HESI pediatrics latest 2025/2026 Questions
and 100% sure answers
The mother of a 4-year-
B B B B
old child asks the nurse what she can do to help her other children cope with their sibling's repeated h
B B B B B B B B B B B B B B B B B B B
ospitalizations. Which is the best response that the nurse should offer?
B B B B B B B B B B
A. Inform the parent that the child is too young to visit the hospital.
B B B B B B B B B B B B B
B. Suggest that the child visit a grandmother until the sibling returns home.
B B B B B B B B B B B B
C. Ask the mother if the child asks when the sibling will be discharged.
B B B B B B B B B B B B B
D. Encourage the mother to have the children visit the hospitalized sibling. - ANSWER-
B B B B B B B B B B B B B
D. Encourage the mother to have the children visit the hospitalized sibling.
B B B B B B B B B B B
When planning the care for a child who has had a cleft lip repair the nurse knows that crying should be
B B B B B B B B B B B B B B B B B B B B
minimized because it
B B B
A. Increases salivation.
B B
B. Increases the respiratory rate.
B B B B
C. Stresses the suture line.
B B B B
D. Leads to vomiting. - ANSWER-C. Stresses the suture line.
B B B B B B B B B
The nurse assigning care for a 5-year-
B B B B B B
old child with otitis media is concerned about the child's increasing temperature over the past 24 hour
B B B B B B B B B B B B B B B B
s. Which statement is accurate and should be considered when planning care for the remainder of the
B B B B B B B B B B B B B B B B B
shift?
A. An RN should be assigned to take temperatures frequently.
B B B B B B B B B
B. Tympanic and oral temperatures are equally accurate.
B B B B B B B
C. The PN should take rectal temperatures on this child.
B B B B B B B B B
D. The pediatrician should decide how to assess the temperature. - ANSWER-
B B B B B B B B B B B
B. Tympanic and oral temperatures are equally accurate.
B B B B B B B
A 2-year-old child with gastro-
B B B B
esophageal reflux has developed a fear of eating. What instruction should the nurse include in the par
B B B B B B B B B B B B B B B B
ents' teaching plan?B B
A. Invite other children home to share meals
B B B B B B B
B. Accept that he will eat when he is hungry.
B B B B B B B B B
C. Reward the child with a nap after eating.
B B B B B B B B
,D. Consistently follow a set mealtime routine. - ANSWER-
B B B B B B B B
D. Consistently follow a set mealtime routine.
B B B B B B
What preoperative nursing intervention should be included in the plan of care for an infant with pylori
B B B B B B B B B B B B B B B B
c stenosis?
B
A. Monitor for signs of metabolic acidosis.
B B B B B B
B. Estimate the quantity of diarrhea stools.
B B B B B B
C. Place in a supine position after feeding.
B B B B B B B
D. Observe for projectile vomiting. - ANSWER-D. Observe for projectile vomiting.
B B B B B B B B B B
The nurse is assessing a 2-year-
B B B B B
old. What behavior indicates that the child's language development is within normal limits?
B B B B B B B B B B B B
A. Is able to name four colors.
B B B B B B
B. Half of child's speech is understandable.
B B B B B B
C. Can count five blocks.
B B B B
D. Is capable of making a three word sentence. - ANSWER-B. Half of child's speech is understandable.
B B B B B B B B B B B B B B B B
The nurse receives a lab report stating a child with asthma has a theophylline level of 15 mcg/dl. What
B B B B B B B B B B B B B B B B B B
action will the nurse take?
B B B B B
A. Pass the information on in the report.
B B B B B B B
B. Notify the healthcare provider because the value is high.
B B B B B B B B B
C. Repeat the lab study because the value is too high.
B B B B B B B B B B
D. Hold the next dose of theophylline. - ANSWER-A. Pass the information on in the report.
B B B B B B B B B B B B B B B
A 4- year-
B B
Bold girl continues to interrupt her mother during a routine clinic visit. The mother appears irritated wi
B B B B B B B B B B B B B B B B
th the child and asks the nurse, "Is this normal behavior for a child this age?" The nurse's response sho
B B B B B B B B B B B B B B B B B B B
uld be based on which information?
B B B B B
A. Role conflict is a common problem of children this age. She is just wondering where she fits into soc
B B B B B B B B B B B B B B B B B B B
iety.
