Test Bank
HESI PEDIATRIC NURSING NGN PRACTICE EXAM
Questions — Clinical Judgment + Case-Based + Prioritization
🧠 1–10: Pediatric Safety & Growth/Development
1.
A 2-year-old is admitted with dehydration. What is the priority assessment?
A. Skin turgor and mucous membranes
B. Height
C. Vision screening
D. Reflexes
Answer: A
2.
Which finding is normal in a 6-month-old infant?
A. Walking independently
B. Sitting without support
C. Speaking sentences
D. Riding a bike
Answer: B
3.
A nurse is teaching a parent about choking risk. Which food is unsafe for toddlers?
A. Soft bananas
B. Hot dogs sliced lengthwise
,C. Applesauce
D. Mashed potatoes
Answer: B
4.
Which immunization reaction requires immediate attention?
A. Mild fever
B. Redness at injection site
C. Difficulty breathing
D. Mild swelling
Answer: C
5.
A child is admitted with suspected epiglottitis. What is priority?
A. Throat culture
B. Airway management
C. Oral medication
D. Fluids only
Answer: B
6.
Which toy is appropriate for a 10-month-old infant?
A. Small beads
B. Rattle
C. Marbles
D. Coins
Answer: B
7.
A toddler is hospitalized. Best nursing action to reduce anxiety?
A. Separate from parents
B. Allow parent presence
C. Use restraints
D. Limit communication
Answer: B
8.
Which sign indicates respiratory distress in a child?
A. Quiet breathing
,B. Nasal flaring
C. Normal color
D. Sleeping
Answer: B
9.
Which pediatric patient is priority?
A. Mild fever
B. Stridor and drooling
C. Ear infection
D. Rash
Answer: B
10.
A child with asthma is wheezing. First action?
A. Encourage fluids
B. Administer bronchodilator
C. Wait
D. Document
Answer: B
🧠 11–25: Pediatric Respiratory & Cardiac Conditions
11.
Which indicates worsening asthma?
A. Decreased wheezing
B. Silent chest
C. Normal breathing
D. Calm child
Answer: B
12.
A child has RSV. Priority intervention?
A. Contact isolation
B. Airborne isolation
C. No precautions
D. Sterile isolation
Answer: A
, 13.
Which symptom indicates dehydration in infants?
A. Bulging fontanel
B. Sunken fontanel
C. Moist skin
D. Tears present
Answer: B
14.
A child with heart failure shows:
A. Weight loss
B. Tachycardia and fatigue
C. Increased appetite
D. High energy
Answer: B
15.
Best position for respiratory distress child?
A. Flat
B. High Fowler’s
C. Prone
D. Supine
Answer: B
16.
Which is an emergency sign in pediatrics?
A. Crying
B. Bradycardia
C. Playfulness
D. Hunger
Answer: B
17.
A child has croup. Expect:
A. Barking cough
B. Chest pain
C. Rash
D. Vomiting
Answer: A
HESI PEDIATRIC NURSING NGN PRACTICE EXAM
Questions — Clinical Judgment + Case-Based + Prioritization
🧠 1–10: Pediatric Safety & Growth/Development
1.
A 2-year-old is admitted with dehydration. What is the priority assessment?
A. Skin turgor and mucous membranes
B. Height
C. Vision screening
D. Reflexes
Answer: A
2.
Which finding is normal in a 6-month-old infant?
A. Walking independently
B. Sitting without support
C. Speaking sentences
D. Riding a bike
Answer: B
3.
A nurse is teaching a parent about choking risk. Which food is unsafe for toddlers?
A. Soft bananas
B. Hot dogs sliced lengthwise
,C. Applesauce
D. Mashed potatoes
Answer: B
4.
Which immunization reaction requires immediate attention?
A. Mild fever
B. Redness at injection site
C. Difficulty breathing
D. Mild swelling
Answer: C
5.
A child is admitted with suspected epiglottitis. What is priority?
A. Throat culture
B. Airway management
C. Oral medication
D. Fluids only
Answer: B
6.
Which toy is appropriate for a 10-month-old infant?
A. Small beads
B. Rattle
C. Marbles
D. Coins
Answer: B
7.
A toddler is hospitalized. Best nursing action to reduce anxiety?
A. Separate from parents
B. Allow parent presence
C. Use restraints
D. Limit communication
Answer: B
8.
Which sign indicates respiratory distress in a child?
A. Quiet breathing
,B. Nasal flaring
C. Normal color
D. Sleeping
Answer: B
9.
Which pediatric patient is priority?
A. Mild fever
B. Stridor and drooling
C. Ear infection
D. Rash
Answer: B
10.
A child with asthma is wheezing. First action?
A. Encourage fluids
B. Administer bronchodilator
C. Wait
D. Document
Answer: B
🧠 11–25: Pediatric Respiratory & Cardiac Conditions
11.
Which indicates worsening asthma?
A. Decreased wheezing
B. Silent chest
C. Normal breathing
D. Calm child
Answer: B
12.
A child has RSV. Priority intervention?
A. Contact isolation
B. Airborne isolation
C. No precautions
D. Sterile isolation
Answer: A
, 13.
Which symptom indicates dehydration in infants?
A. Bulging fontanel
B. Sunken fontanel
C. Moist skin
D. Tears present
Answer: B
14.
A child with heart failure shows:
A. Weight loss
B. Tachycardia and fatigue
C. Increased appetite
D. High energy
Answer: B
15.
Best position for respiratory distress child?
A. Flat
B. High Fowler’s
C. Prone
D. Supine
Answer: B
16.
Which is an emergency sign in pediatrics?
A. Crying
B. Bradycardia
C. Playfulness
D. Hunger
Answer: B
17.
A child has croup. Expect:
A. Barking cough
B. Chest pain
C. Rash
D. Vomiting
Answer: A
