HESI RN Pediatrics
Exam – 2025 Real
Exam Q&A | 100%
Correct Verified
Answers
Section 1: Safety & Injury Prevention (Questions 1–
25)
1. A parent asks how to prevent choking in a 9-month-old. What is the
nurse’s best response? A. Offer whole grapes and popcorn B. Cut food into
pieces no larger than ½ inch C. Allow teething biscuits only D. Supervise
during bottle propping Correct Answer: B. Cut food into pieces no larger
than ½ inch Rationale: Infants <1 year have immature swallowing; foods
must be <½ inch to prevent aspiration per AAP 2025 Safe Sleep & Choking
Guidelines.
2. Which car seat is appropriate for a 15-month-old, 28 lb child? A.
Forward-facing with 5-point harness B. Rear-facing convertible seat C.
Booster seat with lap belt D. Seat belt only Correct Answer: B. Rear-
facing convertible seat Rationale: Rear-facing until at least age 2 or max
height/weight of seat per AAP 2025 Car Seat Policy.
3. A 3-year-old is found with an open bottle of acetaminophen. What is the
priority action? A. Induce vomiting with ipecac B. Call Poison Control
immediately C. Give activated charcoal D. Wait and observe for symptoms
Correct Answer: B. Call Poison Control immediately Rationale:
, Acetaminophen overdose requires N-acetylcysteine; Poison Help (1-800-
222-1222) guides management per AAP 2025.
4. Which toy is unsafe for a 6-month-old infant? A. Soft rattle B. Small
rubber ball (1 inch diameter) C. Large stuffed animal D. Board book
Correct Answer: B. Small rubber ball (1 inch diameter) Rationale:
Objects <1.75 inches pose choking risk; avoid until age 3 per CPSC 2025.
5. A parent of a 2-year-old asks about drowning prevention. Best
teaching? A. “Swimming lessons eliminate risk” B. “Touch supervision
within arm’s reach” C. “Pool alarms are sufficient” D. “Life jacket only
during boating” Correct Answer: B. “Touch supervision within arm’s
reach” Rationale: Drowning is leading cause of death age 1–4; constant
touch supervision required per AAP 2025.
6. Which statement by a parent of a 4-year-old indicates need for further
teaching about bicycle safety? A. “My child wears a helmet every ride” B.
“We ride only on sidewalks” C. “The helmet fits snugly with chin strap” D.
“My child rides a bike with training wheels on the street” Correct Answer:
D. “My child rides a bike with training wheels on the street” Rationale:
Children <10 lack traffic judgment; ride only in safe areas per AAP 2025.
7. A 7-month-old is starting solids. Which food should be avoided to
prevent botulism? A. Mashed bananas B. Honey C. Pureed carrots D. Rice
cereal Correct Answer: B. Honey Rationale: Honey may contain C.
botulinum spores; contraindicated <12 months per CDC 2025.
8. What is the most appropriate sleep position for a healthy 3-month-old?
A. Prone on firm mattress B. Supine on firm mattress C. Side-lying with
pillow D. Prone in parent’s bed Correct Answer: B. Supine on firm
mattress Rationale: Back to Sleep reduces SIDS risk by 50% per AAP
2025 Safe Sleep Recommendations.
9. A 5-year-old swallowed a button battery. Priority intervention? A.
Observe for passage in stool B. Immediate endoscopic removal C. Give
honey to coat esophagus D. Administer activated charcoal Correct Answer:
B. Immediate endoscopic removal Rationale: Button batteries cause
esophageal necrosis within 2 hours; emergent removal per NASPGHAN
2025.
10.Which is the leading cause of fatal injury in children aged 1–4 years? A.
Motor vehicle crashes B. Drowning C. Burns D. Falls Correct Answer: B.
Drowning Rationale: Drowning accounts for 35% of injury deaths in
toddlers per CDC 2025 Injury Facts.
11.A parent asks when to transition a child from crib to bed. Best
response? A. At 12 months B. When climbing out of crib (35 inches tall) C.
