1|Page
HESI Pediatrics RN Exit Exam, 2026/2027- Verified
Question NGN-Aligned Pediatric Nursing Examination
with Verified Rationales||Newest Exam!!!
A child has been admitted to the pedatric unit with
suspected meningitis. The CSF aanalysis reveals the
following: Apperance: Clear, WBC: within normal limits,
Protein: within normal limits, Glucose: within normal limits,
Culture: negative. Based on the results, the nurse
suspects that the child has:
A. Bacertial Meningitis
B. Meningococcal meningitis
C. Viral meningitis
D. Hydrocephalous - Answer-C
A two year old has had one bout of nephrosis (nephrotic
syndrome) His mother suspected a recurrence when she
observed swelling around his eyes. The nurse helps to
confirrm the condition by recognizing what additional
sympton?
A. Blood presssure 140/90
B. Marked proteinuria
C. Tea colored urine
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D. A history of positive strep infections - Answer-B
The mother of a 1 month old infant tells the nurse she
worries that her baby will get meningitits like her oldest
son did when he was an infant. The nurse should base her
response on which statement?
A. Meningitis rarely occurs during infancy, however after
the first year of life, it is more common.
B. Often a genetic predisposition to meningitis is found
and family members are more likely to get it.
C. Vaccination to prevent all types of meningitits is now
avaliable and should be administered at 6 months.
D. Vaccination to prevent Haemophilus influenzae type B
meningitits has decreased the frequency of this disease in
children. - Answer-D
A six week old infant is brought to the pediatricians office
for a well-baby visit. During examinations the physcian
displaces the femoral head and reduces it back into place
by manipulation of the thighs and hips. The nurse
recognizes that the physcian is assessing:
A. Barlow and ortalani tests for developmental dysplasia of
the hip
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B. Gower test for developmental dysplasia of the hip
C. Pavlik test for developmental dysplasia of the hip
D. Trendelenburg test for developmental dysplasia of the
hip - Answer-A
A 10 year old is admitted with possible appendicitis. The
doctor's history and physical indicates a WBC count of
17,000, increased segmented neutrophils, decreased
lymphocytes, and 6% bands. The patient complains of
abdominal pain, localized at Mcberney's point. Which
statement most accurately describes the data?
A. Lab work revels a left shift and pain localized in the
right lower quadrant
B. Lab work reveals a right shift and pain localized in the
left upper quadrant
C. Lab work reveals normal findings with pain localized in
the epigastric area.
D. Lab work reveals a possible viral infection with pain
localized in the left upper quadrant. - Answer-A
A nurse is caring for a boy with probable intusseception.
He had diarrhea before admission but while waiting for
administration of air pressure to reduce the intusseception
, 4|Page
he produced a normal brown stool. Which nursing action is
the most appropriete.
A. Notify practitioner
B. Measure abdomnial girth
C. Auscultate for bowel sounds
D. Take vital signs, including blood pressure. - Answer-A
The nurse is evaluating a child who is being treated for
nephrotic syndrome. Which observation indicated
successful treatment of nephrosis?
A. Diuresis and weight loss
B. improved appetitie and weight gain
C. Increase in urine specific gravity
D. Return of temperature and pulse to normal - Answer-A
A newborn has just been delievered via C-Section with a
myelomeningocele which was detected pre-natally via
amniocentecic. The child is scheduled to have surgery
within the first 48 hours. Which of the following nursing
actions is appropriate?
A. Place child in semi-fowlers position to decrease
pressure on the spinal cord
HESI Pediatrics RN Exit Exam, 2026/2027- Verified
Question NGN-Aligned Pediatric Nursing Examination
with Verified Rationales||Newest Exam!!!
A child has been admitted to the pedatric unit with
suspected meningitis. The CSF aanalysis reveals the
following: Apperance: Clear, WBC: within normal limits,
Protein: within normal limits, Glucose: within normal limits,
Culture: negative. Based on the results, the nurse
suspects that the child has:
A. Bacertial Meningitis
B. Meningococcal meningitis
C. Viral meningitis
D. Hydrocephalous - Answer-C
A two year old has had one bout of nephrosis (nephrotic
syndrome) His mother suspected a recurrence when she
observed swelling around his eyes. The nurse helps to
confirrm the condition by recognizing what additional
sympton?
A. Blood presssure 140/90
B. Marked proteinuria
C. Tea colored urine
,2|Page
D. A history of positive strep infections - Answer-B
The mother of a 1 month old infant tells the nurse she
worries that her baby will get meningitits like her oldest
son did when he was an infant. The nurse should base her
response on which statement?
A. Meningitis rarely occurs during infancy, however after
the first year of life, it is more common.
B. Often a genetic predisposition to meningitis is found
and family members are more likely to get it.
C. Vaccination to prevent all types of meningitits is now
avaliable and should be administered at 6 months.
D. Vaccination to prevent Haemophilus influenzae type B
meningitits has decreased the frequency of this disease in
children. - Answer-D
A six week old infant is brought to the pediatricians office
for a well-baby visit. During examinations the physcian
displaces the femoral head and reduces it back into place
by manipulation of the thighs and hips. The nurse
recognizes that the physcian is assessing:
A. Barlow and ortalani tests for developmental dysplasia of
the hip
,3|Page
B. Gower test for developmental dysplasia of the hip
C. Pavlik test for developmental dysplasia of the hip
D. Trendelenburg test for developmental dysplasia of the
hip - Answer-A
A 10 year old is admitted with possible appendicitis. The
doctor's history and physical indicates a WBC count of
17,000, increased segmented neutrophils, decreased
lymphocytes, and 6% bands. The patient complains of
abdominal pain, localized at Mcberney's point. Which
statement most accurately describes the data?
A. Lab work revels a left shift and pain localized in the
right lower quadrant
B. Lab work reveals a right shift and pain localized in the
left upper quadrant
C. Lab work reveals normal findings with pain localized in
the epigastric area.
D. Lab work reveals a possible viral infection with pain
localized in the left upper quadrant. - Answer-A
A nurse is caring for a boy with probable intusseception.
He had diarrhea before admission but while waiting for
administration of air pressure to reduce the intusseception
, 4|Page
he produced a normal brown stool. Which nursing action is
the most appropriete.
A. Notify practitioner
B. Measure abdomnial girth
C. Auscultate for bowel sounds
D. Take vital signs, including blood pressure. - Answer-A
The nurse is evaluating a child who is being treated for
nephrotic syndrome. Which observation indicated
successful treatment of nephrosis?
A. Diuresis and weight loss
B. improved appetitie and weight gain
C. Increase in urine specific gravity
D. Return of temperature and pulse to normal - Answer-A
A newborn has just been delievered via C-Section with a
myelomeningocele which was detected pre-natally via
amniocentecic. The child is scheduled to have surgery
within the first 48 hours. Which of the following nursing
actions is appropriate?
A. Place child in semi-fowlers position to decrease
pressure on the spinal cord
