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PEDIATRICS HESI 2025-2026 UPDATED
ACTUAL EXAM WITH CORRECT SOLUTIONS.
A 15-month-old is admitted to the pediatric unit with a history of a
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recent upper respiratory infection. Which symptom is
|| || || || || || ||
consistent with the diagnosis of laryngotracheobronchitis
|| || || || || ||
(croup)? Select all that apply.
|| || || || ||
1.Reported inspiratory stridor which is worse at night. || || || || || || ||
|| 2.Suprasternal retractions are present upon examination. || || || || ||
3. The toddler has a barking, seal-like, harsh cough.
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4. Lung sounds have inspiratory wheezing. || || || ||
5. Lung sounds with crackles in the bases bilaterally. - correct
|| || || || || || || || ||
|| answer- 1,2,3 ||
A four-year-old is presented to the urgent care center with a
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history of a sudden onset of a severe sore throat. He began
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drooling and has difficulty swallowing. The temperature is
|| || || || || || || ||
102.2F (39.0C). Lung sounds are clear and there is no cough.
|| || || || || || || || || || ||
The child is very anxious and flushed and is leaning forward in a
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tripod position. Based on these symptoms, the nurse
|| || || || || || || ||
anticipates a diagnosis of:
|| || || ||
1. Acute Asthma Attack || ||
|| 2.Laryngotracheomalaci
a
3. Acute laryngotracheobronchitis (Croup) || ||
4. Acute Epiglottitis - correct answer- 4 || || || || ||
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Which should the nurse expect to be included in the treatment of
|| || || || || || || || || || ||
the client experiencing acute asthma symptoms? Select all that
|| || || || || || || || ||
apply.
||
1.Bronchodilators
2.Corticosteroids
||
3.Oxygen
||
4. Montelukast (Singular) |
5. Immediate Intubation - correct answer- 1, 2, 3 || || || || || || ||
The nurse understands that in a child with cystic fibrosis (CF)
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which vitamin absorption is impaired? Select all that apply.
|| || || || || || || || ||
1.A
2.B
3.C
4.D
5. E - correct answer- 1, 3, 4, 5
|| || || || || || ||
Which indicates the earliest sign of hemorrhage in a child who
|| || || || || || || || || ||
has just had a tonsillectomy?
|| || || || ||
1. Frequent swallowing ||
2. Labored respirations ||
3. Tachypnea stridor ||
4. Dark brown emesis - correct answer- 1|| || || || || ||
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A child with chronic otitis media has bilateral myringotomy
|| || || || || || || ||
tubes placed. Which statement would indicate that the parent
|| || || || || || || || ||
understands education about myringotomy tubes?
|| || || || ||
1. "The tubes have to be surgically removed in 9 months or so."
|| || || || || || || || || || ||
2. "The tubes were placed to equalize pressure."
|| || || || || ||
3. "These tubes won't affect my child being able to go swimming
|| || || || || || || || || ||
|| in the summer."
|| ||
4. "My child will still need to be on Amoxicillin prophylactically for
|| || || || || || || | || ||
|| six months." - correct answer- 2
|| || || || ||
The nurse should instruct the parent whose child is diagnosed
|| || || || || || || || ||
with respiratory syncytial virus (RSV) to notify the healthcare
|| || || || || || || || ||
provider for which issue? Select all that apply.
|| || || || || || || ||
1. The child is not eating || || || ||
2. There is a decrease in wet diapers || || || || || ||
3. There is increased work of breathing || || || || ||
4. The child develops yellow drainage from the nose
|| || || || || || ||
5. Only when the child wheezes - correct answer- 1, 2, 3
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Which are signs and symptoms of respiratory distress in a two-
|| || || || || || || || || ||
month-old? Select all that apply.
|| || || || ||
1. Nasal flaring ||
|| 2.Intercostal retractions |
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3. Coughing
4. Bronchovesicular lung sounds | |
5. Grunting - correct answer- 1, 2, 5 || || || || || ||
You are teaching a family with a child who has cystic fibrosis
|| || || || || || || || || || ||
(CF) about chest physiotherapy treatment (CPT). Which of the
|| || || || || || || || ||
following teaching points are correct to include? SATA
|| || || || || || || ||
1. It should be performed three to four times a day.
|| || || || || || || || ||
2. It may cause bronchospasm.
|| || ||
3. It is all right to percuss over the spine or internal organs.
|| || || || || || || || || || ||
4. When manually percussing you should use a cupped hand.
|| || || || || || || ||
5. CPT can be done at any time including after eating. - correct
|| || || || || || || || || || ||
|| answer- 1, 2, 4 || || ||
Which child does the nurse anticipate to be most at risk for
|| || || || || || || || || || ||
being hospitalized for respiratory syncytial virus (RSV)?
|| || || || || || ||
1.A three-month-old who was born at 30 weeks gestation
| || || || || || || ||
2. A 18-month-old with a tracheostomy
| || || ||
3. A four-year-old with a ventricular septal defect (VSD)
| || || || || || ||
4. A five-year-old who was term but has never received any
| || || || || || || || ||
|| immunizations - correct answer- 1 || || || ||
The nursing student asks the nurse about genetic implications
|| || || || || || || ||
related to cystic fibrosis (CF). How should the nurse respond?
|| || || || || || || || || ||
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PEDIATRICS HESI 2025-2026 UPDATED
ACTUAL EXAM WITH CORRECT SOLUTIONS.
