HESI Pediatrics Practice Exam PREP
HESI PEDIATRICS PRACTICE EXAM PREP NEWEST
2025/2026 ACTUAL EXAM COMPLETE 250 QUESTIONS
AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)
WITH DETAILED RATIONALES |ALREADY GRADED
A+||BRAND NEW VERSION!!
The nurse is caring for a premature infant who needs an IV access restarted. What
action should the nurse take when using adhesive tape?
Use solvents such as water, mineral oil, or petrolatum to remove adhesives
instead of pulling on skin.
Avoid using tape and adhesives until skin is more mature.
Use scissors carefully to remove tape instead of pulling tape off.
Use alcohol to remove the adhesives. - Correct Answer-Remove adhesives with
water, mineral oil, or petrolatum.
The use of adhesives should be minimized as much as possible in the treatment of
preterm neonates. They should be removed using water, mineral oil, or
petrolatum. The skin of the premature infant is fragile, delicate, and thinner
compared to a full-term infant, and is easily traumatized. Alcohol should not be
used to remove adhesives.
1|Page
, HESI Pediatrics Practice Exam PREP
The nurse calculates a 4 ml dose of prescribed digoxin a 9-month-old infant. What
action should the nurse implement?
Mix dose with juice to disguise its taste.
Suspect dosage error and do not give dose.
Check heart rate and administer dose by placing it to the back and side of mouth.
Check heart rate and administer dose by letting the infant suck it through a nipple.
- Correct Answer-Suspect dosage error and do not give dose.
Digoxin's narrow margin of safety for an infant should not exceed 1 mL (50 mcg) in
one dose. The nurse's calculation indicates a dosage error and should not be given.
Digoxin is given without mixing with any other fluids or foods because the infant
may refuse to consume the total amount, which results in an inaccurate drug dose.
Generally, pediatric digoxin elixir is available as 0.05 mg/mL. Great care must be
taken in dosage calculation and should be double-checked with another nurse
prior to administration.
The parents of a toddler brought to the clinic for a well-child visit tell the nurse
that their child becomes upset if even the smallest things change in the
environment. What information should the nurse provide the parents?
A child is insecure because trust is not fostered and developed during infancy.
2|Page
, HESI Pediatrics Practice Exam PREP
A toddler should be exposed to different routines to promote adapting to new
experiences.
Children of this age are comfortable with ritualism and display global thinking.
Objects should be frequently moved in the environment to teach the child to
acclimate to change. - Correct Answer-Children of this age are comfortable with
ritualism and display global thinking.
A 2-year-old is ritualistic and wants consistency and routine. Changes in the
toddler's environment or schedule is upsetting. Another mark of the toddlers'
sensitivity to change is global thinking. When there is a change in one small part
of the environment, such as a minor shift in room arrangement, or changes in the
whole environment, the 2-year-old's composure disintegrates.
How should the nurse measure the length of a 14-month-old child ?
Standing height.
Prone recumbent position.
Supine recumbent position.
Side-lying position. - Correct Answer-Supine recumbent position.
3|Page
, HESI Pediatrics Practice Exam PREP
Children younger than 24 to 36 months of age should be measured for length in
the supine position from crown to heel, known as recumbent length.
A 5-year-old child who is one day postoperative has bilateral eye patches in place
and should be out of bed. What nursing intervention should be implemented first
before leaving the bedside?
Speak to the child when entering the room.
Allow the child to assist in feeding himself.
Orient the child to the immediate surroundings.
Allow the parents to stay in the room with the child. - Correct Answer-Orient the
child to the immediate surroundings.
When sighted children temporarily lose their vision, many aspects of the
environment becomes bewildering and frightening. To minimize the effects of
temporary loss of vision, the child should be oriented immediately to the
surroundings and should be told about the nurse's actions and any experiences
that are felt or heard during procedures. The child and family should be reassured
throughout every phase of treatment and encouraged to be independent (with
assistance) in self-care activities such as eating and bathing.
