Hesi Pediatric Practice Exam 2025/2026
QUESTIONS WITH COMPLETED & VERIFIED
SOLUTIONS.
Contains 80 Questions And Answers
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, runny nose, or any ear pain lately
,4. Which restraint should be used for a toddler after a cleft palate repair?
Answer 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 child?
Answer 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/ Downs? Answer Con- genital 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
retrac- tions during
Answer 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
,Answer 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 exhibited?
Answer Choking , coughing, and cyanosis
, Hesi Pediatric Practice Exam
(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 exhibit? Answer Display
possessiveness 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 question? Answer Do not give if 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 child? Answer Demonstrates aggressiveness by
boasting 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 calculated as a larger % of total body surface than an adult?
Answer Head and neck
(a child's head and neck are proportionately larger to their body than an adult's)
15. The nurse receives a lab report stating a child w/ asthma has a
theophylline level of 15mcg/dL. What action will the nurse take? Answer Pass
QUESTIONS WITH COMPLETED & VERIFIED
SOLUTIONS.
Contains 80 Questions And Answers
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, runny nose, or any ear pain lately
,4. Which restraint should be used for a toddler after a cleft palate repair?
Answer 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 child?
Answer 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/ Downs? Answer Con- genital 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
retrac- tions during
Answer 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
,Answer 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 exhibited?
Answer Choking , coughing, and cyanosis
, Hesi Pediatric Practice Exam
(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 exhibit? Answer Display
possessiveness 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 question? Answer Do not give if 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 child? Answer Demonstrates aggressiveness by
boasting 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 calculated as a larger % of total body surface than an adult?
Answer Head and neck
(a child's head and neck are proportionately larger to their body than an adult's)
15. The nurse receives a lab report stating a child w/ asthma has a
theophylline level of 15mcg/dL. What action will the nurse take? Answer Pass
