PEDIATRICS HESI PRACTICE EXAM
2025/2026 QUESTIONS WITH
COMPLETED & VERIFIED SOLUTIONS.
AxvnewbornxvhasxvjustxvbeenxvdelieveredxvviaxvC-
Sectionxvwithxvaxvmyelomeningocelexvwhichxvwasxvdetectedxvpre-
natallyxvviaxvamniocentecic.xvThexvchildxvisxvscheduledxvtoxvhavexvsurgeryxvwithinxvthexvfirst
xv48xvhours.xvWhichxvofxvthexvfollowingxvnursingxvactionsxvisxvappropriate?
A.xvPlacexvchildxvinxvsemi-fowlersxvpositionxvtoxvdecreasexvpressurexvonxvthexvspinalxvcord
B.xvApplyxvheatxvlampxvtoxvfacilitatexvdryingxvandxvtougheningxvofxvthexvsac
C.xvApplyxvsoftxvrestraintsxvtoxvpreventxvdisruptionxvofxvthexvsac
D.xvAssessxvheadxvcircumferencexvandxvfontenalsxvforxvsignsxvofxvICP.xv-xvcorrectxvanswer
✔ ✔ D
Axvchildxvwithxvautismxvspectrumxvdisorderxv(ASD)xvisxvadmittedxvtoxvthexvhospitalxvwithxvpn
euomonia.xvThexvnursexvshouldxvplanxvwhichxvpriorityxvinterventionxvwhenxvcaringxvforxvthis
xvchild?
A.xvMaintainxvaxvstructuredxvroutinexvandxvkeepxvstimulationxvtoxvaxvminimim
B.xvCommunicatexvatxvchild;sxvlevelxvandxvmaintainxveyexvcontact
C.xvUsexvtherapeuticxvtouchxvtoxvcalmxvchildxvwithxvprocedures
D.xvSwitchxvfromxvonexvassessmentxvactivityxvtoxvanotherxvquickly?xv-xvcorrectxvanswer✔
✔ A
Axvchildxvisxvadmittedxvwithxvacutexvglomerularnephritis.xvThexvnursexvwouldxvexpectxvthexv
UAxvduringxvthisxvacutexvphasexvtoxvshowxvwhichxvofxvthexvfollowing?
A.xvBacteruria,xvhematuria
B.xvHematuria,xvproteinuria
C.xvBacteruria,xvincreasexvspecificxvgravity
D.xvProteinuria,xvdecreasedxvspecificxvgravityxv-xvcorrectxvanswer✔ ✔ B
,Axvchildxvhasxvbeenxvadmittedxvtoxvthexvpedatricxvunitxvwithxvsuspectedxvmeningitis.xvThexvC
SFxvaanalysisxvrevealsxvthexvfollowing:xvApperance:xvClear,xvWBC:xvwithinxvnormalxvlimits,x
vProtein:xvwithinxvnormalxvlimits,xvGlucose:xvwithinxvnormalxvlimits,xvCulture:xvnegative.xvBa
sedxvonxvthexvresults,xvthexvnursexvsuspectsxvthatxvthexvchildxvhas:
A.xvBacertialxvMeningitis
B.xvMeningococcalxvmeningitis
C.xvViralxvmeningitis
D.xvHydrocephalousxv-xvcorrectxvanswer✔ ✔ C
Axvtwoxvyearxvoldxvhasxvhadxvonexvboutxvofxvnephrosisxv(nephroticxvsyndrome)xvHisxvmother
xv suspectedxvaxvrecurrencexvwhenxvshexvobservedxvswellingxvaroundxvhisxveyes.xvThexvnur
sexvhelpsxvtoxvconfirrmxvthexvconditionxvbyxvrecognizingxvwhatxvadditionalxvsympton?
A.xvBloodxvpresssurexv140/90
B.xvMarkedxvproteinuria
C.xvTeaxvcoloredxvurine
D.xvAxvhistoryxvofxvpositivexvstrepxvinfectionsxv-xvcorrectxvanswer✔ ✔ B
Thexvmotherxvofxvaxv1xvmonthxvoldxvinfantxvtellsxvthexvnursexvshexvworriesxvthatxvherxvbabyxv
willxvgetxvmeningititsxvlikexvherxvoldestxvsonxvdidxvwhenxvhexvwasxvanxvinfant.xvThexvnursexvs
houldxvbasexvherxvresponsexvonxvwhichxvstatement?
