10/5/25, 8:52 PM PEDS HESI practice test questions
PEDS HESI Newest 2025/2026 Complete Questions
And Correct Detailed Answers (Verified Answers)
|Brand New Version!!
1. Child'sheight and weight.
2. Nomogram determined mathematical constant.
Rationale:
Which measurements The most accurate calculations of pediatric dosages use
should be used to accurately the child's height and weight. The child's BSA is
calculate a pediatric calculated using the square root of weight in kg times
medication dosage? (Select height in cm divided by 3600 or the square root of
all that apply.) weight in pounds times height in inches divided by
3131, then the child's BSA is multiplied by the
recommended
published dose per BSA. The nomogram is used to plot
the child's height and weight, and the point at which
they intersect is the BSA mathematical constant used to
calculate the child's dose.
The mother of a preschool- Do not give if the child has chickenpox, the flu, or any other viral
aged child asks the nurse if illness.
it is all right to administer
Rationale:
bismuth subsalicylate
Pepto Bismol, Bismylate contains subsalicylate and if
(Pepto Bismol,
used in the presence of a viral illness, there is the
Bismylate) to her son when he
potential of developing Reye's syndrome, a sometimes
"has a tummy ache." After
fatal condition for children.
reminding the mother to
check the label of all over-
the-counter drugs for the
presence of aspirin, which
instruction
should the nurse include
when replying to this
mother's question?
1/57
,10/5/25, 9:17 PM PEDS HESI practice test questions
At 8 a.m. the unlicensed Administer PRN prescription of nifedipine (Procardia)
assistive personnel (UAP) sublingually.
informs the charge nurse
Rationale:
that a
female adolescent client with After the nurse has verified the client's elevated blood pressure,
acute the sublingual
glomerulonephritis has a Procardia should be administered first because it lowers
blood pressure of 210/110. the blood pressure very quickly, before implementing
The 4 a.m. blood pressure any of the other interventions.
reading was 170/88. The
client reports to the UAP
that she is upset because
her boyfriend did not visit
last night. What action
should the
nurse take first?
Observe for projectile vomiting.
What preoperative nursing Rationale:
intervention In pyloric stenosis, the valve between stomach and
should be included in the small intestine enlarges blocking the passage of food.
The nurse needs to ensure suctioning equipment is
plan of care for an infant
closed by to help prevent aspiration from the
with pyloric stenosis? projectile vomiting episodes and monitor for the state
of metabolic alkalosis, which is a classic sign of
pyloric stenosis.
The nurse is teaching a 12- Polyuria and polydipsia.
year-old male adolescent and
his family about taking Rationale:
injections of growth Signs and symptoms of diabetes or hyperglycemia need
hormone for idiopathic to be reported. Clients who are receiving growth
hypopituitarism. Which hormones should be monitored to detect elevated
adverse symptoms, blood
sugars and glucose intolerance.
commonly associated with
growth hormone therapy,
should the nurse plan to
describe to the child and his
family?
/ 2/57
,10/5/25, 9:17 PM PEDS HESI practice test questions
Menstruation has not occurred.
Which finding in a 19-year- Rationale:
old female client should Menstruation is an expected secondary sex
trigger further assessment characteristic that occurs with pubescence and
by the typically occurs between the ages of 10 to 17, so the
nurse? fact the client is 18 years old and has not experience
menarche, should prompt further
investigation to determine the cause of this primary amenorrhea.
Stop the infusion immediately and notify the healthcare provider.
During administration of a
blood
transfusion, a child complains Rationale:
of chills, headache, and The child is exhibiting signs of a reaction to the blood transfusion.
The blood
nausea. Which action
transfusion should be stopped immediately and the healthcare
should the nurse implement?
provider notified.
/ 3/57
, 10/5/25, 9:17 PM PEDS HESI practice test questions
"Are you experiencing any type of nervousness?"
The nurse is assessing a
Rationale:
13-year-old girl with Assessing the client's psychophysiologic state upon
suspected admission is a priority, and nervousness, apprehension,
hyperthyroidism. Which hyperexcitability, and palpitations are signs of
question is most important hyperthyroidism. Weight loss (even with a hearty appetite) occurs
in those with
for the nurse to ask her
hyperthyroidism, but assessing the client's neurological state has a
during the admission higher priority.
interview?
Assess the child's respiratory status.
A child is rescued from a
burning house
and brought to the Rationale:
emergency room with Assessing the airway and the respiratory status is the
partial-thickness burns highest priority since burns to the face and chest place
on the face and chest. the child at risk for smoke inhalation injury and
compromised airway.
Which action should the
nurse
implemented first?
Encourage the mother to have the children visit the hospitalized
sibling.
The mother of a 4-year-old
child asks the nurse what Rationale:
she can do to help her other Siblings of a sick child will often be scared, concerned or
children cope with their confused. Needs of a
sibling will be better met with factual information and
sibling's repeated
contact with the ill child, so sibling visitation should be
hospitalizations. Which is the
encouraged. Children may have difficulty expressing
best response that the
concerns, so the support of parents and other
nurse should offer?
caregivers are needed to help
alleviate their fears.
Engage the child through drawing pictures.
The nurse is having difficulty
communicating with a Rationale:
hospitalized 6-year- old Drawing pictures is a valuable form of non-verbal
child. Which approach by communication. It is easier for a child to express their
the nurse is most helpful emotions and feelings through the process of drawing
in establishing than to
communication? express it verbally. As the nurse and child look at the
/ 4/57
PEDS HESI Newest 2025/2026 Complete Questions
And Correct Detailed Answers (Verified Answers)
|Brand New Version!!
