HESI Pediatric Test Bank 2026/2027 Exit
Actual Exam | Verified Answers | Already
Graded A+
HESI Pediatric Nursing Practice Test
2026/2027
Questions 1–25
1. A 6-month-old infant is receiving formula. Which sign indicates
overfeeding?
A. Frequent spitting up
B. Weight gain within normal limits
C. Regular wet diapers
✅
D. Alertness during feeding
Answer: A
Rationale: Frequent spitting up or vomiting may indicate overfeeding.
2. Which assessment finding is most concerning in a 4-year-old with
asthma?
A. Occasional nighttime cough
B. Retractions and wheezing at rest
C. Mild activity-induced wheeze
✅
D. History of seasonal allergies
Answer: B
Rationale: Retractions and wheezing at rest indicate severe respiratory distress.
,3. A child with dehydration shows sunken eyes, dry mucous membranes,
and decreased urine output. Which type of dehydration is this?
A. Isotonic
B. Hypotonic
C. Hypertonic
✅
D. Mild
Answer: A
Rationale: Loss of equal water and electrolytes indicates isotonic dehydration.
4. Which vaccine is contraindicated in a child with a severe egg allergy?
A. MMR
B. Influenza (inactivated)
C. Varicella
✅
D. IPV
Answer: B
Rationale: Some influenza vaccines are produced in eggs and may trigger severe allergic
reactions.
5. A 2-year-old presents with a barking cough, stridor, and mild retractions.
What is the most likely diagnosis?
A. Bronchiolitis
B. Croup (laryngotracheitis)
C. Epiglottitis
✅
D. Asthma exacerbation
Answer: B
Rationale: Barking cough and stridor are characteristic of croup.
6. Which of the following is a sign of early hypoglycemia in an infant?
A. Lethargy
B. Tremors or jitteriness
C. Seizures
D. Coma
, ✅ Answer: B
Rationale: Early signs include tremors, jitteriness, and irritability.
7. Which is the most appropriate action for a child with a new diagnosis of
type 1 diabetes?
A. Teach insulin administration and glucose monitoring
B. Restrict all carbohydrates
C. Schedule weekly lab draws only
✅
D. Administer oral hypoglycemics
Answer: A
Rationale: Education on insulin use and blood glucose monitoring is essential.
8. Which finding is most concerning in a newborn?
A. Heart rate 150 bpm
B. Jaundice at 48 hours
C. Persistent high-pitched cry
✅
D. Soft, palpable fontanel
Answer: C
Rationale: A high-pitched cry may indicate neurologic dysfunction.
9. A 3-year-old with diarrhea and vomiting is admitted. Which IV fluid is
most appropriate for initial resuscitation?
A. 0.9% NaCl (normal saline)
B. 0.45% NaCl
C. Dextrose 5% in water
✅
D. Lactated Ringer’s without electrolytes
Answer: A
Rationale: Isotonic fluids restore circulating volume in dehydration.
10. Which congenital heart defect causes cyanosis?
A. Ventricular septal defect (VSD)
B. Atrial septal defect (ASD)
C. Tetralogy of Fallot
Actual Exam | Verified Answers | Already
Graded A+
HESI Pediatric Nursing Practice Test
2026/2027
Questions 1–25
1. A 6-month-old infant is receiving formula. Which sign indicates
overfeeding?
A. Frequent spitting up
B. Weight gain within normal limits
C. Regular wet diapers
✅
D. Alertness during feeding
Answer: A
Rationale: Frequent spitting up or vomiting may indicate overfeeding.
2. Which assessment finding is most concerning in a 4-year-old with
asthma?
A. Occasional nighttime cough
B. Retractions and wheezing at rest
C. Mild activity-induced wheeze
✅
D. History of seasonal allergies
Answer: B
Rationale: Retractions and wheezing at rest indicate severe respiratory distress.
,3. A child with dehydration shows sunken eyes, dry mucous membranes,
and decreased urine output. Which type of dehydration is this?
A. Isotonic
B. Hypotonic
C. Hypertonic
✅
D. Mild
Answer: A
Rationale: Loss of equal water and electrolytes indicates isotonic dehydration.
4. Which vaccine is contraindicated in a child with a severe egg allergy?
A. MMR
B. Influenza (inactivated)
C. Varicella
✅
D. IPV
Answer: B
Rationale: Some influenza vaccines are produced in eggs and may trigger severe allergic
reactions.
5. A 2-year-old presents with a barking cough, stridor, and mild retractions.
What is the most likely diagnosis?
A. Bronchiolitis
B. Croup (laryngotracheitis)
C. Epiglottitis
✅
D. Asthma exacerbation
Answer: B
Rationale: Barking cough and stridor are characteristic of croup.
6. Which of the following is a sign of early hypoglycemia in an infant?
A. Lethargy
B. Tremors or jitteriness
C. Seizures
D. Coma
, ✅ Answer: B
Rationale: Early signs include tremors, jitteriness, and irritability.
7. Which is the most appropriate action for a child with a new diagnosis of
type 1 diabetes?
A. Teach insulin administration and glucose monitoring
B. Restrict all carbohydrates
C. Schedule weekly lab draws only
✅
D. Administer oral hypoglycemics
Answer: A
Rationale: Education on insulin use and blood glucose monitoring is essential.
8. Which finding is most concerning in a newborn?
A. Heart rate 150 bpm
B. Jaundice at 48 hours
C. Persistent high-pitched cry
✅
D. Soft, palpable fontanel
Answer: C
Rationale: A high-pitched cry may indicate neurologic dysfunction.
9. A 3-year-old with diarrhea and vomiting is admitted. Which IV fluid is
most appropriate for initial resuscitation?
A. 0.9% NaCl (normal saline)
B. 0.45% NaCl
C. Dextrose 5% in water
✅
D. Lactated Ringer’s without electrolytes
Answer: A
Rationale: Isotonic fluids restore circulating volume in dehydration.
10. Which congenital heart defect causes cyanosis?
A. Ventricular septal defect (VSD)
B. Atrial septal defect (ASD)
C. Tetralogy of Fallot