B. Children need to retain a sense of initiative without impinging on the rights and privileges of others.
B B B B B B B B B B B B B B B B B
B
C. Negative feelings of doubt and shame are characteristic of 4-year-old children.
B B B B B B B B B B B
,D. At this age children compete and like to produce and carry through with tasks. She is just competing
B B B B B B B B B B B B B B B B B B
with her mother. - ANSWER-
B B B B B
B. Children need to retain a sense of initiative without impinging on the rights and privileges of others.
B B B B B B B B B B B B B B B B B
A 6-month-
B
old infant with congestive heart failure (CHF) is receiving digoxin elixir. Which observation by the nurs
B B B B B B B B B B B B B B B
e warrants immediate intervention?
B B B
A. Sweating across the forehead.
B B B B
B. Doesn't suck well.
B B B
C. Apical heart rate of 60.
B B B B B
D. Respiratory rate of 30 breaths per minute. - ANSWER-C. Apical heart rate of 60.
B B B B B B B B B B B B B B
Which restraint should be used for a toddler after a cleft palate repair?
B B B B B B B B B B B B
A. Elbow.
B
B. Clove hitch.
B B
C. Mummy.
B
D. Jacket. - ANSWER-A. Elbow.
B B B B
When taking the health history of a child, the nurse know what which finding is an early indication of h
B B B B B B B B B B B B B B B B B B B
ypothyroidism in children? B B
A. Hyperactive behavioral traits.
B B B
B. Delay in the eruption of permanent teeth.
B B B B B B B
C. Slow sexual development, but within normal range.
B B B B B B B
D. Cessation of growth in a child that had been normal. - ANSWER-
B B B B B B B B B B B B
D. Cessation of growth in a child that had been normal.
B B B B B B B B B B
The mother of a preschool aged child asks the nurse if it is all right to administer Pepto Bismol to her s
B B B B B B B B B B B B B B B B B B B B B
on when he has a "tummy ache" After reminding the mother to check the label of all OTC drugs for th
B B B B B B B B B B B B B B B B B B B B
e presence of aspirin, which instruction should the nurse include when replying to this mother's quest
B B B B B B B B B B B B B B B
ion?
A. If the child's tongue darkens, discontinue the Pepto Bismol immediately.
B B B B B B B B B B
B. Do not give if the child has chickenpox, the flu, or any other viral illness.
B B B B B B B B B B B B B B B
C. Avoid the use of Pepto Bismol until the child is at least 16 years old.
B B B B B B B B B B B B B B B
, D. Pepto Bismol may cause a rebound hyperacidity, worsening the "tummy ache." - ANSWER-
B B B B B B B B B B B B B
B. Do not give if the child has chickenpox, the flu, or any other viral illness.
B B B B B B B B B B B B B B B
Which growth and development characteristic should the nurse consider when monitoring the effects
B B B B B B B B B B B B
of a topical medication for an infant?
B B B B B B B
A. A thin stratum corneum that increases topical absorption.
B B B B B B B B
B. A lower sensitivity reactions to skin irritants.
B B B B B B B
C. A smaller percentage of muscle mass.
B B B B B B
D. A greater body surface area that requires larger dosages. - ANSWER-
B B B B B B B B B B B
A. A thin stratum corneum that increases topical absorption.
B B B B B B B B
The nurse is preparing a health teaching program for parents of toddlers and preschoolers and plans t
B B B B B B B B B B B B B B B B
o include information about prevention of accidental poisonings. It is most important for the nurse to i
B B B B B B B B B B B B B B B B
nclude which instruction? B B
A. Tell children they should not taste anything but food.
B B B B B B B B B
B. Store all toxic agents and medicines in locked cabinets.
B B B B B B B B B
C. Provide special play areas in the house and restrict play in other areas.
B B B B B B B B B B B B B
D. Punish children if they open cabinets that contain household chemicals. - ANSWER-
B B B B B B B B B B B B
B. Store all toxic agents and medicines in locked cabinets.
B B B B B B B B B
A 16-year-
B
old is brought to the Emergency Center with a crushed leg after falling off a horse. The adolescent's las
B B B B B B B B B B B B B B B B B B
t tetanus toxoid booster was received eight years ago. What action should the nurse take?
B B B B B B B B B B B B B B
A. Dispense a tetanus antitoxin.
B B B B
B. Prepare human tetanus immune globulin.
B B B B B
C. Administer tetanus toxoid booster.
B B B B
D. Delay the tetanus toxoid booster until due. - ANSWER-C. Administer tetanus toxoid booster.
B B B B B B B B B B B B B
During administration of a blood transfusion, a child complains of chills, headache, and nausea. Which
B B B B B B B B B B B B B B
action should the nurse implement?
