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Pediatrics HESI 2026 Updated Exam – 100% Pass Assured – 100 Realistic Questions with Verified Answers and Rationales (Instant Download)

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This document is a comprehensive Pediatrics HESI 2026 Exam with 100 realistic, high-yield questions and verified correct answers, complete with rationales. Topics covered include postoperative care for cardiac catheterization, pediatric casts and mobility, management of congenital heart defects such as tetralogy of Fallot, developmental-appropriate toys, and emergency interventions for pediatric patients. Updated for 2026, this resource is ideal for nursing students preparing for the Pediatrics HESI Exam, NCLEX review, or pediatric clinical competency evaluation. It emphasizes practical, evidence-based nursing interventions, critical thinking, and exam-ready strategies to ensure mastery and high performance.

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PEDIATRICS HESI 2026 UPDATED EXAM WITH
100% PASS ASSURED.


1. The nurse is caring for a 3-year old child who is 2
hours postop from a cardiac catheterization via the right
femoral artery. Which assessment finding is an indication
of arterial obstruction?

A. Blood pressure trend is downward and pulse is rapid
and irregular.

B.Right foot is cool to the touch and appears pale and
blanched.

C. Pulse distal to the femoral artery is weaker on the left
foot than right foot.

D. The pressure dressing at right femoral area is moist
and oozing blood. - correct answer- B. Right foot is cool
to the touch and appears pale and blanched




Following a motor vehicle collision, a 3-year old girl has a
spica cast applied. Which toyis best for the nurse for this
3 year old child?

A. Duck that squeaks.

,2 | Page

B. Fashion doll and clothes

C. Set of cloth and hand puppets

D. Hand held video game - correct answer- C. Set of
cloth and hand puppets




An infant with tetralogy of Fallot becomes acutely
cyanotic and hyperpneic. Whichaction should the nurse
implement first?

A. Administer morphine sulphate.

B. Start IV fluids.

C.Place the infant in a knee-chest position

D. Provide 100% oxygen by face mask - correct answer-
C.




A child admitted with diabetic ketoacidosis is
demonstrating Kussmaul respirations. Thenurse
determines that the increased respiratory rate is a
compensatory mechanism for which acid base alteration?

A. Metabolic alkalosis

B. Respiratory acidosis

, 3 | Page

C. Respiratory alkalosis

D. Metabolic acidosis - correct answer- D.




7 years old is admitted to the hospital with persistent
vomiting, and a nasogastrictube attached to low
intermittent suction is applied. Which finding is most
important for the nurse to report to the healthcare
provider?

A. Gastric output of 100 mL in the last 8 hours

B. Shift intake of 640 mL IV fluids plus 30 mL PO ice chips

C. Serum potassium of 3.0 mg/dL.

D. Serum pH of 7.45 - correct answer- C. Serum
Potassium of 3.0 (normal is 3.5 to 5.5)




The nurse is evaluating diet teaching for a client who has
nontropical sprue (celiac disease). Choosing which food
indicates that the teaching has been effective?



A. Creamed Corn

B. Pancakes

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Number of pages
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Written in
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