HESI PEDS EXAM 2025 | COMPLETE QUESTIONS AND CORRECT ANSWER
WITH EXPLANATIONS | ALREADY GRADED A+ | VERIFIED ANSWERS | LAT
VERSION
Which menu selection by a child with
A - (Celiac disease causes an intoler-
celiac disease indicates to the nurse that
ance to the protein gluten found in oats,
the child understands necessary dietary
rye, wheat, and barley. The child should
considerations?
avoid any products containing these in-
A) Oven-baked potato chips and cola.
gredients to avoid symptoms such as di-
B) Peanut butter and banana sandwich.
arrhea. A, is the selection which avoids
C) Oatmeal-raisin cookies and milk.
all of these ingredients.)
D) Graham crackers and fruit juice.
To take the vital signs of a 4-month-old
child, which order provides the most ac-
curate results?
A - (The respiratory rate should be taken
A) Respiratory rate, heart rate, then rec-
first, A, in infants, since touching them or
tal temperature.
performing unpleasant procedures usu-
B) Heart rate, rectal temperature, then
ally makes them cry, elevating the heart
respiratory rate.
rate and making respirations difficult to
C) Rectal temperature, heart rate, then
count.)
respiratory rate.
D) Rectal temperature, respiratory rate,
then heart rate.
A - (Russell's skin traction is used for
fractures of the femur in young children
and adolescents whose growth plates
The nurse is assessing the neurovascu-
remain open and is applied to the low-
lar status of a child in Russell's traction.
er leg using moleskin and elastic wrap
Which finding should the nurse report to
bandages, which can compress the per-
the healthcare provider?
oneal nerve and arteries that supply the
A) Pale bluish coloration of the toes.
foot. Assessment of adequare circula-
B) Skin is warm and dry to the touch.
tion, movement, and sensation of the
C) Toes are wiggled upon command.
toes and skin distal to the application
D) Capillary refill less than 3 seconds.
is made to identify compromised blood
flow, so cyanosis, A, should be reported
immediately.)
Surgery is being delayed for an infant C - (A trial of HCG,human chorion-
with undescended testes. In collabora- ic gonadotrophic hormone, C, may aid
tion with the healthcare provider and in testicular descent, but does not re-
, HESI PEDS EXAM 2025 | COMPLETE QUESTIONS AND CORRECT ANSWER
WITH EXPLANATIONS | ALREADY GRADED A+ | VERIFIED ANSWERS | LAT
VERSION
the family, which prescription should the place surgical repair for true undescend-
nurse anticipate? ed testes. Undescended testes, cryp-
A) A trial of adrenocorticotrophic hor- torchidism, may be found in the inguinal
mone injections. canal due to exaggerated cremasteric
B) Frequent stimulation of the cremas- reflex. A, is not indicated. Stimulation of
teric reflex. the cremasteric reflex causes the testes
C) A trial of human chorionic go- to ascend rather than descend in the
nadotrophic hormone. scrotum, B. D, may relax the cremasteric
D) Frequent warm baths to gently dilate muscle, but may not cause the testes to
the scrotal area. descend.)
The nurse is teaching a 12-year-old male
adolescent and his family about taking
injections of growth hormone for idio-
pathic hypopituitarism. Which adverse
A - (Signs and symptoms of diabetes or
symptoms, commonly associated with
hyperglycemia, A, need to be reported.
growth hormone therapy, should the
Those receiving growth hormone should
nurse plan to describe to the child and
be monitored to detect elevated blood
his family?
sugars and glucose intolerance.)
A) Polyuria and polydipsia.
B) Lethargy and fatigue.
C) Increased facial hair.
D) Facial bone structure changes.
The nurse is caring for a 12-year-old with
Syndrome of Inappropriate Antidiuretic
Hormone (SIADH). This child should be
carefully assessed for which complica- D - (The child must be monitored for
tion? signs and symptoms of hyponatremia,
A) Poor skin turgor resulting from dehy- which creates secondary central ner-
dration. vous system alterations such as changes
B) Changes in level of consciousness. in level of consciousness, seizure, and
C) Premature aging as the disease pro- coma.)
gresses.