A.xvMeningitisxvrarelyxvoccursxvduringxvinfancy,xvhoweverxvafterxvthexvfirstxvyearxvofxvlife,xvitxv
isxvmorexvcommon.
B.xvOftenxvaxvgeneticxvpredispositionxvtoxvmeningitisxvisxvfoundxvandxvfamilyxvmembersxvare
xv morexvlikelyxvtoxvgetxvit.
C.xvVaccinationxvtoxvpreventxvallxvtypesxvofxvmeningititsxvisxvnowxvavaliablexvandxvshouldxvb
exvadministeredxvatxv6xvmonths.
D.xvVaccinationxvtoxvpreventxvHaemophilusxvinfluenzaexvtypexvBxvmeningititsxvhasxvdecrea
sedxvthexvfrequencyxvofxvthisxvdiseasexvinxvchildren.xv-xvcorrectxvanswer✔ ✔ D
, Axvsixxvweekxvoldxvinfantxvisxvbroughtxvtoxvthexvpediatriciansxvofficexvforxvaxvwell-
babyxvvisit.xvDuringxvexaminationsxvthexvphyscianxvdisplacesxvthexvfemoralxvheadxvandxvred
ucesxvitxvbackxvintoxvplacexvbyxvmanipulationxvofxvthexvthighsxvandxvhips.xvThexvnursexvreco
gnizesxvthatxvthexvphyscianxvisxvassessing:
A.xvBarlowxvandxvortalanixvtestsxvforxvdevelopmentalxvdysplasiaxvofxvthexvhip
B.xvGowerxvtestxvforxvdevelopmentalxvdysplasiaxvofxvthexvhip
C.xvPavlikxvtestxvforxvdevelopmentalxvdysplasiaxvofxvthexvhip
D.xvTrendelenburgxvtestxvforxvdevelopmentalxvdysplasiaxvofxvthexvhipxv-xvcorrectxvanswer✔
✔ A
Axv10xvyearxvoldxvisxvadmittedxvwithxvpossiblexvappendicitis.xvThexvdoctor'sxvhistoryxvandxvp
hysicalxvindicatesxvaxvWBCxvcountxvofxv17,000,xvincreasedxvsegmentedxvneutrophils,xvdecr
easedxvlymphocytes,xvandxv6%xvbands.xvThexvpatientxvcomplainsxvofxvabdominalxvpain,xvlo
calizedxvatxvMcberney'sxvpoint.xvWhichxvstatementxvmostxvaccuratelyxvdescribesxvthexvdata
?
A.xvLabxvworkxvrevelsxvaxvleftxvshiftxvandxvpainxvlocalizedxvinxvthexvrightxvlowerxvquadrant
B.xvLabxvworkxvrevealsxvaxvrightxvshiftxvandxvpainxvlocalizedxvinxvthexvleftxvupperxvquadrant
C.xvLabxvworkxvrevealsxvnormalxvfindingsxvwithxvpainxvlocalizedxvinxvthexvepigastricxvarea.
D.xvLabxvworkxvrevealsxvaxvpossiblexvviralxvinfectionxvwithxvpainxvlocalizedxvinxvthexvleftxvupp
erxvquadrant.xv-xvcorrectxvanswer✔ ✔ A
Axvnursexvisxvcaringxvforxvaxvboyxvwithxvprobablexvintusseception.xvHexvhadxvdiarrheaxvbefor
exvadmissionxvbutxvwhilexvwaitingxvforxvadministrationxvofxvairxvpressurexvtoxvreducexvthexvint
usseceptionxvhexvproducedxvaxvnormalxvbrownxvstool.xvWhichxvnursingxvactionxvisxvthexvmo
stxvappropriete.
A.xvNotifyxvpractitioner
B.xvMeasurexvabdomnialxvgirth
C.xvAuscultatexvforxvbowelxvsounds
D.xvTakexvvitalxvsigns,xvincludingxvbloodxvpressure.xv-xvcorrectxvanswer✔ ✔ A
2025/2026 QUESTIONS WITH
COMPLETED & VERIFIED SOLUTIONS.
