HESI Pediatrics Exit/HESI Exit Pediatrics Exam –
Latest 2025/2026 – 55 Questions
Real Exam Preparation with Correct Answers and Rationales – Graded A+
Contents
1 Introduction 2
2 Questions 2
3 Study Strategies 16
4 Resources 16
1
,1 Introduction
2 Questions
1. A nurse is assessing a 6-month-old infant. Which developmental mile-
stone is expected?
A. Sitting without support
B. Walking independently
C. Speaking simple words
D. Using a pincer grasp
Answer: A
Rationale: By 6 months, infants typically sit without support. Walking occurs at
12–18 months, speaking at 12–18 months, and pincer grasp at 9–12 months.
2. A nurse is teaching parents about safety for a 2-year-old. Which instruc-
tion is priority?
A. Keep medications in a locked cabinet
B. Allow exploration of electrical outlets
C. Use loose bedding in the crib
D. Place toys on high shelves
Answer: A
Rationale: Locking medications prevents poisoning, a significant risk for toddlers.
3. A nurse is caring for a child with asthma. Which medication is used for
acute exacerbations?
A. Albuterol
B. Montelukast
C. Fluticasone
D. Cromolyn
2
, Answer: A
Rationale: Albuterol, a short-acting beta-agonist, relieves acute asthma symptoms
by bronchodilation.
4. A nurse is assessing a 3-year-old with suspected dehydration. Which
findings indicate moderate dehydration? (Select all that apply.)
A. Dry mucous membranes
B. Capillary refill of 3 seconds
C. Sunken fontanelles
D. Decreased urine output
E. Bradycardia
Answer: A, B, D
Rationale: Dry mucous membranes, prolonged capillary refill, and decreased urine
output indicate moderate dehydration. Sunken fontanelles are seen in infants, and
tachycardia, not bradycardia, is typical.
5. A nurse is planning care for a child with type 1 diabetes. Which inter-
vention is priority?
A. Monitor blood glucose levels
B. Provide a high-sugar diet
C. Limit physical activity
D. Administer oral hypoglycemics
Answer: A
Rationale: Monitoring blood glucose guides insulin therapy and prevents compli-
cations.
6. A nurse is teaching parents about immunizations. Which vaccine is
recommended at 12 months?
A. MMR
B. HPV
C. Tdap
D. Hepatitis A
Answer: A
Rationale: The MMR vaccine is given at 12–15 months to protect against measles,
mumps, and rubella.
7. A nurse is caring for a newborn with jaundice. Which finding requires
immediate action?
A. Yellowing of sclera
3
Latest 2025/2026 – 55 Questions
Real Exam Preparation with Correct Answers and Rationales – Graded A+
Contents
1 Introduction 2
2 Questions 2
3 Study Strategies 16
4 Resources 16
1
,1 Introduction
2 Questions
1. A nurse is assessing a 6-month-old infant. Which developmental mile-
stone is expected?
A. Sitting without support
B. Walking independently
C. Speaking simple words
D. Using a pincer grasp
Answer: A
Rationale: By 6 months, infants typically sit without support. Walking occurs at
12–18 months, speaking at 12–18 months, and pincer grasp at 9–12 months.
2. A nurse is teaching parents about safety for a 2-year-old. Which instruc-
tion is priority?
A. Keep medications in a locked cabinet
B. Allow exploration of electrical outlets
C. Use loose bedding in the crib
D. Place toys on high shelves
Answer: A
Rationale: Locking medications prevents poisoning, a significant risk for toddlers.
3. A nurse is caring for a child with asthma. Which medication is used for
acute exacerbations?
A. Albuterol
B. Montelukast
C. Fluticasone
D. Cromolyn
2
, Answer: A
Rationale: Albuterol, a short-acting beta-agonist, relieves acute asthma symptoms
by bronchodilation.
4. A nurse is assessing a 3-year-old with suspected dehydration. Which
findings indicate moderate dehydration? (Select all that apply.)
A. Dry mucous membranes
B. Capillary refill of 3 seconds
C. Sunken fontanelles
D. Decreased urine output
E. Bradycardia
Answer: A, B, D
Rationale: Dry mucous membranes, prolonged capillary refill, and decreased urine
output indicate moderate dehydration. Sunken fontanelles are seen in infants, and
tachycardia, not bradycardia, is typical.
5. A nurse is planning care for a child with type 1 diabetes. Which inter-
vention is priority?
A. Monitor blood glucose levels
B. Provide a high-sugar diet
C. Limit physical activity
D. Administer oral hypoglycemics
Answer: A
Rationale: Monitoring blood glucose guides insulin therapy and prevents compli-
cations.
6. A nurse is teaching parents about immunizations. Which vaccine is
recommended at 12 months?
A. MMR
B. HPV
C. Tdap
D. Hepatitis A
Answer: A
Rationale: The MMR vaccine is given at 12–15 months to protect against measles,
mumps, and rubella.
7. A nurse is caring for a newborn with jaundice. Which finding requires
immediate action?
A. Yellowing of sclera
3
