1
HESI RN Pediatrics Exam
2025 – Actual 55 Questions
with Verified 100% Correct
Answers | Fully Updated
Below is a set of 55 pediatric-focused multiple-choice questions for the HESI RN Pediatrics
Exam 2025, aligned with HESI pediatric content and standards. Each question includes four
answer options, with the correct answer in blue and a verified rationale based on evidence-based
pediatric nursing practice. The questions cover key pediatric topics, including growth and
development, common childhood illnesses, pharmacology, family-centered care, and safety,
reflecting the scope of the HESI RN Pediatrics Exam.
1. A 6-month-old infant is brought to the clinic with a fever of 101.5°F. What is the
nurse’s priority action?
a) Administer acetaminophen as prescribed.
b) Assess the infant’s hydration status.
c) Notify the healthcare provider immediately.
d) Encourage breastfeeding or formula feeding.
Correct Answer: b) Assess the infant’s hydration status.
Rationale: Fever in a 6-month-old can lead to dehydration, a serious concern in infants.
Assessing hydration status (e.g., fontanels, mucous membranes) guides interventions to
ensure the infant’s safety and well-being.
2. A 4-year-old child with asthma is prescribed albuterol via nebulizer. What should
the nurse teach the parents?
a) Administer albuterol only at bedtime.
b) Use the nebulizer as needed for wheezing.
c) Stop the nebulizer if the child coughs.
d) Give albuterol every 12 hours routinely.
Correct Answer: b) Use the nebulizer as needed for wheezing.
Rationale: Albuterol, a short-acting beta-agonist, is used as needed for acute asthma
symptoms like wheezing, ensuring prompt relief and supporting the child’s respiratory
status.
3. A 2-year-old child is admitted with dehydration. Which finding indicates severe
dehydration?
a) Moist mucous membranes
b) Sunken fontanels
, 2
c) Normal heart rate
d) Increased urine output
Correct Answer: b) Sunken fontanels.
Rationale: Sunken fontanels in a 2-year-old indicate severe dehydration due to
significant fluid loss, requiring immediate rehydration to prevent complications.
4. A 10-year-old child with type 1 diabetes has a blood glucose of 50 mg/dL. What is
the nurse’s first action?
a) Administer insulin as prescribed.
b) Give 15 g of a fast-acting carbohydrate.
c) Notify the healthcare provider.
d) Encourage the child to rest.
Correct Answer: b) Give 15 g of a fast-acting carbohydrate.
Rationale: A blood glucose of 50 mg/dL indicates hypoglycemia, requiring immediate
administration of 15 g of a fast-acting carbohydrate (e.g., juice) to raise glucose levels
and prevent seizures or loss of consciousness.
5. A 3-month-old infant is diagnosed with colic. What should the nurse teach the
parents?
a) Increase feeding frequency to every hour.
b) Use gentle rocking or swaddling to soothe.
c) Administer simethicone after every feeding.
d) Switch to a cow’s milk-based formula.
Correct Answer: b) Use gentle rocking or swaddling to soothe.
Rationale: Gentle rocking or swaddling comforts infants with colic, reducing crying
episodes and supporting family-centered care by empowering parents with non-
pharmacologic strategies.
6. A 5-year-old child with a fever is prescribed acetaminophen 15 mg/kg/dose. The
child weighs 20 kg. How many mg should the nurse administer?
a) 150 mg
b) 300 mg
c) 450 mg
d) 600 mg
Correct Answer: b) 300 mg
Rationale: Calculating 15 mg/kg × 20 kg = 300 mg ensures accurate dosing, promoting
safe fever management and preventing overdose in the pediatric client.
7. A 7-year-old child presents with a sore throat and a positive rapid strep test. What
is the most appropriate treatment?
a) Amoxicillin 50 mg/kg/day for 10 days.
b) Azithromycin 12 mg/kg/day for 5 days.
c) No antibiotics; provide supportive care.
d) Cephalexin 25 mg/kg/day for 7 days.
Correct Answer: a) Amoxicillin 50 mg/kg/day for 10 days.
Rationale: Amoxicillin is the first-line treatment for streptococcal pharyngitis in
children, given for 10 days to eradicate Group A Streptococcus and prevent
complications like rheumatic fever.
8. A 1-year-old infant is admitted with bronchiolitis. What is the nurse’s priority
intervention?
