HESI RN Pediatrics Exam 2026–2027 | 55 Verified
Questions & Answers | Comprehensive Pediatric Nursing
Review & NCLEX Success Study Guide
THIS EXAM CONTAINS:
• NCLEX-style prioritization, delegation, and clinical judgment questions
• Respiratory disorders including RSV, asthma, croup, and epiglottitis
• High-yield pediatric exam preparation for nursing school success
• Updated 2026–2027 pediatric nursing study content and exam trends
• Comprehensive pediatric nursing review aligned with NCLEX-RN standards
• 55 verified HESI RN Pediatrics exam-style questions with detailed Answers
,HESI RN Pediatrics Exam (55 Questions)
1.1. The nurse is caring for a 3-year-old child who is 2 hours postop from a cardiac
catheterization via the right femoral artery. Which assessment finding is an
indication of arterial obstruction?
• A. Blood pressure trend is downward and pulse is rapid and irregular.
• B. Right foot is cool to the touch and appears pale and blanched.
• C. Pulse distal to the femoral artery is weaker on the left foot than right
foot.
• D. The pressure dressing at right femoral area is moist and oozing blood.
Correct Answer: B. Coolness, pallor, and blanching of the right foot indicate
decreased arterial perfusion distal to the catheterization site, suggesting arterial
obstruction.
2.2. Following a motor vehicle collision, a 3-year-old girl has a spica cast applied.
Which toy is best for the nurse for this 3-year-old child?
• A. Duck that squeaks.
• B. Fashion doll and clothes.
• C. Set of cloth and hand puppets.
• D. Hand held video game.
Correct Answer: C. Cloth hand puppets are safe, developmentally appropriate for
imaginative play, and do not pose a risk of getting lost inside the spica cast.
3.3. An infant with tetralogy of Fallot becomes acutely cyanotic and hyperpneic.
Which action should the nurse implement first?
• A. Administer morphine sulphate.
• B. Start IV fluids.
• C. Place the infant in a knee-chest position.
, • D. Provide 100% oxygen by face mask.
Correct Answer: C. The knee-chest position increases systemic vascular
resistance, reduces right-to-left shunting, and improves pulmonary blood flow
during a "tet spell."
4.4. A child admitted with diabetic ketoacidosis is demonstrating Kussmaul
respirations. The nurse determines that the increased respiratory rate is a
compensatory mechanism for which acid base alteration?
• A. Metabolic alkalosis.
• B. Respiratory acidosis.
• C. Respiratory alkalosis.
• D. Metabolic acidosis.
Correct Answer: D. Kussmaul respirations compensate for metabolic acidosis by
blowing off carbon dioxide.
5.5. A 7-year-old is admitted to the hospital with persistent vomiting, and a
nasogastric tube attached to low intermittent suction is applied. Which finding is
most important for the nurse to report to the healthcare provider?
• A. Gastric output of 100 mL in the last 8 hours.
• B. Shift intake of 640 mL IV fluids plus 30 mL PO ice chips.
• C. Serum potassium of 3.0 mg/dL.
• D. Serum pH of 7.45.
Correct Answer: C. A serum potassium of 3.0 mEq/L (hypokalemia) is dangerously
low and can cause cardiac dysrhythmias, especially with ongoing GI losses.
6.6. The nurse is evaluating diet teaching for a client who has nontropical sprue
(celiac disease). Choosing which food indicates that the teaching has been
effective?
• A. Creamed corn.
Questions & Answers | Comprehensive Pediatric Nursing
Review & NCLEX Success Study Guide
THIS EXAM CONTAINS:
• NCLEX-style prioritization, delegation, and clinical judgment questions
• Respiratory disorders including RSV, asthma, croup, and epiglottitis
• High-yield pediatric exam preparation for nursing school success
• Updated 2026–2027 pediatric nursing study content and exam trends
• Comprehensive pediatric nursing review aligned with NCLEX-RN standards
• 55 verified HESI RN Pediatrics exam-style questions with detailed Answers
,HESI RN Pediatrics Exam (55 Questions)
1.1. The nurse is caring for a 3-year-old child who is 2 hours postop from a cardiac
catheterization via the right femoral artery. Which assessment finding is an
indication of arterial obstruction?
• A. Blood pressure trend is downward and pulse is rapid and irregular.
• B. Right foot is cool to the touch and appears pale and blanched.
• C. Pulse distal to the femoral artery is weaker on the left foot than right
foot.
• D. The pressure dressing at right femoral area is moist and oozing blood.
Correct Answer: B. Coolness, pallor, and blanching of the right foot indicate
decreased arterial perfusion distal to the catheterization site, suggesting arterial
obstruction.
2.2. Following a motor vehicle collision, a 3-year-old girl has a spica cast applied.
Which toy is best for the nurse for this 3-year-old child?
• A. Duck that squeaks.
• B. Fashion doll and clothes.
• C. Set of cloth and hand puppets.
• D. Hand held video game.
Correct Answer: C. Cloth hand puppets are safe, developmentally appropriate for
imaginative play, and do not pose a risk of getting lost inside the spica cast.
3.3. An infant with tetralogy of Fallot becomes acutely cyanotic and hyperpneic.
Which action should the nurse implement first?
• A. Administer morphine sulphate.
• B. Start IV fluids.
• C. Place the infant in a knee-chest position.
, • D. Provide 100% oxygen by face mask.
Correct Answer: C. The knee-chest position increases systemic vascular
resistance, reduces right-to-left shunting, and improves pulmonary blood flow
during a "tet spell."
4.4. A child admitted with diabetic ketoacidosis is demonstrating Kussmaul
respirations. The nurse determines that the increased respiratory rate is a
compensatory mechanism for which acid base alteration?
• A. Metabolic alkalosis.
• B. Respiratory acidosis.
• C. Respiratory alkalosis.
• D. Metabolic acidosis.
Correct Answer: D. Kussmaul respirations compensate for metabolic acidosis by
blowing off carbon dioxide.
5.5. A 7-year-old is admitted to the hospital with persistent vomiting, and a
nasogastric tube attached to low intermittent suction is applied. Which finding is
most important for the nurse to report to the healthcare provider?
• A. Gastric output of 100 mL in the last 8 hours.
• B. Shift intake of 640 mL IV fluids plus 30 mL PO ice chips.
• C. Serum potassium of 3.0 mg/dL.
• D. Serum pH of 7.45.
Correct Answer: C. A serum potassium of 3.0 mEq/L (hypokalemia) is dangerously
low and can cause cardiac dysrhythmias, especially with ongoing GI losses.
6.6. The nurse is evaluating diet teaching for a client who has nontropical sprue
(celiac disease). Choosing which food indicates that the teaching has been
effective?
• A. Creamed corn.
