- | P a g e
Pediatrics HESI Questions and Correct Answers
2026 - 2027 {ALREADY GRADED A+ } NEWEST
VERSION
- Surgery is being delayed for an infant with undescended testes. In collaboration
- A 6-month-old infant with congestive heart failure (CHF) is receiving digoxin elixir.
with the healthcare provider and the family, which prescription should the nurse anticipate? A. A trial of adrenocorticotrophic hormone injections. B. Frequent stimulation of the cremasteric reflex. C. A trial of human chorionic gonadotrophic hormone. D.Frequent warm baths to gently dilate the scrotal area. Correct Answer: C. A trial of human chorionic gonadotrophic hormone.
Which observation by the nurse warrants immediate intervention? A. Apical heart rate of 60. B. Sweating across the forehead. C. Doesn't suck well. D. Respiratory rate of 30
breaths per minute. Correct Answer: A. Apical heart rate of 60.
- The nurse is teaching the parents of a 5-year-old with cystic fibrosis about
- A female teenager is taking oral tetracycline HCL (Achromycin V) for acne vulgaris.
- Take the medication with a glass of milk. D. Menstrual periods may become irregular.
respiratory treatments. Which statement indicates to the nurse that the parents understand? A. Perform postural drainage before starting aerosol therapy. B. Give respiratory treatments when the child is coughing a lot. C. Administer aerosol therapy followed by postural drainage before meals. D. Ensure respiratory therapy is done daily during any respiratory infection. Correct Answer: C. Administer aerosol therapy followed by postural drainage before meals.
What is the most important instruction for the nurse to include in this client's teaching plan? A. Use sunscreen when lying by the pool. B. Cleanse the skin at least 4 times a day.
Correct Answer: A. Use sunscreen when lying by the pool.
- What preoperative nursing intervention should be included in the plan of care for an
infant with pyloric stenosis? A. Monitor for signs of metabolic acidosis. B. Estimate the quantity of diarrhea stools. C. Place in a supine position after feeding. D. Observe for
projectile vomiting. Correct Answer: D. Observe for projectile vomiting.
- | P a g e
- An infant is born with a ventricular septal defect (VSD) and surgery is planned to
- A 3-week-old newborn is brought to the clinic for follow-up after a home birth. The
- Mix the dose of prophylactic antibiotic in a full bottle of formula. D. Allow the infant to
correct the defect. The nurse recognizes that surgical correction is designed to achieve which outcome? A. Stop the flow of unoxygenated blood into systemic circulation. B. Increase the flow of unoxygenated blood to the lungs. C. Prevent the return of oxygenated blood to the lungs. D. Reduce peripheral tissue hypoxia and nailbed clubbing. Correct Answer: C. Prevent the return of oxygenated blood to the lungs.
mother reports that her child bottle feeds for 5 minutes only and then falls asleep. The nurse auscultates a loud murmur characteristic of a VSD... What instruction should the nurse provide? (Select all that apply.) A. Monitor the the infant's weight and number of wet diapers per day. B. Increase the infant's intake per feeding by 1 to 2 ounces per week.
rest and refeed on demand or every 2 hours. E. Use a softer nipple or increase the size of
the nipple opening. Correct Answer: A, B, D, E.
- Preoperative nursing care for a child with Wilms' tumor should include which
intervention? A. Gently percuss the abdomen for evidence of trapped air. B. Observe the abdomen for any noticeable discolorations. C. Apply cold compresses to the abdomen to reduce edema. D. Put a sign on the bed reading, "DO NOT PALPATE ABDOMEN." Correct
Answer: D. Put a sign on the bed reading, "DO NOT PALPATE ABDOMEN."
- At 8 a.m. the UAP informs the charge nurse that a female adolescent client with
- The nurse is assessing an 8-month-old child who has a medical diagnosis of
- Machinery murmur. C. Weak pedal pulses. D. Clubbed fingers. Correct Answer: D.
- A preschool-age child who is hospitalized for hypospadias repair is most strongly
acute glomerulonephritis has a blood pressure of 210/110... What action should the nurse take first? A. Give the client her 9 a.m. prescription for an oral diuretic early. B.Administer PRN prescription of nifedipine (Procardia) sublingually. C. Notify the healthcare provider and inform the nursing supervisor of the client's condition. D. Attempt to calm the client and retake the blood pressure in thirty minutes. Correct Answer: B. Administer PRN prescription of nifedipine (Procardia) sublingually.
Tetralogy of Fallot. Which symptom is this client most likely to exhibit? A. Bradycardia.
Clubbed fingers.
influenced by which behavior? A. Ability to communicate verbally. B. Response to separation from family. C. Concern for body integrity. D. Socialization with other children.
Correct Answer: C. Concern for body integrity.
