pediatric hesi exam questions and answers latest
2025/2026|verified and accurate answers
Norms for growth and development - ANSWER-Birth weight doubles by 6 months, triples by yr
B B B B B B B B B B B B B B
Peek a boo by 6 month
B B B B B
Sits upright without support by 8
B B B B B
pincher grip by 10-12 B B B
Hesi hint - ANSWER-Mobiles: infant
B B B B
Puppets: toddler/preschool B
Cars: preschool
B B
Games: school age B B B
Themselves: adolescent B
Toddlers - ANSWER-2-3 word sentences at 2
B B B B B B
Ritualistic
Preschool - ANSWER-Favorite word is why
B B B B B
Sentences of 5-8 B B
School age - ANSWER-Each yr gains 4-6 lbs grows 2 inches
B B B B B B B B B B
Socialization with peers very important B B B B
Immunization - ANSWER-Cold doesn't stop it unless > 99
B B B B B B B B
Use acetaminophen orally
B B
Cystic fibrosis - ANSWER-Autosomal recessive
B B B B B
Absence of pancreatic enzymes
B B B
Greasy stool B
Chronic pulmonary infections
B B
High sweat test
B B
Pancreatic enzymes with meals B B B
,Digoxin therapy in kids - ANSWER-Hold infants <100, kids <80
B B B B B B B B B
Don't skip or make up dose
B B B B B
Give 1-2 hrs before meals
B B B B
S/s over dose: vomiting, diarrhea, muscle weakness, drowsiness
B B B B B B B
Vent septal defect - ANSWER-Abnormal opening between ventricles
B B B B B B B
Acyanotic
Atrial septal defect - ANSWER-Opening in atria
B B B B B B
Acyanotic
Patent ductus arterious - ANSWER-Hole between aorta and pulmonary artery
B B B B B B B B B
Acyanototic B
So are coarctation of aorta and aortic stenosis
B B B B B B B
Cyanotic heart defects - ANSWER-Tetralogy of fallot: 4 defects
B B B B B B B B
Transposition of the great vessels: everything is criss crossed
B B B B B B B B
Truncus arterious : single great vessel instead of 2
B B B B B B B B
Rheumatic fever - ANSWER-Most common cause of acquired heart disease
B B B B B B B B B
Affects connective tissue, sore throat than fever
B B B B B B
Lots of rest, home school
B B B B
Resp distress infants - ANSWER-Increase rr
B B B B B
axillAry muscles for breathingB B B
Restlessness B
Nasal flaring B
Tripod
Grunting
Cyanotic
,Resp failure infants - ANSWER-Brady
B B B B B
Deceased rr B
Apneic
Deceased loc B
Grunting
Deceased breath sounds B B
When does birth length double? - ANSWER-By 4 years
B B B B B B B B
When does the child sit unsupported? - ANSWER-8 months
B B B B B B B B
When does a child achieve 50% of adult height? - ANSWER-2 years
B B B B B B B B B B B
When does a child throw a ball overhand? - ANSWER-18 months
B B B B B B B B B B
When does a child speak 2-3 word sentences? - ANSWER-2 Yeears
B B B B B B B B B B
Age groups concepts of bodily injury - ANSWER-
B B B B B B B
Infants: After 6 months, their cognitive development allows them to remember pain.
B B B B B B B B B B B
Toddlers: Fear intrusive procedures.
B B B
Preschoolers: Fear body mutilation. B B B
School age: Fear loss of control of their body.
B B B B B B B B
Adolescent: Major concern is change in body image.
B B B B B B B
Following immunization, what teaching should the nurse provide to the parents? - ANSWER-
B B B B B B B B B B B B
Irritability, fever (<102 degrees F), redness and soreness at injection site for 2-
B B B B B B B B B B B B
3days are normal side effects of DPT and IPV administration.Call healthcare provider if seizures, high f
B B B B B B B B B B B B B B B
ever, or high -
B B B
pitched crying occur.A warm washcloth on the thigh injection site and "bicycling" the legs w/each diap
B B B B B B B B B B B B B B B
er change will decrease soreness.Acetaminophen (Tylenol) is administered orally every 4-6 hours (10-
B B B B B B B B B B B B
15 mg/Kg)
B
, Hgb norms - ANSWER-Newborn: 14 to 24 g/dl
B B B B B B B
Infant: 10 to 15 g/dl B B B B
Child: 11 to 16 g/dl B B B B
Autosomal recessive - ANSWER- B B B
Both parents must be heterozygous, or carriers of the recessive trait, for the disease to be expressed i
B B B B B B B B B B B B B B B B B
n their offspring. With each pregnancy, there is a 1:4 chance of the infant having the disease. However
B B B B B B B B B B B B B B B B B
, all children of such parents CAN get the disease - NOT 25% of them.
