HESI PEDS FINAL 2026 LATEST VERSION 1
AND 2 FULL QUESTION BANK WITH
VERIFIED ANSWERS
⩥ Signs and symptoms of iron deficiency anemia. Answer: Pale
skin/conjunctiva, brittle nails, atrophic tongue papillae, fatigue.
⩥ How to give iron dextran IM to a child. Answer: Use the Z-track
method; do not inject more than 2 mL per site.
⩥ Vitamins often deficient in preschoolers. Answer: Vitamins A, C, B6,
and B12.
⩥ Measurements reflecting nutritional status. Answer: Weight, skinfold
thickness, and arm circumference.
⩥ Signs of dehydration in infants. Answer: Poor skin turgor, dry mucous
membranes, sunken fontanel, decreased urine output.
⩥ Lab findings indicating dehydration. Answer: Elevated BUN and Hct,
low sodium, and metabolic acidosis.
,⩥ Best evaluation of fluid replacement adequacy. Answer: Monitor urine
output (should be 1-2 mL/kg/hr).
⩥ Action for child who swallowed paint thinner and is cyanotic. Answer:
Prepare for intubation with a cuffed ETT.
⩥ Correct statement about acetaminophen poisoning. Answer: Pallor can
appear as early as 2 hours after ingestion.
⩥ How to assess burns in children. Answer: Using the Lund-Browder
chart.
⩥ Key characteristics of child abuse cases. Answer: Parent sees child as
different, uses child to meet needs, is critical or unresponsive, unstable
family environment.
⩥ Behaviors observed in an abused child. Answer: Fear, withdrawal,
flinching in presence of adults.
⩥ Nursing interventions for an abused child. Answer: Report suspected
abuse, document objectively, photograph injuries, provide emotional and
physical care.
⩥ Purpose of bronchodilators. Answer: Relax bronchial smooth muscles
and open airways.
, ⩥ Physical assessment findings for asthma. Answer: Expiratory
wheezes, tight cough, retractions, altered blood gases.
⩥ Indicators of deterioration in asthma. Answer: Wheezing, retractions,
nasal flaring.
⩥ Medication to use before exercise for asthma. Answer: Albuterol.
⩥ Interventions for asthma. Answer: Upright positioning, monitor O₂
sat, administer bronchodilators, give dornase alfa daily.
⩥ Peak flow meter teaching. Answer: Zero before each use, perform
three attempts, record highest value.
⩥ Diagnostic finding confirming CF. Answer: Sweat chloride 85 mEq/L.
⩥ Medications expected for CF. Answer: Tobramycin, fat-soluble
vitamins, albuterol, dornase alfa.
⩥ Expected assessment findings for CF. Answer: Wheezing, clubbing,
barrel chest.
AND 2 FULL QUESTION BANK WITH
VERIFIED ANSWERS
⩥ Signs and symptoms of iron deficiency anemia. Answer: Pale
skin/conjunctiva, brittle nails, atrophic tongue papillae, fatigue.
⩥ How to give iron dextran IM to a child. Answer: Use the Z-track
method; do not inject more than 2 mL per site.
⩥ Vitamins often deficient in preschoolers. Answer: Vitamins A, C, B6,
and B12.
⩥ Measurements reflecting nutritional status. Answer: Weight, skinfold
thickness, and arm circumference.
⩥ Signs of dehydration in infants. Answer: Poor skin turgor, dry mucous
membranes, sunken fontanel, decreased urine output.
⩥ Lab findings indicating dehydration. Answer: Elevated BUN and Hct,
low sodium, and metabolic acidosis.
,⩥ Best evaluation of fluid replacement adequacy. Answer: Monitor urine
output (should be 1-2 mL/kg/hr).
⩥ Action for child who swallowed paint thinner and is cyanotic. Answer:
Prepare for intubation with a cuffed ETT.
⩥ Correct statement about acetaminophen poisoning. Answer: Pallor can
appear as early as 2 hours after ingestion.
⩥ How to assess burns in children. Answer: Using the Lund-Browder
chart.
⩥ Key characteristics of child abuse cases. Answer: Parent sees child as
different, uses child to meet needs, is critical or unresponsive, unstable
family environment.
⩥ Behaviors observed in an abused child. Answer: Fear, withdrawal,
flinching in presence of adults.
⩥ Nursing interventions for an abused child. Answer: Report suspected
abuse, document objectively, photograph injuries, provide emotional and
physical care.
⩥ Purpose of bronchodilators. Answer: Relax bronchial smooth muscles
and open airways.
, ⩥ Physical assessment findings for asthma. Answer: Expiratory
wheezes, tight cough, retractions, altered blood gases.
⩥ Indicators of deterioration in asthma. Answer: Wheezing, retractions,
nasal flaring.
⩥ Medication to use before exercise for asthma. Answer: Albuterol.
⩥ Interventions for asthma. Answer: Upright positioning, monitor O₂
sat, administer bronchodilators, give dornase alfa daily.
⩥ Peak flow meter teaching. Answer: Zero before each use, perform
three attempts, record highest value.
⩥ Diagnostic finding confirming CF. Answer: Sweat chloride 85 mEq/L.
⩥ Medications expected for CF. Answer: Tobramycin, fat-soluble
vitamins, albuterol, dornase alfa.
⩥ Expected assessment findings for CF. Answer: Wheezing, clubbing,
barrel chest.
