HESI Pediatric Practice Exam
Questions and Answers (2025/2026)
(85 Verified Question And Answers)
100% VERIFIED PASSING
GUARANTEED
1. The nurse is giving pre-op instructions to a 14 yr old female scheduled
for surgery to correct a spinal curvature. Which stmt best demonstrates that
leaning has taken place ANSWER "I understand that I will be in a body cast and
I will show you how you taught me to turn"
2. To take the v/s of a 4 month old, which ordered will give the most accurate
results ANSWER RR - HR - rectal temp
3. During routine screening at a school clinic, an otoscope exam reveals
,a tympanic mb that is pearly gray, slightly bulging, and not movable. What
action should the nurse take next ANSWER Ask the child if they have had a
cold, runnynose, or any ear pain lately
4. Which restraint should be used for a toddler after a cleft palate
repairANSWER -
Elbow
5. What pre-op nsg intervention should be included in the POC for an infant
w/ pyloric stenosis ANSWER Observe for projectile vomiting
(remember that projectile vomiting leads to metabolic alkalosis)
6. A 6 month old returns from surgery w/ elbow restraints in place. What nsg
care should be included when caring for any restrained childANSWER
Remove the restraints one at a time and provide ROM exercises
(Removing them 1 at a time is safer than all at once)
7. A 2 yr old w/ Down syndrome is brought to the clinic for his regular
physical exam. The nurse knows which problem is requently associated w/
DownsANSWER Congenital heart disease
,(CHD is the most common associated defect w/ Downs. - also, remember Professor
Moore said that heart and ear problems go hand in hand)
8. When assessing a child w/ asthma, the nurse should expect intercostal
retractions during: Inspriation
9. When planning the care for a child who has had a cleft lip repair, the nurse
know that crying should be minimized because it: Stresses the suture line
10. A full-term infant is admitted to the newborn nursery. After careful assess-
ment, the nurse suspects that the infant may have an esophageal atresia.
Which sx's is this newborn likely to have exhibitedANSWER Choking ,
coughing, andcyanosis
, (this answer includes the 3 "C"s of esophageal atresia caused by the overflow of
secretions to the trachea)
11. Which behavior would the nurse expect a 2 yr old to exhibitANSWER
Displaypossessiveness of toys
(they are egocentric and unable to share w/ others)
12. the other of a preschool-aged child asks the nurse if it is all right to admin-
ister Pepto Bismol to her son when he has a tummy ache. After reminding her
to check the label of all OTC meds for the presence of ASA, which instruction
should the nurse include when replying to the mom's questionANSWER Do
not giveif they have chicken pox, the flue, or any other viral illness
(ASA can cause Reye's syndrome)
13. the nurse observes a 4 yr old boy in a daycare. Which behavior should
the nurse consider normal for this childANSWER Demonstrates
aggressiveness byboasting when telling a story
14. A burned child is brought to the ER. In estimating the % of body burned,
the nurse uses a modified "Rule of Nines." Which part of the body is calcu-
lated as a larger % of total body surface than an adultANSWER Head and
neck
Questions and Answers (2025/2026)
(85 Verified Question And Answers)
100% VERIFIED PASSING
GUARANTEED
1. The nurse is giving pre-op instructions to a 14 yr old female scheduled
for surgery to correct a spinal curvature. Which stmt best demonstrates that
leaning has taken place ANSWER "I understand that I will be in a body cast and
I will show you how you taught me to turn"
2. To take the v/s of a 4 month old, which ordered will give the most accurate
results ANSWER RR - HR - rectal temp
3. During routine screening at a school clinic, an otoscope exam reveals
,a tympanic mb that is pearly gray, slightly bulging, and not movable. What
action should the nurse take next ANSWER Ask the child if they have had a
cold, runnynose, or any ear pain lately
4. Which restraint should be used for a toddler after a cleft palate
repairANSWER -
Elbow
5. What pre-op nsg intervention should be included in the POC for an infant
w/ pyloric stenosis ANSWER Observe for projectile vomiting
(remember that projectile vomiting leads to metabolic alkalosis)
6. A 6 month old returns from surgery w/ elbow restraints in place. What nsg
care should be included when caring for any restrained childANSWER
Remove the restraints one at a time and provide ROM exercises
(Removing them 1 at a time is safer than all at once)
7. A 2 yr old w/ Down syndrome is brought to the clinic for his regular
physical exam. The nurse knows which problem is requently associated w/
DownsANSWER Congenital heart disease
,(CHD is the most common associated defect w/ Downs. - also, remember Professor
Moore said that heart and ear problems go hand in hand)
8. When assessing a child w/ asthma, the nurse should expect intercostal
retractions during: Inspriation
9. When planning the care for a child who has had a cleft lip repair, the nurse
know that crying should be minimized because it: Stresses the suture line
10. A full-term infant is admitted to the newborn nursery. After careful assess-
ment, the nurse suspects that the infant may have an esophageal atresia.
Which sx's is this newborn likely to have exhibitedANSWER Choking ,
coughing, andcyanosis
, (this answer includes the 3 "C"s of esophageal atresia caused by the overflow of
secretions to the trachea)
11. Which behavior would the nurse expect a 2 yr old to exhibitANSWER
Displaypossessiveness of toys
(they are egocentric and unable to share w/ others)
12. the other of a preschool-aged child asks the nurse if it is all right to admin-
ister Pepto Bismol to her son when he has a tummy ache. After reminding her
to check the label of all OTC meds for the presence of ASA, which instruction
should the nurse include when replying to the mom's questionANSWER Do
not giveif they have chicken pox, the flue, or any other viral illness
(ASA can cause Reye's syndrome)
13. the nurse observes a 4 yr old boy in a daycare. Which behavior should
the nurse consider normal for this childANSWER Demonstrates
aggressiveness byboasting when telling a story
14. A burned child is brought to the ER. In estimating the % of body burned,
the nurse uses a modified "Rule of Nines." Which part of the body is calcu-
lated as a larger % of total body surface than an adultANSWER Head and
neck