B B B B B B B B B B B B B B
A child with leukemia is being discharged after beginning chemotherapy. Which of the following instru
B B B B B B B B B B B B B B
ctions will the nurse include when teaching the parents of this child?
B B B B B B B B B B B
a)provide a diet low in protein and high carbohydrates B B B B B B B B
b) avoid fresh vegetables that are not cooked or peeled
B B B B B B B B B
c) notify the doctor if the child's temperature exceeds 101 F (39C)
B B B B B B B B B B B B
d) increase the use of humidifiers throughout the house - ANSWER-Answer B
B B B B B B B B B B B B
fresh fruits and vegetables harbor microorganisms, which can cause infections in immune-
B B B B B B B B B B B
compromised child. Fruits and vegetables should either be peeled or cooked. The physician should be
B B B B B B B B B B B B B B B
notified of a temperature above 100F, a diet low in protein is not indicated, and humidifiers harbor fu
B B B B B B B B B B B B B B B B B
ngi in the water containers.
B B B B
A client with hemophilia has a very swollen knee after falling from bicycleriding. Which of the followin
B B B B B B B B B B B B B B B B
g is the first nursing action?
B B B B B
a)initiate an IV site to begin administration of cryoprecipitate
B B B B B B B B
b) type and cross-match for possible transfusion
B B B B B B
c) monitor the client's vital signs for the first 5 minutes
B B B B B B B B B B
d) apply ice pack and compression dressings to the knee - ANSWER-Answer D
B B B B B B B B B B B B
rest, ice, compression, and elevation (RICE)are the immediate treatments to reduce the swelling and b
B B B B B B B B B B B B B B
leeding into the joint. These are the priority actions for bleeding into the joint of a client with hemophi
B B B B B B B B B B B B B B B B B B
lia
A client and her husband are positive for the sickle cell trait. The client asks the nurse about chances o
B B B B B B B B B B B B B B B B B B B
f her children having sickle cell disease. Which of the following is appropriate response by the nurse?
B B B B B B B B B B B B B B B B
B
a)one of her children will have sickle cell disease
B B B B B B B B
b) only the male children will be affected
B B B B B B B
2025/2026|verified and accurate answers
Norms for growth and development - ANSWER-Birth weight doubles by 6 months, triples by yr
B B B B B B B B B B B B B B
Peek a boo by 6 month
B B B B B
Sits upright without support by 8
B B B B B
pincher grip by 10-12 B B B
Hesi hint - ANSWER-Mobiles: infant
B B B B
Puppets: toddler/preschool B
Cars: preschool
B B
Games: school age B B B
Themselves: adolescent B
Toddlers - ANSWER-2-3 word sentences at 2
B B B B B B
Ritualistic
Preschool - ANSWER-Favorite word is why
B B B B B
Sentences of 5-8 B B
School age - ANSWER-Each yr gains 4-6 lbs grows 2 inches
B B B B B B B B B B
Socialization with peers very important B B B B
Immunization - ANSWER-Cold doesn't stop it unless > 99
B B B B B B B B
Use acetaminophen orally
B B
Cystic fibrosis - ANSWER-Autosomal recessive
B B B B B
Absence of pancreatic enzymes
B B B
Greasy stool B
Chronic pulmonary infections
B B
High sweat test
B B
Pancreatic enzymes with meals B B B
,Digoxin therapy in kids - ANSWER-Hold infants <100, kids <80
B B B B B B B B B
Don't skip or make up dose
B B B B B
Give 1-2 hrs before meals
B B B B
S/s over dose: vomiting, diarrhea, muscle weakness, drowsiness
B B B B B B B
Vent septal defect - ANSWER-Abnormal opening between ventricles
B B B B B B B
Acyanotic
Atrial septal defect - ANSWER-Opening in atria
B B B B B B
Acyanotic
Patent ductus arterious - ANSWER-Hole between aorta and pulmonary artery
B B B B B B B B B
Acyanototic B
So are coarctation of aorta and aortic stenosis
B B B B B B B
Cyanotic heart defects - ANSWER-Tetralogy of fallot: 4 defects
B B B B B B B B
Transposition of the great vessels: everything is criss crossed
B B B B B B B B
Truncus arterious : single great vessel instead of 2
B B B B B B B B
Rheumatic fever - ANSWER-Most common cause of acquired heart disease
B B B B B B B B B
Affects connective tissue, sore throat than fever
B B B B B B
Lots of rest, home school
B B B B
Resp distress infants - ANSWER-Increase rr
B B B B B
axillAry muscles for breathingB B B
Restlessness B
Nasal flaring B
Tripod
Grunting
Cyanotic
,Resp failure infants - ANSWER-Brady
B B B B B
Deceased rr B
Apneic
Deceased loc B
Grunting
Deceased breath sounds B B
When does birth length double? - ANSWER-By 4 years
B B B B B B B B
When does the child sit unsupported? - ANSWER-8 months
B B B B B B B B
When does a child achieve 50% of adult height? - ANSWER-2 years
B B B B B B B B B B B
When does a child throw a ball overhand? - ANSWER-18 months
B B B B B B B B B B
When does a child speak 2-3 word sentences? - ANSWER-2 Yeears
B B B B B B B B B B
Age groups concepts of bodily injury - ANSWER-
B B B B B B B
Infants: After 6 months, their cognitive development allows them to remember pain.