- | P a g e
- A six-month-old returns from surgery with elbow restraints in place. What nursing
- Which intervention is least useful in the nurse's evaluation of a 20-month-old child
- Which child's fontanel finding should be reported to the healthcare provider? A. A
- The nurse receives a lab report stating a child with asthma has a theophylline level
- The nurse is having difficulty communicating with a hospitalized 6-year-old child.
care should be included when caring for any restrained child? A. Keep restraints on at all times. B. Remove restraints one at a time and provide range of motion exercises. C.Remove all restraints simultaneously and provide play activities. D. Renew the healthcare provider's prescription for restraints every 72 hours. Correct Answer: B. Remove restraints one at a time and provide range of motion exercises.
with diarrhea? A. Weighing diapers. B. Assessing fontanels. C. Checking skin turgor. D.Observing mucous membranes for moisture. Correct Answer: B. Assessing fontanels.
6-month-old with failure to thrive that has a closed anterior fontanel. B. A 24-month-old with gastroenteritis that has a closed posterior fontanel. C. A 2-month-old with chickenpox that has an open posterior fontanel. D. A 28-month-old with hydrocephalus that has an open anterior fontanel. Correct Answer: A. A 6-month-old with failure to thrive that has a closed anterior fontanel.
of 15 mcg/dl. What action will the nurse take? A. Pass the information on in the report. B.Notify the healthcare provider because the value is high. C. Repeat the lab study because the value is too high. D. Hold the next dose of theophylline. Correct Answer: A. Pass the information on in the report.
Which approach by the nurse is most helpful in establishing communication? A.Engage the child through drawing pictures. B. Suggest that the parent read a book to the child. C. Provide paper and pencil for the child to keep a diary. D. Ask the parent if the child
is always uncommunicative. Correct Answer: A. Engage the child through drawing
pictures.
- The nurse is caring for a 12-year-old with Syndrome of Inappropriate Antidiuretic
Hormone (SIADH). This child should be carefully assessed for which complication? A.Poor skin turgor resulting from dehydration. B. Changes in level of consciousness. C.Premature aging as the disease progresses. D. Severe edema from an excess of water and
sodium. Correct Answer: B. Changes in level of consciousness.
- The nurse is assigning care for a 4-year-old child with otitis media and is concerned
about the child's increasing temperature... consider that: A. Only an RN should be assigned to monitor this child's temperature. B. A tympanic measurement of temperature will provide the most accurate reading. C. The licensed practical nurse should be
- | P a g e
instructed to obtain rectal temperatures on this child. D. The healthcare provider should be asked to prescribe the method for measurement of the child's temperatures. Correct
Answer: B. A tympanic measurement of temperature will provide the most accurate
reading.
- A 3-year-old boy is brought to the emergency room because he swallowed an entire
- Insert N/G tube for gastric lavage. B. Determine the child's pulse and respirations. C.
bottle of children's vitamin pills. Which intervention should the nurse implement first?
Assess the child's level of consciousness. D. Administer an IV D5/0.25 NS as prescribed.
Correct Answer: B. Determine the child's pulse and respirations.
- To take the vital signs of a 4-month-old child, which order provides the most
- The parents of a 3-week-old infant report that the child eats well but vomits after
accurate results? A. Respiratory rate, heart rate, then rectal temperature. B. Heart rate, rectal temperature, then respiratory rate. C. Rectal temperature, heart rate, then respiratory rate. D. Rectal temperature, respiratory rate, then heart rate. Correct Answer: A.Respiratory rate, heart rate, then rectal temperature.
each feeding. What information is most important for the nurse to obtain? A.Description of vomiting episodes in past 24 hours. B. Number of wet diapers in last 24 hours. C. Feeding and sleep schedule. D. Amount of formula consumed during the past 24
hours. Correct Answer: A. Description of vomiting episodes in past 24 hours.
- A 5-month-old is admitted to the hospital with vomiting and diarrhea. The
pediatrician prescribes dextrose... Prior to initiating the infusion, the nurse should obtain which assessment finding? A. Frequency of emesis in the last 8 hours. B. Serum BUN and creatinine levels. C. Current blood sugar level. D. Appearance of the stool.
Correct Answer: B. Serum BUN and creatinine levels.
- Which finding in a 19-year-old female client should trigger further assessment by
the nurse? A. Menstruation has not occurred. B. Reports no tetanus immunization since childhood. C. Denies having any wisdom teeth. D. History of painful, inward growth on
bottom of foot. Correct Answer: A. Menstruation has not occurred.
- The nurse is giving a liquid iron preparation to a 3-year-old child. Which technique
- Mix the medication in water. C. Administer the medication using an oral syringe. D. Ask
- When evaluating the effectiveness of interventions to improve the nutritional
should the nurse implement to engage the child's cooperation? A. Use a colorful straw.
the pharmacy to provide an enteric tablet. Correct Answer: A. Use a colorful straw.
status of an infant with gastro-esophageal reflux, which intervention is most important for the nurse to implement? A. Record weight daily. B. Assess for signs of