D) Severe edema from an excess of wa-
ter and sodium.
The nurse is giving preoperative instruc-
tions to a 14-year-old female client who
, HESI PEDS EXAM 2025 | COMPLETE QUESTIONS AND CORRECT ANSWER
WITH EXPLANATIONS | ALREADY GRADED A+ | VERIFIED ANSWERS | LAT
VERSION
is scheduled for surgery to correct a
spinal curvature. Which statement by the
client best demonstrates that learning
has taken place?
A) I will read all the literature you gave
me before surgery. D - (Outcome of learning is best demon-
B) I have had surgery before when I strated when the client not only verbal-
broke my wrist in a bike accident, so I izes an understanding but can also pro-
know what to expect. vide a return demonstration, D.)
C) All the things people have told me will
help me take care of my back.
D) I understand that I will be in a body
cast and I will show you how you taught
me to turn.
The clinic nurse is taking the history for A - (Ototoxicity diminishes hearing acu-
a new 6-month-old client. The mother re- ity and causes symptoms of tinnitus and
ports that she took a great deal of as- vertigo in older children who can express
pirin while pregnant. Which assessment subjective symptoms, so assessing an
should the nurse obtain? infant's reaction to loud noises, A, helps
A) Type of reaction to loud noises. to determine an infant's risk for a hearing
B) Any surgeries on the ears since birth. deficit related to a history of the mother
C) Drainage from the infant's ears. taking an ototoxic drug, such as aspirin,
D) Number of ear infections since birth. while pregnant.)
A 12-month-old boy is admitted with a
respiratory infection and possible pneu- C - (A patent airway has the highest
monia. He is placed in a mist tent with priority. Humidification will liquefy the
oxygen. Which nursing intervention has nasal secretions thereby increasing the
the greatest priority for this infant? amount of secretions and making, C,
A) Give small, frequent feedings of flu- the highest priority. When asked "prior-
ids. ity" questions, REMEMBER MASLOW!
B) Accurately chart observations regard- Physical needs usually have a higher
ing breath sounds. priority than psychosocial needs and an
C) Have a bulb syringe readily available open airway is the highest physiological
to remove secretions. need!)
D) Encourage older siblings to visit.
Which measurements should be used to
accurately calculate a pediatric medica-
tion dosage? (Select all that apply.)
A) Child's height and weight.
B) Adult dosage of medication.
C) Body surface area of child.
, HESI PEDS EXAM 2025 | COMPLETE QUESTIONS AND CORRECT ANSWER
WITH EXPLANATIONS | ALREADY GRADED A+ | VERIFIED ANSWERS | LAT
VERSION
A, C, F - (The most accurate calcula-
tions of pediatric dosages use the child's
height and weight, A. The child's BSA
is calculated using the square root of
weight in kg times height in cm divided
by 3600 or the square root of weight in lb
times height in inches divided by 3131,
C, then the child's BSA is multiplied by
the recommended published dose per
BSA. The nomogram, F, is used to plot
the child's height and weight, and the
point at which they intersect is the BSA
mathematical constant used to calculate
the child's dose.)
The nurse is preparing a health teach-
ing program for parents of toddlers and
preschoolers and plans to include infor-
mation about prevention of accidental
poisonings. It is most important for the B - ( The only reliable way to prevent
nurse to include which instruction? poisonings in young children is to make
A) Tell children they should not taste any- them inaccessible, B. Teaching children
thing but food. not to taste is important, A, but ineffec-
B) Store all toxic agents and medicines tive for young children. C and D, will not
in locked cabinets. control a child's curiosity.)
C) Provide special play areas in the
house and restrict play in other areas.
D) Punish children if they open cabinets
that contain household chemicals.
When assessing a child with asthma, the
nurse should expect intercostal retrac-
tions during A - (Intercostal retractions result from
A) inspiration. respiratory effort to draw air into restrict-
B) coughing. ed airways, A)
C) apneic episodes.