At 2 years old D. When potty trained Correct Answer: B. When climbing
Exam – 2025 Real
Exam Q&A | 100%
Correct Verified
Answers
Section 1: Safety & Injury Prevention (Questions 1–
25)
1. A parent asks how to prevent choking in a 9-month-old. What is the
nurse’s best response? A. Offer whole grapes and popcorn B. Cut food into
pieces no larger than ½ inch C. Allow teething biscuits only D. Supervise
during bottle propping Correct Answer: B. Cut food into pieces no larger
than ½ inch Rationale: Infants <1 year have immature swallowing; foods
must be <½ inch to prevent aspiration per AAP 2025 Safe Sleep & Choking
Guidelines.
2. Which car seat is appropriate for a 15-month-old, 28 lb child? A.
Forward-facing with 5-point harness B. Rear-facing convertible seat C.
Booster seat with lap belt D. Seat belt only Correct Answer: B. Rear-
facing convertible seat Rationale: Rear-facing until at least age 2 or max
height/weight of seat per AAP 2025 Car Seat Policy.
3. A 3-year-old is found with an open bottle of acetaminophen. What is the
priority action? A. Induce vomiting with ipecac B. Call Poison Control
immediately C. Give activated charcoal D. Wait and observe for symptoms
Correct Answer: B. Call Poison Control immediately Rationale:
, Acetaminophen overdose requires N-acetylcysteine; Poison Help (1-800-
222-1222) guides management per AAP 2025.
4. Which toy is unsafe for a 6-month-old infant? A. Soft rattle B. Small
rubber ball (1 inch diameter) C. Large stuffed animal D. Board book
Correct Answer: B. Small rubber ball (1 inch diameter) Rationale:
Objects <1.75 inches pose choking risk; avoid until age 3 per CPSC 2025.
5. A parent of a 2-year-old asks about drowning prevention. Best
teaching? A. “Swimming lessons eliminate risk” B. “Touch supervision
within arm’s reach” C. “Pool alarms are sufficient” D. “Life jacket only
during boating” Correct Answer: B. “Touch supervision within arm’s
reach” Rationale: Drowning is leading cause of death age 1–4; constant
touch supervision required per AAP 2025.
6. Which statement by a parent of a 4-year-old indicates need for further
teaching about bicycle safety? A. “My child wears a helmet every ride” B.
“We ride only on sidewalks” C. “The helmet fits snugly with chin strap” D.
“My child rides a bike with training wheels on the street” Correct Answer:
D. “My child rides a bike with training wheels on the street” Rationale:
Children <10 lack traffic judgment; ride only in safe areas per AAP 2025.
7. A 7-month-old is starting solids. Which food should be avoided to
prevent botulism? A. Mashed bananas B. Honey C. Pureed carrots D. Rice
cereal Correct Answer: B. Honey Rationale: Honey may contain C.
botulinum spores; contraindicated <12 months per CDC 2025.
8. What is the most appropriate sleep position for a healthy 3-month-old?
A. Prone on firm mattress B. Supine on firm mattress C. Side-lying with
pillow D. Prone in parent’s bed Correct Answer: B. Supine on firm
mattress Rationale: Back to Sleep reduces SIDS risk by 50% per AAP
2025 Safe Sleep Recommendations.
9. A 5-year-old swallowed a button battery. Priority intervention? A.
Observe for passage in stool B. Immediate endoscopic removal C. Give
honey to coat esophagus D. Administer activated charcoal Correct Answer:
B. Immediate endoscopic removal Rationale: Button batteries cause
esophageal necrosis within 2 hours; emergent removal per NASPGHAN
2025.
10.Which is the leading cause of fatal injury in children aged 1–4 years? A.
Motor vehicle crashes B. Drowning C. Burns D. Falls Correct Answer: B.
Drowning Rationale: Drowning accounts for 35% of injury deaths in
toddlers per CDC 2025 Injury Facts.
11.A parent asks when to transition a child from crib to bed. Best
response? A. At 12 months B. When climbing out of crib (35 inches tall) C.
At 2 years old D. When potty trained Correct Answer: B. When climbing
