Exam
HESI Pediatrics Exam 2 (2026) | RN Pediatric
Exam Prep | NGN Nursing Questions (Pdf)
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The nurse is planning care for school aged children at a community care center. Which activity
is best for the children?
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, HESI Pediatrics Exam (2026) | RN Pediatric
Exam
A. building model airplanes
B. playing follow-the-leader
C. stringing large and small beads
D. Playing with playdough and clay –
Correct Answer :B. playing follow-the-leader
School-aged children strive for independence and productivity (Erikson's Industry vs.
Inferiority) and enjoy individual and group activities related to real life situations, such as
playing follow the leader. (A) is an individual activity that could contribute to feelings of
inferiority and inadequacy if the task if too complex, although school-aged children enjoy
crafts. (C and D) are more appropriate for pre-school children.
Surgery is being delayed for an infant with undescended testes. In collaboration with the
healthcare provider and the family, which prescription should the nurse anticipate?
A. a trial of adrenocorticotropic hormone injections
B. Frequent stimulation of the cremasteric reflex
C. a trial of human chorionic gonadotrophic hormone
D. frequent warm baths to gently dilate the scrotal area. –
Correct Answer :C. a trial of human chorionic gonadotrophic hormone
A trial of HCG (human chorionic gonadotrophic) hormone may aid in testicular descent, but
does not replace surgical repair for true undescended testes. Undescended testes
(cryptorchidism) may be found in the inguinal canal due to exaggerated cremasteric reflex.
(A) is not indicated. Stimulation of the cremasteric reflex causes the testes to ascend rather
than to descend in the scrotum. (D) may relax the cremasteric muscle, but may not cause the
testes to descend.
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Exam
A 3 year old client with sickle cell anemia is admitted to the Emergency Department with
abdominal pain. The nurse palpates an enlarged liver, an x-ray reveals an enlarged spleen, and
a CBC reveals anemia. these findings indicate which type of crisis?
A. Aplastic
B. sequestration
C. hyperhemolytic
D. vaso-occlusive –
Correct Answer :B. sequestration
The findings support a sequestration crisis, where blood pools in the spleen, and is
characterized by abdominal pain and anemia. (A and C) crises produce anemia but no
abdominal pain or splenic enlargement. (D) crisis may produce abdominal pain but no splenic
enlargement or exacerbation of anemia.
To assess the effectiveness of an analgesic administered to a 4 year old, what intervention is
best for the nurse to implement?
A. use a happy face/sad face pain scale
B. ask the mother if she thinks the analgesic is working
C. assess for changes in the child's vital signs
D. teach the child to point to a numeric pain scale –
Correct Answer :A. use a happy face/sad face pain scale
A 4 year old can readily identify with simple pictures to show the nurse how he/she is feeling.
(B) could be used to validate what the child is telling the nurse via the "faces" pain scale, but
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, HESI Pediatrics Exam (2026) | RN Pediatric
Exam
it is best to elicit the child's assessment of his/her pain level. (C) may not accurately reflect the
effectiveness of pain medication as they can also be affected by other variables, such as fear.
(D) requires abstract number skills beyond the level of a 4 year old.
In developing a teaching plan for a 5 year old child with diabetes, which component of
diabetic management should the nurse plan for the child to manage first?
A. food planning and selection
B. administering insulin injections
C. process of glucose testing
D. drawing up the correct insulin dose
- Correct Answer :C. process of glucose testing
Developmentally a 5 year old has the cognitive and psychomotor skills to use a glucometer
and to read the number (it is especially helpful if the nurse presents this activity as a game).
(A, B, and D) require more advanced cognitive and psychomotor skills and have greater
potential for errors.
A 17 year old male student reports to the school clinic one morning for a scheduled health
exam. He tells the nurse that he just finished football practice and is on his way to class. The
nurse assesses his vital signs: temperature 100F, pulse 80, respirations 20, and BP 122/82.
What is the best action for the nurse to take?
A. tell the student to proceed directly to his regularly scheduled class.
B. call the parent and suggest re-taking the student's temperature at home
C. give the student a glass of cool fluids, then retake his temperature
D. send the student to class, but re-verify his temperature after lunch –
Answer :A. tell the student to proceed directly to his regularly scheduled class.
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