D) expiration.
WITH EXPLANATIONS | ALREADY GRADED A+ | VERIFIED ANSWERS | LAT
VERSION
Which menu selection by a child with
A - (Celiac disease causes an intoler-
celiac disease indicates to the nurse that
ance to the protein gluten found in oats,
the child understands necessary dietary
rye, wheat, and barley. The child should
considerations?
avoid any products containing these in-
A) Oven-baked potato chips and cola.
gredients to avoid symptoms such as di-
B) Peanut butter and banana sandwich.
arrhea. A, is the selection which avoids
C) Oatmeal-raisin cookies and milk.
all of these ingredients.)
D) Graham crackers and fruit juice.
To take the vital signs of a 4-month-old
child, which order provides the most ac-
curate results?
A - (The respiratory rate should be taken
A) Respiratory rate, heart rate, then rec-
first, A, in infants, since touching them or
tal temperature.
performing unpleasant procedures usu-
B) Heart rate, rectal temperature, then
ally makes them cry, elevating the heart
respiratory rate.
rate and making respirations difficult to
C) Rectal temperature, heart rate, then
count.)
respiratory rate.
D) Rectal temperature, respiratory rate,
then heart rate.
A - (Russell's skin traction is used for
fractures of the femur in young children
and adolescents whose growth plates
The nurse is assessing the neurovascu-
remain open and is applied to the low-
lar status of a child in Russell's traction.
er leg using moleskin and elastic wrap
Which finding should the nurse report to
bandages, which can compress the per-
the healthcare provider?
oneal nerve and arteries that supply the
A) Pale bluish coloration of the toes.
foot. Assessment of adequare circula-
B) Skin is warm and dry to the touch.
tion, movement, and sensation of the
C) Toes are wiggled upon command.
toes and skin distal to the application
D) Capillary refill less than 3 seconds.
is made to identify compromised blood
flow, so cyanosis, A, should be reported
immediately.)
Surgery is being delayed for an infant C - (A trial of HCG,human chorion-
with undescended testes. In collabora- ic gonadotrophic hormone, C, may aid
tion with the healthcare provider and in testicular descent, but does not re-
, HESI PEDS EXAM 2025 | COMPLETE QUESTIONS AND CORRECT ANSWER
WITH EXPLANATIONS | ALREADY GRADED A+ | VERIFIED ANSWERS | LAT
VERSION
the family, which prescription should the place surgical repair for true undescend-
nurse anticipate? ed testes. Undescended testes, cryp-
A) A trial of adrenocorticotrophic hor- torchidism, may be found in the inguinal
mone injections. canal due to exaggerated cremasteric
B) Frequent stimulation of the cremas- reflex. A, is not indicated. Stimulation of
teric reflex. the cremasteric reflex causes the testes
C) A trial of human chorionic go- to ascend rather than descend in the
nadotrophic hormone. scrotum, B. D, may relax the cremasteric
D) Frequent warm baths to gently dilate muscle, but may not cause the testes to
the scrotal area. descend.)
The nurse is teaching a 12-year-old male
adolescent and his family about taking
injections of growth hormone for idio-
pathic hypopituitarism. Which adverse
A - (Signs and symptoms of diabetes or
symptoms, commonly associated with
hyperglycemia, A, need to be reported.
growth hormone therapy, should the
Those receiving growth hormone should
nurse plan to describe to the child and
be monitored to detect elevated blood
his family?
sugars and glucose intolerance.)
A) Polyuria and polydipsia.
B) Lethargy and fatigue.
C) Increased facial hair.
D) Facial bone structure changes.
The nurse is caring for a 12-year-old with
Syndrome of Inappropriate Antidiuretic
Hormone (SIADH). This child should be
carefully assessed for which complica- D - (The child must be monitored for
tion? signs and symptoms of hyponatremia,
A) Poor skin turgor resulting from dehy- which creates secondary central ner-
dration. vous system alterations such as changes
B) Changes in level of consciousness. in level of consciousness, seizure, and
C) Premature aging as the disease pro- coma.)
gresses.
