HESI PEDIATRIC PRACTICE
EXAM QUESTIONS WITH 100%
CORRECT ANSWERS.
COMPLETE LATEST 2025 -2026
GENUINE UPDATE.
The nurse is giving pre-op instructions to a 14-yr old female scheduled for
surgery to correct a spinal curvature. Which statement best demonstrates
that leaning has taken place?
- CORRECT ANS>>"I understand that I will be in a body cast and I will show
you how you taught me to turn"
To take the v/s of a 4-month-old, which ordered will give the most accurate
results?
- CORRECT ANS>>RR - HR - rectal temp
During routine screening at a school clinic, an otoscope exam reveals a
tympanic mb that is pearly gray, slightly bulging, and not movable. What
action should the nurse take next?
- CORRECT ANS>>Ask the child if they have had a cold, runny nose, or any
ear pain lately
Which restraint should be used for a toddler after a cleft palate repair?
- CORRECT ANS>>Elbow
What pre-op NSG intervention should be included in the POC for an infant w/
pyloric stenosis?
- CORRECT ANS>>Observe for projectile vomiting
(remember that projectile vomiting leads to metabolic alkalosis)
A 6-month-old returns from surgery w/ elbow restraints in place. What NSG
care should be included when caring for any restrained child?
,- CORRECT ANS>>Remove the restraints one at a time and provide ROM
exercises
(Removing them 1 at a time is safer than all at once)
A 2-yr old w/ Down syndrome is brought to the clinic for his regular physical
exam. The nurse knows which problem is frequently associated w/ Downs?
- CORRECT ANS>>congenital heart disease
(CHD is the most common associated defect w/ Downs. - also, remember
Professor Moore said that heart and ear problems go hand in hand)
When assessing a child w/ asthma, the nurse should expect intercostal
retractions during
- CORRECT ANS>>Inspiration
When planning the care for a child who has had a cleft lip repair, the nurse
know that crying should be minimized because it
- CORRECT ANS>>Stresses the suture line
A full-term infant is admitted to the newborn nursery. After careful
assessment, the nurse suspects that the infant may have an esophageal
atresia. Which sx's is this newborn likely to have exhibited?
- CORRECT ANS>>Choking, coughing, and cyanosis
(this answer includes the 3 "C"s of esophageal atresia caused by the
overflow of secretions to the trachea)
Which behavior would the nurse expect a 2-yr old to exhibit?
- CORRECT ANS>>Display possessiveness of toys
(they are egocentric and unable to share w/ others)
the other of a preschool-aged child asks the nurse if it is all right to
administer Pepto Bismol to her son when he has a tummy ache. After
reminding her to check the label of all OTC meds for the presence of ASA,
which instruction should the nurse include when replying to the mom's
question?
- CORRECT ANS>>Do not give if they have chicken pox, the flue, or any other
viral illness
, (ASA can cause Reye's syndrome)
the nurse observes a 4-yr old boy in a daycare. Which behavior should the
nurse consider normal for this child?
- CORRECT ANS>>Demonstrates aggressiveness by boasting when telling a
story
A burned child is brought to the ER. In estimating the % of body burned, the
nurse uses a modified "Rule of Nines." Which part of the body is calculated
as a larger % of total body surface than an adult?
- CORRECT ANS>>Head and neck
(a child's head and neck are proportionately larger to their body than an
adult's)
The nurse receives a lab report stating a child w/ asthma has a theophylline
level of 15mcg/dL. What action will the nurse take?
- CORRECT ANS>>Pass the info on in the report
(therapeutic level is 10-20)
A 12-month-old is admitted w/ a respiratory infection and possible
pneumonia. He is placed in a mist tent w/ O2. Which NSG intervention has
the greatest priority?
- CORRECT ANS>>Have a bulb syringe readily available to remove secretions
(Patent airway has the highest priority. Humidification will liquefy the nasal
secretions - thereby increasing the amt of secretions and making that a
priority)
All of the following interventions can be used to eval the effectiveness of
NSG and medical interventions used to tx diarrhea. Which intervention is the
least useful in the nurse's eval of a 20-month-old child?
- CORRECT ANS>>Assessing the fontanels
(Weighing diapers, checking skin turgor, and observing mucous mb's for
moisture evaluate fluid status in infants. But how old is this child? Posterior
fontanel closes at 2 months and anterior closes by 18 months)
A 5-month-old is admitted to the hospital w/ vomiting and diarrhea. The dr.
prescribes dextrose 5% and 0.25% NS w/ 2 mEq KCl/ 100ml to be infused at
EXAM QUESTIONS WITH 100%
CORRECT ANSWERS.