AxvnewbornxvhasxvjustxvbeenxvdelieveredxvviaxvC-
Sectionxvwithxvaxvmyelomeningocelexvwhichxvwasxvdetectedxvpre-
natallyxvviaxvamniocentecic.xvThexvchildxvisxvscheduledxvtoxvhavexvsurgeryxvwithinxvthexvfirst
xv48xvhours.xvWhichxvofxvthexvfollowingxvnursingxvactionsxvisxvappropriate?
A.xvPlacexvchildxvinxvsemi-fowlersxvpositionxvtoxvdecreasexvpressurexvonxvthexvspinalxvcord
B.xvApplyxvheatxvlampxvtoxvfacilitatexvdryingxvandxvtougheningxvofxvthexvsac
C.xvApplyxvsoftxvrestraintsxvtoxvpreventxvdisruptionxvofxvthexvsac
D.xvAssessxvheadxvcircumferencexvandxvfontenalsxvforxvsignsxvofxvICP.xv-xvcorrectxvanswer
✔ ✔ D
Axvchildxvwithxvautismxvspectrumxvdisorderxv(ASD)xvisxvadmittedxvtoxvthexvhospitalxvwithxvpn
euomonia.xvThexvnursexvshouldxvplanxvwhichxvpriorityxvinterventionxvwhenxvcaringxvforxvthis
xvchild?
A.xvMaintainxvaxvstructuredxvroutinexvandxvkeepxvstimulationxvtoxvaxvminimim
B.xvCommunicatexvatxvchild;sxvlevelxvandxvmaintainxveyexvcontact
C.xvUsexvtherapeuticxvtouchxvtoxvcalmxvchildxvwithxvprocedures
D.xvSwitchxvfromxvonexvassessmentxvactivityxvtoxvanotherxvquickly?xv-xvcorrectxvanswer✔
✔ A
Axvchildxvisxvadmittedxvwithxvacutexvglomerularnephritis.xvThexvnursexvwouldxvexpectxvthexv
UAxvduringxvthisxvacutexvphasexvtoxvshowxvwhichxvofxvthexvfollowing?
A.xvBacteruria,xvhematuria
B.xvHematuria,xvproteinuria
C.xvBacteruria,xvincreasexvspecificxvgravity
D.xvProteinuria,xvdecreasedxvspecificxvgravityxv-xvcorrectxvanswer✔ ✔ B
,Axvchildxvhasxvbeenxvadmittedxvtoxvthexvpedatricxvunitxvwithxvsuspectedxvmeningitis.xvThexvC
SFxvaanalysisxvrevealsxvthexvfollowing:xvApperance:xvClear,xvWBC:xvwithinxvnormalxvlimits,x
vProtein:xvwithinxvnormalxvlimits,xvGlucose:xvwithinxvnormalxvlimits,xvCulture:xvnegative.xvBa
sedxvonxvthexvresults,xvthexvnursexvsuspectsxvthatxvthexvchildxvhas:
A.xvBacertialxvMeningitis
B.xvMeningococcalxvmeningitis
C.xvViralxvmeningitis
D.xvHydrocephalousxv-xvcorrectxvanswer✔ ✔ C
Axvtwoxvyearxvoldxvhasxvhadxvonexvboutxvofxvnephrosisxv(nephroticxvsyndrome)xvHisxvmother
xv suspectedxvaxvrecurrencexvwhenxvshexvobservedxvswellingxvaroundxvhisxveyes.xvThexvnur
sexvhelpsxvtoxvconfirrmxvthexvconditionxvbyxvrecognizingxvwhatxvadditionalxvsympton?
A.xvBloodxvpresssurexv140/90
B.xvMarkedxvproteinuria
C.xvTeaxvcoloredxvurine
D.xvAxvhistoryxvofxvpositivexvstrepxvinfectionsxv-xvcorrectxvanswer✔ ✔ B
Thexvmotherxvofxvaxv1xvmonthxvoldxvinfantxvtellsxvthexvnursexvshexvworriesxvthatxvherxvbabyxv
willxvgetxvmeningititsxvlikexvherxvoldestxvsonxvdidxvwhenxvhexvwasxvanxvinfant.xvThexvnursexvs
houldxvbasexvherxvresponsexvonxvwhichxvstatement?
