ESTUDYR
2025 LATEST UPDATED HESI RN PEDIATRIC (PEDS)
ACTUAL EXAM VERSION 1 AND 2 (V1 & V2)
Birth length typically doubles by what age?
A. 2 years
B. 3 years
C. 4 years ✅
D. 6 years
Rationale: Average newborn length doubles by about 4 years.
At what age does a child usually sit unsupported?
A. 4 months
B. 6 months
C. 8 months ✅
D. 10 months
Rationale: Most infants sit without support by ~8 months.
When does a child usually reach 50% of adult height?
A. 6 months
B. 2 years ✅
C. 4 years
D. 5 years
Rationale: By ~2 years, a child’s height is about half of expected adult height.
At what age does a child typically throw a ball overhand?
A. 12 months
B. 18 months ✅
C. 3 years
D. 4 years
Rationale: Overhand throwing often emerges around 18 months.
When does a child commonly speak 2–3 word sentences?
A. 12 months
B. 2 years ✅
C. 3 years
D. 4 years
Rationale: Two-word combinations appear around 18–24 months; by 2 years sentences of 2–3
words are common.
,ESTUDYR
At what age can a child typically use scissors appropriately?
A. 2 years
B. 3 years
C. 4 years ✅
D. 6 years
Rationale: Scissor skills (simple cutting) are usually established around 4 years.
When does a child usually tie his/her shoes?
A. 3 years
B. 4 years
C. 5 years ✅
D. 7 years
Rationale: Fine motor coordination for tying shoelaces often appears near age 5.
Two contraindications to live virus immunizations are:
A. Allergy to eggs; current fever
B. Immunocompromised child; household member who is immunocompromised ✅
C. Recent antibiotic use; mild cold
D. Breastfeeding; prior antibiotic allergy
Rationale: Live vaccines can infect immunocompromised persons; household exposure is a
concern.
Three classic signs/symptoms of measles (rubeola) include:
A. Cough, conjunctivitis, diarrhea
B. Photophobia, confluent rash starting on face, Koplik spots ✅
C. Bull’s-eye rash, fever, joint pain
D. Petechial rash, hypotension, vomiting
Rationale: Koplik spots, cephalocaudal rash, and photophobia/conjunctivitis are characteristic.
Signs/symptoms of iron deficiency include:
A. Tachycardia, hypertension
B. Anemia, pale conjunctiva and skin, atrophic tongue papillae, brittle/spoon nails, thyroid
edema ✅
C. Jaundice, hepatomegaly
D. Petechiae, prolonged bleeding
Rationale: Iron deficiency produces microcytic anemia and associated mucocutaneous changes.
Food sources high in vitamin A include:
A. Milk, citrus fruits
B. Liver, sweet potatoes, carrots, spinach, peaches, apricots ✅
, ESTUDYR
C. Whole grains, nuts
D. Fish and shellfish only
Rationale: Vitamin A is abundant in orange/yellow vegetables, leafy greens, and liver.
Vitamin C deficiency causes:
A. Rickets
B. Pellagra
C. Scurvy ✅
D. Beriberi
Rationale: Scurvy results from lack of vitamin C — bleeding gums, poor wound healing.
Measurements that best reflect present nutritional status are:
A. Height and head circumference
B. Weight, skin-fold thickness, arm circumference ✅
C. Hair texture and nail color
D. Blood pressure and pulse
Rationale: Weight and anthropometrics indicate current caloric/protein status.
Signs/symptoms of dehydration in an infant include:
A. Hypertension and edema
B. Poor skin turgor, absent tears, dry mucous membranes, weight loss, depressed fontanel,
low urine output ✅
C. Polyuria, polydipsia
D. Increased appetite and hyperactivity
Rationale: Infants show decreased turgor, sunken fontanel, fewer wet diapers.
Typical laboratory findings in a dehydrated child:
A. Decreased Hct, low BUN
B. Elevated Hct, elevated BUN, loss of bicarbonate (↓ pH), electrolyte losses (Na⁺, K⁺) ✅
C. Low glucose, low creatinine
D. Hypocalcemia only
Rationale: Hemoconcentration raises Hct/BUN; vomiting/diarrhea alter electrolytes and pH.
Burns in children are best assessed using:
A. Rule of nines (adult) only
B. Lund-Browder chart ✅
C. Palmar surface method only
D. Body mass index (BMI)
Rationale: Lund-Browder accounts for age-related body proportion differences.