COMPLETE LATEST 2025 -2026
GENUINE UPDATE.
The nurse is giving pre-op instructions to a 14-yr old female scheduled for
surgery to correct a spinal curvature. Which statement best demonstrates
that leaning has taken place?
- CORRECT ANS>>"I understand that I will be in a body cast and I will show
you how you taught me to turn"
To take the v/s of a 4-month-old, which ordered will give the most accurate
results?
- CORRECT ANS>>RR - HR - rectal temp
During routine screening at a school clinic, an otoscope exam reveals a
tympanic mb that is pearly gray, slightly bulging, and not movable. What
action should the nurse take next?
- CORRECT ANS>>Ask the child if they have had a cold, runny nose, or any
ear pain lately
Which restraint should be used for a toddler after a cleft palate repair?
- CORRECT ANS>>Elbow
What pre-op NSG intervention should be included in the POC for an infant w/
pyloric stenosis?
- CORRECT ANS>>Observe for projectile vomiting
(remember that projectile vomiting leads to metabolic alkalosis)
A 6-month-old returns from surgery w/ elbow restraints in place. What NSG
care should be included when caring for any restrained child?
,- CORRECT ANS>>Remove the restraints one at a time and provide ROM
exercises
(Removing them 1 at a time is safer than all at once)
A 2-yr old w/ Down syndrome is brought to the clinic for his regular physical
exam. The nurse knows which problem is frequently associated w/ Downs?
- CORRECT ANS>>congenital heart disease
(CHD is the most common associated defect w/ Downs. - also, remember
Professor Moore said that heart and ear problems go hand in hand)
When assessing a child w/ asthma, the nurse should expect intercostal
retractions during
- CORRECT ANS>>Inspiration
When planning the care for a child who has had a cleft lip repair, the nurse
know that crying should be minimized because it
- CORRECT ANS>>Stresses the suture line
A full-term infant is admitted to the newborn nursery. After careful
assessment, the nurse suspects that the infant may have an esophageal
atresia. Which sx's is this newborn likely to have exhibited?
- CORRECT ANS>>Choking, coughing, and cyanosis
(this answer includes the 3 "C"s of esophageal atresia caused by the
overflow of secretions to the trachea)
Which behavior would the nurse expect a 2-yr old to exhibit?
- CORRECT ANS>>Display possessiveness of toys
(they are egocentric and unable to share w/ others)
the other of a preschool-aged child asks the nurse if it is all right to
administer Pepto Bismol to her son when he has a tummy ache. After
reminding her to check the label of all OTC meds for the presence of ASA,
which instruction should the nurse include when replying to the mom's
question?
- CORRECT ANS>>Do not give if they have chicken pox, the flue, or any other
viral illness
, (ASA can cause Reye's syndrome)
the nurse observes a 4-yr old boy in a daycare. Which behavior should the
nurse consider normal for this child?
- CORRECT ANS>>Demonstrates aggressiveness by boasting when telling a
story
A burned child is brought to the ER. In estimating the % of body burned, the
nurse uses a modified "Rule of Nines." Which part of the body is calculated
as a larger % of total body surface than an adult?
- CORRECT ANS>>Head and neck
(a child's head and neck are proportionately larger to their body than an
adult's)
The nurse receives a lab report stating a child w/ asthma has a theophylline
level of 15mcg/dL. What action will the nurse take?
- CORRECT ANS>>Pass the info on in the report
(therapeutic level is 10-20)
A 12-month-old is admitted w/ a respiratory infection and possible
pneumonia. He is placed in a mist tent w/ O2. Which NSG intervention has
the greatest priority?
- CORRECT ANS>>Have a bulb syringe readily available to remove secretions
(Patent airway has the highest priority. Humidification will liquefy the nasal
secretions - thereby increasing the amt of secretions and making that a
priority)
All of the following interventions can be used to eval the effectiveness of
NSG and medical interventions used to tx diarrhea. Which intervention is the
least useful in the nurse's eval of a 20-month-old child?
- CORRECT ANS>>Assessing the fontanels
(Weighing diapers, checking skin turgor, and observing mucous mb's for
moisture evaluate fluid status in infants. But how old is this child? Posterior
fontanel closes at 2 months and anterior closes by 18 months)
A 5-month-old is admitted to the hospital w/ vomiting and diarrhea. The dr.
prescribes dextrose 5% and 0.25% NS w/ 2 mEq KCl/ 100ml to be infused at
