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HESI Pediatric Exam Test Bank 2026/2027: Authentic
Questions & Answers with Detailed Explanations for
Guaranteed Success.
A newborn has just been delievered via C-Section with a
myelomeningocele which was detected pre-natally via amniocentecic.
The child is scheduled to have surgery within the first 48 hours. Which
of the following nursing actions is appropriate?
A. Place child in semi-fowlers position to decrease pressure on the
spinal cord
B. Apply heat lamp to facilitate drying and toughening of the sac
C. Apply soft restraints to prevent disruption of the sac
D. Assess head circumference and fontenals for signs of ICP. -
ANSWER-D
A child with autism spectrum disorder (ASD) is admitted to the hospital
with pneuomonia. The nurse should plan which priority intervention
when caring for this child?
A. Maintain a structured routine and keep stimulation to a minimim
B. Communicate at child;s level and maintain eye contact
C. Use therapeutic touch to calm child with procedures
D. Switch from one assessment activity to another quickly? -
ANSWER-
A
A child is admitted with acute glomerularnephritis. The nurse would
expect the UA during this acute phase to show which of the following?
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A. Bacteruria, hematuria
B. Hematuria, proteinuria
C. Bacteruria, increase specific gravity
D. Proteinuria, decreased specific gravity - ANSWER-B
A child has been admitted to the pedatric unit with suspected meningitis.
The CSF aanalysis reveals the following: Apperance: Clear, WBC:
within normal limits, Protein: within normal limits, Glucose: within
normal limits, Culture: negative. Based on the results, the nurse suspects
that the child has: A. Bacertial Meningitis
B. Meningococcal meningitis
C. Viral meningitis
D. Hydrocephalous - ANSWER-C
A two year old has had one bout of nephrosis (nephrotic syndrome) His
mother suspected a recurrence when she observed swelling around his
eyes. The nurse helps to confirrm the condition by recognizing what
additional sympton? A. Blood presssure 140/90
B. Marked proteinuria
C. Tea colored urine
D. A history of positive strep infections - ANSWER-B
The mother of a 1 month old infant tells the nurse she worries that her
baby will get meningitits like her oldest son did when he was an infant.
The nurse should base her response on which statement?
A. Meningitis rarely occurs during infancy, however after the first
year of life, it is more common.
B. Often a genetic predisposition to meningitis is found and family
members are more likely to get it.
C. Vaccination to prevent all types of meningitits is now avaliable
and should be administered at 6 months.
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D. Vaccination to prevent Haemophilus influenzae type B meningitits
has decreased the frequency of this disease in children. - ANSWER-D
A six week old infant is brought to the pediatricians office for a well-
baby visit. During examinations the physcian displaces the femoral head
and reduces it back into place by manipulation of the thighs and hips.
The nurse recognizes that the physcian is assessing:
A. Barlow and ortalani tests for developmental dysplasia of the hip
B. Gower test for developmental dysplasia of the hip
C. Pavlik test for developmental dysplasia of the hip
D. Trendelenburg test for developmental dysplasia of the hip -
ANSWER-A
A 10 year old is admitted with possible appendicitis. The doctor's
history and physical indicates a WBC count of 17,000, increased
segmented neutrophils, decreased lymphocytes, and 6% bands. The
patient complains of abdominal pain, localized at Mcberney's point.
Which statement most accurately describes the data?
A. Lab work revels a left shift and pain localized in the right lower
quadrant
B. Lab work reveals a right shift and pain localized in the left upper
quadrant
C. Lab work reveals normal findings with pain localized in the
epigastric area.
D. Lab work reveals a possible viral infection with pain localized in
the left upper quadrant. - ANSWER-A
A nurse is caring for a boy with probable intusseception. He had
diarrhea before admission but while waiting for administration of air
pressure to reduce the intusseception he produced a normal brown stool.
Which nursing action is the most appropriete.
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A. Notify practitioner
B. Measure abdomnial girth
C. Auscultate for bowel sounds
D. Take vital signs, including blood pressure. - ANSWER-A
The nurse is evaluating a child who is being treated for nephrotic
syndrome. Which observation indicated successful treatment of
nephrosis?
A. Diuresis and weight loss
B. improved appetitie and weight gain
C. Increase in urine specific gravity
D. Return of temperature and pulse to normal - ANSWER-A
A young child is brought to the emergency room with suspected
meningitis. Blood work with cultures, a urine specimen with a culture
and sensitivity, and the spinal tap were completed in the ER and he is
being admitted to the pedatric unit for continued care. Which of the
following is a major priority of nursing care?
A. Encourage oral intake of clear liquids. Progress diet as tolerated B.
Inititate isolation procedure if warranted after the CSF analysis is
completed.
C. Inititate isolation procedire immediatly and administer ordered
antibiotics
D. Administer sedatives/analgesic on a prescribed schedule to
manage pain. - ANSWER-C
HESI Pediatric Exam Test Bank 2026/2027: Authentic
Questions & Answers with Detailed Explanations for
Guaranteed Success.