HESI RN Pediatrics Exam
2025 – Actual 55 Questions
with Verified 100% Correct
Answers | Fully Updated
Below is a set of 55 pediatric-focused multiple-choice questions for the HESI RN Pediatrics
Exam 2025, aligned with HESI pediatric content and standards. Each question includes four
answer options, with the correct answer in blue and a verified rationale based on evidence-based
pediatric nursing practice. The questions cover key pediatric topics, including growth and
development, common childhood illnesses, pharmacology, family-centered care, and safety,
reflecting the scope of the HESI RN Pediatrics Exam.
1. A 6-month-old infant is brought to the clinic with a fever of 101.5°F. What is the
nurse’s priority action?
a) Administer acetaminophen as prescribed.
b) Assess the infant’s hydration status.
c) Notify the healthcare provider immediately.
d) Encourage breastfeeding or formula feeding.
Correct Answer: b) Assess the infant’s hydration status.
Rationale: Fever in a 6-month-old can lead to dehydration, a serious concern in infants.
Assessing hydration status (e.g., fontanels, mucous membranes) guides interventions to
ensure the infant’s safety and well-being.
2. A 4-year-old child with asthma is prescribed albuterol via nebulizer. What should
the nurse teach the parents?
a) Administer albuterol only at bedtime.
b) Use the nebulizer as needed for wheezing.
c) Stop the nebulizer if the child coughs.
d) Give albuterol every 12 hours routinely.
Correct Answer: b) Use the nebulizer as needed for wheezing.
Rationale: Albuterol, a short-acting beta-agonist, is used as needed for acute asthma
symptoms like wheezing, ensuring prompt relief and supporting the child’s respiratory
status.
3. A 2-year-old child is admitted with dehydration. Which finding indicates severe
dehydration?
a) Moist mucous membranes
b) Sunken fontanels
, 2
c) Normal heart rate
d) Increased urine output
Correct Answer: b) Sunken fontanels.
Rationale: Sunken fontanels in a 2-year-old indicate severe dehydration due to
significant fluid loss, requiring immediate rehydration to prevent complications.
4. A 10-year-old child with type 1 diabetes has a blood glucose of 50 mg/dL. What is
the nurse’s first action?
a) Administer insulin as prescribed.
b) Give 15 g of a fast-acting carbohydrate.
c) Notify the healthcare provider.
d) Encourage the child to rest.
Correct Answer: b) Give 15 g of a fast-acting carbohydrate.
Rationale: A blood glucose of 50 mg/dL indicates hypoglycemia, requiring immediate
administration of 15 g of a fast-acting carbohydrate (e.g., juice) to raise glucose levels
and prevent seizures or loss of consciousness.
5. A 3-month-old infant is diagnosed with colic. What should the nurse teach the
parents?
a) Increase feeding frequency to every hour.
b) Use gentle rocking or swaddling to soothe.
c) Administer simethicone after every feeding.
d) Switch to a cow’s milk-based formula.
Correct Answer: b) Use gentle rocking or swaddling to soothe.
Rationale: Gentle rocking or swaddling comforts infants with colic, reducing crying
episodes and supporting family-centered care by empowering parents with non-
pharmacologic strategies.
6. A 5-year-old child with a fever is prescribed acetaminophen 15 mg/kg/dose. The
child weighs 20 kg. How many mg should the nurse administer?
a) 150 mg
b) 300 mg
c) 450 mg
d) 600 mg
Correct Answer: b) 300 mg
Rationale: Calculating 15 mg/kg × 20 kg = 300 mg ensures accurate dosing, promoting
safe fever management and preventing overdose in the pediatric client.
7. A 7-year-old child presents with a sore throat and a positive rapid strep test. What
is the most appropriate treatment?
a) Amoxicillin 50 mg/kg/day for 10 days.
b) Azithromycin 12 mg/kg/day for 5 days.
c) No antibiotics; provide supportive care.
d) Cephalexin 25 mg/kg/day for 7 days.
Correct Answer: a) Amoxicillin 50 mg/kg/day for 10 days.
Rationale: Amoxicillin is the first-line treatment for streptococcal pharyngitis in
children, given for 10 days to eradicate Group A Streptococcus and prevent
complications like rheumatic fever.
8. A 1-year-old infant is admitted with bronchiolitis. What is the nurse’s priority
intervention?
