Pediatrics HESI Practice Questions and answers |
verified and 100% correct | 2025/2026
A 9-month-
B
old child is seen in the well clinic. Which of the following behaviors would the nurse expect to see? SAT
B B B B B B B B B B B B B B B B B B B
A B
(A) Plays peek-a-boo
B B
(B) Walks independently
B B B
(C) Feeds self with a spoon
B B B B B B
(D) Stacks 2 blocks together
B B B B B
(E) Transfers objects from hand to hand - ANSWER-A, E
B B B B B B B B B B
-walks independently at 15 months
B B B B B
-feeds self with spoon at 18 months
B B B B B B B
-stacks 2 blocks together at 18 months
B B B B B B
The mother of a six-year-
B B B B
old child arrives at the clinic because the child has been experiencing red and swollen eyes. The nurse
B B B B B B B B B B B B B B B B B B
notes a discharge from the eyes and sends a culture to the lab. Chlamydia conjunctivitis is diagnosed.
B B B B B B B B B B B B B B B B B
On the basis of this diagnosis, the nurse determines that which requires further investigation?
B B B B B B B B B B B B B B
(A) Possible trauma to the eye
B B B B B B
(B) Possible sexual abuse
B B B B
(C) Presence of an allergy
B B B B B
(D) Presence of a respiratory infection - ANSWER-(B) Possible sexual abuse
B B B B B B B B B B B
-
Chlamydia is sexual transmitted disease. The diagnosis of chlamydia in a child not sexually active shoul
B B B B B B B B B B B B B B B
d signal the health care provider to assess the signs of possible sexual abuse
B B B B B B B B B B B B B
The school nurse determines a group of young women are in early adolescents based on the following
B B B B B B B B B B B B B B B B
observation. All of the women:
B B B B B B
(A) Have decided on their career path
B B B B B B B
(B) Are dressed in the same-style clothes and have the same hair style
B B B B B B B B B B B B B
(C) Broke curfew by staying out late at a party they went to
B B B B B B B B B B B B B
(D) Brag about drinking beer when their parents were at work - ANSWER-
B B B B B B B B B B B B
(B) Peer identity is important at this age
B B B B B B B
, The nurse is watching two siblings, ages 7 and 9 years of age, verbally arguing over a toy. The nurse ha
B B B B B B B B B B B B B B B B B B B B
s counseled the parents before about how to handle the situation. The nurse should judge that the te
B B B B B B B B B B B B B B B B B
aching has been effective when the parent takes which action?
B B B B B B B B B B
(A) Tell the siblings to stop arguing and shake hands
B B B B B B B B B B
(B) Ignores the arguing and continues what she is doing
B B B B B B B B B B
(C) Tells the children they will be punished when they go home
B B B B B B B B B B B B
(D) Says they will not go out to lunch now since they have argued - ANSWER-
B B B B B B B B B B B B B B B
(B) The best approach by the mother is not to interfere. The children need to learn how to solve disagr
B B B B B B B B B B B B B B B B B B B
eements on their own. If the parents always intervenes, when the children do not learn how to do this
B B B B B B B B B B B B B B B B B B
The nurse is caring for a newborn with a suspected diagnosis of imperforated anus. Which clinical man
B B B B B B B B B B B B B B B B
ifestation is associated with this defect?
B B B B B B
(A) Bile-stained fecal emesis
B B B B
(B) The passage of current jelly stools
B B B B B B B
(C) Failure to pass meconium stool in the first 24 hours after birth
B B B B B B B B B B B B B
(D) Sausage-shaped mass in the upper right quadrant - ANSWER-
B B B B B B B B B
(C) This is a defect where incomplete development or absence of the anus
B B B B B B B B B B B B
Which drug may be given to newborns to close the patent ductus arteriosus (PDA)? - ANSWER-
B B B B B B B B B B B B B B B
Indomethacin (prostaglandin inhibitor) B B
Which drug may be given to newborns to keep the ductus arteriosus (PDA) open until surgery can be p
B B B B B B B B B B B B B B B B B B
erformed? - ANSWER-Prostaglandin E B B B
After receiving change of shift report, which patient should you assess first?
B B B B B B B B B B B B
(A) An 18-month-old with coarcation of the aorta who has decreased pedal pulses
B B B B B B B B B B B B B
(B) A 3-year-old with rheumatic fever who reports severe knee pain
B B B B B B B B B B B
(C) A 5-year-old with endocarditis who has crackles throughout both lungs
B B B B B B B B B B B
(D) An 8-year-old with Kawasaki's disease who has a fever of 102.2 - ANSWER-
B B B B B B B B B B B B B
(C) Crackles through the lungs indicate the child has left ventricular failure as a complication of endoca
B B B B B B B B B B B B B B B B
rditis. Hypoxemia is likely, so the child needs a rapid respiratory assessment, possible administration o
B B B B B B B B B B B B B B
f oxygen. The other children should be assessed as quickly as possible, but are not experiencing life-
B B B B B B B B B B B B B B B B
threatening complications B
An infant is born with ventricular septal defect (VSD) and surgery is planned to correct the defect. The
B B B B B B B B B B B B B B B B B B
nurse recognizes that surgical correction is designed to achieve which outcome?