A 15-month-old is admitted to the pediatric unit with a history of a
| || || || || || || || || || || ||
recent upper respiratory infection. Which symptom is
|| || || || || || ||
consistent with the diagnosis of laryngotracheobronchitis
|| || || || || ||
(croup)? Select all that apply.
|| || || || ||
1.Reported inspiratory stridor which is worse at night. || || || || || || ||
|| 2.Suprasternal retractions are present upon examination. || || || || ||
3. The toddler has a barking, seal-like, harsh cough.
|| || || || || || ||
4. Lung sounds have inspiratory wheezing. || || || ||
5. Lung sounds with crackles in the bases bilaterally. - correct
|| || || || || || || || ||
|| answer- 1,2,3 ||
A four-year-old is presented to the urgent care center with a
|| || || || || || || || || ||
history of a sudden onset of a severe sore throat. He began
|| || || || || || || || || || || ||
drooling and has difficulty swallowing. The temperature is
|| || || || || || || ||
102.2F (39.0C). Lung sounds are clear and there is no cough.
|| || || || || || || || || || ||
The child is very anxious and flushed and is leaning forward in a
|| || || || || || || || || || || || ||
tripod position. Based on these symptoms, the nurse
|| || || || || || || ||
anticipates a diagnosis of:
|| || || ||
1. Acute Asthma Attack || ||
|| 2.Laryngotracheomalaci
a
3. Acute laryngotracheobronchitis (Croup) || ||
4. Acute Epiglottitis - correct answer- 4 || || || || ||
,2 | Page
| || || | | |
Which should the nurse expect to be included in the treatment of
|| || || || || || || || || || ||
the client experiencing acute asthma symptoms? Select all that
|| || || || || || || || ||
apply.
||
1.Bronchodilators
2.Corticosteroids
||
3.Oxygen
||
4. Montelukast (Singular) |
5. Immediate Intubation - correct answer- 1, 2, 3 || || || || || || ||
The nurse understands that in a child with cystic fibrosis (CF)
|| || || || || || || || || ||
which vitamin absorption is impaired? Select all that apply.
|| || || || || || || || ||
1.A
2.B
3.C
4.D
5. E - correct answer- 1, 3, 4, 5
|| || || || || || ||
Which indicates the earliest sign of hemorrhage in a child who
|| || || || || || || || || ||
has just had a tonsillectomy?
|| || || || ||
1. Frequent swallowing ||
2. Labored respirations ||
3. Tachypnea stridor ||
4. Dark brown emesis - correct answer- 1|| || || || || ||
,3 | Page
| || || | | |
A child with chronic otitis media has bilateral myringotomy
|| || || || || || || ||
tubes placed. Which statement would indicate that the parent
|| || || || || || || || ||
understands education about myringotomy tubes?
|| || || || ||
1. "The tubes have to be surgically removed in 9 months or so."
|| || || || || || || || || || ||
2. "The tubes were placed to equalize pressure."
|| || || || || ||
3. "These tubes won't affect my child being able to go swimming
|| || || || || || || || || ||
|| in the summer."
|| ||
4. "My child will still need to be on Amoxicillin prophylactically for
|| || || || || || || | || ||
|| six months." - correct answer- 2
|| || || || ||
The nurse should instruct the parent whose child is diagnosed
|| || || || || || || || ||
with respiratory syncytial virus (RSV) to notify the healthcare
|| || || || || || || || ||
provider for which issue? Select all that apply.
|| || || || || || || ||
1. The child is not eating || || || ||
2. There is a decrease in wet diapers || || || || || ||
3. There is increased work of breathing || || || || ||
4. The child develops yellow drainage from the nose
|| || || || || || ||
5. Only when the child wheezes - correct answer- 1, 2, 3
|| || || || || || || || || ||
Which are signs and symptoms of respiratory distress in a two-
|| || || || || || || || || ||
month-old? Select all that apply.
|| || || || ||
1. Nasal flaring ||
|| 2.Intercostal retractions |
, 4 | Page
| || || | | |
3. Coughing
4. Bronchovesicular lung sounds | |
5. Grunting - correct answer- 1, 2, 5 || || || || || ||
You are teaching a family with a child who has cystic fibrosis
|| || || || || || || || || || ||
(CF) about chest physiotherapy treatment (CPT). Which of the
|| || || || || || || || ||
following teaching points are correct to include? SATA
|| || || || || || || ||
1. It should be performed three to four times a day.
|| || || || || || || || ||
2. It may cause bronchospasm.
|| || ||
3. It is all right to percuss over the spine or internal organs.
|| || || || || || || || || || ||
4. When manually percussing you should use a cupped hand.
|| || || || || || || ||
5. CPT can be done at any time including after eating. - correct
|| || || || || || || || || || ||
|| answer- 1, 2, 4 || || ||
Which child does the nurse anticipate to be most at risk for
|| || || || || || || || || || ||
being hospitalized for respiratory syncytial virus (RSV)?
|| || || || || || ||
1.A three-month-old who was born at 30 weeks gestation
| || || || || || || ||
2. A 18-month-old with a tracheostomy
| || || ||
3. A four-year-old with a ventricular septal defect (VSD)
| || || || || || ||
4. A five-year-old who was term but has never received any
| || || || || || || || ||
|| immunizations - correct answer- 1 || || || ||
The nursing student asks the nurse about genetic implications
|| || || || || || || ||
related to cystic fibrosis (CF). How should the nurse respond?
|| || || || || || || || || ||
