HESI Pediatric Exit Exam Test Bank 2026–2027 | Actual Exam
Complete Questions & Correct Detailed Answers | Verified
Solutions | Already Graded A+ Nursing Study Guide & NCLEX
Pediatrics Review
THIS EXAM CONTAINS:
• NCLEX pediatric nursing review aligned with current HESI standards
• High-yield pediatric nursing concepts frequently tested on HESI Exit Exams
• NGN-style case studies, SATA, bow-tie, matrix, and prioritization questions
• Pediatric pharmacology and medication safety calculations
• Complete HESI Pediatric Exit Exam review for 2026–2027 nursing students
• Actual exam-style pediatric nursing questions with verified detailed answers
• Comprehensive rationales designed to strengthen NCLEX-RN clinical judgment
,HESI PEDIATRIC TEST BANK 2025 EXIT ACTUAL EXAM
COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS)
GRADED A+
1. A newborn has just been delivered via C-Section with a myelomeningocele
which was detected pre-natally via amniocentesis. 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-Fowler's position to decrease pressure on the spinal cord
B. Apply heat lamp to facilitate drying and toughening of the sac
C. Apply soft restraints to prevent disruption of the sac
D. Assess head circumference and fontanels for signs of ICP
Correct Answer: D
Rationale: Monitoring for increased intracranial pressure (ICP) is critical because
children with myelomeningocele are at high risk for hydrocephalus.
2. A child with autism spectrum disorder (ASD) is admitted to the hospital with
pneumonia. The nurse should plan which priority intervention when caring for
this child?
A. Maintain a structured routine and keep stimulation to a minimum
B. Communicate at child’s level and maintain eye contact
C. Use therapeutic touch to calm child with procedures
D. Switch from one assessment activity to another quickly
Correct Answer: A
Rationale: Children with ASD benefit from routine and low stimulation to reduce
anxiety and behavioral outbursts.
3. A child is admitted with acute glomerulonephritis. The nurse would expect
the UA during this acute phase to show which of the following?
, A. Bacteriuria, hematuria
B. Hematuria, proteinuria
C. Bacteriuria, increased specific gravity
D. Proteinuria, decreased specific gravity
Correct Answer: B
Rationale: Acute glomerulonephritis typically presents with hematuria (often
cola-colored) and proteinuria.
4. A child has been admitted to the pediatric unit with suspected meningitis.
The CSF analysis reveals the following: Appearance: 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. Bacterial Meningitis
B. Meningococcal meningitis
C. Viral meningitis
D. Hydrocephalus
Correct Answer: C
Rationale: Clear CSF with normal WBC, protein, glucose, and negative culture is
consistent with viral meningitis.
5. 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 confirm the condition by recognizing what additional
symptom?
A. Blood pressure 140/90
B. Marked proteinuria
C. Tea colored urine
D. A history of positive strep infections
Correct Answer: B
Rationale: Nephrotic syndrome is characterized by massive proteinuria,
hypoalbuminemia, and edema.
Complete Questions & Correct Detailed Answers | Verified
Solutions | Already Graded A+ Nursing Study Guide & NCLEX
Pediatrics Review
THIS EXAM CONTAINS:
• NCLEX pediatric nursing review aligned with current HESI standards
• High-yield pediatric nursing concepts frequently tested on HESI Exit Exams
• NGN-style case studies, SATA, bow-tie, matrix, and prioritization questions
• Pediatric pharmacology and medication safety calculations
• Complete HESI Pediatric Exit Exam review for 2026–2027 nursing students
• Actual exam-style pediatric nursing questions with verified detailed answers
• Comprehensive rationales designed to strengthen NCLEX-RN clinical judgment
,HESI PEDIATRIC TEST BANK 2025 EXIT ACTUAL EXAM
COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS)
GRADED A+
1. A newborn has just been delivered via C-Section with a myelomeningocele
which was detected pre-natally via amniocentesis. 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-Fowler's position to decrease pressure on the spinal cord
B. Apply heat lamp to facilitate drying and toughening of the sac
C. Apply soft restraints to prevent disruption of the sac
D. Assess head circumference and fontanels for signs of ICP
Correct Answer: D
Rationale: Monitoring for increased intracranial pressure (ICP) is critical because
children with myelomeningocele are at high risk for hydrocephalus.
2. A child with autism spectrum disorder (ASD) is admitted to the hospital with
pneumonia. The nurse should plan which priority intervention when caring for
this child?
A. Maintain a structured routine and keep stimulation to a minimum
B. Communicate at child’s level and maintain eye contact
C. Use therapeutic touch to calm child with procedures
D. Switch from one assessment activity to another quickly
Correct Answer: A
Rationale: Children with ASD benefit from routine and low stimulation to reduce
anxiety and behavioral outbursts.
3. A child is admitted with acute glomerulonephritis. The nurse would expect
the UA during this acute phase to show which of the following?
, A. Bacteriuria, hematuria
B. Hematuria, proteinuria
C. Bacteriuria, increased specific gravity
D. Proteinuria, decreased specific gravity
Correct Answer: B
Rationale: Acute glomerulonephritis typically presents with hematuria (often
cola-colored) and proteinuria.
4. A child has been admitted to the pediatric unit with suspected meningitis.
The CSF analysis reveals the following: Appearance: 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. Bacterial Meningitis
B. Meningococcal meningitis
C. Viral meningitis
D. Hydrocephalus
Correct Answer: C
Rationale: Clear CSF with normal WBC, protein, glucose, and negative culture is
consistent with viral meningitis.
5. 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 confirm the condition by recognizing what additional
symptom?
A. Blood pressure 140/90
B. Marked proteinuria
C. Tea colored urine
D. A history of positive strep infections
Correct Answer: B
Rationale: Nephrotic syndrome is characterized by massive proteinuria,
hypoalbuminemia, and edema.
