HESI Pediatrics Exam Study
Guide – Practice Questions
with Verified Answers. GRADED
A+. Latest 2026/2027 Update
When does birth length double? - Answer✔✔-By 4 years
When does the child sit unsupported? - Answer✔✔-8 months
When does a child achieve 50% of adult height? - Answer✔✔-2 years
When does a child throw a ball overhand? - Answer✔✔-18 months
When does a child speak 2-3 word sentences? - Answer✔✔-2 Yeears
Age groups concepts of bodily injury - Answer✔✔-Infants: After 6 months,
their cognitive development allows them to remember pain.
Toddlers: Fear intrusive procedures.
Preschoolers: Fear body mutilation.
School age: Fear loss of control of their body.
Adolescent: Major concern is change in body image.
,Following immunization, what teaching should the nurse provide to the
parents? - Answer✔✔-Irritability, fever (<102 degrees F), redness and soreness
at injection site for 2-3days are normal side effects of DPT and IPV
administration.Call healthcare provider if seizures, high fever, or high -pitched
crying occur.A warm washcloth on the thigh injection site and "bicycling" the
legs w/each diaper change will decrease soreness.Acetaminophen (Tylenol) is
administered orally every 4-6 hours (10-15 mg/Kg)
Hgb norms - Answer✔✔-Newborn: 14 to 24 g/dl
Infant: 10 to 15 g/dl
Child: 11 to 16 g/dl
Autosomal recessive - Answer✔✔-Both parents must be heterozygous, or
carriers of the recessive trait, for the disease to be expressed in their offspring.
With each pregnancy, there is a 1:4 chance of the infant having the disease.
However, all children of such parents CAN get the disease - NOT 25% of them.
A child with leukemia is being discharged after beginning chemotherapy. Which
of the following instructions will the nurse include when teaching the parents
of this child?
a)provide a diet low in protein and high carbohydrates
b) avoid fresh vegetables that are not cooked or peeled
c) notify the doctor if the child's temperature exceeds 101 F (39C)
d) increase the use of humidifiers throughout the house - Answer✔✔-Answer
B
fresh fruits and vegetables harbor microorganisms, which can cause infections
in immune-compromised child. Fruits and vegetables should either be peeled
or cooked. The physician should be notified of a temperature above 100F, a
,diet low in protein is not indicated, and humidifiers harbor fungi in the water
containers.
A client with hemophilia has a very swollen knee after falling from
bicycleriding. Which of the following is the first nursing action?
a)initiate an IV site to begin administration of cryoprecipitate
b) type and cross-match for possible transfusion
c) monitor the client's vital signs for the first 5 minutes
d) apply ice pack and compression dressings to the knee - Answer✔✔-Answer
D
rest, ice, compression, and elevation (RICE)are the immediate treatments to
reduce the swelling and bleeding into the joint. These are the priority actions
for bleeding into the joint of a client with hemophilia
A client and her husband are positive for the sickle cell trait. The client asks the
nurse about chances of her children having sickle cell disease. Which of the
following is appropriate response by the nurse?
a)one of her children will have sickle cell disease
b) only the male children will be affected
c) each pregnancy carries a 25% chance of the child being affected
d) if she had four children, one of them would have the disease - Answer✔✔-
Answer C
In autosomal recessive traits, both parents are carriers. There is a 25% chance
with each pregnancy that a child will have the disease.
, An 8 year old child has been diagnosed to have iron deficiency anemia. Which
ofthe following activities is most appropriate for the child to decrease oxygen
demands on the body?
a)Dancing
b) playing video games
c) reading a book
d) riding a bicycle - Answer✔✔-Answer C
reading a book is restful activity and can keep the child from becoming bored.
Choices a, b, and d require too much energy for a child with anemia and can
increase oxygen demands on the body.
A 16 month old child diagnosed with Kawasaki Disease (KD) is very
irritable,refuses to eat, and exhibits peeling skin on the hands and feet. Which
of the following would the nurse interpret as the priority?
a)applying lotions to the hands and feet
b) offering foods the toddler likes
c) placing the toddler in a quiet environment
d) encouraging the parents to get some rest - Answer✔✔-Answer C
One of the characteristics of children with KD is irritability. They are often
inconsolable.Placing the child in a quiet environment may help quiet the child
and reduce the workload of the heart. The child's irritability takes priority over
peeling of the skin.
