HESI Pediatric (PEDS) Exit Exam V1 &
V2 – Complete Questions and Answers
(Brand New A++ Test Bank with Images)
This 2025 HESI Pediatric Exit Exam includes 80 questions (40 from V1 and 40 from V2) with
verified answers and rationales. Questions cover newborn care, growth/development, common
pediatric conditions, safety, and pharmacology. Correct answer in RED. Rationales include
clinical priorities and key concepts.
Question 1 (V1)
A 2-day-old newborn has jaundice. What is the priority action?
Answer: Obtain bilirubin level.
Rationale: Jaundice in first 24 hours is pathologic; level guides phototherapy. Clinical Priority:
Prevent kernicterus.
Question 2 (V1)
A 6-month-old rolls from back to front. This is:
Answer: Normal developmental milestone.
Rationale: Expected by 4-6 months. Clinical Priority: Monitor gross motor progress.
Question 3 (V1)
A 4-year-old has a limp and fever. Priority test?
Answer: ESR/CRP.
Rationale: Detects inflammation for septic arthritis. Clinical Priority: Rule out infection.
Question 4 (V1)
A newborn has a sacral dimple. Priority?
Answer: Spinal ultrasound.
Rationale: Screens for spina bifida. Clinical Priority: Neural tube defect detection.
, Question 5 (V1)
A 10-month-old babbles "dada." This is:
Answer: Normal.
Rationale: First words by 9-12 months. Clinical Priority: Language development.
Question 6 (V1)
A 2-year-old has 50 words. Normal?
Answer: Yes.
Rationale: Expected 50+ words. Clinical Priority: Speech milestones.
Question 7 (V1)
A 16-year-old has BMI 28. Priority?
Answer: Screen comorbidities.
Rationale: Risks DM, HTN. Clinical Priority: Metabolic health.
Question 8 (V1)
A 3-month-old has flat occiput. Priority?
Answer: Tummy time.
Rationale: Positional plagiocephaly prevention. Clinical Priority: Head shape.
Question 9 (V1)
A 14-year-old has acne. First-line?
Answer: Topical retinoid.
Rationale: Mild acne treatment. Clinical Priority: Skin health.
Question 10 (V1)
A 5-year-old has barky cough. Diagnosis?
Answer: Croup.
Rationale: Viral laryngitis. Clinical Priority: Airway.
Question 11 (V1)
A newborn has cephalohematoma. Characteristic?
Answer: Does not cross sutures.
Rationale: Subperiosteal bleed. Clinical Priority: Jaundice risk.
V2 – Complete Questions and Answers
(Brand New A++ Test Bank with Images)
This 2025 HESI Pediatric Exit Exam includes 80 questions (40 from V1 and 40 from V2) with
verified answers and rationales. Questions cover newborn care, growth/development, common
pediatric conditions, safety, and pharmacology. Correct answer in RED. Rationales include
clinical priorities and key concepts.
Question 1 (V1)
A 2-day-old newborn has jaundice. What is the priority action?
Answer: Obtain bilirubin level.
Rationale: Jaundice in first 24 hours is pathologic; level guides phototherapy. Clinical Priority:
Prevent kernicterus.
Question 2 (V1)
A 6-month-old rolls from back to front. This is:
Answer: Normal developmental milestone.
Rationale: Expected by 4-6 months. Clinical Priority: Monitor gross motor progress.
Question 3 (V1)
A 4-year-old has a limp and fever. Priority test?
Answer: ESR/CRP.
Rationale: Detects inflammation for septic arthritis. Clinical Priority: Rule out infection.
Question 4 (V1)
A newborn has a sacral dimple. Priority?
Answer: Spinal ultrasound.
Rationale: Screens for spina bifida. Clinical Priority: Neural tube defect detection.
, Question 5 (V1)
A 10-month-old babbles "dada." This is:
Answer: Normal.
Rationale: First words by 9-12 months. Clinical Priority: Language development.
Question 6 (V1)
A 2-year-old has 50 words. Normal?
Answer: Yes.
Rationale: Expected 50+ words. Clinical Priority: Speech milestones.
Question 7 (V1)
A 16-year-old has BMI 28. Priority?
Answer: Screen comorbidities.
Rationale: Risks DM, HTN. Clinical Priority: Metabolic health.
Question 8 (V1)
A 3-month-old has flat occiput. Priority?
Answer: Tummy time.
Rationale: Positional plagiocephaly prevention. Clinical Priority: Head shape.
Question 9 (V1)
A 14-year-old has acne. First-line?
Answer: Topical retinoid.
Rationale: Mild acne treatment. Clinical Priority: Skin health.
Question 10 (V1)
A 5-year-old has barky cough. Diagnosis?
Answer: Croup.
Rationale: Viral laryngitis. Clinical Priority: Airway.
Question 11 (V1)
A newborn has cephalohematoma. Characteristic?
Answer: Does not cross sutures.
Rationale: Subperiosteal bleed. Clinical Priority: Jaundice risk.