A newborn has just been delievered via C-Section with a
myelomeningocele which was detected pre-natally via amniocentecic.
The child is scheduled to have surgery within the first 48 hours. Which
of the following nursing actions is appropriate?
A. Place child in semi-fowlers position to decrease pressure on the
spinal cord
B. Apply heat lamp to facilitate drying and toughening of the sac
C. Apply soft restraints to prevent disruption of the sac
D. Assess head circumference and fontenals for signs of ICP. -
ANSWER-D
A child with autism spectrum disorder (ASD) is admitted to the hospital
with pneuomonia. The nurse should plan which priority intervention
when caring for this child?
A. Maintain a structured routine and keep stimulation to a minimim
B. Communicate at child;s level and maintain eye contact
C. Use therapeutic touch to calm child with procedures
D. Switch from one assessment activity to another quickly? -
ANSWER-
A
A child is admitted with acute glomerularnephritis. The nurse would
expect the UA during this acute phase to show which of the following?
,2|Page
A. Bacteruria, hematuria
B. Hematuria, proteinuria
C. Bacteruria, increase specific gravity
D. Proteinuria, decreased specific gravity - ANSWER-B
A child has been admitted to the pedatric unit with suspected meningitis.
The CSF aanalysis reveals the following: Apperance: Clear, WBC:
within normal limits, Protein: within normal limits, Glucose: within
normal limits, Culture: negative. Based on the results, the nurse suspects
that the child has: A. Bacertial Meningitis
B. Meningococcal meningitis
C. Viral meningitis
D. Hydrocephalous - ANSWER-C
A two year old has had one bout of nephrosis (nephrotic syndrome) His
mother suspected a recurrence when she observed swelling around his
eyes. The nurse helps to confirrm the condition by recognizing what
additional sympton? A. Blood presssure 140/90
B. Marked proteinuria
C. Tea colored urine
D. A history of positive strep infections - ANSWER-B
The mother of a 1 month old infant tells the nurse she worries that her
baby will get meningitits like her oldest son did when he was an infant.
The nurse should base her response on which statement?
A. Meningitis rarely occurs during infancy, however after the first
year of life, it is more common.
B. Often a genetic predisposition to meningitis is found and family
members are more likely to get it.
C. Vaccination to prevent all types of meningitits is now avaliable
and should be administered at 6 months.
,3|Page
D. Vaccination to prevent Haemophilus influenzae type B meningitits
has decreased the frequency of this disease in children. - ANSWER-D
A six week old infant is brought to the pediatricians office for a well-
baby visit. During examinations the physcian displaces the femoral head
and reduces it back into place by manipulation of the thighs and hips.
The nurse recognizes that the physcian is assessing:
A. Barlow and ortalani tests for developmental dysplasia of the hip
B. Gower test for developmental dysplasia of the hip
C. Pavlik test for developmental dysplasia of the hip
D. Trendelenburg test for developmental dysplasia of the hip -
ANSWER-A
A 10 year old is admitted with possible appendicitis. The doctor's
history and physical indicates a WBC count of 17,000, increased
segmented neutrophils, decreased lymphocytes, and 6% bands. The
patient complains of abdominal pain, localized at Mcberney's point.
Which statement most accurately describes the data?
A. Lab work revels a left shift and pain localized in the right lower
quadrant
B. Lab work reveals a right shift and pain localized in the left upper
quadrant
C. Lab work reveals normal findings with pain localized in the
epigastric area.
D. Lab work reveals a possible viral infection with pain localized in
the left upper quadrant. - ANSWER-A
A nurse is caring for a boy with probable intusseception. He had
diarrhea before admission but while waiting for administration of air
pressure to reduce the intusseception he produced a normal brown stool.
Which nursing action is the most appropriete.
, 4|Page
A. Notify practitioner
B. Measure abdomnial girth
C. Auscultate for bowel sounds
D. Take vital signs, including blood pressure. - ANSWER-A
The nurse is evaluating a child who is being treated for nephrotic
syndrome. Which observation indicated successful treatment of
nephrosis?
A. Diuresis and weight loss
B. improved appetitie and weight gain
C. Increase in urine specific gravity
D. Return of temperature and pulse to normal - ANSWER-A
A young child is brought to the emergency room with suspected
meningitis. Blood work with cultures, a urine specimen with a culture
and sensitivity, and the spinal tap were completed in the ER and he is
being admitted to the pedatric unit for continued care. Which of the
following is a major priority of nursing care?
A. Encourage oral intake of clear liquids. Progress diet as tolerated B.
Inititate isolation procedure if warranted after the CSF analysis is
completed.
C. Inititate isolation procedire immediatly and administer ordered
antibiotics
D. Administer sedatives/analgesic on a prescribed schedule to
manage pain. - ANSWER-C