A newborn's failure to pass meconium within the first 24 hours after birth may
indicate which of the following?
a.Hirschsprung disease
b. Celiac disease
c. Intussusception
Guide – Practice Questions
with Verified Answers. GRADED
A+. Latest 2026/2027 Update
When does birth length double? - Answer✔✔-By 4 years
When does the child sit unsupported? - Answer✔✔-8 months
When does a child achieve 50% of adult height? - Answer✔✔-2 years
When does a child throw a ball overhand? - Answer✔✔-18 months
When does a child speak 2-3 word sentences? - Answer✔✔-2 Yeears
Age groups concepts of bodily injury - Answer✔✔-Infants: After 6 months,
their cognitive development allows them to remember pain.
Toddlers: Fear intrusive procedures.
Preschoolers: Fear body mutilation.
School age: Fear loss of control of their body.
Adolescent: Major concern is change in body image.
,Following immunization, what teaching should the nurse provide to the
parents? - Answer✔✔-Irritability, fever (<102 degrees F), redness and soreness
at injection site for 2-3days are normal side effects of DPT and IPV
administration.Call healthcare provider if seizures, high fever, or high -pitched
crying occur.A warm washcloth on the thigh injection site and "bicycling" the
legs w/each diaper change will decrease soreness.Acetaminophen (Tylenol) is
administered orally every 4-6 hours (10-15 mg/Kg)
Hgb norms - Answer✔✔-Newborn: 14 to 24 g/dl
Infant: 10 to 15 g/dl
Child: 11 to 16 g/dl
Autosomal recessive - Answer✔✔-Both parents must be heterozygous, or
carriers of the recessive trait, for the disease to be expressed in their offspring.
With each pregnancy, there is a 1:4 chance of the infant having the disease.
However, all children of such parents CAN get the disease - NOT 25% of them.
A child with leukemia is being discharged after beginning chemotherapy. Which
of the following instructions will the nurse include when teaching the parents
of this child?
a)provide a diet low in protein and high carbohydrates
b) avoid fresh vegetables that are not cooked or peeled
c) notify the doctor if the child's temperature exceeds 101 F (39C)
d) increase the use of humidifiers throughout the house - Answer✔✔-Answer
B
fresh fruits and vegetables harbor microorganisms, which can cause infections
in immune-compromised child. Fruits and vegetables should either be peeled
or cooked. The physician should be notified of a temperature above 100F, a
,diet low in protein is not indicated, and humidifiers harbor fungi in the water
containers.
A client with hemophilia has a very swollen knee after falling from
bicycleriding. Which of the following is the first nursing action?
a)initiate an IV site to begin administration of cryoprecipitate
b) type and cross-match for possible transfusion
c) monitor the client's vital signs for the first 5 minutes
d) apply ice pack and compression dressings to the knee - Answer✔✔-Answer
D
rest, ice, compression, and elevation (RICE)are the immediate treatments to
reduce the swelling and bleeding into the joint. These are the priority actions
for bleeding into the joint of a client with hemophilia
A client and her husband are positive for the sickle cell trait. The client asks the
nurse about chances of her children having sickle cell disease. Which of the
following is appropriate response by the nurse?
a)one of her children will have sickle cell disease
b) only the male children will be affected
c) each pregnancy carries a 25% chance of the child being affected
d) if she had four children, one of them would have the disease - Answer✔✔-
Answer C
In autosomal recessive traits, both parents are carriers. There is a 25% chance
with each pregnancy that a child will have the disease.
, An 8 year old child has been diagnosed to have iron deficiency anemia. Which
ofthe following activities is most appropriate for the child to decrease oxygen
demands on the body?
a)Dancing
b) playing video games
c) reading a book
d) riding a bicycle - Answer✔✔-Answer C
reading a book is restful activity and can keep the child from becoming bored.
Choices a, b, and d require too much energy for a child with anemia and can
increase oxygen demands on the body.
A 16 month old child diagnosed with Kawasaki Disease (KD) is very
irritable,refuses to eat, and exhibits peeling skin on the hands and feet. Which
of the following would the nurse interpret as the priority?
a)applying lotions to the hands and feet
b) offering foods the toddler likes
c) placing the toddler in a quiet environment
d) encouraging the parents to get some rest - Answer✔✔-Answer C
One of the characteristics of children with KD is irritability. They are often
inconsolable.Placing the child in a quiet environment may help quiet the child
and reduce the workload of the heart. The child's irritability takes priority over
peeling of the skin.
A newborn's failure to pass meconium within the first 24 hours after birth may
indicate which of the following?
a.Hirschsprung disease
b. Celiac disease
c. Intussusception
