PEDIATRIC HESI PRACTICE EXAM MULTIPLE CHOICES QUESTIONS AND ANSWERS 2025
The nurse is giving preoperative instructions to a 14-year-old female client who is scheduled for surgery
to correct a spinal curvature. Which statement by the client best demonstrates that learning has taken
place?
A. "I will read all the literature you gave me before surgery."
B. "I have had surgery before when I broke my wrist in a bike accident, so I know what to expect."
C. "All the things people have told me will help me take care of my back."
D. "I understand that I will be in a body cast and I will show you how you taught me to turn." -
(ANSWER)D. "I understand that I will be in a body cast and I will show you how you taught me to turn."
To take the vital signs of a 4-month-old child, which order will give the most accurate results?
A. Respiratory rate, heart rate, then rectal temperature.
B. Heart rate, rectal temperature, then respiratory rate.
C. Rectal temperature, heart rate, then respiratory rate.
D. Rectal temperature, respiratory rate, then heart rate. - (ANSWER)A. Respiratory rate, heart rate, then
rectal temperature.
During routine screening at a school clinic, an otoscope examination of a child's ear reveals a tympanic
membrane that is pearly gray, slightly bulging, and not movable. What action should the nurse take
next?
A. No action required, as this is an expected finding for a school-aged child.
B. Ask the child if he/she has had a cold, runny nose, or any ear pain lately.
C. Send a note home advising the parents to have the child evaluated by a healthcare provider as soon
as possible.
D. Call the parents and have them take the child home from school for the rest of the day. - (ANSWER)B.
Ask the child if he/she has had a cold, runny nose, or any ear pain lately.
Which restraint should be used for a toddler after a cleft palate repair?
A. Clove hitch.
B. Mummy.
C. Elbow.
D. Jacket. - (ANSWER)C. Elbow.
,PEDIATRIC HESI PRACTICE EXAM MULTIPLE CHOICES QUESTIONS AND ANSWERS 2025
What preoperative nursing intervention should be included in the plan of care for an infant with pyloric
stenosis?
A. Monitor for signs of metabolic acidosis.
B. Estimate the quantity of diarrhea stools.
C. Place in a supine position after feeding.
D. Observe for projectile vomiting. - (ANSWER)D. Observe for projectile vomiting.
A six-month-old returns from surgery with elbow restraints in place. What nursing care should be
included when caring for any restrained child?
A. Keep restraints on at all times.
B. Remove restraints one at a time and provide range of motion exercises.
C. Remove all restraints simultaneously and provide play activities.
D. Renew the healthcare provider's prescription for restraints every 72 hours. - (ANSWER)B. Remove
restraints one at a time and provide range of motion exercises.
A 2-year-old child with Down syndrome is brought to the clinic for his regular physical examination. The
nurse knows which problem is frequently associated with Down syndrome?
A. Congenital heart disease.
B. Fragile X chromosome.
C. Trisomy 13.
D. Pyloric stenosis. - (ANSWER)A. Congenital heart disease.
When assessing a child with asthma, the nurse should expect intercostal retractions during
A. Inspiration.
B. Coughing.
C. Apneic episodes.
D. Expiration. - (ANSWER)A. Inspiration.
When planning the care for a child who has had a cleft lip repair, the nurse knows that crying should be
minimized because it
, PEDIATRIC HESI PRACTICE EXAM MULTIPLE CHOICES QUESTIONS AND ANSWERS 2025
A. Increases salivation.
B. Increases the respiratory rate.
C. Leads to vomiting.
D. Stresses the suture line. - (ANSWER)D. 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 symptoms is this newborn likely to have exhibited?
A. Choking, coughing, and cyanosis.
B. Projectile vomiting and cyanosis.
C. Apneic spells and grunting.
D. Scaphoid abdomen and anorexia. - (ANSWER)A. Choking, coughing, and cyanosis.
Which behavior would the nurse expect a two-year-old child to exhibit?
A. Build a house with blocks.
B. Ride a tricycle.
C. Display possessiveness of toys.
D. Look at a picture book for 15 minutes. - (ANSWER)C. Display possessiveness of toys.
The mother 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 the mother to check the label of all over-the-counter
drugs for the presence of aspirin, which instruction should the nurse include when replying to this
mother's question?
A. If the child's tongue darkens, discontinue the Pepto Bismol immediately.
B. Do not give if the child has chickenpox, the flu, or any other viral illness.
C. Avoid the use of Pepto Bismol until the child is at least 16 years old.
D. Pepto Bismol may cause a rebound hyperacidity, worsening the "tummy ache." - (ANSWER)B. Do not
give if the child has chickenpox, the flu, or any other viral illness.
The nurse observes a 4-year-old boy in a daycare setting. Which behavior should the nurse consider
normal for this child?