B B B B B
A. Start another IV of dextrose solution and stay with the child.
B B B B B B B B B B B
B. Continue the transfusion and monitor the child's vital signs.
B B B B B B B B B
C. Slow the transfusion and assess for cessation of symptoms.
B B B B B B B B B
and 100% sure answers
The mother of a 4-year-
B B B B
old child asks the nurse what she can do to help her other children cope with their sibling's repeated h
B B B B B B B B B B B B B B B B B B B
ospitalizations. Which is the best response that the nurse should offer?
B B B B B B B B B B
A. Inform the parent that the child is too young to visit the hospital.
B B B B B B B B B B B B B
B. Suggest that the child visit a grandmother until the sibling returns home.
B B B B B B B B B B B B
C. Ask the mother if the child asks when the sibling will be discharged.
B B B B B B B B B B B B B
D. Encourage the mother to have the children visit the hospitalized sibling. - ANSWER-
B B B B B B B B B B B B B
D. Encourage the mother to have the children visit the hospitalized sibling.
B B B B B B B B B B B
When planning the care for a child who has had a cleft lip repair the nurse knows that crying should be
B B B B B B B B B B B B B B B B B B B B
minimized because it
B B B
A. Increases salivation.
B B
B. Increases the respiratory rate.
B B B B
C. Stresses the suture line.
B B B B
D. Leads to vomiting. - ANSWER-C. Stresses the suture line.
B B B B B B B B B
The nurse assigning care for a 5-year-
B B B B B B
old child with otitis media is concerned about the child's increasing temperature over the past 24 hour
B B B B B B B B B B B B B B B B
s. Which statement is accurate and should be considered when planning care for the remainder of the
B B B B B B B B B B B B B B B B B
shift?
A. An RN should be assigned to take temperatures frequently.
B B B B B B B B B
B. Tympanic and oral temperatures are equally accurate.
B B B B B B B
C. The PN should take rectal temperatures on this child.
B B B B B B B B B
D. The pediatrician should decide how to assess the temperature. - ANSWER-
B B B B B B B B B B B
B. Tympanic and oral temperatures are equally accurate.
B B B B B B B
A 2-year-old child with gastro-
B B B B
esophageal reflux has developed a fear of eating. What instruction should the nurse include in the par
B B B B B B B B B B B B B B B B
ents' teaching plan?B B
A. Invite other children home to share meals
B B B B B B B
B. Accept that he will eat when he is hungry.
B B B B B B B B B
C. Reward the child with a nap after eating.
B B B B B B B B
,D. Consistently follow a set mealtime routine. - ANSWER-
B B B B B B B B
D. Consistently follow a set mealtime routine.
B B B B B B
What preoperative nursing intervention should be included in the plan of care for an infant with pylori
B B B B B B B B B B B B B B B B
c stenosis?
B
A. Monitor for signs of metabolic acidosis.
B B B B B B
B. Estimate the quantity of diarrhea stools.
B B B B B B
C. Place in a supine position after feeding.
B B B B B B B
D. Observe for projectile vomiting. - ANSWER-D. Observe for projectile vomiting.
B B B B B B B B B B
The nurse is assessing a 2-year-
B B B B B
old. What behavior indicates that the child's language development is within normal limits?
B B B B B B B B B B B B
A. Is able to name four colors.
B B B B B B
B. Half of child's speech is understandable.
B B B B B B
C. Can count five blocks.
B B B B
D. Is capable of making a three word sentence. - ANSWER-B. Half of child's speech is understandable.
B B B B B B B B B B B B B B B B
The nurse receives a lab report stating a child with asthma has a theophylline level of 15 mcg/dl. What
B B B B B B B B B B B B B B B B B B
action will the nurse take?
B B B B B
A. Pass the information on in the report.
B B B B B B B
B. Notify the healthcare provider because the value is high.
B B B B B B B B B
C. Repeat the lab study because the value is too high.
B B B B B B B B B B
D. Hold the next dose of theophylline. - ANSWER-A. Pass the information on in the report.
B B B B B B B B B B B B B B B
A 4- year-
B B
Bold girl continues to interrupt her mother during a routine clinic visit. The mother appears irritated wi
B B B B B B B B B B B B B B B B
th the child and asks the nurse, "Is this normal behavior for a child this age?" The nurse's response sho
B B B B B B B B B B B B B B B B B B B
uld be based on which information?
B B B B B
A. Role conflict is a common problem of children this age. She is just wondering where she fits into soc
B B B B B B B B B B B B B B B B B B B
iety.