A.xvMeningitisxvrarelyxvoccursxvduringxvinfancy,xvhoweverxvafterxvthexvfirstxvyearxvofxvlife,xvitxv
isxvmorexvcommon.
B.xvOftenxvaxvgeneticxvpredispositionxvtoxvmeningitisxvisxvfoundxvandxvfamilyxvmembersxvare
xv morexvlikelyxvtoxvgetxvit.
C.xvVaccinationxvtoxvpreventxvallxvtypesxvofxvmeningititsxvisxvnowxvavaliablexvandxvshouldxvb
exvadministeredxvatxv6xvmonths.
D.xvVaccinationxvtoxvpreventxvHaemophilusxvinfluenzaexvtypexvBxvmeningititsxvhasxvdecrea
sedxvthexvfrequencyxvofxvthisxvdiseasexvinxvchildren.xv-xvcorrectxvanswer✔ ✔ D
, Axvsixxvweekxvoldxvinfantxvisxvbroughtxvtoxvthexvpediatriciansxvofficexvforxvaxvwell-
babyxvvisit.xvDuringxvexaminationsxvthexvphyscianxvdisplacesxvthexvfemoralxvheadxvandxvred
ucesxvitxvbackxvintoxvplacexvbyxvmanipulationxvofxvthexvthighsxvandxvhips.xvThexvnursexvreco
gnizesxvthatxvthexvphyscianxvisxvassessing:
A.xvBarlowxvandxvortalanixvtestsxvforxvdevelopmentalxvdysplasiaxvofxvthexvhip
B.xvGowerxvtestxvforxvdevelopmentalxvdysplasiaxvofxvthexvhip
C.xvPavlikxvtestxvforxvdevelopmentalxvdysplasiaxvofxvthexvhip
D.xvTrendelenburgxvtestxvforxvdevelopmentalxvdysplasiaxvofxvthexvhipxv-xvcorrectxvanswer✔
✔ A
Axv10xvyearxvoldxvisxvadmittedxvwithxvpossiblexvappendicitis.xvThexvdoctor'sxvhistoryxvandxvp
hysicalxvindicatesxvaxvWBCxvcountxvofxv17,000,xvincreasedxvsegmentedxvneutrophils,xvdecr
easedxvlymphocytes,xvandxv6%xvbands.xvThexvpatientxvcomplainsxvofxvabdominalxvpain,xvlo
calizedxvatxvMcberney'sxvpoint.xvWhichxvstatementxvmostxvaccuratelyxvdescribesxvthexvdata
?
A.xvLabxvworkxvrevelsxvaxvleftxvshiftxvandxvpainxvlocalizedxvinxvthexvrightxvlowerxvquadrant
B.xvLabxvworkxvrevealsxvaxvrightxvshiftxvandxvpainxvlocalizedxvinxvthexvleftxvupperxvquadrant
C.xvLabxvworkxvrevealsxvnormalxvfindingsxvwithxvpainxvlocalizedxvinxvthexvepigastricxvarea.
D.xvLabxvworkxvrevealsxvaxvpossiblexvviralxvinfectionxvwithxvpainxvlocalizedxvinxvthexvleftxvupp
erxvquadrant.xv-xvcorrectxvanswer✔ ✔ A
Axvnursexvisxvcaringxvforxvaxvboyxvwithxvprobablexvintusseception.xvHexvhadxvdiarrheaxvbefor
exvadmissionxvbutxvwhilexvwaitingxvforxvadministrationxvofxvairxvpressurexvtoxvreducexvthexvint
usseceptionxvhexvproducedxvaxvnormalxvbrownxvstool.xvWhichxvnursingxvactionxvisxvthexvmo
stxvappropriete.
A.xvNotifyxvpractitioner
B.xvMeasurexvabdomnialxvgirth
C.xvAuscultatexvforxvbowelxvsounds
D.xvTakexvvitalxvsigns,xvincludingxvbloodxvpressure.xv-xvcorrectxvanswer✔ ✔ A