A. Has a temper tantrum when told he must share his toys.
The nurse is giving preoperative instructions to a 14-year-old female client who is scheduled for surgery
to correct a spinal curvature. Which statement by the client best demonstrates that learning has taken
place?
A. "I will read all the literature you gave me before surgery."
B. "I have had surgery before when I broke my wrist in a bike accident, so I know what to expect."
C. "All the things people have told me will help me take care of my back."
D. "I understand that I will be in a body cast and I will show you how you taught me to turn." -
(ANSWER)D. "I understand that I will be in a body cast and I will show you how you taught me to turn."
To take the vital signs of a 4-month-old child, which order will give the most accurate results?
A. Respiratory rate, heart rate, then rectal temperature.
B. Heart rate, rectal temperature, then respiratory rate.
C. Rectal temperature, heart rate, then respiratory rate.
D. Rectal temperature, respiratory rate, then heart rate. - (ANSWER)A. Respiratory rate, heart rate, then
rectal temperature.
During routine screening at a school clinic, an otoscope examination of a child's ear reveals a tympanic
membrane that is pearly gray, slightly bulging, and not movable. What action should the nurse take
next?
A. No action required, as this is an expected finding for a school-aged child.
B. Ask the child if he/she has had a cold, runny nose, or any ear pain lately.
C. Send a note home advising the parents to have the child evaluated by a healthcare provider as soon
as possible.
D. Call the parents and have them take the child home from school for the rest of the day. - (ANSWER)B.
Ask the child if he/she has had a cold, runny nose, or any ear pain lately.
Which restraint should be used for a toddler after a cleft palate repair?
A. Clove hitch.
B. Mummy.
C. Elbow.
D. Jacket. - (ANSWER)C. Elbow.
,PEDIATRIC HESI PRACTICE EXAM MULTIPLE CHOICES QUESTIONS AND ANSWERS 2025
What preoperative nursing intervention should be included in the plan of care for an infant with pyloric
stenosis?
A. Monitor for signs of metabolic acidosis.
B. Estimate the quantity of diarrhea stools.
C. Place in a supine position after feeding.
D. Observe for projectile vomiting. - (ANSWER)D. Observe for projectile vomiting.
A six-month-old returns from surgery with elbow restraints in place. What nursing care should be
included when caring for any restrained child?
A. Keep restraints on at all times.
B. Remove restraints one at a time and provide range of motion exercises.
C. Remove all restraints simultaneously and provide play activities.
D. Renew the healthcare provider's prescription for restraints every 72 hours. - (ANSWER)B. Remove
restraints one at a time and provide range of motion exercises.
A 2-year-old child with Down syndrome is brought to the clinic for his regular physical examination. The
nurse knows which problem is frequently associated with Down syndrome?
A. Congenital heart disease.
B. Fragile X chromosome.
C. Trisomy 13.
D. Pyloric stenosis. - (ANSWER)A. Congenital heart disease.
When assessing a child with asthma, the nurse should expect intercostal retractions during
A. Inspiration.
B. Coughing.
C. Apneic episodes.
D. Expiration. - (ANSWER)A. Inspiration.
When planning the care for a child who has had a cleft lip repair, the nurse knows that crying should be
minimized because it
, PEDIATRIC HESI PRACTICE EXAM MULTIPLE CHOICES QUESTIONS AND ANSWERS 2025
A. Increases salivation.
B. Increases the respiratory rate.
C. Leads to vomiting.
D. Stresses the suture line. - (ANSWER)D. 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 symptoms is this newborn likely to have exhibited?
A. Choking, coughing, and cyanosis.
B. Projectile vomiting and cyanosis.
C. Apneic spells and grunting.
D. Scaphoid abdomen and anorexia. - (ANSWER)A. Choking, coughing, and cyanosis.
Which behavior would the nurse expect a two-year-old child to exhibit?
A. Build a house with blocks.
B. Ride a tricycle.
C. Display possessiveness of toys.
D. Look at a picture book for 15 minutes. - (ANSWER)C. Display possessiveness of toys.
The mother 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 the mother to check the label of all over-the-counter
drugs for the presence of aspirin, which instruction should the nurse include when replying to this
mother's question?
A. If the child's tongue darkens, discontinue the Pepto Bismol immediately.
B. Do not give if the child has chickenpox, the flu, or any other viral illness.
C. Avoid the use of Pepto Bismol until the child is at least 16 years old.
D. Pepto Bismol may cause a rebound hyperacidity, worsening the "tummy ache." - (ANSWER)B. Do not
give if the child has chickenpox, the flu, or any other viral illness.
The nurse observes a 4-year-old boy in a daycare setting. Which behavior should the nurse consider
normal for this child?
A. Has a temper tantrum when told he must share his toys.
