HESI PEDIATRIC PRACTICE EXAM QUESTIONS AND ANSWERS
UPDATED 2025/2026 A COMPLETE SOLUTION ALL ANSWERS
GET IT 100% CORRECT VERIFIED BEST GRADED A+ FOR
SUCCESS
A female teenager is taking oral tetracycline HCl (Achromycin V) for acne vulgaris. What is the
most important instruction for the nurse to include in this client's teaching plan? - CORRECT
ANSWERS Use sunscreen when lying by the pool
(photosensitivity is a common s/e of tetracycline HCL. Severe sunburn can occur w/ minimal
sun exposure and clients should be instructed to avoid sunlight and to use sunscreen)
The mother of a 6 month old asks the nurse when her baby will get the 1st measles, mumps,
and rubella (MMR) vaccine. Based on the recommended childhood immunization, schedule
published by the CDC, which response is accurate? - CORRECT ANSWERS 12-15 months
(the 1st MMR should be given no sooner than 12 months and ideally 12-15 months old.)
Preoperative nsg care for a child w/ Wilms' tumor should include which intervention? -
CORRECT ANSWERS Put a sign on the bed reading "DO NOT PALPATE ABD"
(prevention of abd palpation minimizes the risk of rupturing the encapsulated tumor and
subsequent metastasis)
A 4 yr old boy was admitted to the ER w/ a right ulna fx and a short arm cast was applied. When
preparing the parents to take the child home, which d/c instruction has the highest priority? -
CORRECT ANSWERS Call the HCP immediately if his nail beds appear blue
(cyanosis indicates impaired circulation to fingers and should be reported immediately.)
,HESI PEDIATRIC PRACTICE EXAM QUESTIONS AND ANSWERS
UPDATED 2025/2026 A COMPLETE SOLUTION ALL ANSWERS
GET IT 100% CORRECT VERIFIED BEST GRADED A+ FOR
SUCCESS
An 18 month old is admitted to the hospital w/ possible Hirschsprung's diseas. When obtaining
a nsg hx, the nurse asks about the bowel habits. What description of the disease? -
CORRECT ANSWERS Ribbon-like and brown
(this disease is a mechanical obstruction caused by inadequate motility in part of the intestines.
The condition results from failure of ganglion cells to migrate craniocaudally along the GI tract
during gestation. The lack of peristalsis is the affected bowel segment causes constipation and
small diameter, brown colored stools)
The nurse must prevent a 2 yr old w/ severe eczema on the face, neck, and scalp from
scratching the affected areas. Which nsg intervention is most effective in preventing further
excoriation due to pruritis? - CORRECT ANSWERS Place elbow restraints on the child's
arms
(elbow restraints prevent arm flexion and scratching of involved areas, but do not inhibit use of
the hands for play activities
The nurse assigning care for a 5 yr old w/ otitis media is concerned about the child's increasing
temp over the past 24 hrs. Which stmt is accurate and should be considered when planning
care for the remainder of the shift? - CORRECT ANSWERS Tympanic and oral temp are
equally accurate
(A tympanic mb sensor approximates core temps because the hypothalamus and eardrum are
perfused circulation. Tympanic readings obtained using proper technique correlated
moderately to strongly w/ oral temps in recent research studies. the sensor is unaffected by
cerumen or the presence of suppurative or unsuppurative otitis media. An RN is not required to
take the temp, but must assess readings received from assistive personnel
, HESI PEDIATRIC PRACTICE EXAM QUESTIONS AND ANSWERS
UPDATED 2025/2026 A COMPLETE SOLUTION ALL ANSWERS
GET IT 100% CORRECT VERIFIED BEST GRADED A+ FOR
SUCCESS
a 3 yr old boy is brought to the ER because he swallowed an entire bottle of children's vitamin
pills. Which intervention should the nurse implement 1st? - CORRECT ANSWERS
determine the child's pulse and respirations
(the most important principle in dealing w/ a poisoning is to tx the child first, not the poison.
Initiate immediate life support measures w/ assessment of v/s, in particular, respirations.
Inserting an airway or initiating mechanical ventilation may be necessary. Assessment and
identification of the poison should occur prior to NG placement for lavage
A 2 yr old child w/ gastro-esophageal reflux has dvpd a fear of eating. What instruction should
the nurse include in the parents' teaching plan? - CORRECT ANSWERS Consistently
follow a set mealtime routine
(2 yr olds are comforted by consistency)
A 6 month old boy and his mother are at the HCPs office for a well baby check up and routine
immunizations. the HCP recommends to the mother that the child receive an influenza vaccine.
What meds should the nurse plan to administer? - CORRECT ANSWERS All the
immunizations w/ the flue vaccine given at separate site from any other injection
(At 6 months routine immunizations include Hep B, DTaP, Hib, PCV, IPV, and flu. the influenza
vaccine should be given at separate site from any other injection
The nurse is assessing a 13 yr old girl w/ suspected hyperthyroidism. Which question is most
important for the nurse to ask her during the admission interview? - CORRECT
ANSWERS "Are you experiencing any type of nervousness?"
