HESI Exit Exam Pediatric Nursing
Practice Questions
80 NCLEX-Style Multiple-Choice Questions
Topics: Growth and Development, Common Childhood Diseases, Medication
Safety, Family Education
May 31, 2025
Instructions
This document contains 80 NCLEX-style multiple-choice questions designed to prepare you
for the Pediatric Nursing section of the HESI Exit Exam. Each question includes four answer
choices (AD), with the correct answer clearly indicated. Topics cover growth and development,
common childhood diseases, medication safety, and family education. Use this practice test to
assess your pediatric nursing knowledge and clinical judgment. Good luck!
Practice Questions
A nurse is assessing a 2-year-old child. Which behavior is expected for this age based on
developmental milestones?
A) Using complex sentences
A) B) Stacking six blocks
C) Riding a tricycle
D) Tying shoelaces
Correct Answer: B
A 5-year-old child with asthma is prescribed albuterol via nebulizer. What should the nurse
teach the parents?
A) Administer only at bedtime
B) B) Report tremors or nervousness
C) Expect weight gain
D) Give with meals
Correct Answer: B
1
, A 6-month-old infant is brought to the clinic with a fever and rash. The nurse suspects roseola.
What is a hallmark symptom?
A) Persistent cough
C) B) High fever followed by a rash
C) Severe diarrhea
D) Conjunctivitis
Correct Answer: B
A nurse is calculating a safe dose of acetaminophen for a 10 kg child. The recommended dose
is 1015 mg/kg every 46 hours. What is the safe single dose range?
A) 5075 mg
D) B) 100150 mg
C) 200250 mg
D) 300350 mg
Correct Answer: B
A 4-year-old child with type 1 diabetes has a blood glucose of 50 mg/dL. What should the
nurse do first?
A) Administer insulin
E) B) Give 15 g of a fast-acting carbohydrate
C) Encourage a high-protein snack
D) Monitor for 30 minutes
Correct Answer: B
A nurse is teaching parents about safety for a 3-year-old. Which instruction is most important?
A) Allow the child to play near stairs
B) Keep small objects out of reach
F)
C) Let the child use adult scissors
D) Store toys in high cabinets
Correct Answer: B
A 12-month-old infant is admitted with dehydration due to gastroenteritis. What should the
nurse monitor?
A) Increased appetite
G) B) Sunken fontanelles
C) Weight gain
D) Clear urine
Correct Answer: B
2
, A nurse is assessing a 7-year-old with suspected appendicitis. Which symptom should the nurse
report immediately?
A) Mild fever
H) B) Right lower quadrant pain
C) Increased appetite
D) Frequent urination
Correct Answer: B
A 9-year-old child is prescribed amoxicillin 250 mg PO every 8 hours. The pharmacy provides
125 mg/5 mL. How many mL should the nurse administer per dose?
A) 5 mL
I) B) 10 mL
C) 15 mL
D) 20 mL
Correct Answer: B
A nurse is educating parents of a newborn about feeding. Which statement indicates under-
standing?
A) We should feed only formula for the first year.
J) B) Breast milk or formula is sufficient for the first 6 months.
C) We can start solid foods at 2 months.
D) Cows milk is safe at 6 months.
Correct Answer: B
A 3-month-old infant is diagnosed with respiratory syncytial virus (RSV). What should the
nurse prioritize?
A) Maintaining airway patency
K) B) Encouraging oral feeding
C) Administering antibiotics
D) Monitoring blood pressure
Correct Answer: A
A nurse is assessing a 5-year-olds developmental milestones. Which skill is expected?
A) Writing full sentences
B) Copying a triangle
L)
C) Reading simple books
D) Solving math problems
Correct Answer: B
3
Practice Questions
80 NCLEX-Style Multiple-Choice Questions
Topics: Growth and Development, Common Childhood Diseases, Medication
Safety, Family Education
May 31, 2025
Instructions
This document contains 80 NCLEX-style multiple-choice questions designed to prepare you
for the Pediatric Nursing section of the HESI Exit Exam. Each question includes four answer
choices (AD), with the correct answer clearly indicated. Topics cover growth and development,
common childhood diseases, medication safety, and family education. Use this practice test to
assess your pediatric nursing knowledge and clinical judgment. Good luck!
Practice Questions
A nurse is assessing a 2-year-old child. Which behavior is expected for this age based on
developmental milestones?
A) Using complex sentences
A) B) Stacking six blocks
C) Riding a tricycle
D) Tying shoelaces
Correct Answer: B
A 5-year-old child with asthma is prescribed albuterol via nebulizer. What should the nurse
teach the parents?
A) Administer only at bedtime
B) B) Report tremors or nervousness
C) Expect weight gain
D) Give with meals
Correct Answer: B
1
, A 6-month-old infant is brought to the clinic with a fever and rash. The nurse suspects roseola.
What is a hallmark symptom?
A) Persistent cough
C) B) High fever followed by a rash
C) Severe diarrhea
D) Conjunctivitis
Correct Answer: B
A nurse is calculating a safe dose of acetaminophen for a 10 kg child. The recommended dose
is 1015 mg/kg every 46 hours. What is the safe single dose range?
A) 5075 mg
D) B) 100150 mg
C) 200250 mg
D) 300350 mg
Correct Answer: B
A 4-year-old child with type 1 diabetes has a blood glucose of 50 mg/dL. What should the
nurse do first?
A) Administer insulin
E) B) Give 15 g of a fast-acting carbohydrate
C) Encourage a high-protein snack
D) Monitor for 30 minutes
Correct Answer: B
A nurse is teaching parents about safety for a 3-year-old. Which instruction is most important?
A) Allow the child to play near stairs
B) Keep small objects out of reach
F)
C) Let the child use adult scissors
D) Store toys in high cabinets
Correct Answer: B
A 12-month-old infant is admitted with dehydration due to gastroenteritis. What should the
nurse monitor?
A) Increased appetite
G) B) Sunken fontanelles
C) Weight gain
D) Clear urine
Correct Answer: B
2
, A nurse is assessing a 7-year-old with suspected appendicitis. Which symptom should the nurse
report immediately?
A) Mild fever
H) B) Right lower quadrant pain
C) Increased appetite
D) Frequent urination
Correct Answer: B
A 9-year-old child is prescribed amoxicillin 250 mg PO every 8 hours. The pharmacy provides
125 mg/5 mL. How many mL should the nurse administer per dose?
A) 5 mL
I) B) 10 mL
C) 15 mL
D) 20 mL
Correct Answer: B
A nurse is educating parents of a newborn about feeding. Which statement indicates under-
standing?
A) We should feed only formula for the first year.
J) B) Breast milk or formula is sufficient for the first 6 months.
C) We can start solid foods at 2 months.
D) Cows milk is safe at 6 months.
Correct Answer: B
A 3-month-old infant is diagnosed with respiratory syncytial virus (RSV). What should the
nurse prioritize?
A) Maintaining airway patency
K) B) Encouraging oral feeding
C) Administering antibiotics
D) Monitoring blood pressure
Correct Answer: A
A nurse is assessing a 5-year-olds developmental milestones. Which skill is expected?
A) Writing full sentences
B) Copying a triangle
L)
C) Reading simple books
D) Solving math problems
Correct Answer: B
3
