HESI Pediatric Practice Exam [2026/2027] Updated
Version | Verified Questions & Detailed Rationales
(GUARANTEED PASS)
The nurse is discussing dietary preferences with a client who adheres to
a vegan diet. Which dietary supplement should the nurse encourage the
client to include in the dietary plan? - VERIFIED ANSWER - Vitamin B12.
The nurse assesses an immobile, elderly male client and determines that
his blood pressure is 138/60, his temperature is 95.8 F, and his output is
100 ml of concentrated urine during the last hour. He has wet-sounding
lung sounds, and increased respiratory secretions. Based on these
assessment findings, what nursing action is most important for the nurse
to implement? - VERIFIED ANSWER - Turn the client q2h
The nurse is giving pre-op instructions to a 14 yr old female scheduled for
surgery to correct a spinal curvature. Which stmt best demonstrates that
leaning has taken place? - VERIFIED ANSWER - "I understand that I will be
in a body cast and I will show you how you taught me to turn"
,To take the v/s of a 4 month old, which ordered will give the most
accurate results? - VERIFIED ANSWER - RR - HR - rectal temp
During routine screening at a school clinic, an otoscope exam reveals a
tympanic mb that is pearly gray, slightly bulging, and not movable. What
action should the nurse take next? - VERIFIED ANSWER - Ask the child if
they have had a cold, runny nose, or any ear pain lately
Which restraint should be used for a toddler after a cleft palate repair? -
VERIFIED ANSWER - Elbow
What pre-op nsg intervention should be included in the POC for an infant
w/ pyloric stenosis? - VERIFIED ANSWER - Observe for projectile vomiting
(remember that projectile vomiting leads to metabolic alkalosis)
A 6 month old returns from surgery w/ elbow restraints in place. What
nsg care should be included when caring for any restrained child? -
VERIFIED ANSWER - Remove the restraints one at a time and provide ROM
exercises
,(Removing them 1 at a time is safer than all at once)
A 2 yr old w/ Down syndrome is brought to the clinic for his regular
physical exam. The nurse knows which problem is requently associated
w/ Downs? - VERIFIED ANSWER - Congenital heart disease
(CHD is the most common associated defect w/ Downs. - also, remember
Professor Moore said that heart and ear problems go hand in hand)
When assessing a child w/ asthma, the nurse should expect intercostal
retractions during - VERIFIED ANSWER - Inspriation
When planning the care for a child who has had a cleft lip repair, the
nurse know that crying should be minimized because it - VERIFIED ANSWER
- Stresses the suture line
A full-term infant is admitted to the newborn nursery. After careful
assessment, the nurse suspects that the infant may have an esophageal
atresia. Which sx's is this newborn likely to have exhibited? - VERIFIED
ANSWER - Choking , coughing, and cyanosis
, (this answer includes the 3 "C"s of esophageal atresia caused by the
overflow of secretions to the trachea)
Which behavior would the nurse expect a 2 yr old to exhibit? - VERIFIED
ANSWER - Display possessiveness of toys
(they are egocentric and unable to share w/ others)
the other of a preschool-aged child asks the nurse if it is all right to
administer Pepto Bismol to her son when he has a tummy ache. After
reminding her to check the label of all OTC meds for the presence of ASA,
which instruction should the nurse include when replying to the mom's
question? - VERIFIED ANSWER - Do not give if they have chicken pox, the
flue, or any other viral illness
(ASA can cause Reye's syndrome)
the nurse observes a 4 yr old boy in a daycare. Which behavior should the
nurse consider normal for this child? - VERIFIED ANSWER - Demonstrates
aggressiveness by boasting when telling a story
Version | Verified Questions & Detailed Rationales
(GUARANTEED PASS)
The nurse is discussing dietary preferences with a client who adheres to
a vegan diet. Which dietary supplement should the nurse encourage the
client to include in the dietary plan? - VERIFIED ANSWER - Vitamin B12.
The nurse assesses an immobile, elderly male client and determines that
his blood pressure is 138/60, his temperature is 95.8 F, and his output is
100 ml of concentrated urine during the last hour. He has wet-sounding
lung sounds, and increased respiratory secretions. Based on these
assessment findings, what nursing action is most important for the nurse
to implement? - VERIFIED ANSWER - Turn the client q2h
The nurse is giving pre-op instructions to a 14 yr old female scheduled for
surgery to correct a spinal curvature. Which stmt best demonstrates that
leaning has taken place? - VERIFIED ANSWER - "I understand that I will be
in a body cast and I will show you how you taught me to turn"
,To take the v/s of a 4 month old, which ordered will give the most
accurate results? - VERIFIED ANSWER - RR - HR - rectal temp
During routine screening at a school clinic, an otoscope exam reveals a
tympanic mb that is pearly gray, slightly bulging, and not movable. What
action should the nurse take next? - VERIFIED ANSWER - Ask the child if
they have had a cold, runny nose, or any ear pain lately
Which restraint should be used for a toddler after a cleft palate repair? -
VERIFIED ANSWER - Elbow
What pre-op nsg intervention should be included in the POC for an infant
w/ pyloric stenosis? - VERIFIED ANSWER - Observe for projectile vomiting
(remember that projectile vomiting leads to metabolic alkalosis)
A 6 month old returns from surgery w/ elbow restraints in place. What
nsg care should be included when caring for any restrained child? -
VERIFIED ANSWER - Remove the restraints one at a time and provide ROM
exercises
,(Removing them 1 at a time is safer than all at once)
A 2 yr old w/ Down syndrome is brought to the clinic for his regular
physical exam. The nurse knows which problem is requently associated
w/ Downs? - VERIFIED ANSWER - Congenital heart disease
(CHD is the most common associated defect w/ Downs. - also, remember
Professor Moore said that heart and ear problems go hand in hand)
When assessing a child w/ asthma, the nurse should expect intercostal
retractions during - VERIFIED ANSWER - Inspriation
When planning the care for a child who has had a cleft lip repair, the
nurse know that crying should be minimized because it - VERIFIED ANSWER
- Stresses the suture line
A full-term infant is admitted to the newborn nursery. After careful
assessment, the nurse suspects that the infant may have an esophageal
atresia. Which sx's is this newborn likely to have exhibited? - VERIFIED
ANSWER - Choking , coughing, and cyanosis
, (this answer includes the 3 "C"s of esophageal atresia caused by the
overflow of secretions to the trachea)
Which behavior would the nurse expect a 2 yr old to exhibit? - VERIFIED
ANSWER - Display possessiveness of toys
(they are egocentric and unable to share w/ others)
the other of a preschool-aged child asks the nurse if it is all right to
administer Pepto Bismol to her son when he has a tummy ache. After
reminding her to check the label of all OTC meds for the presence of ASA,
which instruction should the nurse include when replying to the mom's
question? - VERIFIED ANSWER - Do not give if they have chicken pox, the
flue, or any other viral illness
(ASA can cause Reye's syndrome)
the nurse observes a 4 yr old boy in a daycare. Which behavior should the
nurse consider normal for this child? - VERIFIED ANSWER - Demonstrates
aggressiveness by boasting when telling a story
