Pediatrics HESI Questions and
Answers | Latest Version | 2025/2026 |
Correct & Verified
Which sign in a child with pneumonia requires immediate intervention?
A. Mild nasal congestion
B. Low-grade fever
✔✔C. Intercostal retractions
D. Slightly decreased appetite
Which intervention is most important for a hospitalized child with pneumonia?
A. Offering snacks frequently
✔✔B. Monitoring oxygen saturation
C. Encouraging screen time for distraction
D. Allowing unlimited visitors
Which discharge instruction is most appropriate for the parent of a child recovering from
pneumonia?
A. “Stop antibiotics when symptoms improve.”
1
,✔✔B. “Give all prescribed antibiotics until finished.”
C. “Keep your child in bed for two weeks.”
D. “Avoid fluids to reduce coughing.”
Which finding suggests worsening pneumonia in a child?
A. Productive cough
B. Fatigue after play
✔✔C. Respiratory rate of 60/min
D. Occasional nasal flaring
Which position should the nurse encourage for a child with pneumonia to improve oxygenation?
A. Supine with legs elevated
✔✔B. Semi-Fowler’s
C. Prone with head turned
D. Trendelenburg
Which is the best method to encourage fluid intake in a 4-year-old with pneumonia?
A. Offer plain water only
2
,✔✔B. Provide small amounts of favorite fluids frequently
C. Restrict fluids to avoid aspiration
D. Offer large glasses of milk each meal
Which assessment finding should the nurse report immediately in a child with pneumonia?
A. Temp 100.8°F
B. Moist productive cough
✔✔C. O2 sat of 85% on room air
D. Mild nasal flaring with activity
What is the priority nursing action when a child with pneumonia becomes restless and anxious?
A. Call respiratory therapy
B. Encourage the child to nap
✔✔C. Check oxygen saturation and apply oxygen
D. Offer a toy for distraction
Which teaching point should be included for preventing future pneumonia episodes?
A. Avoid all vaccinations
3
, B. Limit outdoor activity
✔✔C. Ensure routine immunizations are up to date
D. Avoid all contact with peers
Which parental statement indicates correct understanding of home care for a child recovering
from pneumonia?
A. “I should keep my child isolated until cough disappears completely.”
✔✔B. “I will allow frequent rest periods during recovery.”
C. “I should restart daycare the next day after hospital discharge.”
D. “I will double the antibiotic dose if fever returns.”
Which lab finding is consistent with bacterial pneumonia?
A. Decreased white blood cell count
✔✔B. Elevated white blood cell count
C. Low hemoglobin
D. Elevated platelet count
Which intervention helps reduce fever in a child with pneumonia?
4
Answers | Latest Version | 2025/2026 |
Correct & Verified
Which sign in a child with pneumonia requires immediate intervention?
A. Mild nasal congestion
B. Low-grade fever
✔✔C. Intercostal retractions
D. Slightly decreased appetite
Which intervention is most important for a hospitalized child with pneumonia?
A. Offering snacks frequently
✔✔B. Monitoring oxygen saturation
C. Encouraging screen time for distraction
D. Allowing unlimited visitors
Which discharge instruction is most appropriate for the parent of a child recovering from
pneumonia?
A. “Stop antibiotics when symptoms improve.”
1
,✔✔B. “Give all prescribed antibiotics until finished.”
C. “Keep your child in bed for two weeks.”
D. “Avoid fluids to reduce coughing.”
Which finding suggests worsening pneumonia in a child?
A. Productive cough
B. Fatigue after play
✔✔C. Respiratory rate of 60/min
D. Occasional nasal flaring
Which position should the nurse encourage for a child with pneumonia to improve oxygenation?
A. Supine with legs elevated
✔✔B. Semi-Fowler’s
C. Prone with head turned
D. Trendelenburg
Which is the best method to encourage fluid intake in a 4-year-old with pneumonia?
A. Offer plain water only
2
,✔✔B. Provide small amounts of favorite fluids frequently
C. Restrict fluids to avoid aspiration
D. Offer large glasses of milk each meal
Which assessment finding should the nurse report immediately in a child with pneumonia?
A. Temp 100.8°F
B. Moist productive cough
✔✔C. O2 sat of 85% on room air
D. Mild nasal flaring with activity
What is the priority nursing action when a child with pneumonia becomes restless and anxious?
A. Call respiratory therapy
B. Encourage the child to nap
✔✔C. Check oxygen saturation and apply oxygen
D. Offer a toy for distraction
Which teaching point should be included for preventing future pneumonia episodes?
A. Avoid all vaccinations
3
, B. Limit outdoor activity
✔✔C. Ensure routine immunizations are up to date
D. Avoid all contact with peers
Which parental statement indicates correct understanding of home care for a child recovering
from pneumonia?
A. “I should keep my child isolated until cough disappears completely.”
✔✔B. “I will allow frequent rest periods during recovery.”
C. “I should restart daycare the next day after hospital discharge.”
D. “I will double the antibiotic dose if fever returns.”
Which lab finding is consistent with bacterial pneumonia?
A. Decreased white blood cell count
✔✔B. Elevated white blood cell count
C. Low hemoglobin
D. Elevated platelet count
Which intervention helps reduce fever in a child with pneumonia?
4
