Hesi Pediatrics RN Exam Test Bank B Latest 2025-
2026 With 250 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 the parents of a 2-year-old child with a congenital heart
defect about signs and symptoms of congestive heart failure. Which information
about the child is most important for the parents to report to the health care
provider?
A. Sits or squats frequently when playing outdoors
B. Exhibits a sudden and unexplained weight gain
C. Is not completely toilet-trained and has some accidents
D. Demonstrates irritation and fatigue 1 hour before bedtime
B
Rationale:
Sudden and unexplained weight gain can indicate fluid retention and is a sign of
congestive heart failure. Option A is used by the child to reduce chronic hypoxia,
especially during exercise. Option C is common; 2-year-olds are not expected to be
toilet-trained. Option D is normal.
The nurse assigns an unlicensed assistive personnel (UAP) to provide morning care
to a newly admitted child with bacterial meningitis. What is the most important
instruction for the nurse to review with the UAP?
A. Use designated isolation precautions.
B. Keep the lighting in the room dim.
C. Allow the parents to assist with care.
D. Report any pain that the child experiences.
A
Rationale:
All these are important measures to review with the UAP, but the most important is
option A. Improper use of isolation precautions can place other staff and clients at
pg. 1
,risk for infection. Options B, C, and D promote client comfort and reduce anxiety
but are of a lower priority than option A.
Ampicillin, 75 mg/kg, is prescribed for a 22-lb child. It is available in a solution
that contains 250 mg/5 mL. How many milliliters should the nurse administer in
one dose?
A. 10
B. 15
C. 20
D. 25
B
Rationale:
Version: 1
Convert lbs to kg:
22lb ÷ 2.2kg = 10kg
Multiply dose needed by weight:
75mg x 10kg =750mg
Divide calculated dose needed by med on hand:
750mg ÷ 250mg = 3
Multiply mg needed by mL available:
3 x 5mL = 15mL
Version 2:
Rationale:
2.2 lb/1 kg = 22 lb/x kg
x = 10 kg
1 kg/75 mg = 10 kg/x mg
x = 750 mg
250 mg/5 mL = 750 mg/x mL
x = 15 mL
A newborn female whose mother is HIV-positive is scheduled for the first follow-
up assessment with the nurse. If the child is HIV-positive, which initial symptom is
she most likely to exhibit?
pg. 2
,A. Shortness of breath
B. Joint pain
C. Persistent cold
D. Organomegaly
C
Rationale:
Respiratory tract infections commonly occur in the pediatric population, but the
child with AIDS has a decreased ability to defend the body against these common
infections. Thus, the most typical presenting symptom of a child who contracted
AIDS through vertical transmission (i.e., from the mother during delivery) is a
persistent cold or respiratory infection. Options A, B, and D are symptoms of
AIDS complications that may occur later as the disease progresses.
Which nursing interventions are therapeutic when caring for a hospitalized
toddler? (Select all that apply.)
A. Require parents to leave the room when performing invasive procedures.
B. Allow the toddler to choose a colored Band-Aid after an injection.
C. Give brief but simple explanations to the child before procedures.
D. Insert a urinary catheter if bed-wetting occurs during hospitalization.
E. Do not allow any toys to be brought in from the child's home.
B, C
Rationale:
Giving the toddler a choice may increase autonomy in the hospitalized setting.
Brief but simple explanations are beneficial with the toddler. Separation from the
parent can cause emotional distress. Regression is expected, and bedwetting is not
an indication for a urinary catheter. The nurse should encourage age-appropriate
toys to be brought in from home.
A 7-month-old male infant diagnosed with spastic cerebral palsy is seen by the
nurse in the clinic. Which statement by the parent warrants immediate intervention
by the nurse?
A. "My son often chokes while I am feeding him."
B. "Is it normal for my child's legs to cross each other?"
C. "He gets stiff when I pull him up to a sitting position."
D. "My 4-year-old son is jealous of his little brother."
pg. 3
, A
Rationale:
Airway obstruction is always a priority when caring for any client. Options B and
C are characteristics of spastic cerebral palsy and may involve one or both sides.
These children have difficulty with fine motor skills, and attempts at motion
increase abnormal postures. Option D is an expected behavior and may need to be
addressed, but it is not a priority over choking.
A child breaks out with varicella infection (chickenpox) while hospitalized for a
minor surgical procedure. Which intervention should the nurse implement first?
A. Place a mask on the child before transporting the child outside the room.
B. Immunize exposed family members with the varicella vaccine.
C. Place the child in strict isolation to prevent an outbreak on the unit.
D. Determine which staff have had varicella before making assignments.
Rationale:
The period of communicability of varicella is 2 days before the rash appears until
all lesions are crusted; varicella is spread by direct or indirect contact of saliva or
vesicles. Strict isolation is indicated to prevent further exposure to staff and others.
Staff who have had varicella or the vaccine are not susceptible to contracting or
spreading the virus and should be the only personnel assigned to care for this
client. Option A is not sufficient to prevent exposure to others. Option B must be
done prior to exposure.
A 10-year-old girl who has had type 1 diabetes mellitus (DM) for the past two
years tells the nurse that she would like to use a pump instead of insulin injections
to manage her diabetes. Which assessment of the girl is most important for the
nurse to obtain?
A. Understanding of quality control process used to troubleshoot the pump
B. Interpretation of fingerstick glucose levels that influence diet selections
C. Knowledge of her glycosylated hemoglobin A1c levels for past year
D. Ability to perform the pump for basal insulin with mealtime boluses
ANS: A
Ability to perform the pump for basal insulin with mealtime boluses
The mother of a toddler reports to the nurse working in the pediatric clinic that her
child has had a fever and sore throat for the past two days. The nurse observes
several swollen red spots in the child's body, a few of which are fluid filled blisters.
pg. 4
2026 With 250 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 the parents of a 2-year-old child with a congenital heart
defect about signs and symptoms of congestive heart failure. Which information
about the child is most important for the parents to report to the health care
provider?