B B B B B B B B B B B
Toddlers: Fear intrusive procedures.
B B B
Preschoolers: Fear body mutilation. B B B
School age: Fear loss of control of their body.
B B B B B B B B
Adolescent: Major concern is change in body image.
B B B B B B B
Following immunization, what teaching should the nurse provide to the parents? - ANSWER-
B B B B B B B B B B B B
Irritability, fever (<102 degrees F), redness and soreness at injection site for 2-
B B B B B B B B B B B B
3days are normal side effects of DPT and IPV administration.Call healthcare provider if seizures, high f
B B B B B B B B B B B B B B B
ever, or high -
B B B
pitched crying occur.A warm washcloth on the thigh injection site and "bicycling" the legs w/each diap
B B B B B B B B B B B B B B B
er change will decrease soreness.Acetaminophen (Tylenol) is administered orally every 4-6 hours (10-
B B B B B B B B B B B B
15 mg/Kg)
B
, Hgb norms - ANSWER-Newborn: 14 to 24 g/dl
B B B B B B B
Infant: 10 to 15 g/dl B B B B
Child: 11 to 16 g/dl B B B B
Autosomal recessive - ANSWER- B B B
Both parents must be heterozygous, or carriers of the recessive trait, for the disease to be expressed i
B B B B B B B B B B B B B B B B B
n their offspring. With each pregnancy, there is a 1:4 chance of the infant having the disease. However
B B B B B B B B B B B B B B B B B
, all children of such parents CAN get the disease - NOT 25% of them.
B B B B B B B B B B B B B B
A child with leukemia is being discharged after beginning chemotherapy. Which of the following instru
B B B B B B B B B B B B B B
ctions will the nurse include when teaching the parents of this child?
B B B B B B B B B B B
a)provide a diet low in protein and high carbohydrates B B B B B B B B
b) avoid fresh vegetables that are not cooked or peeled
B B B B B B B B B
c) notify the doctor if the child's temperature exceeds 101 F (39C)
B B B B B B B B B B B B
d) increase the use of humidifiers throughout the house - ANSWER-Answer B
B B B B B B B B B B B B
fresh fruits and vegetables harbor microorganisms, which can cause infections in immune-
B B B B B B B B B B B
compromised child. Fruits and vegetables should either be peeled or cooked. The physician should be
B B B B B B B B B B B B B B B
notified of a temperature above 100F, a diet low in protein is not indicated, and humidifiers harbor fu
B B B B B B B B B B B B B B B B B
ngi in the water containers.
B B B B
A client with hemophilia has a very swollen knee after falling from bicycleriding. Which of the followin
B B B B B B B B B B B B B B B B
g is the first nursing action?
B B B B B
a)initiate an IV site to begin administration of cryoprecipitate
B B B B B B B B
b) type and cross-match for possible transfusion
B B B B B B
c) monitor the client's vital signs for the first 5 minutes
B B B B B B B B B B
d) apply ice pack and compression dressings to the knee - ANSWER-Answer D
B B B B B B B B B B B B
rest, ice, compression, and elevation (RICE)are the immediate treatments to reduce the swelling and b
B B B B B B B B B B B B B B
leeding into the joint. These are the priority actions for bleeding into the joint of a client with hemophi
B B B B B B B B B B B B B B B B B B
lia
A client and her husband are positive for the sickle cell trait. The client asks the nurse about chances o
B B B B B B B B B B B B B B B B B B B
f her children having sickle cell disease. Which of the following is appropriate response by the nurse?
B B B B B B B B B B B B B B B B
B
a)one of her children will have sickle cell disease
B B B B B B B B
b) only the male children will be affected
B B B B B B B
