HESI RN PEDIATRICS PEDS EXAM
2026 STUDY GUIDE TEST PAPER
QUESTIONS AND SOLUTIONS WITH
DETAILED RATIONALES GRADED
A+
◉ when does the child sit unsupported? Answer: 8 months
◉ when does the child achieve 50% of adult height? Answer: 2 years
◉ when does a child throw a ball overhand? Answer: 18 months
◉ when does a child speak two to three word sentences? Answer: 2
years
◉ when does a child use scissors? Answer: 4 years
◉ when does a child ties his or her shoes? Answer: 5 years
◉ list two contraindications to live virus immunizations Answer:
immunocompromised child or a child in a household with an
immunocompromised individual
,◉ list three classic signs and symptoms measles Answer: photophobia,
confluent rash that begins on the face and spreads downward, and
Koplik spots on the buccal mucosa
◉ list the signs and symptoms of iron deficiency Answer: anemia; pale
conjunctiva; pale skin color; atrophy of papillae on tongue; brittle,
ridged, or spoon shaped nails; and thyroid edema.
◉ identify food sources of vitamin A Answer: liver, sweet potatoes,
carrots, spinach, peaches, and apricots
◉ what disease occurs with vitamin C deficiency Answer: scurvy
◉ what measurements reflect present nutritional status Answer: weight,
skin-fold thickness, and arm circumference
◉ list the signs and symptoms of dehydration in an infant. Answer: poor
skin turgor, absence of tears dry mucous membranes, weight loss,
depressed fontanel, and decrease urinary output
◉ list the laboratory findings that can be expected in a dehydrated child.
Answer: loss of bicarbonate/decreased serum pH, loss of sodium, loss of
potassium, elevated Hct, and elevated BUN.
, ◉ how should burns in children be assessed Answer: by using the Lund-
Browder chart, which takes into account the changing proportions of the
child's body
◉ how can the nurse best evaluate the adequacy of fluid replacement in
children? Answer: by monitoring urine output
◉ how should a parent be instructed on how to child proof a house?
Answer: by being taught to lock all cabinets, to safely store all toxic
household items in locked cabinets, and to examine the house from the
child's point of view.
◉ what intervention should the nurse perform first in caring for a child
who has ingested a poison? Answer: assessment of the child's
respiratory, cardiac, and neurologic status
◉ what early signs should the nurse assess for if lead poisoning is
suspected? Answer: anemia, acute cramping, abdominal pain, vomiting
constipation, anorexia, headache, lethargy, hyperactivity, aggression,
impulsiveness, decreased interest in play, irritability, short attention
span.
◉ describe the purpose of bronchodilators Answer: to reverse
bronchospasm
2026 STUDY GUIDE TEST PAPER
QUESTIONS AND SOLUTIONS WITH
DETAILED RATIONALES GRADED
A+
◉ when does the child sit unsupported? Answer: 8 months
◉ when does the child achieve 50% of adult height? Answer: 2 years
◉ when does a child throw a ball overhand? Answer: 18 months
◉ when does a child speak two to three word sentences? Answer: 2
years
◉ when does a child use scissors? Answer: 4 years
◉ when does a child ties his or her shoes? Answer: 5 years
◉ list two contraindications to live virus immunizations Answer:
immunocompromised child or a child in a household with an
immunocompromised individual
,◉ list three classic signs and symptoms measles Answer: photophobia,
confluent rash that begins on the face and spreads downward, and
Koplik spots on the buccal mucosa
◉ list the signs and symptoms of iron deficiency Answer: anemia; pale
conjunctiva; pale skin color; atrophy of papillae on tongue; brittle,
ridged, or spoon shaped nails; and thyroid edema.
◉ identify food sources of vitamin A Answer: liver, sweet potatoes,
carrots, spinach, peaches, and apricots
◉ what disease occurs with vitamin C deficiency Answer: scurvy
◉ what measurements reflect present nutritional status Answer: weight,
skin-fold thickness, and arm circumference
◉ list the signs and symptoms of dehydration in an infant. Answer: poor
skin turgor, absence of tears dry mucous membranes, weight loss,
depressed fontanel, and decrease urinary output
◉ list the laboratory findings that can be expected in a dehydrated child.
Answer: loss of bicarbonate/decreased serum pH, loss of sodium, loss of
potassium, elevated Hct, and elevated BUN.
, ◉ how should burns in children be assessed Answer: by using the Lund-
Browder chart, which takes into account the changing proportions of the
child's body
◉ how can the nurse best evaluate the adequacy of fluid replacement in
children? Answer: by monitoring urine output
◉ how should a parent be instructed on how to child proof a house?
Answer: by being taught to lock all cabinets, to safely store all toxic
household items in locked cabinets, and to examine the house from the
child's point of view.
◉ what intervention should the nurse perform first in caring for a child
who has ingested a poison? Answer: assessment of the child's
respiratory, cardiac, and neurologic status
◉ what early signs should the nurse assess for if lead poisoning is
suspected? Answer: anemia, acute cramping, abdominal pain, vomiting
constipation, anorexia, headache, lethargy, hyperactivity, aggression,
impulsiveness, decreased interest in play, irritability, short attention
span.
◉ describe the purpose of bronchodilators Answer: to reverse
bronchospasm