4|Page
HESI PEDIATRICS PRACTICE EXAM PREP NEWEST
2025/2026 ACTUAL EXAM COMPLETE 250 QUESTIONS
AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)
WITH DETAILED RATIONALES |ALREADY GRADED
A+||BRAND NEW VERSION!!
The nurse is caring for a premature infant who needs an IV access restarted. What
action should the nurse take when using adhesive tape?
Use solvents such as water, mineral oil, or petrolatum to remove adhesives
instead of pulling on skin.
Avoid using tape and adhesives until skin is more mature.
Use scissors carefully to remove tape instead of pulling tape off.
Use alcohol to remove the adhesives. - Correct Answer-Remove adhesives with
water, mineral oil, or petrolatum.
The use of adhesives should be minimized as much as possible in the treatment of
preterm neonates. They should be removed using water, mineral oil, or
petrolatum. The skin of the premature infant is fragile, delicate, and thinner
compared to a full-term infant, and is easily traumatized. Alcohol should not be
used to remove adhesives.
1|Page
, HESI Pediatrics Practice Exam PREP
The nurse calculates a 4 ml dose of prescribed digoxin a 9-month-old infant. What
action should the nurse implement?
Mix dose with juice to disguise its taste.
Suspect dosage error and do not give dose.
Check heart rate and administer dose by placing it to the back and side of mouth.
Check heart rate and administer dose by letting the infant suck it through a nipple.
- Correct Answer-Suspect dosage error and do not give dose.
Digoxin's narrow margin of safety for an infant should not exceed 1 mL (50 mcg) in
one dose. The nurse's calculation indicates a dosage error and should not be given.
Digoxin is given without mixing with any other fluids or foods because the infant
may refuse to consume the total amount, which results in an inaccurate drug dose.
Generally, pediatric digoxin elixir is available as 0.05 mg/mL. Great care must be
taken in dosage calculation and should be double-checked with another nurse
prior to administration.
The parents of a toddler brought to the clinic for a well-child visit tell the nurse
that their child becomes upset if even the smallest things change in the
environment. What information should the nurse provide the parents?
A child is insecure because trust is not fostered and developed during infancy.
2|Page
, HESI Pediatrics Practice Exam PREP
A toddler should be exposed to different routines to promote adapting to new
experiences.
Children of this age are comfortable with ritualism and display global thinking.
Objects should be frequently moved in the environment to teach the child to
acclimate to change. - Correct Answer-Children of this age are comfortable with
ritualism and display global thinking.
A 2-year-old is ritualistic and wants consistency and routine. Changes in the
toddler's environment or schedule is upsetting. Another mark of the toddlers'
sensitivity to change is global thinking. When there is a change in one small part
of the environment, such as a minor shift in room arrangement, or changes in the
whole environment, the 2-year-old's composure disintegrates.
How should the nurse measure the length of a 14-month-old child ?
Standing height.
Prone recumbent position.
Supine recumbent position.
Side-lying position. - Correct Answer-Supine recumbent position.
3|Page
, HESI Pediatrics Practice Exam PREP
Children younger than 24 to 36 months of age should be measured for length in
the supine position from crown to heel, known as recumbent length.
A 5-year-old child who is one day postoperative has bilateral eye patches in place
and should be out of bed. What nursing intervention should be implemented first
before leaving the bedside?
Speak to the child when entering the room.
Allow the child to assist in feeding himself.
Orient the child to the immediate surroundings.
Allow the parents to stay in the room with the child. - Correct Answer-Orient the
child to the immediate surroundings.
When sighted children temporarily lose their vision, many aspects of the
environment becomes bewildering and frightening. To minimize the effects of
temporary loss of vision, the child should be oriented immediately to the
surroundings and should be told about the nurse's actions and any experiences
that are felt or heard during procedures. The child and family should be reassured
throughout every phase of treatment and encouraged to be independent (with
assistance) in self-care activities such as eating and bathing.
4|Page
