legs, uninterested in surroundings
Ans: D. Pale, thin arms and legs, uninterested in
surroundings
Rationale: Infants with nonorganic failure-to-thrive typically
appear pale, thin, and uninterested in their surroundings due
to inadequate nutrition and emotional neglect.
8. As the nurse is speaking with a group of teens,
which of these side effects of chemotherapy for
cancer would the nurse expect this group to be more
interested in during the discussion?
A. Mouth sores
B. Fatigue
C. Diarrhea
D. Hair loss
3
, Ans: D. Hair loss
Rationale: Adolescents are particularly concerned about
body image and appearance, so hair loss from chemotherapy
would be of great interest to them.
9. Which of these parents' comments for a newborn
would most likely reveal an initial finding of a
suspected pyloric stenosis?
A. "I noticed a little lump a little above the belly button."
B. "The baby seems hungry all the time."
C. "Mild vomiting that progressed to vomiting shooting
across the room."
D. "Irritation and spitting up immediately after feedings."
Ans: C. "Mild vomiting that progressed to vomiting shooting
across the room."
Rationale: Projectile vomiting that progresses from mild
vomiting is a classic sign of pyloric stenosis.
10. The nurse is assessing a child for clinical
manifestations of iron deficiency anemia. Which factor
would the nurse recognize as cause for the findings?
A. Decreased cardiac output
B. Tissue hypoxia
C. Cerebral edema
D. Reduced oxygen saturation
Ans: B. Tissue hypoxia
Rationale: Iron deficiency anemia causes decreased
hemoglobin, leading to reduced oxygen-carrying capacity
and tissue hypoxia, which produces the clinical
manifestations of anemia.
11. The nurse would expect the cystic fibrosis client to
receive supplemental pancreatic enzymes along with
a diet:
A. High in carbohydrates and proteins
B. Low in carbohydrates and proteins
C. High in carbohydrates, low in proteins
D. Low in carbohydrates, high in proteins
4
Versions V1-V6 Complete Test
Bank – 2026 Latest Update:
Questions with Correct Answers
& Rationales (Verified Answers –
Already Graded A+)
Developmental & Pediatric Nursing
1. In planning care for a 6-month-old infant, what
must the nurse provide to assist in the development
of trust?
A. Food
B. Warmth
C. Security
D. Comfort
Ans: C. Security
Rationale: According to Erikson's psychosocial development
theory, the infant (birth to 18 months) is in the trust vs.
mistrust stage. Providing consistent, reliable care and
security helps the infant develop a sense of trust.
2. What is the most important consideration when
teaching parents how to reduce risks in the home?
A. Age and knowledge level of the parents
B. Proximity to emergency services
C. Number of children in the home
D. Age of children in the home
Ans: D. Age of children in the home
Rationale: The age of the children in the home is the most
important consideration because developmental stages
determine what safety risks are present (e.g., toddlers are at
risk for poisoning and falls, while infants are at risk for
suffocation).
1
,3. While caring for a toddler with croup, which initial
sign of croup requires the nurse's immediate
attention?
A. Respiratory rate of 42
B. Lethargy for the past hour
C. Apical pulse of 54
D. Coughing up copious secretions
Ans: A. Respiratory rate of 42
Rationale: A respiratory rate of 42 in a toddler indicates
tachypnea and possible respiratory distress, which requires
immediate attention in a child with croup.
4. The emergency room nurse admits a child who
experienced a seizure at school. The father comments
that this is the first occurrence and denies any family
history of epilepsy. What is the best response by the
nurse?
A. "Do not worry. Epilepsy can be treated with medications."
B. "The seizure may or may not mean your child has
epilepsy."
C. "Since this was the first convulsion, it may not happen
again."
D. "Long term treatment will prevent future seizures."
Ans: B. "The seizure may or may not mean your child has
epilepsy."
Rationale: This response is honest and non-committal. A
single seizure does not necessarily indicate epilepsy, and
further evaluation is needed.
5. Which of these findings would the nurse more
closely associate with anemia in a 10-month-old
infant?
A. Hemoglobin level of 12 g/dL
B. Pale mucosa of the eyelids and lips
C. Hypoactivity
D. A heart rate between 140 to 160
Ans: B. Pale mucosa of the eyelids and lips
Rationale: Pale mucosa of the eyelids and lips is a classic
sign of anemia in infants due to decreased hemoglobin and
reduced oxygen-carrying capacity.
2
,6. Which of these clients who are all in the terminal
stage of cancer is least appropriate to suggest the
use of patient-controlled analgesia (PCA) with a
pump?
A. A young adult with a history of Down's syndrome
B. A teenager who reads at a 4th grade level
C. An elderly client with numerous arthritic nodules on the
hands
D. A preschooler with intermittent episodes of alertness
Ans: D. A preschooler with intermittent episodes of alertness
Rationale: A preschooler with intermittent episodes of
alertness is least appropriate for PCA because the child may
not be able to understand and safely use the pump.
7. The nurse is about to assess a 6-month-old child
with nonorganic failure-to-thrive (NOFTT). Upon
entering the room, the nurse would expect the baby
to be:
A. Irritable and "colicky" with no attempts to pull to standing
B. Alert, laughing and playing with a rattle, sitting with
support
C. Skin color dusky with poor skin turgor over abdomen
D. Pale, thin arms and legs, uninterested in surroundings
Ans: D. Pale, thin arms and legs, uninterested in
surroundings
Rationale: Infants with nonorganic failure-to-thrive typically
appear pale, thin, and uninterested in their surroundings due
to inadequate nutrition and emotional neglect.
8. As the nurse is speaking with a group of teens,
which of these side effects of chemotherapy for
cancer would the nurse expect this group to be more
interested in during the discussion?
A. Mouth sores
B. Fatigue
C. Diarrhea
D. Hair loss
3
, Ans: D. Hair loss
Rationale: Adolescents are particularly concerned about
body image and appearance, so hair loss from chemotherapy
would be of great interest to them.
9. Which of these parents' comments for a newborn
would most likely reveal an initial finding of a
suspected pyloric stenosis?
A. "I noticed a little lump a little above the belly button."
B. "The baby seems hungry all the time."
C. "Mild vomiting that progressed to vomiting shooting
across the room."
D. "Irritation and spitting up immediately after feedings."
Ans: C. "Mild vomiting that progressed to vomiting shooting
across the room."
Rationale: Projectile vomiting that progresses from mild
vomiting is a classic sign of pyloric stenosis.
10. The nurse is assessing a child for clinical
manifestations of iron deficiency anemia. Which factor
would the nurse recognize as cause for the findings?
A. Decreased cardiac output
B. Tissue hypoxia
C. Cerebral edema
D. Reduced oxygen saturation
Ans: B. Tissue hypoxia
Rationale: Iron deficiency anemia causes decreased
hemoglobin, leading to reduced oxygen-carrying capacity
and tissue hypoxia, which produces the clinical
manifestations of anemia.
11. The nurse would expect the cystic fibrosis client to
receive supplemental pancreatic enzymes along with
a diet:
A. High in carbohydrates and proteins
B. Low in carbohydrates and proteins
C. High in carbohydrates, low in proteins
D. Low in carbohydrates, high in proteins
4
