HESI RN PEDIATRICS V1 EXAM 2026
COMPREHENSIVE EXAM
◉ Classic signs and symptoms of measles. Answer: Photophobia,
confluent rash starting on the face and spreading downward, and
Koplik spots on the buccal mucosa.
◉ Immunizations for a 4-month-old. Answer: IPV (Polio), PCV
(Pneumococcal), RV (Rotavirus).
◉ Immunizations for a 5-year-old. Answer: DTaP, IPV, MMR,
Varicella.
◉ Immunizations for 11-12-year-olds. Answer: Meningococcal
(MCV4), Tdap, Influenza (yearly).
◉ Question before giving the varicella vaccine. Answer: "Are you
currently taking corticosteroid medication?"
◉ Communicable diseases that can lead to pneumonia. Answer:
Rubeola (measles), Pertussis (whooping cough), Varicella
(chickenpox).
,◉ Signs and symptoms of iron deficiency anemia. Answer: Pale
skin/conjunctiva, brittle nails, atrophic tongue papillae, fatigue.
◉ How to give iron dextran IM to a child. Answer: Use the Z-track
method; do not inject more than 2 mL per site.
◉ Vitamins often deficient in preschoolers. Answer: Vitamins A, C,
B6, and B12.
◉ Measurements reflecting nutritional status. Answer: Weight,
skinfold thickness, and arm circumference.
◉ Signs of dehydration in infants. Answer: Poor skin turgor, dry
mucous membranes, sunken fontanel, decreased urine output.
◉ Lab findings indicating dehydration. Answer: Elevated BUN and
Hct, low sodium, and metabolic acidosis.
◉ Best evaluation of fluid replacement adequacy. Answer: Monitor
urine output (should be 1-2 mL/kg/hr).
◉ Action for child who swallowed paint thinner and is cyanotic.
Answer: Prepare for intubation with a cuffed ETT.
, ◉ Correct statement about acetaminophen poisoning. Answer:
Pallor can appear as early as 2 hours after ingestion.
◉ How to assess burns in children. Answer: Using the Lund-
Browder chart.
◉ Key characteristics of child abuse cases. Answer: Parent sees child
as different, uses child to meet needs, is critical or unresponsive,
unstable family environment.
◉ Behaviors observed in an abused child. Answer: Fear, withdrawal,
flinching in presence of adults.
◉ Nursing interventions for an abused child. Answer: Report
suspected abuse, document objectively, photograph injuries, provide
emotional and physical care.
◉ Purpose of bronchodilators. Answer: Relax bronchial smooth
muscles and open airways.
◉ Physical assessment findings for asthma. Answer: Expiratory
wheezes, tight cough, retractions, altered blood gases.
COMPREHENSIVE EXAM
◉ Classic signs and symptoms of measles. Answer: Photophobia,
confluent rash starting on the face and spreading downward, and
Koplik spots on the buccal mucosa.
◉ Immunizations for a 4-month-old. Answer: IPV (Polio), PCV
(Pneumococcal), RV (Rotavirus).
◉ Immunizations for a 5-year-old. Answer: DTaP, IPV, MMR,
Varicella.
◉ Immunizations for 11-12-year-olds. Answer: Meningococcal
(MCV4), Tdap, Influenza (yearly).
◉ Question before giving the varicella vaccine. Answer: "Are you
currently taking corticosteroid medication?"
◉ Communicable diseases that can lead to pneumonia. Answer:
Rubeola (measles), Pertussis (whooping cough), Varicella
(chickenpox).
,◉ Signs and symptoms of iron deficiency anemia. Answer: Pale
skin/conjunctiva, brittle nails, atrophic tongue papillae, fatigue.
◉ How to give iron dextran IM to a child. Answer: Use the Z-track
method; do not inject more than 2 mL per site.
◉ Vitamins often deficient in preschoolers. Answer: Vitamins A, C,
B6, and B12.
◉ Measurements reflecting nutritional status. Answer: Weight,
skinfold thickness, and arm circumference.
◉ Signs of dehydration in infants. Answer: Poor skin turgor, dry
mucous membranes, sunken fontanel, decreased urine output.
◉ Lab findings indicating dehydration. Answer: Elevated BUN and
Hct, low sodium, and metabolic acidosis.
◉ Best evaluation of fluid replacement adequacy. Answer: Monitor
urine output (should be 1-2 mL/kg/hr).
◉ Action for child who swallowed paint thinner and is cyanotic.
Answer: Prepare for intubation with a cuffed ETT.
, ◉ Correct statement about acetaminophen poisoning. Answer:
Pallor can appear as early as 2 hours after ingestion.
◉ How to assess burns in children. Answer: Using the Lund-
Browder chart.
◉ Key characteristics of child abuse cases. Answer: Parent sees child
as different, uses child to meet needs, is critical or unresponsive,
unstable family environment.
◉ Behaviors observed in an abused child. Answer: Fear, withdrawal,
flinching in presence of adults.
◉ Nursing interventions for an abused child. Answer: Report
suspected abuse, document objectively, photograph injuries, provide
emotional and physical care.
◉ Purpose of bronchodilators. Answer: Relax bronchial smooth
muscles and open airways.
◉ Physical assessment findings for asthma. Answer: Expiratory
wheezes, tight cough, retractions, altered blood gases.
