Evolve HESI PEDIATRICS Practice Exam EXAM (updated 2026) Questions & Answers | Latest Already Graded A+ UPDATE 2026|2027 Pediatrics HESI Practice Exam (evolve) Correct and Verified Answers Graded A

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Evolve HESI PEDIATRICS Practice Exam EXAM (updated 2026) Questions & Answers | Latest Already Graded A+ UPDATE 2026|2027 Pediatrics HESI Practice Exam (evolve) Correct and Verified Answers Graded A

• Question: Which is a priority nursing problem for a child in the subacute stage of

Kawasaki disease (KD)?

• Alterations in skin integrity.
• High risk for altered tissue perfusion, cardiopulmonary.
• Risk for imbalanced body temperature, hyperthermia.
• High risk for fluid volume deficit.

Correct Answer: b. High risk for altered tissue perfusion, cardiopulmonary.

• Question: The nurse is examining a neonate at age 10 minutes. Which site should the

nurse expect to see nonpathologic cyanosis?

• Feet and hands.
• Bridge of nose.
• Circumoral area.
• Mucous membranes.

Correct Answer: a. Feet and hands.

• Question: When assessing the breath sounds of an 18-month-old child who is crying,

what action should the nurse take?

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• Ask the parent to quiet the child so breath sounds can be auscultated.
• Auscultate and document breath sounds, noting that the child was crying at the time.
• Document that the assessment was not available because the child was crying.
• Allow the child to initially play with the stethoscope, and distract the child during

auscultation.Correct Answer: d. Allow the child to initially play with the stethoscope, and distract the child during auscultation.

• Question: The low birthweight (LBW) infant requires a neutral thermal environment.

Which action should the nurse implement?

• Use wool blankets for covers.
• Avoid using disposable diapers.
• Maintain a temperature-controlled, high-humidity atmosphere.
• Continue cool oxygenation via a hood.

Correct Answer: c. Maintain a temperature-controlled, high-humidity atmosphere.

• Question: The parents of a child with autism ask the nurse if they could help them to

better understand the disorder. Which information best describes autism spectrum disorder?

• Obsession with moving objects.
• Repetitive patterns of behavior.

c. A neurobehavioral disorder diagnosed after assessment in two areas: social

communication and interaction and restricted, repetitive behavior.

• Stereotypic movements and speech patterns.

Correct Answer: c. A neurobehavioral disorder diagnosed after assessment in two areas: social communication and interaction and restricted, repetitive behavior.

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• Question: The mother of a 2-month-old reports that she often lets the baby cry in the

middle of the night instead of going to pick up or sooth the infant. What information should the nurse provide the mother?

• Picking up the infant in the middle of the night fosters dependency on the mother.
• A sense of trust is developed in an infant when others respond to the infant's cry.
• An infant is learning to manipulate others when the infant is picked up unnecessarily.
• A 2-month-old who does not sleep through the night should be evaluated further.

Correct Answer: b. A sense of trust is developed in an infant when others respond to the infant's cry.

• Question: A nurse reviews the methods for preventing recurring urinary tract infections

(UTI) with the parent of a female child. Which response by the parent indicates that further teaching is needed in caring for the child?

• States they will buy the child only nylon underclothes.
• Increases oral fluids and encourages the child to void frequently.
• Provides the child with cotton underwear for daily use.
• Teaches the child to cleanse the perineal area from front to back.

Correct Answer: a. States they will buy the child only nylon underclothes.

• Question: During a well-child assessment, the parents of a 4-year-old express concern

that their child often chatters while playing alone. What information should the nurse provide the parents?

• The child is attempting to formulate a secondary language.
• This is an attempt by the child to form an imaginary social base.
• "Private speech" is normal at this age and serves as a problem-solving tool.
• Concern for psychological development is warranted, so further testing is required.

Correct Answer: c. "Private speech" is normal at this age and serves as a problem-solving tool.

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• Question: An infant with developmental dysplasia of the hip is placed in a Pavlik

harness. Which instructions should the nurse include in a teaching plan for the parents?

• Apply lotion or powder to minimize skin irritation.
• Put clothing over the harness for maximum effectiveness.
• Check for red areas under the straps two to three times a day.
• Use a thin absorbent disposable diaper over the harness.

Correct Answer: c. Check for red areas under the straps two to three times a day.

• Question: A 4-year-old boy is brought to the emergency department by his parent who

reports that the child has been pointing at his stomach and saying, "It hurts so bad." Which pain assessment tool should the nurse use?

• Descriptor Scale.
• Brief Pain Inventory.
• A numeric rating scale.
• Wong-Baker FACES Scale.

Correct Answer: d. Wong-Baker FACES Scale.

• Question: When plotting a 20-week-old infant's weight on a standardized growth chart,

the nurse determines that the child's weight is between the 2nd and 3rd percentiles. Based on this finding, which action should the nurse take?

• Teach the parents about interventions for failure to thrive syndrome.
• Compare this weight with previous weights recorded in the child's record.
• Evaluate the parent's body build in relation to the infant's weight.
• Obtain a 24-hour nutritional history before making any conclusions.

Correct Answer: b. Compare this weight with previous weights recorded in the child's record.