UPDATED 2025/2026 A COMPLETE SOLUTION ALL ANSWERS
GET IT 100% CORRECT VERIFIED BEST GRADED A+ FOR
SUCCESS
A female teenager is taking oral tetracycline HCl (Achromycin V) for acne vulgaris. What is the
most important instruction for the nurse to include in this client's teaching plan? - CORRECT
ANSWERS Use sunscreen when lying by the pool
(photosensitivity is a common s/e of tetracycline HCL. Severe sunburn can occur w/ minimal
sun exposure and clients should be instructed to avoid sunlight and to use sunscreen)
The mother of a 6 month old asks the nurse when her baby will get the 1st measles, mumps,
and rubella (MMR) vaccine. Based on the recommended childhood immunization, schedule
published by the CDC, which response is accurate? - CORRECT ANSWERS 12-15 months
(the 1st MMR should be given no sooner than 12 months and ideally 12-15 months old.)
Preoperative nsg care for a child w/ Wilms' tumor should include which intervention? -
CORRECT ANSWERS Put a sign on the bed reading "DO NOT PALPATE ABD"
(prevention of abd palpation minimizes the risk of rupturing the encapsulated tumor and
subsequent metastasis)
A 4 yr old boy was admitted to the ER w/ a right ulna fx and a short arm cast was applied. When
preparing the parents to take the child home, which d/c instruction has the highest priority? -
CORRECT ANSWERS Call the HCP immediately if his nail beds appear blue
(cyanosis indicates impaired circulation to fingers and should be reported immediately.)
,HESI PEDIATRIC PRACTICE EXAM QUESTIONS AND ANSWERS
UPDATED 2025/2026 A COMPLETE SOLUTION ALL ANSWERS
GET IT 100% CORRECT VERIFIED BEST GRADED A+ FOR
SUCCESS
An 18 month old is admitted to the hospital w/ possible Hirschsprung's diseas. When obtaining
a nsg hx, the nurse asks about the bowel habits. What description of the disease? -
CORRECT ANSWERS Ribbon-like and brown
(this disease is a mechanical obstruction caused by inadequate motility in part of the intestines.
The condition results from failure of ganglion cells to migrate craniocaudally along the GI tract
during gestation. The lack of peristalsis is the affected bowel segment causes constipation and
small diameter, brown colored stools)
The nurse must prevent a 2 yr old w/ severe eczema on the face, neck, and scalp from
scratching the affected areas. Which nsg intervention is most effective in preventing further
excoriation due to pruritis? - CORRECT ANSWERS Place elbow restraints on the child's
arms
(elbow restraints prevent arm flexion and scratching of involved areas, but do not inhibit use of
the hands for play activities
The nurse assigning care for a 5 yr old w/ otitis media is concerned about the child's increasing
temp over the past 24 hrs. Which stmt is accurate and should be considered when planning
care for the remainder of the shift? - CORRECT ANSWERS Tympanic and oral temp are
equally accurate
(A tympanic mb sensor approximates core temps because the hypothalamus and eardrum are
perfused circulation. Tympanic readings obtained using proper technique correlated
moderately to strongly w/ oral temps in recent research studies. the sensor is unaffected by
cerumen or the presence of suppurative or unsuppurative otitis media. An RN is not required to
take the temp, but must assess readings received from assistive personnel
, HESI PEDIATRIC PRACTICE EXAM QUESTIONS AND ANSWERS
UPDATED 2025/2026 A COMPLETE SOLUTION ALL ANSWERS
GET IT 100% CORRECT VERIFIED BEST GRADED A+ FOR
SUCCESS
a 3 yr old boy is brought to the ER because he swallowed an entire bottle of children's vitamin
pills. Which intervention should the nurse implement 1st? - CORRECT ANSWERS
determine the child's pulse and respirations
(the most important principle in dealing w/ a poisoning is to tx the child first, not the poison.
Initiate immediate life support measures w/ assessment of v/s, in particular, respirations.
Inserting an airway or initiating mechanical ventilation may be necessary. Assessment and
identification of the poison should occur prior to NG placement for lavage
A 2 yr old child w/ gastro-esophageal reflux has dvpd a fear of eating. What instruction should
the nurse include in the parents' teaching plan? - CORRECT ANSWERS Consistently
follow a set mealtime routine
(2 yr olds are comforted by consistency)
A 6 month old boy and his mother are at the HCPs office for a well baby check up and routine
immunizations. the HCP recommends to the mother that the child receive an influenza vaccine.
What meds should the nurse plan to administer? - CORRECT ANSWERS All the
immunizations w/ the flue vaccine given at separate site from any other injection
(At 6 months routine immunizations include Hep B, DTaP, Hib, PCV, IPV, and flu. the influenza
vaccine should be given at separate site from any other injection
The nurse is assessing a 13 yr old girl w/ suspected hyperthyroidism. Which question is most
important for the nurse to ask her during the admission interview? - CORRECT
ANSWERS "Are you experiencing any type of nervousness?"
