HESI PEDIATRICS – HIGH-YIELD
PRACTICE EXAM (ORIGINAL)
(Exam-Level Questions + Answers + Rationales)
🔹 RESPIRATORY DISORDERS
1. A child with asthma is wheezing and using accessory muscles. First action?
A. Give antibiotics
B. Administer bronchodilator
C. Encourage fluids
D. Place in supine position
✔ Answer: B
✔ Rationale: Bronchodilators open airways immediately.
2. Which finding indicates respiratory distress in a child?
A. Pink skin
,B. Nasal flaring
C. Normal speech
D. Active play
✔ Answer: B
3. Priority position for respiratory distress:
A. Supine
B. High Fowler’s
C. Trendelenburg
D. Prone
✔ Answer: B
🔹 GROWTH & DEVELOPMENT
4. A 2-year-old should be able to:
A. Skip
B. Ride bike
C. Stack blocks
D. Write sentences
✔ Answer: C
5. Erikson stage for preschool child:
A. Trust vs mistrust
B. Initiative vs guilt
C. Identity vs role confusion
D. Integrity vs despair
✔ Answer: B
🔹 FLUID & ELECTROLYTES
6. First sign of dehydration in infants:
A. Sunken fontanel
B. Decreased tears
C. Fever
D. Rash
✔ Answer: B
, 7. Best indicator of hydration status:
A. Skin color
B. Urine output
C. Temperature
D. Mood
✔ Answer: B
🔹 INFECTION CONTROL
8. Child with chickenpox requires:
A. Contact isolation
B. Airborne + contact precautions
C. Standard precautions only
D. Droplet only
✔ Answer: B
9. Best hand hygiene method for C. diff:
A. Alcohol sanitizer
B. Soap and water
C. Wipes only
D. No cleaning needed
✔ Answer: B
🔹 CARDIAC CONDITIONS
10. Tetralogy of Fallot “tet spell” treatment:
A. Lay flat
B. Knee-chest position
C. Restrict oxygen
D. Increase activity
✔ Answer: B
🔹 NEUROLOGICAL DISORDERS