Pediatrics HESI PN Exam Review
Questions and Answers | Latest
Version | 2025/2026 | Correct & Verified
A 2-year-old child is admitted with dehydration from diarrhea. Which assessment is the most
reliable indicator of hydration status?
A. Skin turgor
B. Blood pressure
✔✔C. Daily weight
D. Capillary refill
A nurse prepares to administer a vaccine to a 5-year-old. What is the best site for the injection?
A. Deltoid muscle
✔✔B. Vastus lateralis muscle
C. Gluteus maximus muscle
D. Abdomen
A child with asthma presents with wheezing and difficulty breathing. What is the priority
intervention?
1
,A. Start IV fluids
✔✔B. Administer a short-acting bronchodilator
C. Encourage oral fluids
D. Place child in supine position
A nurse teaches the parents of a child with iron deficiency anemia about diet. Which food should
be encouraged?
A. Apples
✔✔B. Lean red meat
C. White bread
D. Ice cream
A child with cystic fibrosis requires pancreatic enzymes. When should these be administered?
A. At bedtime
✔✔B. With meals and snacks
C. Before sleep only
D. Once in the morning
2
,A child with nephrotic syndrome has edema. Which diet order should the nurse expect?
A. High sodium, low protein
B. High sodium, high protein
✔✔C. Low sodium, moderate protein
D. Low potassium, low fat
A toddler with suspected lead poisoning is admitted. Which lab test confirms the diagnosis?
A. CBC
✔✔B. Blood lead level
C. Urinalysis
D. Stool culture
A child with sickle cell anemia complains of severe leg pain. What is the priority nursing action?
A. Apply cold compress
✔✔B. Administer prescribed opioid analgesic
C. Restrict fluids
D. Place child in Trendelenburg position
3
, A 4-year-old with otitis media is prescribed antibiotics. What teaching is most important for the
parent?
A. Stop the medicine when symptoms improve
B. Keep the medicine refrigerated
✔✔C. Complete the full course of antibiotics
D. Give the medicine on an empty stomach
A nurse prepares to insert an IV in a preschool child. What is the best approach?
A. Restrain the child immediately
✔✔B. Use age-appropriate explanations and distraction
C. Ask the parent to leave the room
D. Avoid explaining to reduce fear
A 6-month-old infant is due for immunizations. Which vaccine should the nurse anticipate
giving?
A. MMR
✔✔B. DTaP
C. Varicella
4
Questions and Answers | Latest
Version | 2025/2026 | Correct & Verified
A 2-year-old child is admitted with dehydration from diarrhea. Which assessment is the most
reliable indicator of hydration status?
A. Skin turgor
B. Blood pressure
✔✔C. Daily weight
D. Capillary refill
A nurse prepares to administer a vaccine to a 5-year-old. What is the best site for the injection?
A. Deltoid muscle
✔✔B. Vastus lateralis muscle
C. Gluteus maximus muscle
D. Abdomen
A child with asthma presents with wheezing and difficulty breathing. What is the priority
intervention?
1
,A. Start IV fluids
✔✔B. Administer a short-acting bronchodilator
C. Encourage oral fluids
D. Place child in supine position
A nurse teaches the parents of a child with iron deficiency anemia about diet. Which food should
be encouraged?
A. Apples
✔✔B. Lean red meat
C. White bread
D. Ice cream
A child with cystic fibrosis requires pancreatic enzymes. When should these be administered?
A. At bedtime
✔✔B. With meals and snacks
C. Before sleep only
D. Once in the morning
2
,A child with nephrotic syndrome has edema. Which diet order should the nurse expect?
A. High sodium, low protein
B. High sodium, high protein
✔✔C. Low sodium, moderate protein
D. Low potassium, low fat
A toddler with suspected lead poisoning is admitted. Which lab test confirms the diagnosis?
A. CBC
✔✔B. Blood lead level
C. Urinalysis
D. Stool culture
A child with sickle cell anemia complains of severe leg pain. What is the priority nursing action?
A. Apply cold compress
✔✔B. Administer prescribed opioid analgesic
C. Restrict fluids
D. Place child in Trendelenburg position
3
, A 4-year-old with otitis media is prescribed antibiotics. What teaching is most important for the
parent?
A. Stop the medicine when symptoms improve
B. Keep the medicine refrigerated
✔✔C. Complete the full course of antibiotics
D. Give the medicine on an empty stomach
A nurse prepares to insert an IV in a preschool child. What is the best approach?
A. Restrain the child immediately
✔✔B. Use age-appropriate explanations and distraction
C. Ask the parent to leave the room
D. Avoid explaining to reduce fear
A 6-month-old infant is due for immunizations. Which vaccine should the nurse anticipate
giving?
A. MMR
✔✔B. DTaP
C. Varicella
4
