2025 HESI PEDIATRICS EXIT/HESI EXIT PEDIATRICS EXAM LATEST 2024
REAL EXAM ALL QUESTIONS AND CORRECT ANSWERS|ALREADY
GRADED A+
1. Question:
A 3-year-old child is diagnosed with a respiratory syncytial virus (RSV)
infection. Which of the following should the nurse expect when
assessing this child?
• A. Productive cough
• B. Wheezing
• C. Sore throat
• D. Severe headache
Answer: B. Wheezing
Rationale:
RSV infections commonly cause wheezing and respiratory distress in
young children. RSV primarily affects the lower respiratory tract, leading
to bronchiolitis and inflammation of the airways. A productive cough
may also occur but is less characteristic than wheezing. Sore throat and
severe headache are not typical of RSV.
2. Question:
A nurse is teaching the parents of a 5-year-old child with asthma how to
use a metered-dose inhaler (MDI). Which of the following statements
by the parent indicates a need for further teaching?
• A. "I will shake the inhaler before using it."
, • B. "I will hold my breath for 10 seconds after inhaling."
• C. "I will exhale fully before using the inhaler."
• D. "I can use the inhaler as many times as I want during an asthma
attack."
Answer: D. "I can use the inhaler as many times as I want during an
asthma attack."
Rationale:
A metered-dose inhaler (MDI) should be used as directed by a
healthcare provider, and the number of puffs is typically limited.
Overuse can lead to adverse effects. The other statements (shaking the
inhaler, holding the breath after inhaling, and exhaling fully before using
the inhaler) are correct steps in proper inhaler use.
3. Question:
A nurse is caring for a 2-year-old child who is in traction after a femur
fracture. The child is crying and seems to be in pain. Which action
should the nurse take first?
• A. Administer pain medication.
• B. Assess the child's vital signs.
• C. Reassure the child and family.
• D. Check the position of the traction weights.
Answer: D. Check the position of the traction weights.
Rationale:
The first action the nurse should take is to ensure that the traction
weights are in the correct position. If the weights are displaced or
,improperly positioned, they could cause pain and discomfort. Once that
is assessed, pain medication can be administered if needed.
4. Question:
Which of the following is the most appropriate diet for a child with
cystic fibrosis?
• A. Low-sodium, low-fat diet
• B. High-protein, high-calorie diet
• C. Gluten-free, low-carbohydrate diet
• D. Vegetarian diet with vitamin supplementation
Answer: B. High-protein, high-calorie diet
Rationale:
Children with cystic fibrosis have increased energy expenditure due to
chronic respiratory issues and malabsorption of nutrients. A high-
protein, high-calorie diet helps meet their increased nutritional needs
and promote growth and development.
5. Question:
A nurse is caring for a 6-month-old infant who is being introduced to
solid foods. Which food should the nurse recommend introducing first?
• A. Cow’s milk
• B. Pureed vegetables
• C. Egg whites
• D. Honey
, Answer: B. Pureed vegetables
Rationale:
At 6 months of age, infants should begin solid foods, with pureed
vegetables being a good first choice. Cow’s milk, egg whites, and honey
are not appropriate for infants at this age due to potential allergens and
the risk of botulism in honey.
6. Question:
A nurse is caring for a 4-year-old child with sickle cell anemia who is
experiencing a vaso-occlusive crisis. Which of the following actions
should the nurse take first?
• A. Administer pain medication.
• B. Encourage oral fluids.
• C. Apply cold compresses to the affected area.
• D. Prepare for blood transfusion.
Answer: A. Administer pain medication.
Rationale:
Pain management is the priority in managing a vaso-occlusive crisis in
sickle cell anemia. The nurse should administer pain medication
promptly to alleviate the child’s discomfort. Other interventions, such as
increasing fluids and preparing for blood transfusion, can follow but
pain relief is paramount.
7. Question:
REAL EXAM ALL QUESTIONS AND CORRECT ANSWERS|ALREADY
GRADED A+
1. Question:
A 3-year-old child is diagnosed with a respiratory syncytial virus (RSV)
infection. Which of the following should the nurse expect when
assessing this child?
• A. Productive cough
• B. Wheezing
• C. Sore throat
• D. Severe headache
Answer: B. Wheezing
Rationale:
RSV infections commonly cause wheezing and respiratory distress in
young children. RSV primarily affects the lower respiratory tract, leading
to bronchiolitis and inflammation of the airways. A productive cough
may also occur but is less characteristic than wheezing. Sore throat and
severe headache are not typical of RSV.
2. Question:
A nurse is teaching the parents of a 5-year-old child with asthma how to
use a metered-dose inhaler (MDI). Which of the following statements
by the parent indicates a need for further teaching?
• A. "I will shake the inhaler before using it."
, • B. "I will hold my breath for 10 seconds after inhaling."
• C. "I will exhale fully before using the inhaler."
• D. "I can use the inhaler as many times as I want during an asthma
attack."
Answer: D. "I can use the inhaler as many times as I want during an
asthma attack."
Rationale:
A metered-dose inhaler (MDI) should be used as directed by a
healthcare provider, and the number of puffs is typically limited.
Overuse can lead to adverse effects. The other statements (shaking the
inhaler, holding the breath after inhaling, and exhaling fully before using
the inhaler) are correct steps in proper inhaler use.
3. Question:
A nurse is caring for a 2-year-old child who is in traction after a femur
fracture. The child is crying and seems to be in pain. Which action
should the nurse take first?
• A. Administer pain medication.
• B. Assess the child's vital signs.
• C. Reassure the child and family.
• D. Check the position of the traction weights.
Answer: D. Check the position of the traction weights.
Rationale:
The first action the nurse should take is to ensure that the traction
weights are in the correct position. If the weights are displaced or
,improperly positioned, they could cause pain and discomfort. Once that
is assessed, pain medication can be administered if needed.
4. Question:
Which of the following is the most appropriate diet for a child with
cystic fibrosis?
• A. Low-sodium, low-fat diet
• B. High-protein, high-calorie diet
• C. Gluten-free, low-carbohydrate diet
• D. Vegetarian diet with vitamin supplementation
Answer: B. High-protein, high-calorie diet
Rationale:
Children with cystic fibrosis have increased energy expenditure due to
chronic respiratory issues and malabsorption of nutrients. A high-
protein, high-calorie diet helps meet their increased nutritional needs
and promote growth and development.
5. Question:
A nurse is caring for a 6-month-old infant who is being introduced to
solid foods. Which food should the nurse recommend introducing first?
• A. Cow’s milk
• B. Pureed vegetables
• C. Egg whites
• D. Honey
, Answer: B. Pureed vegetables
Rationale:
At 6 months of age, infants should begin solid foods, with pureed
vegetables being a good first choice. Cow’s milk, egg whites, and honey
are not appropriate for infants at this age due to potential allergens and
the risk of botulism in honey.
6. Question:
A nurse is caring for a 4-year-old child with sickle cell anemia who is
experiencing a vaso-occlusive crisis. Which of the following actions
should the nurse take first?
• A. Administer pain medication.
• B. Encourage oral fluids.
• C. Apply cold compresses to the affected area.
• D. Prepare for blood transfusion.
Answer: A. Administer pain medication.
Rationale:
Pain management is the priority in managing a vaso-occlusive crisis in
sickle cell anemia. The nurse should administer pain medication
promptly to alleviate the child’s discomfort. Other interventions, such as
increasing fluids and preparing for blood transfusion, can follow but
pain relief is paramount.
7. Question:
