EVOLVE HESI PEDIATRICS EXAM NEWEST QUESTIONS
AND CORRECT DETAILED ANSWERS/EVOLVE PEDIATRICS
HESI EXAM LATEST 2025-2026 (100% CORRECT VERIFIED
ANSWERS) ALREADY GRADED A+
Which site should the nurse use to obtain the pulse rate for a 1-year-old child?
a. Radial.
b. Apical.
c. Carotid.
d. Femoral. - ANSWER-b. Apical.
An apical pulse rate should be obtained in children less than 2 years of age to
assess cardiac function.
The nurse is assessing a child's skin turgor and grasps the skin on the abdomen
between the thumb and index finger, pulls it taut, and quickly releases it. The
tissue remains suspended and tented for a few seconds, then slowly falls back on
the abdomen. How should the nurse document this finding?
a. Adequate hydration.
,b. Poor skin turgor.
c. Normal skin elasticity.
d. Assessment inconclusive. - ANSWER-b. Poor skin turgor.
Tissue turgor refers to the amount of elasticity in the skin and is one of the best
estimates of adequate hydration and nutrition. Elastic tissue immediately resumes
its normal position without residual marks or creases. In a child with poor turgor,
the skin remains tented or suspended for a few seconds before returning to a
normal position.
During the well-child assessment of an 18-month-old toddler, the nurse
determines the child does not hold on to furniture while walking but prefers to
crawl, rarely speaks, has a flat affect, and is small for his age. Which nursing
problem should the nurse identify?
a. Alteration in nutrition.
b. Alteration in parenting.
c. Delayed growth and development.
d. Alteration in health maintenance. - ANSWER-c. Delayed growth and
development.
This child does not demonstrate gross motor or psychosocial skills typical of an 18-
month-old toddler, which best supports delayed growth and development.
,The nurse is assessing the coping behaviors of the parents whose child has been
recently diagnosed with a chronic illness. What reaction by the parents is a
positive step in the ability to cope with this new situation?
a. Endowing the illness with meaning.
b. Refusing to believe the child is ill.
c. Entertaining an unrealistic future plan for the child.
d. Placing complete faith in religion to the point of relinquishing responsibility. -
ANSWER-a. Endowing the illness with meaning.
Coping mechanisms are behaviors directed at reducing the tension elicited by a
crisis. Approach behaviors are coping mechanisms resulting in movement toward
adjustment and resolution of the crisis. The parents' ability to assign the illness
meaning within an existing medical, scientific, or spiritual philosophy of life is a
long-term coping strategy significantly related to successful family functioning.
Which should the nurse assess last when examining a 5-year-old child?
a. Heart.
b. Lungs.
c. Throat.
d. Abdomen. - ANSWER-c. Throat.
Examination of the mouth, throat, and perineum is considered to be more
invasive than other parts of a physical examination. Invasive procedures should be
left for the end of the examination for a preschooler.
, The community health nurse teaches the parents of school-age children about the
need for fluoride as part of a dental health program. Which statement by the
parents indicates that they understand the teaching?
a. "Excessive amounts of fluoride will make teeth turn brittle and yellow."
b. "Having our children brush with fluoride toothpaste is not effective."
c. "Use of fluoride in water is mostly effective during initial tooth formation."
d. "Dental caries can be prevented through fluoridation of public water." -
ANSWER-d. "Dental caries can be prevented through fluoridation of public water."
Dental caries can be prevented through fluoridation of public water.
The nurse is assessing an infant with diarrhea and lethargy. Which finding should
the nurse identify that is consistent with early dehydration?
a. Tachycardia.
b. Bradycardia.
c. Dry mucous membranes.
d. Increased skin turgor. - ANSWER-a. Tachycardia.
In early dehydration (during the first 2 days), fluid loss occurs first from the
extracellular and intravascular fluid spaces. Blood pressure falls and heart rate
increases in response to a diminished blood volume.
AND CORRECT DETAILED ANSWERS/EVOLVE PEDIATRICS
HESI EXAM LATEST 2025-2026 (100% CORRECT VERIFIED
ANSWERS) ALREADY GRADED A+
Which site should the nurse use to obtain the pulse rate for a 1-year-old child?
a. Radial.
b. Apical.
c. Carotid.
d. Femoral. - ANSWER-b. Apical.
An apical pulse rate should be obtained in children less than 2 years of age to
assess cardiac function.
The nurse is assessing a child's skin turgor and grasps the skin on the abdomen
between the thumb and index finger, pulls it taut, and quickly releases it. The
tissue remains suspended and tented for a few seconds, then slowly falls back on
the abdomen. How should the nurse document this finding?
a. Adequate hydration.
,b. Poor skin turgor.
c. Normal skin elasticity.
d. Assessment inconclusive. - ANSWER-b. Poor skin turgor.
Tissue turgor refers to the amount of elasticity in the skin and is one of the best
estimates of adequate hydration and nutrition. Elastic tissue immediately resumes
its normal position without residual marks or creases. In a child with poor turgor,
the skin remains tented or suspended for a few seconds before returning to a
normal position.
During the well-child assessment of an 18-month-old toddler, the nurse
determines the child does not hold on to furniture while walking but prefers to
crawl, rarely speaks, has a flat affect, and is small for his age. Which nursing
problem should the nurse identify?
a. Alteration in nutrition.
b. Alteration in parenting.
c. Delayed growth and development.
d. Alteration in health maintenance. - ANSWER-c. Delayed growth and
development.
This child does not demonstrate gross motor or psychosocial skills typical of an 18-
month-old toddler, which best supports delayed growth and development.
,The nurse is assessing the coping behaviors of the parents whose child has been
recently diagnosed with a chronic illness. What reaction by the parents is a
positive step in the ability to cope with this new situation?
a. Endowing the illness with meaning.
b. Refusing to believe the child is ill.
c. Entertaining an unrealistic future plan for the child.
d. Placing complete faith in religion to the point of relinquishing responsibility. -
ANSWER-a. Endowing the illness with meaning.
Coping mechanisms are behaviors directed at reducing the tension elicited by a
crisis. Approach behaviors are coping mechanisms resulting in movement toward
adjustment and resolution of the crisis. The parents' ability to assign the illness
meaning within an existing medical, scientific, or spiritual philosophy of life is a
long-term coping strategy significantly related to successful family functioning.
Which should the nurse assess last when examining a 5-year-old child?
a. Heart.
b. Lungs.
c. Throat.
d. Abdomen. - ANSWER-c. Throat.
Examination of the mouth, throat, and perineum is considered to be more
invasive than other parts of a physical examination. Invasive procedures should be
left for the end of the examination for a preschooler.
, The community health nurse teaches the parents of school-age children about the
need for fluoride as part of a dental health program. Which statement by the
parents indicates that they understand the teaching?
a. "Excessive amounts of fluoride will make teeth turn brittle and yellow."
b. "Having our children brush with fluoride toothpaste is not effective."
c. "Use of fluoride in water is mostly effective during initial tooth formation."
d. "Dental caries can be prevented through fluoridation of public water." -
ANSWER-d. "Dental caries can be prevented through fluoridation of public water."
Dental caries can be prevented through fluoridation of public water.
The nurse is assessing an infant with diarrhea and lethargy. Which finding should
the nurse identify that is consistent with early dehydration?
a. Tachycardia.
b. Bradycardia.
c. Dry mucous membranes.
d. Increased skin turgor. - ANSWER-a. Tachycardia.
In early dehydration (during the first 2 days), fluid loss occurs first from the
extracellular and intravascular fluid spaces. Blood pressure falls and heart rate
increases in response to a diminished blood volume.
