HESI Pediatric Exit Exam with Complete Questions & Verified Answers | RN Program Assessment
Overview
This 2025/2026 updated resource contains the actual HESI Pediatric Exit Exam Test Bank with the
exact 55 questions and verified answers, following current Elsevier HESI testing standards,
NCLEX-RN® pediatric content guidelines, and evidence-based pediatric nursing practice.
Key Features
● Actual HESI exit exam format with the official 55 questions
● Comprehensive coverage of pediatric developmental stages and health conditions
● NCLEX-style questions including dosage calculation and growth chart interpretation
● Updated 2025/2026 pediatric vaccination schedules and treatment guidelines
● Age-specific developmental assessment and family-centered care principles
Core Content Areas (55 Total Questions)
● Growth & Development Milestones (10 Qs)
● Pediatric Assessment & Vital Signs (8 Qs)
● Respiratory & Cardiovascular Disorders (9 Qs)
● Gastrointestinal & Endocrine Conditions (7 Qs)
● Neurological & Musculoskeletal Disorders (6 Qs)
● Infectious Diseases & Immunizations (7 Qs)
● Pediatric Medication Administration (5 Qs)
● Psychosocial & Family Dynamics (3 Qs)
Answer Format
Correct answers are marked in bold green and include:
● Developmental milestone references by specific age ranges
● Weight-based medication calculations (mg/kg/day dosing)
● Growth chart percentile interpretations
● Age-appropriate communication techniques
● Family education priorities for pediatric conditions
● Vaccination schedule applications per CDC 2025 guidelines
Updates for 2025/2026
, ● Reflects 2025 HESI pediatric content revisions
● Updated CDC immunization schedule (2025-2026 recommendations)
● New pediatric asthma management guidelines
● Enhanced mental health screening protocols for children/adolescents
● Revised pain assessment tools for different developmental stages
● Updated childhood obesity prevention and management strategies
● New pediatric telehealth nursing considerations
● Revised infectious disease protocols including post-pandemic guidelines
HESI Pediatric Exit Exam Test Bank (Questions 1–55)
1. A nurse is assessing a 12-month-old infant. Which finding should be reported to the
provider as a developmental delay?
A. Says “mama” and “dada”
B. Stands while holding onto furniture
C. Does not respond to their name
D. Transfers a toy from one hand to the other
✓ Correct: C | CDC Milestones, 12 months; HESI Pediatric Review, 2025
2. A child weighs 18 kg. The provider orders amoxicillin 45 mg/kg/day in 2 divided
doses. The pharmacy supplies amoxicillin 250 mg/5 mL. How many mL per dose
should the nurse administer?
A. 4.05 mL
B. 8.1 mL
C. 16.2 mL
D. 22.5 mL
✓ Correct: B | Calculation: (18 kg × 45 mg/kg) = 810 mg/day ÷ 2 = 405 mg/dose; (405 mg ÷ 250 mg) × 5 mL = 8.1
mL
3. Which pain assessment tool is most appropriate for a 4-year-old child recovering
from tonsillectomy?
A. Numeric Rating Scale (0–10)
B. FLACC Scale