HESI EXAM zm
Exam Solution zm
Hesi Pediatric Exam 2026 A+ GRADE ASSURED COMPL
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ETE SOLUTIONS AND VERIFIED ANSWERS (8B8C4)
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QUESTION 1 zm
The nurse is giving pre-
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op instructions to a 14 yr old female scheduled for surgery to correct a spinal curvatu
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re. Which stmt best demonstrates that leaning has taken place?
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ANSWER
"I understand that I will be in a body cast and I will show you how you taught me to turn"
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QUESTION 2 zm
To take the v/s of a 4 month old, which ordered will give the most accurate results?
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ANSWER
RR - HR - rectal temp
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QUESTION 3 zm
During routine screening at a school clinic, an otoscope exam reveals a tympanic mb t
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hat is pearly gray, slightly bulging, and not movable. What action should the nurse tak
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e next?
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ANSWER
Ask the child if they have had a cold, runny nose, or any ear pain lately
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QUESTION 4 zm
Which restraint should be used for a toddler after a cleft palate repair?
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ANSWER
Elbow
,QUESTION 5 zm
What pre- zm
op nsg intervention should be included in the POC for an infant w/ pyloric stenosis?
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ANSWER
Observe for projectile vomiting (remember that projectile vomiting leads to metabolic alkalosis)
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QUESTION 6 zm
A 6 month old returns from surgery w/ elbow restraints in place. What nsg care shou
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ld be included when caring for any restrained child?
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ANSWER
Remove the restraints one at a time and provide ROM exercises (Removing them 1 at a time is safe
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r than all at once)
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QUESTION 7 zm
A 2 yr old w/ Down syndrome is brought to the clinic for his regular physical exam. T
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he nurse knows which problem is requently associated w/ Downs?
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ANSWER
Congenital heart disease (CHD is the most common associated defect w/ Downs. -
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also, remember Professor Moore said that heart and ear problems go hand in hand)
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QUESTION 8 zm
When assessing a child w/ asthma, the nurse should expect intercostal retractions dur
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ing
ANSWER
Inspriation
QUESTION 9 zm
When planning the care for a child who has had a cleft lip repair, the nurse know tha
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t crying should be minimized because it
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ANSWER
Stresses the suture line zm zm zm
, QUESTION 10 zm
A full-
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term infant is admitted to the newborn nursery. After careful assessment, the nurse s
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uspects that the infant may have an esophageal atresia. Which sx's is this newborn lik
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ely to have exhibited?
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ANSWER
Choking , coughing, and cyanosis (this answer includes the 3 "C"s of esophageal atresia caused by th
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e overflow of secretions to the trachea)
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QUESTION 11 zm
Which behavior would the nurse expect a 2 yr old to exhibit?
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ANSWER
Display possessiveness of toys (they are egocentric and unable to share w/ others)
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QUESTION 12 zm
the other of a preschool-
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aged child asks the nurse if it is all right to administer Pepto Bismol to her son when
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he has a tummy ache. After reminding her to check the label of all OTC meds for the
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presence of ASA, which instruction should the nurse include when replying to the mo
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m's question?
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ANSWER
Do not give if they have chicken pox, the flue, or any other viral illness (ASA can cause Reye's synd
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rome)
QUESTION 13 zm
the nurse observes a 4 yr old boy in a daycare. Which behavior should the nurse cons
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ider normal for this child?
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ANSWER
Demonstrates aggressiveness by boasting when telling a story
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QUESTION 14 zm
A burned child is brought to the ER. In estimating the % of body burned, the nurse us
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es a modified "Rule of Nines." Which part of the body is calculated as a larger % of to
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tal body surface than an adult?
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ANSWER
Exam Solution zm
Hesi Pediatric Exam 2026 A+ GRADE ASSURED COMPL
zm zm zm zm zm zm zm
ETE SOLUTIONS AND VERIFIED ANSWERS (8B8C4)
zm zm zm zm zm
QUESTION 1 zm
The nurse is giving pre-
zm zm zm zm
op instructions to a 14 yr old female scheduled for surgery to correct a spinal curvatu
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
re. Which stmt best demonstrates that leaning has taken place?
zm zm zm zm zm zm zm zm zm
ANSWER
"I understand that I will be in a body cast and I will show you how you taught me to turn"
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
QUESTION 2 zm
To take the v/s of a 4 month old, which ordered will give the most accurate results?
