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HESI PEDIATRICS (PEDS) 2026 PRACTICE
EXAM WITH 200+ PRACTICE QUESTIONS
AND CORRECT DETAILED ANSWERS WITH
RATIONALES (VERIFIED ANSWERS)
1. Question: Surgery is being delayed for an infant with undescended testes. In
collaboration with the healthcare provider and the family, which prescription should the nurse anticipate?
Multiple Choices:
- A trial of adrenocorticotrophic hormone injections.
- Frequent stimulation of the cremasteric reflex.
- A trial of human chorionic gonadotrophic hormone.
- Frequent warm baths to gently dilate the scrotal area.
Correct Answer: A trial of human chorionic gonadotrophic hormone.
- Question: The nurse is assessing an 8-month-old child who has a medical diagnosis of
Tetralogy of Fallot. Which symptom is this client most likely to exhibit?
Multiple Choices:
- Bradycardia.
- Machinery murmur.
- Weak pedal pulses.
- Clubbed fingers.
Correct Answer: Clubbed fingers.
- Question: At 8 a.m. the unlicensed assistive personnel (UAP) informs the charge nurse
that a female adolescent client with acute glomerulonephritis has a blood pressure of
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210/110. The 4 a.m. blood pressure reading was 170/88. The client reports to the UAP that she is upset because her boyfriend did not visit last night. What action should the nurse take first?
Multiple Choices:
- Give the client her 9 a.m. prescription for an oral diuretic early.
- Administer PRN prescription of nifedipine (Procardia) sublingually.
- Notify the healthcare provider and inform the nursing supervisor of the client's
- Attempt to calm the client and retake the blood pressure in thirty minutes.
- Question: Preoperative nursing care for a child with Wilms' tumor should include which
condition.
Correct Answer: Administer PRN prescription of nifedipine (Procardia) sublingually.
intervention?
Multiple Choices:
- Gently percuss the abdomen for evidence of trapped air.
- Observe the abdomen for any noticeable discolorations.
- Apply cold compresses to the abdomen to reduce edema.
- Put a sign on the bed reading, "DO NOT PALPATE ABDOMEN."
- Question: A 3-week-old newborn is brought to the clinic for follow-up after a home birth.
Correct Answer: Put a sign on the bed reading, "DO NOT PALPATE ABDOMEN."
The mother reports that her child bottle feeds for 5 minutes only and then falls asleep. The nurse auscultates a loud murmur characteristic of a ventricular septal defect (VSD), and finds the newborn is acyanotic with a respiratory rate of 64 breaths per minute. What instruction should the nurse provide the mother to ensure the infant is receiving adequate intake? (Select all that apply.)
Multiple Choices:
- Monitor the the infant's weight and number of wet diapers per day.
- Increase the infant's intake per feeding by 1 to 2 ounces per week.
- Mix the dose of prophylactic antibiotic in a full bottle of formula.
- Allow the infant to rest and refeed on demand or every 2 hours.
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- Use a softer nipple or increase the size of the nipple opening.
Correct Answer:
- Monitor the the infant's weight and number of wet diapers per day.
- Increase the infant's intake per feeding by 1 to 2 ounces per week.
- Allow the infant to rest and refeed on demand or every 2 hours.
- Use a softer nipple or increase the size of the nipple opening.
- Question: An infant is born with a ventricular septal defect (VSD) and surgery is planned
to correct the defect. The nurse recognizes that surgical correction is designed to achieve which outcome?
Multiple Choices:
- Stop the flow of unoxygenated blood into systemic circulation.
- Increase the flow of unoxygenated blood to the lungs.
- Prevent the return of oxygenated blood to the lungs.
- Reduce peripheral tissue hypoxia and nailbed clubbing
Correct Answer: Prevent the return of oxygenated blood to the lungs.
- Question: What preoperative nursing intervention should be included in the plan of care
for an infant with pyloric stenosis?
Multiple Choices:
- Monitor for signs of metabolic acidosis.
- Estimate the quantity of diarrhea stools.
- Place in a supine position after feeding.
- Observe for projectile vomiting.
Correct Answer: Observe for projectile vomiting.
- Question: A female teenager is taking oral tetracycline HCL (Achromycin V) for acne
vulgaris. What is the most important instruction for the nurse to include in this client's teaching plan?
Multiple Choices:
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- Use sunscreen when lying by the pool.
- Cleanse the skin at least 4 times a day.
- Take the medication with a glass of milk.
- Menstrual periods may become irregular.
Correct Answer: Use sunscreen when lying by the pool.
- Question: The nurse is teaching the parents of a 5-year-old with cystic fibrosis about
respiratory treatments. Which statement indicates to the nurse that the parents understand?
Multiple Choices:
- Perform postural drainage before starting aerosol therapy.
- Give respiratory treatments when the child is coughing a lot.
- Administer aerosol therapy followed by postural drainage before meals.
- Ensure respiratory therapy is done daily during any respiratory infection.
- Question: A 6-month-old infant with congestive heart failure (CHF) is receiving digoxin
Correct Answer: Administer aerosol therapy followed by postural drainage before meals.
elixir. Which observation by the nurse warrants immediate intervention?
Multiple Choices:
- Apical heart rate of 60.
- Sweating across the forehead.
- Doesn't suck well.
- Respiratory rate of 30 breaths per minute.
Correct Answer: Apical heart rate of 60.
- Question: A preschool-age child who is hospitalized for hypospadias repair is most
strongly influenced by which behavior?
Correct Answer: Concern for body integrity.
- Question: A six-month-old returns from surgery with elbow restraints in place. What
nursing care should be included when caring for any restrained child?