B. Children need to retain a sense of initiative without impinging on the rights and privileges of others.
B B B B B B B B B B B B B B B B B
B
C. Negative feelings of doubt and shame are characteristic of 4-year-old children.
B B B B B B B B B B B
,D. At this age children compete and like to produce and carry through with tasks. She is just competing
B B B B B B B B B B B B B B B B B B
with her mother. - ANSWER-
B B B B B
B. Children need to retain a sense of initiative without impinging on the rights and privileges of others.
B B B B B B B B B B B B B B B B B
A 6-month-
B
old infant with congestive heart failure (CHF) is receiving digoxin elixir. Which observation by the nurs
B B B B B B B B B B B B B B B
e warrants immediate intervention?
B B B
A. Sweating across the forehead.
B B B B
B. Doesn't suck well.
B B B
C. Apical heart rate of 60.
B B B B B
D. Respiratory rate of 30 breaths per minute. - ANSWER-C. Apical heart rate of 60.
B B B B B B B B B B B B B B
Which restraint should be used for a toddler after a cleft palate repair?
B B B B B B B B B B B B
A. Elbow.
B
B. Clove hitch.
B B
C. Mummy.
B
D. Jacket. - ANSWER-A. Elbow.
B B B B
When taking the health history of a child, the nurse know what which finding is an early indication of h
B B B B B B B B B B B B B B B B B B B
ypothyroidism in children? B B
A. Hyperactive behavioral traits.
B B B
B. Delay in the eruption of permanent teeth.
B B B B B B B
C. Slow sexual development, but within normal range.
B B B B B B B
D. Cessation of growth in a child that had been normal. - ANSWER-
B B B B B B B B B B B B
D. Cessation of growth in a child that had been normal.
B B B B B B B B B B
The mother of a preschool aged child asks the nurse if it is all right to administer Pepto Bismol to her s
B B B B B B B B B B B B B B B B B B B B B
on when he has a "tummy ache" After reminding the mother to check the label of all OTC drugs for th
B B B B B B B B B B B B B B B B B B B B
e presence of aspirin, which instruction should the nurse include when replying to this mother's quest
B B B B B B B B B B B B B B B
ion?
A. If the child's tongue darkens, discontinue the Pepto Bismol immediately.
B B B B B B B B B B
B. Do not give if the child has chickenpox, the flu, or any other viral illness.
B B B B B B B B B B B B B B B
C. Avoid the use of Pepto Bismol until the child is at least 16 years old.
B B B B B B B B B B B B B B B
, D. Pepto Bismol may cause a rebound hyperacidity, worsening the "tummy ache." - ANSWER-
B B B B B B B B B B B B B
B. Do not give if the child has chickenpox, the flu, or any other viral illness.
B B B B B B B B B B B B B B B
Which growth and development characteristic should the nurse consider when monitoring the effects
B B B B B B B B B B B B
of a topical medication for an infant?
B B B B B B B
A. A thin stratum corneum that increases topical absorption.
B B B B B B B B
B. A lower sensitivity reactions to skin irritants.
B B B B B B B
C. A smaller percentage of muscle mass.
B B B B B B
D. A greater body surface area that requires larger dosages. - ANSWER-
B B B B B B B B B B B
A. A thin stratum corneum that increases topical absorption.
B B B B B B B B
The nurse is preparing a health teaching program for parents of toddlers and preschoolers and plans t
B B B B B B B B B B B B B B B B
o include information about prevention of accidental poisonings. It is most important for the nurse to i
B B B B B B B B B B B B B B B B
nclude which instruction? B B
A. Tell children they should not taste anything but food.
B B B B B B B B B
B. Store all toxic agents and medicines in locked cabinets.
B B B B B B B B B
C. Provide special play areas in the house and restrict play in other areas.
B B B B B B B B B B B B B
D. Punish children if they open cabinets that contain household chemicals. - ANSWER-
B B B B B B B B B B B B
B. Store all toxic agents and medicines in locked cabinets.
B B B B B B B B B
A 16-year-
B
old is brought to the Emergency Center with a crushed leg after falling off a horse. The adolescent's las
B B B B B B B B B B B B B B B B B B
t tetanus toxoid booster was received eight years ago. What action should the nurse take?
B B B B B B B B B B B B B B
A. Dispense a tetanus antitoxin.
B B B B
B. Prepare human tetanus immune globulin.
B B B B B
C. Administer tetanus toxoid booster.
B B B B
D. Delay the tetanus toxoid booster until due. - ANSWER-C. Administer tetanus toxoid booster.
B B B B B B B B B B B B B
During administration of a blood transfusion, a child complains of chills, headache, and nausea. Which
B B B B B B B B B B B B B B
action should the nurse implement?
B B B B B
A. Start another IV of dextrose solution and stay with the child.
B B B B B B B B B B B
B. Continue the transfusion and monitor the child's vital signs.
B B B B B B B B B
C. Slow the transfusion and assess for cessation of symptoms.
B B B B B B B B B