1. Child'sheight and weight.
2. Nomogram determined mathematical constant.
Rationale:
Which measurements The most accurate calculations of pediatric dosages use
should be used to accurately the child's height and weight. The child's BSA is
calculate a pediatric calculated using the square root of weight in kg times
medication dosage? (Select height in cm divided by 3600 or the square root of
all that apply.) weight in pounds times height in inches divided by
3131, then the child's BSA is multiplied by the
recommended
published dose per BSA. The nomogram is used to plot
the child's height and weight, and the point at which
they intersect is the BSA mathematical constant used to
calculate the child's dose.
The mother of a preschool- Do not give if the child has chickenpox, the flu, or any other viral
aged child asks the nurse if illness.
it is all right to administer
Rationale:
bismuth subsalicylate
Pepto Bismol, Bismylate contains subsalicylate and if
(Pepto Bismol,
used in the presence of a viral illness, there is the
Bismylate) to her son when he
potential of developing Reye's syndrome, a sometimes
"has a tummy ache." After
fatal condition for children.
reminding the mother to
check the label of all over-
the-counter drugs for the
presence of aspirin, which
instruction
should the nurse include
when replying to this
mother's question?
1/57
,10/5/25, 9:17 PM PEDS HESI practice test questions
At 8 a.m. the unlicensed Administer PRN prescription of nifedipine (Procardia)
assistive personnel (UAP) sublingually.
informs the charge nurse
Rationale:
that a
female adolescent client with After the nurse has verified the client's elevated blood pressure,
acute the sublingual
glomerulonephritis has a Procardia should be administered first because it lowers
blood pressure of 210/110. the blood pressure very quickly, before implementing
The 4 a.m. blood pressure any of the other interventions.
reading was 170/88. The
client reports to the UAP
that she is upset because
her boyfriend did not visit
last night. What action
should the
nurse take first?
Observe for projectile vomiting.
What preoperative nursing Rationale:
intervention In pyloric stenosis, the valve between stomach and
should be included in the small intestine enlarges blocking the passage of food.
The nurse needs to ensure suctioning equipment is
plan of care for an infant
closed by to help prevent aspiration from the
with pyloric stenosis? projectile vomiting episodes and monitor for the state
of metabolic alkalosis, which is a classic sign of
pyloric stenosis.
The nurse is teaching a 12- Polyuria and polydipsia.
year-old male adolescent and
his family about taking Rationale:
injections of growth Signs and symptoms of diabetes or hyperglycemia need
hormone for idiopathic to be reported. Clients who are receiving growth
hypopituitarism. Which hormones should be monitored to detect elevated
adverse symptoms, blood
sugars and glucose intolerance.
commonly associated with
growth hormone therapy,
should the nurse plan to
describe to the child and his
family?
/ 2/57
,10/5/25, 9:17 PM PEDS HESI practice test questions
Menstruation has not occurred.
Which finding in a 19-year- Rationale:
old female client should Menstruation is an expected secondary sex
trigger further assessment characteristic that occurs with pubescence and
by the typically occurs between the ages of 10 to 17, so the
nurse? fact the client is 18 years old and has not experience
menarche, should prompt further
investigation to determine the cause of this primary amenorrhea.
Stop the infusion immediately and notify the healthcare provider.
During administration of a
blood
transfusion, a child complains Rationale:
of chills, headache, and The child is exhibiting signs of a reaction to the blood transfusion.
The blood
nausea. Which action
transfusion should be stopped immediately and the healthcare
should the nurse implement?
provider notified.
/ 3/57
, 10/5/25, 9:17 PM PEDS HESI practice test questions
"Are you experiencing any type of nervousness?"
The nurse is assessing a
Rationale:
13-year-old girl with Assessing the client's psychophysiologic state upon
suspected admission is a priority, and nervousness, apprehension,
hyperthyroidism. Which hyperexcitability, and palpitations are signs of
question is most important hyperthyroidism. Weight loss (even with a hearty appetite) occurs
in those with
for the nurse to ask her
hyperthyroidism, but assessing the client's neurological state has a
during the admission higher priority.
interview?
Assess the child's respiratory status.
A child is rescued from a
burning house
and brought to the Rationale:
emergency room with Assessing the airway and the respiratory status is the
partial-thickness burns highest priority since burns to the face and chest place
on the face and chest. the child at risk for smoke inhalation injury and
compromised airway.
Which action should the
nurse
implemented first?
Encourage the mother to have the children visit the hospitalized
sibling.
The mother of a 4-year-old
child asks the nurse what Rationale:
she can do to help her other Siblings of a sick child will often be scared, concerned or
children cope with their confused. Needs of a
sibling will be better met with factual information and
sibling's repeated
contact with the ill child, so sibling visitation should be
hospitalizations. Which is the
encouraged. Children may have difficulty expressing
best response that the
concerns, so the support of parents and other
nurse should offer?
caregivers are needed to help
alleviate their fears.
Engage the child through drawing pictures.
The nurse is having difficulty
communicating with a Rationale:
hospitalized 6-year- old Drawing pictures is a valuable form of non-verbal
child. Which approach by communication. It is easier for a child to express their
the nurse is most helpful emotions and feelings through the process of drawing
in establishing than to
communication? express it verbally. As the nurse and child look at the
/ 4/57
