RN Hesi Pediatrics Exam Test Bank C Latest 2025-
2026 With 300 Real Exam Prep Questions and Correct
Answers with Rationales| PEDS Hesi RN Exam 2025
Test Bank | Pediatrics Hesi RN exam (Brand New!)
The nurse is teaching a 12-year-old male adolescent and his family about taking
injections of growth hormone for idiopathic hypopituitarism. Which adverse
symptoms, commonly associated with growth hormone therapy, should the nurse
plan to describe to the child and his family?
Polyuria and polydipsia.
Lethargy and fatigue.
Increased facial hair.
Facial bone structure changes.
Polyuria and polydipsia.
Signs and symptoms of diabetes or hyperglycemia (A) need to be reported. Those
receiving growth hormone should be monitored to detect elevated blood sugars and
glucose intolerance. (B) is associated with any number of heath alterations, but is
not associated with the growth hormone therapy. (C and D) are normal changes
that occur with 12-year-old males.
A 3-week-old newborn is brought to the clinic for follow-up after a home birth.
The mother reports that her child bottle feeds for 5 minutes only and then falls
asleep. The nurse auscultates a loud murmur characteristic of a ventricular septal
defect (VSD), and finds the newborn is acyanotic with a respiratory rate of 64
breaths per minute. What instruction should the nurse provide the mother to ensure
the infant is receiving adequate intake? (Select all that apply.)
A. Monitor the the infant's weight and number of wet diapers per day. - child
should at least have 6 wet diapers per day.
B. Increase the infant's intake per feeding by 1 to 2 ounces per week.- child is
always fatigue, need to increase to 30 oz a day
D. Allow the infant to rest and re-feed on demand or every 2 hours.- child is
always fatigue, this will ensure adequate feeding.
pg. 1
,E. Use a softer nipple or increase the size of the nipple opening.- this will save
energy
A 15-year-old girl tells the school nurse that all of her friends have started their
periods and she feels abnormal because she has not. Which response is best for the
nurse provide?
Explain that menarche varies and occurs between the ages of 12 and 18 years.
A 3-month-old infant develops oral thrush. Which pharmacologic agent should the
nurse plan to administer for treatment of this disorder?
Nystatin (Mycostatin).
Nitrofurantoin (Macrodantin).
Norfloxacin (Noroxin).
Neomycin sulfate (Mycifradin).
Nystatin (Mycostatin).
Nystatin (Mycostatin) (A) is an antifungal drug that is effective in treating thrush,
an oral fungal infection. (B, C, and D) are not indicated for the treatment of oral
thrush.
The nurse is assessing a 13-year-old girl with suspected hyperthyroidism. Which
question is most important for the nurse to ask her during the admission interview?
Have you lost any weight in the last month?
Are you experiencing any type of nervousness?
When was the last time you took your synthroid?
Are you having any problems with your vision?
Are you experiencing any type of nervousness?
Assessing the client's physiological state upon admission is a priority, and
nervousness, apprehension, hyperexcitability, and palpitations are signs of
hyperthyroidism (B). Weight loss (even with a hearty appetite) (A) occurs in those
with hyperthyroidism, but assessing the client's neurological state has a higher
priority. Hormone replacement is not administered to a client who is already
producing too much thyroid (C). The client may have exophthalmus (bulging eyes)
but hyperthyroidism does not cause vision problems (D).
During discharge teaching of a child with juvenile rheumatoid arthritis, the nurse
should stress to the parents the importance of obtaining which diagnostic testing?
pg. 2
,Hearing tests.
Eye exams.
Chest x-rays.
Fasting blood glucose tests.
Eye exams.
Visual changes leading to blindness can occur in children with JRA. Regular eye
exams (B) can help to prevent this complication. (A, C, and D) are not routinely
necessary for management of JRA.
The nurse is preparing a health teaching program for parents of toddlers and
preschoolers and plans to include information about prevention of accidental
poisonings. It is most important for the nurse to include which instruction?
Tell children they should not taste anything but food.
Store all toxic agents and medicines in locked cabinets.
Provide special play areas in the house and restrict play in other areas.
Punish children if they open cabinets that contain household chemicals.
Store all toxic agents and medicines in locked cabinets.
The only reliable way to prevent poisonings in young children is to make them
inaccessible (B). Teaching children not to taste is important (A), but ineffective for
young children. (C and D) will not control a child's curiosity.