2025 LATEST UPDATED HESI RN PEDIATRIC (PEDS)
ACTUAL EXAM VERSION 1 AND 2 (V1 & V2)
Birth length typically doubles by what age?
A. 2 years
B. 3 years
C. 4 years ✅
D. 6 years
Rationale: Average newborn length doubles by about 4 years.
At what age does a child usually sit unsupported?
A. 4 months
B. 6 months
C. 8 months ✅
D. 10 months
Rationale: Most infants sit without support by ~8 months.
When does a child usually reach 50% of adult height?
A. 6 months
B. 2 years ✅
C. 4 years
D. 5 years
Rationale: By ~2 years, a child’s height is about half of expected adult height.
At what age does a child typically throw a ball overhand?
A. 12 months
B. 18 months ✅
C. 3 years
D. 4 years
Rationale: Overhand throwing often emerges around 18 months.
When does a child commonly speak 2–3 word sentences?
A. 12 months
B. 2 years ✅
C. 3 years
D. 4 years
Rationale: Two-word combinations appear around 18–24 months; by 2 years sentences of 2–3
words are common.
,ESTUDYR
At what age can a child typically use scissors appropriately?
A. 2 years
B. 3 years
C. 4 years ✅
D. 6 years
Rationale: Scissor skills (simple cutting) are usually established around 4 years.
When does a child usually tie his/her shoes?
A. 3 years
B. 4 years
C. 5 years ✅
D. 7 years
Rationale: Fine motor coordination for tying shoelaces often appears near age 5.
Two contraindications to live virus immunizations are:
A. Allergy to eggs; current fever
B. Immunocompromised child; household member who is immunocompromised ✅
C. Recent antibiotic use; mild cold
D. Breastfeeding; prior antibiotic allergy
Rationale: Live vaccines can infect immunocompromised persons; household exposure is a
concern.
Three classic signs/symptoms of measles (rubeola) include:
A. Cough, conjunctivitis, diarrhea
B. Photophobia, confluent rash starting on face, Koplik spots ✅
C. Bull’s-eye rash, fever, joint pain
D. Petechial rash, hypotension, vomiting
Rationale: Koplik spots, cephalocaudal rash, and photophobia/conjunctivitis are characteristic.
Signs/symptoms of iron deficiency include:
A. Tachycardia, hypertension
B. Anemia, pale conjunctiva and skin, atrophic tongue papillae, brittle/spoon nails, thyroid
edema ✅
C. Jaundice, hepatomegaly
D. Petechiae, prolonged bleeding
Rationale: Iron deficiency produces microcytic anemia and associated mucocutaneous changes.
Food sources high in vitamin A include:
A. Milk, citrus fruits
B. Liver, sweet potatoes, carrots, spinach, peaches, apricots ✅
, ESTUDYR
C. Whole grains, nuts
D. Fish and shellfish only
Rationale: Vitamin A is abundant in orange/yellow vegetables, leafy greens, and liver.
Vitamin C deficiency causes:
A. Rickets
B. Pellagra
C. Scurvy ✅
D. Beriberi
Rationale: Scurvy results from lack of vitamin C — bleeding gums, poor wound healing.
Measurements that best reflect present nutritional status are:
A. Height and head circumference
B. Weight, skin-fold thickness, arm circumference ✅
C. Hair texture and nail color
D. Blood pressure and pulse
Rationale: Weight and anthropometrics indicate current caloric/protein status.
Signs/symptoms of dehydration in an infant include:
A. Hypertension and edema
B. Poor skin turgor, absent tears, dry mucous membranes, weight loss, depressed fontanel,
low urine output ✅
C. Polyuria, polydipsia
D. Increased appetite and hyperactivity
Rationale: Infants show decreased turgor, sunken fontanel, fewer wet diapers.
Typical laboratory findings in a dehydrated child:
A. Decreased Hct, low BUN
B. Elevated Hct, elevated BUN, loss of bicarbonate (↓ pH), electrolyte losses (Na⁺, K⁺) ✅
C. Low glucose, low creatinine
D. Hypocalcemia only
Rationale: Hemoconcentration raises Hct/BUN; vomiting/diarrhea alter electrolytes and pH.
Burns in children are best assessed using:
A. Rule of nines (adult) only
B. Lund-Browder chart ✅
C. Palmar surface method only
D. Body mass index (BMI)
Rationale: Lund-Browder accounts for age-related body proportion differences.