D) Severe edema from an excess of wa-
ter and sodium.
The nurse is giving preoperative instruc-
tions to a 14-year-old female client who
, HESI PEDS EXAM 2025 | COMPLETE QUESTIONS AND CORRECT ANSWER
WITH EXPLANATIONS | ALREADY GRADED A+ | VERIFIED ANSWERS | LAT
VERSION
is scheduled for surgery to correct a
spinal curvature. Which statement by the
client best demonstrates that learning
has taken place?
A) I will read all the literature you gave
me before surgery. D - (Outcome of learning is best demon-
B) I have had surgery before when I strated when the client not only verbal-
broke my wrist in a bike accident, so I izes an understanding but can also pro-
know what to expect. vide a return demonstration, D.)
C) All the things people have told me will
help me take care of my back.
D) I understand that I will be in a body
cast and I will show you how you taught
me to turn.
The clinic nurse is taking the history for A - (Ototoxicity diminishes hearing acu-
a new 6-month-old client. The mother re- ity and causes symptoms of tinnitus and
ports that she took a great deal of as- vertigo in older children who can express
pirin while pregnant. Which assessment subjective symptoms, so assessing an
should the nurse obtain? infant's reaction to loud noises, A, helps
A) Type of reaction to loud noises. to determine an infant's risk for a hearing
B) Any surgeries on the ears since birth. deficit related to a history of the mother
C) Drainage from the infant's ears. taking an ototoxic drug, such as aspirin,
D) Number of ear infections since birth. while pregnant.)
A 12-month-old boy is admitted with a
respiratory infection and possible pneu- C - (A patent airway has the highest
monia. He is placed in a mist tent with priority. Humidification will liquefy the
oxygen. Which nursing intervention has nasal secretions thereby increasing the
the greatest priority for this infant? amount of secretions and making, C,
A) Give small, frequent feedings of flu- the highest priority. When asked "prior-
ids. ity" questions, REMEMBER MASLOW!
B) Accurately chart observations regard- Physical needs usually have a higher
ing breath sounds. priority than psychosocial needs and an
C) Have a bulb syringe readily available open airway is the highest physiological
to remove secretions. need!)
D) Encourage older siblings to visit.
Which measurements should be used to
accurately calculate a pediatric medica-
tion dosage? (Select all that apply.)
A) Child's height and weight.
B) Adult dosage of medication.
C) Body surface area of child.
, HESI PEDS EXAM 2025 | COMPLETE QUESTIONS AND CORRECT ANSWER
WITH EXPLANATIONS | ALREADY GRADED A+ | VERIFIED ANSWERS | LAT
VERSION
A, C, F - (The most accurate calcula-
tions of pediatric dosages use the child's
height and weight, A. The child's BSA
is calculated using the square root of
weight in kg times height in cm divided
by 3600 or the square root of weight in lb
times height in inches divided by 3131,
C, then the child's BSA is multiplied by
the recommended published dose per
BSA. The nomogram, F, is used to plot
the child's height and weight, and the
point at which they intersect is the BSA
mathematical constant used to calculate
the child's dose.)
The nurse is preparing a health teach-
ing program for parents of toddlers and
preschoolers and plans to include infor-
mation about prevention of accidental
poisonings. It is most important for the B - ( The only reliable way to prevent
nurse to include which instruction? poisonings in young children is to make
A) Tell children they should not taste any- them inaccessible, B. Teaching children
thing but food. not to taste is important, A, but ineffec-
B) Store all toxic agents and medicines tive for young children. C and D, will not
in locked cabinets. control a child's curiosity.)
C) Provide special play areas in the
house and restrict play in other areas.
D) Punish children if they open cabinets
that contain household chemicals.
When assessing a child with asthma, the
nurse should expect intercostal retrac-
tions during A - (Intercostal retractions result from
A) inspiration. respiratory effort to draw air into restrict-
B) coughing. ed airways, A)
C) apneic episodes.
D) expiration.