The nurse is assessing the neurovascular status of a child in Russell's traction.
Which finding should the nurse report to the healthcare provider?
Pale bluish coloration of the toes.
Skin is warm and dry to the touch.
Toes are wiggled upon command.
Capillary refill less than 3 seconds.
Pale bluish coloration of the toes.
Russell's skin traction is used for fractures of the femur in young children and
adolescents whose growth plates remain open and is applied to the lower leg using
moleskin and elastic wrap bandages, which can compress the peroneal nerve and
arteries that supply the foot. Assessment of adequare circulation, movement, and
sensation of the toes and skin distal to the application is made to identify
pg. 3
, compromised blood flow, so cyanosis (A) should be reported immediately. (B, C
and D) are normal findings.
A premature newborn girl, born 24 hours ago, is diagnosed with a patent ductus
arteriosus (PDA) and placed under an oxygen hood at 35%. The parents visit the
nursery and ask to hold her. Which response should the nurse provide to the
parents?
Studies have shown that handling a sick newborn is not good for the baby and
upsets the parents.
The oxygen hood is holding the baby's oxygen level just at the point which is
needed. You may stroke and talk to her.
Since your baby has been doing well under oxygen for 24 hours, I can let you hold
the baby without oxygen.
You can hold the baby with the oxygen blowing in the baby's face since the level is
very close to room air.
The oxygen hood is holding the baby's oxygen level just at the point which is
needed. You may stroke and talk to her.
The baby is at 35% which is much more than room air (21%) and at this time the
baby should not be moved from under the hood. The nurse should offer the parents
an alternative such as to stroke and reassure the infant (B). Holding sick babies
benefits the infant and the parents (A). The first consideration now has to be the
infant's oxygenation. The nurse should not take the baby out from under the hood
without a prescription from the healthcare provider, as this could severely
compromise the infant (C). A PO2 of 35% cannot be readily achieved with "blow
by" oxygen (D).
The mother of a 6-month-old asks the nurse when her baby will get the first
measles, mumps, and rubella (MMR) vaccine. Based on the recommended
childhood immunization schedule published by the Centers for Disease Control,
which response is accurate?
3 to 6 months.
12 to 15 months.
18 to 24 months.
4 to 6 years.
12 to 15 months.
pg. 4
2026 With 300 Real Exam Prep Questions and Correct
Answers with Rationales| PEDS Hesi RN Exam 2025
Test Bank | Pediatrics Hesi RN exam (Brand New!)
The nurse is teaching a 12-year-old male adolescent and his family about taking
injections of growth hormone for idiopathic hypopituitarism. Which adverse
symptoms, commonly associated with growth hormone therapy, should the nurse
plan to describe to the child and his family?
Polyuria and polydipsia.
Lethargy and fatigue.
Increased facial hair.
Facial bone structure changes.
Polyuria and polydipsia.
Signs and symptoms of diabetes or hyperglycemia (A) need to be reported. Those
receiving growth hormone should be monitored to detect elevated blood sugars and
glucose intolerance. (B) is associated with any number of heath alterations, but is
not associated with the growth hormone therapy. (C and D) are normal changes
that occur with 12-year-old males.
A 3-week-old newborn is brought to the clinic for follow-up after a home birth.
The mother reports that her child bottle feeds for 5 minutes only and then falls
asleep. The nurse auscultates a loud murmur characteristic of a ventricular septal
defect (VSD), and finds the newborn is acyanotic with a respiratory rate of 64
breaths per minute. What instruction should the nurse provide the mother to ensure
the infant is receiving adequate intake? (Select all that apply.)
A. Monitor the the infant's weight and number of wet diapers per day. - child
should at least have 6 wet diapers per day.
B. Increase the infant's intake per feeding by 1 to 2 ounces per week.- child is
always fatigue, need to increase to 30 oz a day
D. Allow the infant to rest and re-feed on demand or every 2 hours.- child is
always fatigue, this will ensure adequate feeding.
pg. 1
,E. Use a softer nipple or increase the size of the nipple opening.- this will save
energy
A 15-year-old girl tells the school nurse that all of her friends have started their
periods and she feels abnormal because she has not. Which response is best for the
nurse provide?
Explain that menarche varies and occurs between the ages of 12 and 18 years.
A 3-month-old infant develops oral thrush. Which pharmacologic agent should the
nurse plan to administer for treatment of this disorder?
Nystatin (Mycostatin).
