HESI RN PEDIATRICS PEDS EXAM
2026 ACTUAL EXAM SCRIPT
COMPLETE QUESTIONS AND
VERIFIED ANSWERS WITH
DETAILED RATIONALES GRADE A+
◉ Following a motor vehicle collision, a 3 year old girl has a spica cast
applied. Which toy is best for the nurse for this 3 year old child?
Answer: Set of cloth and hand puppets
◉ An infant with tetralogy of fallot becomes acutely cyanotic and
hyperpneic. Which action should the nurse implement first? Answer:
Place the infant in a knee-chest position
◉ A child admitted with diabetic ketoacidosis is demonstrating
Kussmaul respirations. The nurse determines that the increased
respiratory rate is a compensatory mechanism for which acid base
alteration? Answer: Metabolic Acidoses
◉ A 7 year old is admitted to the hospital with persistent vomiting, and a
nasogastric tube attached to low intermittent suction is applied. Which
finding is most important for the nurse to report to the healthcare
provider? Answer: Serum potassium of 3.0 mg/dL
◉ 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? Answer: Creamed corn
, ◉ During a well-baby check, the nurse hides a block under the baby's
blanket, and the baby looks for the block. Which normal growth and
development milestone is the baby developing? Answer: Object
Permanence
◉ The nurse is measuring he frontal occipital circumference (FOC) of a
3 month old infant, and notes that the FOC has increased 5 inches since
birth and the child's head appears large in relation to body size. Which
action is most important for the nurse to take next? Answer: Palpate the
anterior fontanel for tension and bulging
◉ The nurse is preparing a 10 year old with a lacerated forehead for
suturing. Both parents and 12 years old sibling are at the child's bedside.
Which instruction best supports family? Answer: Please decide who will
stay when the healthcare provider begins suturing
◉ The nurse is planning for a 5 month old with gastroesophageal reflux
disease whose weight has decreased by 3 ounces since the last clinic
visit one month ago. To increase caloric intake and decrease vomiting,
what instructions should the nurse provide this mother? Answer:
Thicken formula with cereal for each feeding
◉ While teaching a parenting class to new parents the nurse describes
the needs of infants and toddlers regarding discipline and limit setting.
What is the most important reason for implementing such parenting
behaviors? Answer: They provide the child with a sense of security
2026 ACTUAL EXAM SCRIPT
COMPLETE QUESTIONS AND
VERIFIED ANSWERS WITH
DETAILED RATIONALES GRADE A+
◉ Following a motor vehicle collision, a 3 year old girl has a spica cast
applied. Which toy is best for the nurse for this 3 year old child?
Answer: Set of cloth and hand puppets
◉ An infant with tetralogy of fallot becomes acutely cyanotic and
hyperpneic. Which action should the nurse implement first? Answer:
Place the infant in a knee-chest position
◉ A child admitted with diabetic ketoacidosis is demonstrating
Kussmaul respirations. The nurse determines that the increased
respiratory rate is a compensatory mechanism for which acid base
alteration? Answer: Metabolic Acidoses
◉ A 7 year old is admitted to the hospital with persistent vomiting, and a
nasogastric tube attached to low intermittent suction is applied. Which
finding is most important for the nurse to report to the healthcare
provider? Answer: Serum potassium of 3.0 mg/dL
◉ 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? Answer: Creamed corn
, ◉ During a well-baby check, the nurse hides a block under the baby's
blanket, and the baby looks for the block. Which normal growth and
development milestone is the baby developing? Answer: Object
Permanence
◉ The nurse is measuring he frontal occipital circumference (FOC) of a
3 month old infant, and notes that the FOC has increased 5 inches since
birth and the child's head appears large in relation to body size. Which
action is most important for the nurse to take next? Answer: Palpate the
anterior fontanel for tension and bulging
◉ The nurse is preparing a 10 year old with a lacerated forehead for
suturing. Both parents and 12 years old sibling are at the child's bedside.
Which instruction best supports family? Answer: Please decide who will
stay when the healthcare provider begins suturing
◉ The nurse is planning for a 5 month old with gastroesophageal reflux
disease whose weight has decreased by 3 ounces since the last clinic
visit one month ago. To increase caloric intake and decrease vomiting,
what instructions should the nurse provide this mother? Answer:
Thicken formula with cereal for each feeding
◉ While teaching a parenting class to new parents the nurse describes
the needs of infants and toddlers regarding discipline and limit setting.
What is the most important reason for implementing such parenting
behaviors? Answer: They provide the child with a sense of security