B B B B B B B B B B B
verified and 100% correct | 2025/2026
A 9-month-
B
old child is seen in the well clinic. Which of the following behaviors would the nurse expect to see? SAT
B B B B B B B B B B B B B B B B B B B
A B
(A) Plays peek-a-boo
B B
(B) Walks independently
B B B
(C) Feeds self with a spoon
B B B B B B
(D) Stacks 2 blocks together
B B B B B
(E) Transfers objects from hand to hand - ANSWER-A, E
B B B B B B B B B B
-walks independently at 15 months
B B B B B
-feeds self with spoon at 18 months
B B B B B B B
-stacks 2 blocks together at 18 months
B B B B B B
The mother of a six-year-
B B B B
old child arrives at the clinic because the child has been experiencing red and swollen eyes. The nurse
B B B B B B B B B B B B B B B B B B
notes a discharge from the eyes and sends a culture to the lab. Chlamydia conjunctivitis is diagnosed.
B B B B B B B B B B B B B B B B B
On the basis of this diagnosis, the nurse determines that which requires further investigation?
B B B B B B B B B B B B B B
(A) Possible trauma to the eye
B B B B B B
(B) Possible sexual abuse
B B B B
(C) Presence of an allergy
B B B B B
(D) Presence of a respiratory infection - ANSWER-(B) Possible sexual abuse
B B B B B B B B B B B
-
Chlamydia is sexual transmitted disease. The diagnosis of chlamydia in a child not sexually active shoul
B B B B B B B B B B B B B B B
d signal the health care provider to assess the signs of possible sexual abuse
B B B B B B B B B B B B B
The school nurse determines a group of young women are in early adolescents based on the following
B B B B B B B B B B B B B B B B
observation. All of the women:
B B B B B B
(A) Have decided on their career path
B B B B B B B
(B) Are dressed in the same-style clothes and have the same hair style
B B B B B B B B B B B B B
(C) Broke curfew by staying out late at a party they went to
B B B B B B B B B B B B B
(D) Brag about drinking beer when their parents were at work - ANSWER-
B B B B B B B B B B B B
(B) Peer identity is important at this age
B B B B B B B
, The nurse is watching two siblings, ages 7 and 9 years of age, verbally arguing over a toy. The nurse ha
B B B B B B B B B B B B B B B B B B B B
s counseled the parents before about how to handle the situation. The nurse should judge that the te
B B B B B B B B B B B B B B B B B
aching has been effective when the parent takes which action?
B B B B B B B B B B
(A) Tell the siblings to stop arguing and shake hands
B B B B B B B B B B
(B) Ignores the arguing and continues what she is doing
B B B B B B B B B B
(C) Tells the children they will be punished when they go home
B B B B B B B B B B B B
(D) Says they will not go out to lunch now since they have argued - ANSWER-
B B B B B B B B B B B B B B B
(B) The best approach by the mother is not to interfere. The children need to learn how to solve disagr
B B B B B B B B B B B B B B B B B B B
eements on their own. If the parents always intervenes, when the children do not learn how to do this
B B B B B B B B B B B B B B B B B B
The nurse is caring for a newborn with a suspected diagnosis of imperforated anus. Which clinical man
B B B B B B B B B B B B B B B B
ifestation is associated with this defect?
B B B B B B
(A) Bile-stained fecal emesis
B B B B
(B) The passage of current jelly stools
B B B B B B B
(C) Failure to pass meconium stool in the first 24 hours after birth
B B B B B B B B B B B B B
(D) Sausage-shaped mass in the upper right quadrant - ANSWER-
B B B B B B B B B
(C) This is a defect where incomplete development or absence of the anus
B B B B B B B B B B B B
Which drug may be given to newborns to close the patent ductus arteriosus (PDA)? - ANSWER-
B B B B B B B B B B B B B B B
Indomethacin (prostaglandin inhibitor) B B
Which drug may be given to newborns to keep the ductus arteriosus (PDA) open until surgery can be p
B B B B B B B B B B B B B B B B B B
erformed? - ANSWER-Prostaglandin E B B B
After receiving change of shift report, which patient should you assess first?
B B B B B B B B B B B B
(A) An 18-month-old with coarcation of the aorta who has decreased pedal pulses
B B B B B B B B B B B B B
(B) A 3-year-old with rheumatic fever who reports severe knee pain
B B B B B B B B B B B
(C) A 5-year-old with endocarditis who has crackles throughout both lungs
B B B B B B B B B B B
(D) An 8-year-old with Kawasaki's disease who has a fever of 102.2 - ANSWER-
B B B B B B B B B B B B B
(C) Crackles through the lungs indicate the child has left ventricular failure as a complication of endoca
B B B B B B B B B B B B B B B B
rditis. Hypoxemia is likely, so the child needs a rapid respiratory assessment, possible administration o
B B B B B B B B B B B B B B
f oxygen. The other children should be assessed as quickly as possible, but are not experiencing life-
B B B B B B B B B B B B B B B B
threatening complications B
An infant is born with ventricular septal defect (VSD) and surgery is planned to correct the defect. The
B B B B B B B B B B B B B B B B B B
nurse recognizes that surgical correction is designed to achieve which outcome?
B B B B B B B B B B B