HESI Pediatric ULTIMATE MEGA
2025//2027 |Test Banks, Exit Exams,
Questions & Hints | Complete Nursing
Program
HESI-Style Pediatric Nursing Practice Test
Questions 1–50
1. A 6-month-old infant presents with projectile vomiting and poor weight
gain. Most likely cause?
A. Gastroenteritis
B. Pyloric stenosis
C. GERD
✅
D. Intussusception
Answer: B
Rationale: Projectile vomiting in an otherwise healthy infant suggests pyloric stenosis.
2. Which milestone is expected for a 12-month-old?
A. Walk independently
B. Speak in full sentences
C. Ride a tricycle
✅
D. Draw a circle
Answer: A
Rationale: Independent walking typically occurs around 12 months.
,3. A toddler with watery diarrhea has dry mucous membranes, sunken
eyes, and decreased urine output. Type of dehydration?
A. Isotonic
B. Hypotonic
C. Hypertonic
✅
D. Mild
Answer: A
Rationale: Equal loss of water and electrolytes indicates isotonic dehydration.
4. A child with asthma presents with wheezing, retractions, and tachypnea
at rest. Priority intervention?
A. Administer albuterol and monitor airway
B. Give antibiotics
C. Encourage oral fluids
✅
D. Observe at home
Answer: A
Rationale: Wheezing and retractions at rest indicate severe exacerbation; rapid bronchodilation
is essential.
5. A child with Kawasaki disease shows persistent fever, strawberry
tongue, and conjunctival injection. Priority nursing action?
A. Administer IV immunoglobulin and monitor cardiac status
B. Give antibiotics only
C. Encourage oral fluids
✅
D. Provide antipyretics only
Answer: A
Rationale: IVIG reduces coronary artery complications; cardiac monitoring is essential.
6. Which lab finding is consistent with dehydration?
A. Elevated hematocrit and BUN
B. Low hemoglobin
C. Low urine specific gravity
D. Normal electrolytes
, ✅ Answer: A
Rationale: Hemoconcentration occurs with fluid loss.
7. A 3-year-old has a barking cough, stridor, and mild retractions. Most
likely diagnosis?
A. Croup
B. Epiglottitis
C. Bronchiolitis
✅
D. Asthma
Answer: A
Rationale: Barking cough and stridor are hallmark signs of croup.
8. Which vaccine should be avoided in a severely immunocompromised
child?
A. MMR (live attenuated)
B. IPV
C. Hepatitis B
✅
D. Tdap
Answer: A
Rationale: Live vaccines can cause disease in immunocompromised children.
9. A child presents with pallor, fatigue, and spoon-shaped nails. Likely
diagnosis?
A. Iron-deficiency anemia
B. Sickle cell disease
C. Hemophilia
✅
D. Leukemia
Answer: A
Rationale: Pallor, fatigue, and koilonychia are classic signs of iron-deficiency anemia.
10. Which is the priority intervention for a child with febrile seizure?
2025//2027 |Test Banks, Exit Exams,
Questions & Hints | Complete Nursing
Program
HESI-Style Pediatric Nursing Practice Test
Questions 1–50
1. A 6-month-old infant presents with projectile vomiting and poor weight
gain. Most likely cause?
A. Gastroenteritis
B. Pyloric stenosis
C. GERD
✅
D. Intussusception
Answer: B
Rationale: Projectile vomiting in an otherwise healthy infant suggests pyloric stenosis.
2. Which milestone is expected for a 12-month-old?
A. Walk independently
B. Speak in full sentences
C. Ride a tricycle
✅
D. Draw a circle
Answer: A
Rationale: Independent walking typically occurs around 12 months.
,3. A toddler with watery diarrhea has dry mucous membranes, sunken
eyes, and decreased urine output. Type of dehydration?
A. Isotonic
B. Hypotonic
C. Hypertonic
✅
D. Mild
Answer: A
Rationale: Equal loss of water and electrolytes indicates isotonic dehydration.
4. A child with asthma presents with wheezing, retractions, and tachypnea
at rest. Priority intervention?
A. Administer albuterol and monitor airway
B. Give antibiotics
C. Encourage oral fluids
✅
D. Observe at home
Answer: A
Rationale: Wheezing and retractions at rest indicate severe exacerbation; rapid bronchodilation
is essential.
5. A child with Kawasaki disease shows persistent fever, strawberry
tongue, and conjunctival injection. Priority nursing action?
A. Administer IV immunoglobulin and monitor cardiac status
B. Give antibiotics only
C. Encourage oral fluids
✅
D. Provide antipyretics only
Answer: A
Rationale: IVIG reduces coronary artery complications; cardiac monitoring is essential.
6. Which lab finding is consistent with dehydration?
A. Elevated hematocrit and BUN
B. Low hemoglobin
C. Low urine specific gravity
D. Normal electrolytes
, ✅ Answer: A
Rationale: Hemoconcentration occurs with fluid loss.
7. A 3-year-old has a barking cough, stridor, and mild retractions. Most
likely diagnosis?
A. Croup
B. Epiglottitis
C. Bronchiolitis
✅
D. Asthma
Answer: A
Rationale: Barking cough and stridor are hallmark signs of croup.
8. Which vaccine should be avoided in a severely immunocompromised
child?
A. MMR (live attenuated)
B. IPV
C. Hepatitis B
✅
D. Tdap
Answer: A
Rationale: Live vaccines can cause disease in immunocompromised children.
9. A child presents with pallor, fatigue, and spoon-shaped nails. Likely
diagnosis?
A. Iron-deficiency anemia
B. Sickle cell disease
C. Hemophilia
✅
D. Leukemia
Answer: A
Rationale: Pallor, fatigue, and koilonychia are classic signs of iron-deficiency anemia.
10. Which is the priority intervention for a child with febrile seizure?