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
ANSWER
RR - HR - rectal temp
zm zm zm zm zm
QUESTION 3 zm
During routine screening at a school clinic, an otoscope exam reveals a tympanic mb t
zm zm zm zm zm zm zm zm zm zm zm zm zm zm
hat is pearly gray, slightly bulging, and not movable. What action should the nurse tak
zm zm zm zm zm zm zm zm zm zm zm zm zm zm
e next?
zm
ANSWER
Ask the child if they have had a cold, runny nose, or any ear pain lately
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
QUESTION 4 zm
Which restraint should be used for a toddler after a cleft palate repair?
zm zm zm zm zm zm zm zm zm zm zm zm
ANSWER
Elbow
,QUESTION 5 zm
What pre- zm
op nsg intervention should be included in the POC for an infant w/ pyloric stenosis?
zm zm zm zm zm zm zm zm zm zm zm zm zm zm
ANSWER
Observe for projectile vomiting (remember that projectile vomiting leads to metabolic alkalosis)
zm zm zm zm zm zm zm zm zm zm zm
QUESTION 6 zm
A 6 month old returns from surgery w/ elbow restraints in place. What nsg care shou
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
ld be included when caring for any restrained child?
zm zm zm zm zm zm zm zm
ANSWER
Remove the restraints one at a time and provide ROM exercises (Removing them 1 at a time is safe
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
r than all at once)
zm zm zm zm
QUESTION 7 zm
A 2 yr old w/ Down syndrome is brought to the clinic for his regular physical exam. T
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
he nurse knows which problem is requently associated w/ Downs?
zm zm zm zm zm zm zm zm zm
ANSWER
Congenital heart disease (CHD is the most common associated defect w/ Downs. -
zm zm zm zm zm zm zm zm zm zm zm zm
also, remember Professor Moore said that heart and ear problems go hand in hand)
zm zm zm zm zm zm zm zm zm zm zm zm zm zm
QUESTION 8 zm
When assessing a child w/ asthma, the nurse should expect intercostal retractions dur
zm zm zm zm zm zm zm zm zm zm zm zm
ing
ANSWER
Inspriation
QUESTION 9 zm
When planning the care for a child who has had a cleft lip repair, the nurse know tha
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
t crying should be minimized because it
zm zm zm zm zm zm
ANSWER
Stresses the suture line zm zm zm
, QUESTION 10 zm
A full-
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term infant is admitted to the newborn nursery. After careful assessment, the nurse s
zm zm zm zm zm zm zm zm zm zm zm zm zm
uspects that the infant may have an esophageal atresia. Which sx's is this newborn lik
zm zm zm zm zm zm zm zm zm zm zm zm zm zm
ely to have exhibited?
zm zm zm
ANSWER
Choking , coughing, and cyanosis (this answer includes the 3 "C"s of esophageal atresia caused by th
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e overflow of secretions to the trachea)
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QUESTION 11 zm
Which behavior would the nurse expect a 2 yr old to exhibit?
zm zm zm zm zm zm zm zm zm zm zm
ANSWER
Display possessiveness of toys (they are egocentric and unable to share w/ others)
zm zm zm zm zm zm zm zm zm zm zm zm
QUESTION 12 zm
the other of a preschool-
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aged child asks the nurse if it is all right to administer Pepto Bismol to her son when
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
he has a tummy ache. After reminding her to check the label of all OTC meds for the
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
presence of ASA, which instruction should the nurse include when replying to the mo
zm zm zm zm zm zm zm zm zm zm zm zm zm
m's question?
zm
ANSWER
Do not give if they have chicken pox, the flue, or any other viral illness (ASA can cause Reye's synd
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
rome)
QUESTION 13 zm
the nurse observes a 4 yr old boy in a daycare. Which behavior should the nurse cons
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
ider normal for this child?
zm zm zm zm
ANSWER
Demonstrates aggressiveness by boasting when telling a story
zm zm zm zm zm zm zm
QUESTION 14 zm
A burned child is brought to the ER. In estimating the % of body burned, the nurse us
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
es a modified "Rule of Nines." Which part of the body is calculated as a larger % of to
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
tal body surface than an adult?
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ANSWER