A. Sits or squats frequently when playing outdoors
B. Exhibits a sudden and unexplained weight gain
C. Is not completely toilet-trained and has some accidents
D. Demonstrates irritation and fatigue 1 hour before bedtime
B
Rationale:
Sudden and unexplained weight gain can indicate fluid retention and is a sign of
congestive heart failure. Option A is used by the child to reduce chronic hypoxia,
especially during exercise. Option C is common; 2-year-olds are not expected to be
toilet-trained. Option D is normal.
The nurse assigns an unlicensed assistive personnel (UAP) to provide morning care
to a newly admitted child with bacterial meningitis. What is the most important
instruction for the nurse to review with the UAP?
A. Use designated isolation precautions.
B. Keep the lighting in the room dim.
C. Allow the parents to assist with care.
D. Report any pain that the child experiences.
A
Rationale:
All these are important measures to review with the UAP, but the most important is
option A. Improper use of isolation precautions can place other staff and clients at
pg. 1
,risk for infection. Options B, C, and D promote client comfort and reduce anxiety
but are of a lower priority than option A.
Ampicillin, 75 mg/kg, is prescribed for a 22-lb child. It is available in a solution
that contains 250 mg/5 mL. How many milliliters should the nurse administer in
one dose?
A. 10
B. 15
C. 20
D. 25
B
Rationale:
Version: 1
Convert lbs to kg:
22lb ÷ 2.2kg = 10kg
Multiply dose needed by weight:
75mg x 10kg =750mg
Divide calculated dose needed by med on hand:
750mg ÷ 250mg = 3
Multiply mg needed by mL available:
3 x 5mL = 15mL
Version 2:
Rationale:
2.2 lb/1 kg = 22 lb/x kg
x = 10 kg
1 kg/75 mg = 10 kg/x mg
x = 750 mg
250 mg/5 mL = 750 mg/x mL
x = 15 mL
A newborn female whose mother is HIV-positive is scheduled for the first follow-
up assessment with the nurse. If the child is HIV-positive, which initial symptom is
she most likely to exhibit?
pg. 2
,A. Shortness of breath
B. Joint pain
C. Persistent cold
D. Organomegaly
C
Rationale:
Respiratory tract infections commonly occur in the pediatric population, but the
child with AIDS has a decreased ability to defend the body against these common
infections. Thus, the most typical presenting symptom of a child who contracted
AIDS through vertical transmission (i.e., from the mother during delivery) is a
persistent cold or respiratory infection. Options A, B, and D are symptoms of
AIDS complications that may occur later as the disease progresses.
Which nursing interventions are therapeutic when caring for a hospitalized
toddler? (Select all that apply.)
A. Require parents to leave the room when performing invasive procedures.
B. Allow the toddler to choose a colored Band-Aid after an injection.
C. Give brief but simple explanations to the child before procedures.
D. Insert a urinary catheter if bed-wetting occurs during hospitalization.
E. Do not allow any toys to be brought in from the child's home.
B, C
Rationale:
Giving the toddler a choice may increase autonomy in the hospitalized setting.
Brief but simple explanations are beneficial with the toddler. Separation from the
parent can cause emotional distress. Regression is expected, and bedwetting is not
an indication for a urinary catheter. The nurse should encourage age-appropriate
toys to be brought in from home.
A 7-month-old male infant diagnosed with spastic cerebral palsy is seen by the
nurse in the clinic. Which statement by the parent warrants immediate intervention
by the nurse?
A. "My son often chokes while I am feeding him."
B. "Is it normal for my child's legs to cross each other?"
C. "He gets stiff when I pull him up to a sitting position."
D. "My 4-year-old son is jealous of his little brother."
pg. 3
, A
Rationale:
Airway obstruction is always a priority when caring for any client. Options B and
C are characteristics of spastic cerebral palsy and may involve one or both sides.
These children have difficulty with fine motor skills, and attempts at motion
increase abnormal postures. Option D is an expected behavior and may need to be
addressed, but it is not a priority over choking.
A child breaks out with varicella infection (chickenpox) while hospitalized for a
minor surgical procedure. Which intervention should the nurse implement first?
A. Place a mask on the child before transporting the child outside the room.
B. Immunize exposed family members with the varicella vaccine.
C. Place the child in strict isolation to prevent an outbreak on the unit.
D. Determine which staff have had varicella before making assignments.
Rationale:
The period of communicability of varicella is 2 days before the rash appears until
all lesions are crusted; varicella is spread by direct or indirect contact of saliva or
vesicles. Strict isolation is indicated to prevent further exposure to staff and others.
Staff who have had varicella or the vaccine are not susceptible to contracting or
spreading the virus and should be the only personnel assigned to care for this
client. Option A is not sufficient to prevent exposure to others. Option B must be
done prior to exposure.
A 10-year-old girl who has had type 1 diabetes mellitus (DM) for the past two
years tells the nurse that she would like to use a pump instead of insulin injections
to manage her diabetes. Which assessment of the girl is most important for the
nurse to obtain?
A. Understanding of quality control process used to troubleshoot the pump
B. Interpretation of fingerstick glucose levels that influence diet selections
C. Knowledge of her glycosylated hemoglobin A1c levels for past year
D. Ability to perform the pump for basal insulin with mealtime boluses
ANS: A
Ability to perform the pump for basal insulin with mealtime boluses
The mother of a toddler reports to the nurse working in the pediatric clinic that her
child has had a fever and sore throat for the past two days. The nurse observes
several swollen red spots in the child's body, a few of which are fluid filled blisters.
pg. 4