Nitrofurantoin (Macrodantin).
Norfloxacin (Noroxin).
Neomycin sulfate (Mycifradin).
Nystatin (Mycostatin).
Nystatin (Mycostatin) (A) is an antifungal drug that is effective in treating thrush,
an oral fungal infection. (B, C, and D) are not indicated for the treatment of oral
thrush.
The nurse is assessing a 13-year-old girl with suspected hyperthyroidism. Which
question is most important for the nurse to ask her during the admission interview?
Have you lost any weight in the last month?
Are you experiencing any type of nervousness?
When was the last time you took your synthroid?
Are you having any problems with your vision?
Are you experiencing any type of nervousness?
Assessing the client's physiological state upon admission is a priority, and
nervousness, apprehension, hyperexcitability, and palpitations are signs of
hyperthyroidism (B). Weight loss (even with a hearty appetite) (A) occurs in those
with hyperthyroidism, but assessing the client's neurological state has a higher
priority. Hormone replacement is not administered to a client who is already
producing too much thyroid (C). The client may have exophthalmus (bulging eyes)
but hyperthyroidism does not cause vision problems (D).
During discharge teaching of a child with juvenile rheumatoid arthritis, the nurse
should stress to the parents the importance of obtaining which diagnostic testing?
pg. 2
,Hearing tests.
Eye exams.
Chest x-rays.
Fasting blood glucose tests.
Eye exams.
Visual changes leading to blindness can occur in children with JRA. Regular eye
exams (B) can help to prevent this complication. (A, C, and D) are not routinely
necessary for management of JRA.
The nurse is preparing a health teaching program for parents of toddlers and
preschoolers and plans to include information about prevention of accidental
poisonings. It is most important for the nurse to include which instruction?
Tell children they should not taste anything but food.
Store all toxic agents and medicines in locked cabinets.
Provide special play areas in the house and restrict play in other areas.
Punish children if they open cabinets that contain household chemicals.
Store all toxic agents and medicines in locked cabinets.
The only reliable way to prevent poisonings in young children is to make them
inaccessible (B). Teaching children not to taste is important (A), but ineffective for
young children. (C and D) will not control a child's curiosity.
The nurse is assessing the neurovascular status of a child in Russell's traction.
Which finding should the nurse report to the healthcare provider?
Pale bluish coloration of the toes.
Skin is warm and dry to the touch.
Toes are wiggled upon command.
Capillary refill less than 3 seconds.
Pale bluish coloration of the toes.
Russell's skin traction is used for fractures of the femur in young children and
adolescents whose growth plates remain open and is applied to the lower leg using
moleskin and elastic wrap bandages, which can compress the peroneal nerve and
arteries that supply the foot. Assessment of adequare circulation, movement, and
sensation of the toes and skin distal to the application is made to identify
pg. 3
, compromised blood flow, so cyanosis (A) should be reported immediately. (B, C
and D) are normal findings.
A premature newborn girl, born 24 hours ago, is diagnosed with a patent ductus
arteriosus (PDA) and placed under an oxygen hood at 35%. The parents visit the
nursery and ask to hold her. Which response should the nurse provide to the
parents?
Studies have shown that handling a sick newborn is not good for the baby and
upsets the parents.
The oxygen hood is holding the baby's oxygen level just at the point which is
needed. You may stroke and talk to her.
Since your baby has been doing well under oxygen for 24 hours, I can let you hold
the baby without oxygen.
You can hold the baby with the oxygen blowing in the baby's face since the level is
very close to room air.
The oxygen hood is holding the baby's oxygen level just at the point which is
needed. You may stroke and talk to her.
The baby is at 35% which is much more than room air (21%) and at this time the
baby should not be moved from under the hood. The nurse should offer the parents
an alternative such as to stroke and reassure the infant (B). Holding sick babies
benefits the infant and the parents (A). The first consideration now has to be the
infant's oxygenation. The nurse should not take the baby out from under the hood
without a prescription from the healthcare provider, as this could severely
compromise the infant (C). A PO2 of 35% cannot be readily achieved with "blow
by" oxygen (D).
The mother of a 6-month-old asks the nurse when her baby will get the first
measles, mumps, and rubella (MMR) vaccine. Based on the recommended
childhood immunization schedule published by the Centers for Disease Control,
which response is accurate?
3 to 6 months.
12 to 15 months.
18 to 24 months.
4 to 6 years.
12 to 15 months.
pg. 4
