HESI RN PEDIATRICS V1 EXAM 2026 FINAL
PAPER
◉ A 6-month-old infant with congestive heart failure (CHF) is
receiving digoxin elixir. Which observation by the nurse warrants
immediate intervention?
A. Apical heart rate of 60.
B. Sweating across the forehead.
C. Doesn't suck well.
D. Respiratory rate of 30 breaths per minute. Answer: A. Apical heart
rate of 60.
◉ At 8 a.m. the unlicensed assistive personnel (UAP) informs the
charge nurse that a female adolescent client with acute
glomerulonephritis has a blood pressure of 210/110. The 4 a.m.
blood pressure 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?
A. Give the client her 9 a.m. prescription for an oral diuretic early.
B. Administer PRN prescription of nifedipine (Procardia)
sublingually.
C. Notify the healthcare provider and inform the nursing supervisor
of the client's condition.
,D. Attempt to calm the client and retake the blood pressure in thirty
minutes. Answer: B. Administer PRN prescription of nifedipine
(Procardia) sublingually.
◉ A premature newborn girl, born 24 hours ago, is diagnosed with a
patent ductus arteriosus (PDA) and placed under an oxygen hood at
35%. The parents visit the nursery and ask to hold her. Which
response should the nurse provide to the parents?
A. "Studies have shown that handling a sick newborn is not good for
the baby and upsets the parents."
B. "The oxygen hood is holding the baby's oxygen level just at the
point which is needed. You may stroke and talk to her."
C. "Since your baby has been doing well under oxygen for 24 hours, I
can let you hold the baby without oxygen."
D. "You can hold the baby with the oxygen blowing in the baby's face
since the level is very close to room air." Answer: B. "The oxygen
hood is holding the baby's oxygen level just at the point which is
needed. You may stroke and talk to her."
◉ The nurse is developing a plan of care for a 3-year-old who is
scheduled for a cardiac catheterization. To assist in decreasing
anxiety for the child on the day of the procedure, which intervention
is best for the nurse to implement?
A. Reassure the parents that 3-year-olds are cooperative and
therefore are less likely to be anxious.
, B. Obtain a video film of a cardiac catheterization to show to the
child prior to the procedure.
C. Give the child a ride on a gurney to visit the cardiac
catheterization lab and meet a nurse who works there.
D. Obtain a cardiac catheter and demonstrate the procedure by
pretending to put the catheter in a doll or stuffed animal. Answer: C.
Give the child a ride on a gurney to visit the cardiac catheterization
lab and meet a nurse who works there.
◉ When taking the health history of a child, the nurse knows that
which finding is an early indication of hypothyroidism in children?
A. Hyperactive behavioral traits.
B. Delay in the eruption of permanent teeth.
C. Slow sexual development, but within normal range.
D. Cessation of growth in a child that had been normal. Answer: D.
Cessation of growth in a child that had been normal.
◉ The nurse is teaching a 12-year-old male adolescent and his
family about taking injections of growth hormone for idiopathic
hypopituitarism. Which adverse symptoms, commonly associated
with growth hormone therapy, should the nurse plan to describe to
the child and his family?
A. Polyuria and polydipsia.
B. Lethargy and fatigue.
C. Increased facial hair.
PAPER
◉ A 6-month-old infant with congestive heart failure (CHF) is
receiving digoxin elixir. Which observation by the nurse warrants
immediate intervention?
A. Apical heart rate of 60.
B. Sweating across the forehead.
C. Doesn't suck well.
D. Respiratory rate of 30 breaths per minute. Answer: A. Apical heart
rate of 60.
◉ At 8 a.m. the unlicensed assistive personnel (UAP) informs the
charge nurse that a female adolescent client with acute
glomerulonephritis has a blood pressure of 210/110. The 4 a.m.
blood pressure 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?
A. Give the client her 9 a.m. prescription for an oral diuretic early.
B. Administer PRN prescription of nifedipine (Procardia)
sublingually.
C. Notify the healthcare provider and inform the nursing supervisor
of the client's condition.
,D. Attempt to calm the client and retake the blood pressure in thirty
minutes. Answer: B. Administer PRN prescription of nifedipine
(Procardia) sublingually.
◉ A premature newborn girl, born 24 hours ago, is diagnosed with a
patent ductus arteriosus (PDA) and placed under an oxygen hood at
35%. The parents visit the nursery and ask to hold her. Which
response should the nurse provide to the parents?
A. "Studies have shown that handling a sick newborn is not good for
the baby and upsets the parents."
B. "The oxygen hood is holding the baby's oxygen level just at the
point which is needed. You may stroke and talk to her."
C. "Since your baby has been doing well under oxygen for 24 hours, I
can let you hold the baby without oxygen."
D. "You can hold the baby with the oxygen blowing in the baby's face
since the level is very close to room air." Answer: B. "The oxygen
hood is holding the baby's oxygen level just at the point which is
needed. You may stroke and talk to her."
◉ The nurse is developing a plan of care for a 3-year-old who is
scheduled for a cardiac catheterization. To assist in decreasing
anxiety for the child on the day of the procedure, which intervention
is best for the nurse to implement?
A. Reassure the parents that 3-year-olds are cooperative and
therefore are less likely to be anxious.
, B. Obtain a video film of a cardiac catheterization to show to the
child prior to the procedure.
C. Give the child a ride on a gurney to visit the cardiac
catheterization lab and meet a nurse who works there.
D. Obtain a cardiac catheter and demonstrate the procedure by
pretending to put the catheter in a doll or stuffed animal. Answer: C.
Give the child a ride on a gurney to visit the cardiac catheterization
lab and meet a nurse who works there.
◉ When taking the health history of a child, the nurse knows that
which finding is an early indication of hypothyroidism in children?
A. Hyperactive behavioral traits.
B. Delay in the eruption of permanent teeth.
C. Slow sexual development, but within normal range.
D. Cessation of growth in a child that had been normal. Answer: D.
Cessation of growth in a child that had been normal.
◉ The nurse is teaching a 12-year-old male adolescent and his
family about taking injections of growth hormone for idiopathic
hypopituitarism. Which adverse symptoms, commonly associated
with growth hormone therapy, should the nurse plan to describe to
the child and his family?
A. Polyuria and polydipsia.
B. Lethargy and fatigue.
C. Increased facial hair.
