HESI PEDIATRIC (PEDS) RN EXIT EXAM V1 & V2 – QUESTIONS AND ANSWERS |
VERIFIED AND WELL DETAILED ANSWERS | PLUS RATIONALES | GUARANTEED
PASS | LATEST EXAM UPDATE
Core Domains
Growth and Development
Congenital and Genetic Disorders
Pediatric Pharmacology and Dosage Calculation
Infectious and Communicable Diseases
Gastrointestinal and Genitourinary Disorders
Neurological and Musculoskeletal Health
Respiratory and Cardiovascular Emergencies
Psychosocial and Mental Health in Children
Introduction
The HESI Pediatric RN Exit Exam is designed to evaluate the clinical competence and
critical thinking skills of nursing students approaching graduation. This assessment
focuses on the unique physiological and psychological needs of the pediatric population,
ranging from neonates to adolescents. The exam utilizes a combination of foundational
knowledge and scenario-based questions to simulate real-world clinical environments.
,Candidates are assessed on their ability to prioritize care, apply safety standards, and
make evidence-based decisions under pressure. By emphasizing application over simple
memorization, this exam ensures that future registered nurses are prepared to provide
safe, high-quality care to children and their families in diverse healthcare settings.
SECTION ONE: QUESTIONS 1–100
1. A nurse is assessing a 4-year-old child. Which finding should be reported to the
provider as a potential developmental delay?
A. Inability to tie shoelaces
B. Inability to hop on one foot
C. Using 4 to 5-word sentences
D. Speaking with a slight stutter
🟢 B. Inability to hop on one foot
🔴 Explanation: By age 4, most children should be able to hop on one foot and skip.
Tying shoelaces is typically a 5-year-old milestone.
2. Which vital sign should the nurse measure first when assessing a sleeping 8-
month-old infant?
,A. Temperature
B. Blood pressure
C. Heart rate
D. Respirations
🟢 D. Respirations
🔴 Explanation: Respiratory rate should be assessed first while the infant is quiet and
undisturbed to ensure accuracy. Touching the child may cause crying, which alters the
rate.
3. A 2-year-old is admitted with suspected Wilms' tumor. Which nursing intervention is
most critical?
A. Monitoring strict intake and output
B. Placing a sign above the bed: "Do Not Palpate Abdomen"
C. Obtaining a 24-hour urine collection
D. Preparing the child for a biopsy
🟢 B. Placing a sign above the bed: "Do Not Palpate Abdomen"
🔴 Explanation: Physical manipulation of the abdomen can cause the tumor capsule to
rupture, potentially spreading cancer cells throughout the abdomen.
, 4. A child with Tetralogy of Fallot becomes cyanotic and dyspneic during a blood draw.
Which action should the nurse take first?
A. Administer 100% oxygen via mask
B. Place the child in a knee-chest position
C. Prepare morphine sulfate for administration
D. Call for the Rapid Response Team
🟢 B. Place the child in a knee-chest position
🔴 Explanation: The knee-chest position increases systemic vascular resistance, which
reduces the right-to-left shunt and improves pulmonary blood flow during a "tet spell."
5. A nurse is teaching the parents of a child with Type 1 Diabetes about "survival
skills." Which topic is the priority?
A. Relationship between exercise and food
B. Signs and treatment of hypoglycemia
C. Long-term complications of the disease
D. Insulin pump troubleshooting
🟢 B. Signs and treatment of hypoglycemia
VERIFIED AND WELL DETAILED ANSWERS | PLUS RATIONALES | GUARANTEED
PASS | LATEST EXAM UPDATE
Core Domains
Growth and Development
Congenital and Genetic Disorders
Pediatric Pharmacology and Dosage Calculation
Infectious and Communicable Diseases
Gastrointestinal and Genitourinary Disorders
Neurological and Musculoskeletal Health
Respiratory and Cardiovascular Emergencies
Psychosocial and Mental Health in Children
Introduction
The HESI Pediatric RN Exit Exam is designed to evaluate the clinical competence and
critical thinking skills of nursing students approaching graduation. This assessment
focuses on the unique physiological and psychological needs of the pediatric population,
ranging from neonates to adolescents. The exam utilizes a combination of foundational
knowledge and scenario-based questions to simulate real-world clinical environments.
,Candidates are assessed on their ability to prioritize care, apply safety standards, and
make evidence-based decisions under pressure. By emphasizing application over simple
memorization, this exam ensures that future registered nurses are prepared to provide
safe, high-quality care to children and their families in diverse healthcare settings.
SECTION ONE: QUESTIONS 1–100
1. A nurse is assessing a 4-year-old child. Which finding should be reported to the
provider as a potential developmental delay?
A. Inability to tie shoelaces
B. Inability to hop on one foot
C. Using 4 to 5-word sentences
D. Speaking with a slight stutter
🟢 B. Inability to hop on one foot
🔴 Explanation: By age 4, most children should be able to hop on one foot and skip.
Tying shoelaces is typically a 5-year-old milestone.
2. Which vital sign should the nurse measure first when assessing a sleeping 8-
month-old infant?
,A. Temperature
B. Blood pressure
C. Heart rate
D. Respirations
🟢 D. Respirations
🔴 Explanation: Respiratory rate should be assessed first while the infant is quiet and
undisturbed to ensure accuracy. Touching the child may cause crying, which alters the
rate.
3. A 2-year-old is admitted with suspected Wilms' tumor. Which nursing intervention is
most critical?
A. Monitoring strict intake and output
B. Placing a sign above the bed: "Do Not Palpate Abdomen"
C. Obtaining a 24-hour urine collection
D. Preparing the child for a biopsy
🟢 B. Placing a sign above the bed: "Do Not Palpate Abdomen"
🔴 Explanation: Physical manipulation of the abdomen can cause the tumor capsule to
rupture, potentially spreading cancer cells throughout the abdomen.
, 4. A child with Tetralogy of Fallot becomes cyanotic and dyspneic during a blood draw.
Which action should the nurse take first?
A. Administer 100% oxygen via mask
B. Place the child in a knee-chest position
C. Prepare morphine sulfate for administration
D. Call for the Rapid Response Team
🟢 B. Place the child in a knee-chest position
🔴 Explanation: The knee-chest position increases systemic vascular resistance, which
reduces the right-to-left shunt and improves pulmonary blood flow during a "tet spell."
5. A nurse is teaching the parents of a child with Type 1 Diabetes about "survival
skills." Which topic is the priority?
A. Relationship between exercise and food
B. Signs and treatment of hypoglycemia
C. Long-term complications of the disease
D. Insulin pump troubleshooting
🟢 B. Signs and treatment of hypoglycemia
