1. Growth and Development Milestones and Anticipatory Guidance
2. Pediatric Respiratory Disorders and Airway Prioritization
3. Pediatric Cardiovascular Disorders and Congenital Heart Defects
4. Pediatric Gastrointestinal and Genitourinary Disorders
5. Pediatric Neurologic and Hematologic/Immunologic Disorders
6. Pediatric Pharmacology, Weight-Based Dosing, and Medication Safety
7. Pediatric Fluid and Electrolyte Management and Dehydration
8. Pediatric Emergencies, Safety, and Clinical Prioritization
9. Family-Centered Care, Communication, and Psychosocial Health
10. Pediatric Pain Management and Care of the Hospitalized Child
HESI RN Pediatrics V1 NGN 3 Full Set Exams
1. A nurse is assessing a 9-month-old infant during a routine well-child visit and should
recognize that which finding indicates a need for further developmental evaluation?
A. The infant sits independently without support for several minutes
B. The infant bears weight on the legs when held in a standing position
C. The infant does not yet sit without support and tends to slump forward
D. The infant transfers objects from one hand to the other
,Correct Answer: C
Explained Point Form Notes:
Independent sitting is a major gross motor milestone typically achieved by 6 to 8
months of age; failure to sit unsupported by 9 months warrants developmental
screening 4
Bearing weight on legs when held standing is an expected finding in the 7-to-9-month
range and does not indicate delay
Transferring objects hand-to-hand is a fine motor milestone expected around 6 to 8
months and is not a concern at 9 months
Slumping forward when placed in sitting position suggests trunk weakness or delayed
gross motor development and should prompt further assessment
2. A nurse is caring for a 3-year-old child who is two hours post-operative from a
cardiac catheterization via the right femoral artery and notes which finding as the
priority concern?
A. The child reports mild discomfort at the catheter insertion site
B. The right foot is cool to the touch with pale and blanched appearance
C. The child’s heart rate is 110 beats per minute while awake
D. A small ecchymosis is noted at the femoral puncture site
,Correct Answer: B
Explained Point Form Notes:
Cool, pale, and blanched extremity distal to the catheterization site indicates arterial
obstruction or compromised circulation and requires immediate notification of the
provider 3 7
Mild discomfort at the insertion site is an expected post-procedure finding that can be
managed with prescribed analgesia
Heart rate of 110 in an awake 3-year-old falls within the expected range of 80 to 120
beats per minute
Small ecchymosis at the puncture site is a common and usually benign finding after
femoral artery access
3. A nurse is teaching the caregiver of a child with recurrent otitis media about
prevention strategies and determines that further teaching is needed when the
caregiver makes which statement?
A. I will ensure my child receives the pneumococcal conjugate vaccine on schedule
B. I will keep my child away from secondhand smoke in the home and car
C. I will give benzocaine otic drops regularly to prevent future ear infections
D. I will complete the full course of antibiotics whenever one is prescribed
, Correct Answer: C
Explained Point Form Notes:
Benzocaine otic drops are indicated for pain relief, not prevention of infection; regular
use may mask symptoms of a developing infection 1 2
Pneumococcal vaccination reduces the risk of bacterial otitis media and is an
appropriate preventive measure
Secondhand smoke exposure is a well-established risk factor for recurrent otitis
media and should be avoided
Completing the full antibiotic course prevents incomplete treatment and reduces
recurrence risk
4. A nurse is assessing a child with diarrhea for three days and anticipates which acid-
base imbalance based on the pathophysiology of prolonged gastrointestinal losses?
A. Metabolic alkalosis due to loss of gastric acid
B. Respiratory acidosis due to hypoventilation
C. Metabolic acidosis due to loss of bicarbonate-rich intestinal fluids
D. Respiratory alkalosis due to hyperventilation
Correct Answer: C
2. Pediatric Respiratory Disorders and Airway Prioritization
3. Pediatric Cardiovascular Disorders and Congenital Heart Defects
4. Pediatric Gastrointestinal and Genitourinary Disorders
5. Pediatric Neurologic and Hematologic/Immunologic Disorders
6. Pediatric Pharmacology, Weight-Based Dosing, and Medication Safety
7. Pediatric Fluid and Electrolyte Management and Dehydration
8. Pediatric Emergencies, Safety, and Clinical Prioritization
9. Family-Centered Care, Communication, and Psychosocial Health
10. Pediatric Pain Management and Care of the Hospitalized Child
HESI RN Pediatrics V1 NGN 3 Full Set Exams
1. A nurse is assessing a 9-month-old infant during a routine well-child visit and should
recognize that which finding indicates a need for further developmental evaluation?
A. The infant sits independently without support for several minutes
B. The infant bears weight on the legs when held in a standing position
C. The infant does not yet sit without support and tends to slump forward
D. The infant transfers objects from one hand to the other
,Correct Answer: C
Explained Point Form Notes:
Independent sitting is a major gross motor milestone typically achieved by 6 to 8
months of age; failure to sit unsupported by 9 months warrants developmental
screening 4
Bearing weight on legs when held standing is an expected finding in the 7-to-9-month
range and does not indicate delay
Transferring objects hand-to-hand is a fine motor milestone expected around 6 to 8
months and is not a concern at 9 months
Slumping forward when placed in sitting position suggests trunk weakness or delayed
gross motor development and should prompt further assessment
2. A nurse is caring for a 3-year-old child who is two hours post-operative from a
cardiac catheterization via the right femoral artery and notes which finding as the
priority concern?
A. The child reports mild discomfort at the catheter insertion site
B. The right foot is cool to the touch with pale and blanched appearance
C. The child’s heart rate is 110 beats per minute while awake
D. A small ecchymosis is noted at the femoral puncture site
,Correct Answer: B
Explained Point Form Notes:
Cool, pale, and blanched extremity distal to the catheterization site indicates arterial
obstruction or compromised circulation and requires immediate notification of the
provider 3 7
Mild discomfort at the insertion site is an expected post-procedure finding that can be
managed with prescribed analgesia
Heart rate of 110 in an awake 3-year-old falls within the expected range of 80 to 120
beats per minute
Small ecchymosis at the puncture site is a common and usually benign finding after
femoral artery access
3. A nurse is teaching the caregiver of a child with recurrent otitis media about
prevention strategies and determines that further teaching is needed when the
caregiver makes which statement?
A. I will ensure my child receives the pneumococcal conjugate vaccine on schedule
B. I will keep my child away from secondhand smoke in the home and car
C. I will give benzocaine otic drops regularly to prevent future ear infections
D. I will complete the full course of antibiotics whenever one is prescribed
, Correct Answer: C
Explained Point Form Notes:
Benzocaine otic drops are indicated for pain relief, not prevention of infection; regular
use may mask symptoms of a developing infection 1 2
Pneumococcal vaccination reduces the risk of bacterial otitis media and is an
appropriate preventive measure
Secondhand smoke exposure is a well-established risk factor for recurrent otitis
media and should be avoided
Completing the full antibiotic course prevents incomplete treatment and reduces
recurrence risk
4. A nurse is assessing a child with diarrhea for three days and anticipates which acid-
base imbalance based on the pathophysiology of prolonged gastrointestinal losses?
A. Metabolic alkalosis due to loss of gastric acid
B. Respiratory acidosis due to hypoventilation
C. Metabolic acidosis due to loss of bicarbonate-rich intestinal fluids
D. Respiratory alkalosis due to hyperventilation
Correct Answer: C
