HESI Pediatric (PEDS) RN Exit Exam
� HESI Pediatric (PEDS) RN Exit Exam
⭐ Versions 1 & 2 — Redesigned Study Edition ⭐
📅 Spring 2026 | Compiled with Correct Answers
📖 HOW TO USE THIS GUIDE: V1 uses multiple-choice format with highlighted correct
answer(s). V2 uses short-answer/fill-in format with the answer displayed directly.
Questions marked with a note contain clarifications where answers are debated.
📘 VERSION 1 — Multiple Choice (55 Questions)
Q1
The nurse is assessing a 9-year-old boy admitted with possible acute post streptococcal
glomerulonephritis (APSGN). In obtaining his history, what information is most
significant?
✔ A sore throat last week
B. A history of hypertension
C. Diuresis during the night
D. Back pain for a few days
ANSWER A. A sore throat last week
Q2
The nurse is measuring the frontal occipital circumference (FOC) of a 3-month-old
infant, and notes that the FOC has increased 5 inches (12.7cm) since birth and the child's
head appears large in relation to body size. Which action is most important for the
nurse to take next?
A. Plot the measurement on the infant's growth chart
B. Observe the infant for sunset eyes
,HESI Pediatric (PEDS) RN Exit Exam
C. Measure the infant's head-to-heel length
✔ Palpate the anterior fontanel for tension and bulging
ANSWER D. Palpate the anterior fontanel for tension and bulging
Q3
A female infant recently admitted with vomiting and diarrhea now weighs 10 kg. Her
weight at a previous well-baby visit was 11 kg. What is the percentage of body weight
loss for this infant?
A. 4%
✔ 9%
C. 10%
D. 5%
ANSWER B. 9%
Q4
A male high school student with Type 1 diabetes tests his blood glucose level before
playing a game of soccer, and he obtains a reading of 180 mg/dL (10 mmol/L). Based on
this reading, which action should the nurse take?
✔ Tell him to eat a sandwich and fruit before beginning the game
B. Check his urine for ketones
C. Give him permission to go ahead and play soccer
D. Call the healthcare provider
ANSWER A. Tell him to eat a sandwich and fruit before beginning the game
Q5
A 7-year-old child is admitted to the hospital with a diagnosis of acute rheumatic fever.
In obtaining a health history from the child's mother, the recent occurrence of which
illness is most significant?
✔ Sore throat
B. Chickenpox
, HESI Pediatric (PEDS) RN Exit Exam
C. Mumps
D. Influenza
ANSWER A. Sore throat
Q6
A mother brings her 2-month-old son to the clinic for a well-baby exam. During the
assessment the nurse finds that the right testicle is not descended into the scrotum but
the left is palpable. Which action should the nurse take?
A. Prepare to obtain a catheterized urine specimen for culture
B. Address possible concerns about the child's future fertility
✔ Ask if the right testis has been seen in the scrotum before
D. Schedule an IV pyelogram to validate presence of testicle
ANSWER C. Ask if the right testis has been seen in the scrotum before
Q7
The nurse is assessing a 6-month-old infant. Which response requires further evaluation
by the nurse?
A. Has doubled birth weight
B. Turns head to locate sound
C. Plays peek-a-boo
✔ Demonstrates startle reflex
ANSWER D. Demonstrates startle reflex
Q8
A 4-year-old girl returns to the pediatrician's office for a postoperative visit following
hospitalization for minor surgery. When observing the child in the waiting area, which
behavior should the nurse consider normal for this age child?
A. Ignores other children in the play area
B. Draws picture of self with facial features
✔ Talks to an imaginary friend
� HESI Pediatric (PEDS) RN Exit Exam
⭐ Versions 1 & 2 — Redesigned Study Edition ⭐
📅 Spring 2026 | Compiled with Correct Answers
📖 HOW TO USE THIS GUIDE: V1 uses multiple-choice format with highlighted correct
answer(s). V2 uses short-answer/fill-in format with the answer displayed directly.
Questions marked with a note contain clarifications where answers are debated.
📘 VERSION 1 — Multiple Choice (55 Questions)
Q1
The nurse is assessing a 9-year-old boy admitted with possible acute post streptococcal
glomerulonephritis (APSGN). In obtaining his history, what information is most
significant?
✔ A sore throat last week
B. A history of hypertension
C. Diuresis during the night
D. Back pain for a few days
ANSWER A. A sore throat last week
Q2
The nurse is measuring the frontal occipital circumference (FOC) of a 3-month-old
infant, and notes that the FOC has increased 5 inches (12.7cm) since birth and the child's
head appears large in relation to body size. Which action is most important for the
nurse to take next?
A. Plot the measurement on the infant's growth chart
B. Observe the infant for sunset eyes
,HESI Pediatric (PEDS) RN Exit Exam
C. Measure the infant's head-to-heel length
✔ Palpate the anterior fontanel for tension and bulging
ANSWER D. Palpate the anterior fontanel for tension and bulging
Q3
A female infant recently admitted with vomiting and diarrhea now weighs 10 kg. Her
weight at a previous well-baby visit was 11 kg. What is the percentage of body weight
loss for this infant?
A. 4%
✔ 9%
C. 10%
D. 5%
ANSWER B. 9%
Q4
A male high school student with Type 1 diabetes tests his blood glucose level before
playing a game of soccer, and he obtains a reading of 180 mg/dL (10 mmol/L). Based on
this reading, which action should the nurse take?
✔ Tell him to eat a sandwich and fruit before beginning the game
B. Check his urine for ketones
C. Give him permission to go ahead and play soccer
D. Call the healthcare provider
ANSWER A. Tell him to eat a sandwich and fruit before beginning the game
Q5
A 7-year-old child is admitted to the hospital with a diagnosis of acute rheumatic fever.
In obtaining a health history from the child's mother, the recent occurrence of which
illness is most significant?
✔ Sore throat
B. Chickenpox
, HESI Pediatric (PEDS) RN Exit Exam
C. Mumps
D. Influenza
ANSWER A. Sore throat
Q6
A mother brings her 2-month-old son to the clinic for a well-baby exam. During the
assessment the nurse finds that the right testicle is not descended into the scrotum but
the left is palpable. Which action should the nurse take?
A. Prepare to obtain a catheterized urine specimen for culture
B. Address possible concerns about the child's future fertility
✔ Ask if the right testis has been seen in the scrotum before
D. Schedule an IV pyelogram to validate presence of testicle
ANSWER C. Ask if the right testis has been seen in the scrotum before
Q7
The nurse is assessing a 6-month-old infant. Which response requires further evaluation
by the nurse?
A. Has doubled birth weight
B. Turns head to locate sound
C. Plays peek-a-boo
✔ Demonstrates startle reflex
ANSWER D. Demonstrates startle reflex
Q8
A 4-year-old girl returns to the pediatrician's office for a postoperative visit following
hospitalization for minor surgery. When observing the child in the waiting area, which
behavior should the nurse consider normal for this age child?
A. Ignores other children in the play area
B. Draws picture of self with facial features
✔ Talks to an imaginary friend
