HESI PEDIATRIC EXAM 2026
NEWEST ACTUAL EXAM
COMPLETE QUESTIONS AND
CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) AND
RATIONALES |ALREADY
GRADED A+||BRAND NEW!!
The practical nurse (PN) is monitoring a child who is manifesting signs of
shock after a motor vehicle collision. Which finding is most important for
the PN to report to the charge nurse?
a) narrowing pulse pressure
b) apprehension
,c) irritability
d) thirst - ANSWER ✔✔Answer: A
Rationale:
As shock progresses, perfusion in the microcirculation becomes
marginal despite compensatory adjustments, and the signs of
decompensated shock become pronounced, such as tachycardia and
narrowing pulse pressure (A). (The difference between systolic and
diastolic blood pressure), which should be reported immediately. (B,C,
and D) are not as significant as (A).
The mother of a 9 month old male infant is concerned because he cries
whenever she leaves him with a sitter. What is the best response for the
practical nurse (PN) to provide?
a) "Have you noticed whether your baby is teething?"
b) "Crying when you leave him in a healthy sign of attachment."
c) "Consider taking the baby to the doctor because he may be ill."
d) "You could consider leaving the infant more often so he can adjust." -
ANSWER ✔✔Answer: B
,Rationale:
Healthy attachment is manifested by stranger anxiety in late infancy (B).
Pain from teething expressed by the infant's cries does not occur only
when the mother leaves the infant with another person (A). The PN
should evaluate the infant's developmental needs (C) before suggesting
the infant may be ill. An infant who manifests stranger anxiety is best
supported by the mother if the infant is left for shorter periods of time,
not (D).
Which preoperative action is most important for the practical nurse (PN)
to implement for a newborn with meningomyelocele?
a) document vital signs
b) prevent skin breakdown
c) minimize the risk for infection
d) monitor neurologic functioning - ANSWER ✔✔Answer: C
Rationale:
3
COPYRIGHT©JOSHCLAY 2025/2026. YEAR PUBLISHED 2026. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
STATEMENT. ALL RIGHTS RESERVED
, A meningomyelocele provides a direct entry for bacteria into the central
nervous system, leading to meningitis. Measures that protect the
integrity of the meningomyelocele sac and infection control measures
should be implemented to minimize the risk of infection (C). (A,B, and D)
should be implemented but do not have the priority of (C).
The practical nurse is caring for a 6 year old girl who had surgery 12
hours ago. The child tells the PN that she does not have pain but a few
minutes later, tells her parents that she does. What child development
concept is relevant to this situation?
a) inconsistency in pain reporting suggests that pain not present
b) a child may have pain yet deny its presence to the nurse
c) truthful reporting of pain should occur by this age
d) children use pain experiences to manipulate their parents -
ANSWER ✔✔Answer: B
Rationale:
A child may fear receiving an injection for pain or may believe that pain
is a deserved punishment for some misdeed, so the pain is denied (D)
NEWEST ACTUAL EXAM
COMPLETE QUESTIONS AND
CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) AND
RATIONALES |ALREADY
GRADED A+||BRAND NEW!!
The practical nurse (PN) is monitoring a child who is manifesting signs of
shock after a motor vehicle collision. Which finding is most important for
the PN to report to the charge nurse?
a) narrowing pulse pressure
b) apprehension
,c) irritability
d) thirst - ANSWER ✔✔Answer: A
Rationale:
As shock progresses, perfusion in the microcirculation becomes
marginal despite compensatory adjustments, and the signs of
decompensated shock become pronounced, such as tachycardia and
narrowing pulse pressure (A). (The difference between systolic and
diastolic blood pressure), which should be reported immediately. (B,C,
and D) are not as significant as (A).
The mother of a 9 month old male infant is concerned because he cries
whenever she leaves him with a sitter. What is the best response for the
practical nurse (PN) to provide?
a) "Have you noticed whether your baby is teething?"
b) "Crying when you leave him in a healthy sign of attachment."
c) "Consider taking the baby to the doctor because he may be ill."
d) "You could consider leaving the infant more often so he can adjust." -
ANSWER ✔✔Answer: B
,Rationale:
Healthy attachment is manifested by stranger anxiety in late infancy (B).
Pain from teething expressed by the infant's cries does not occur only
when the mother leaves the infant with another person (A). The PN
should evaluate the infant's developmental needs (C) before suggesting
the infant may be ill. An infant who manifests stranger anxiety is best
supported by the mother if the infant is left for shorter periods of time,
not (D).
Which preoperative action is most important for the practical nurse (PN)
to implement for a newborn with meningomyelocele?
a) document vital signs
b) prevent skin breakdown
c) minimize the risk for infection
d) monitor neurologic functioning - ANSWER ✔✔Answer: C
Rationale:
3
COPYRIGHT©JOSHCLAY 2025/2026. YEAR PUBLISHED 2026. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
STATEMENT. ALL RIGHTS RESERVED
, A meningomyelocele provides a direct entry for bacteria into the central
nervous system, leading to meningitis. Measures that protect the
integrity of the meningomyelocele sac and infection control measures
should be implemented to minimize the risk of infection (C). (A,B, and D)
should be implemented but do not have the priority of (C).
The practical nurse is caring for a 6 year old girl who had surgery 12
hours ago. The child tells the PN that she does not have pain but a few
minutes later, tells her parents that she does. What child development
concept is relevant to this situation?
a) inconsistency in pain reporting suggests that pain not present
b) a child may have pain yet deny its presence to the nurse
c) truthful reporting of pain should occur by this age
d) children use pain experiences to manipulate their parents -
ANSWER ✔✔Answer: B
Rationale:
A child may fear receiving an injection for pain or may believe that pain
is a deserved punishment for some misdeed, so the pain is denied (D)
