HESI Pediatrics RN Exam 2026
– 2027 Versions 1 & 2 Review
Questions and Correct
Answers/ RN HESI Pediatrics
Exam Review 2026
Pediatrics hesi exam Prep guide
,2026-2027 HESI PEDS RN EXIT EXAM | Study Edition V1 & V2
2026 HESI PEDIATRICS (PEDS) RN EXIT EXAM
Versions 1 & 2 — Edition Spring 2026
HOW TO USE THIS GUIDE | V1 uses multiple-choice format with highlighted correct answer(s). V2 uses short-answer/fill-in
format with the answer displayed directly. Questions marked with a note contain clarifications where answers are debated.
VERSION 1 — Multiple Choice (55 Questions)
The nurse is assessing a 9-year-old boy admitted with possible acute poststreptococcal
Q1 glomerulonephritis (APSGN). In obtaining his history, what information is most significant?
A ✔ A sore throat last week
B A history of hypertension
C Diuresis during the night
D Back pain for a few days
ANSWER: A
The nurse is measuring the frontal occipital circumference (FOC) of a 3-month-old infant, and
Q2 notes that the FOC has increased 5 inches (12.7cm) since birth and the child's head appears
large in relation to body size. Which action is most important for the nurse to take next?
A Plot the measurement on the infant's growth chart
B Observe the infant for sunset eyes
C Measure the infant's head-to-heel length
D ✔ Palpate the anterior fontanel for tension and bulging
ANSWER: D
A female infant recently admitted with vomiting and diarrhea now weighs 10 kg. Her weight at
Q3 a previous well-baby visit was 11 kg. What is the percentage of body weight loss for this
infant?
A 4%
B ✔ 9%
C 10%
D 5%
ANSWER: B
Page 1 | For Study Purposes Only
, 2026-2027 HESI PEDS RN EXIT EXAM | Study Edition V1 & V2
A male high school student with Type 1 diabetes tests his blood glucose level before playing
Q4 a game of soccer, and he obtains a reading of 180 mg/dL (10 mmol/L). Based on this
reading, which action should the nurse take?
A ✔ Tell him to eat a sandwich and fruit before beginning the game
B Check his urine for ketones
C Give him permission to go ahead and play soccer
D Call the healthcare provider
ANSWER: A
A 7-year-old child is admitted to the hospital with a diagnosis of acute rheumatic fever. In
Q5 obtaining a health history from the child's mother, the recent occurrence of which illness is
most significant?
A ✔ Sore throat
B Chickenpox
C Mumps
D Influenza
ANSWER: A
A mother brings her 2-month-old son to the clinic for a well-baby exam. During the
Q6 assessment the nurse finds that the right testicle is not descended into the scrotum but the
left is palpable. Which action should the nurse take?
A Prepare to obtain a catheterized urine specimen for culture
B Address possible concerns about the child's future fertility
C ✔ Ask if the right testis has been seen in the scrotum before
D Schedule an IV pyelogram to validate presence of testicle
ANSWER: C
The nurse is assessing a 6-month-old infant. Which response requires further evaluation by
Q7 the nurse?
A Has doubled birth weight
B Turns head to locate sound
C Plays peek-a-boo
D ✔ Demonstrates startle reflex
ANSWER: D
A 4-year-old girl returns to the pediatrician's office for a postoperative visit following
Q8 hospitalization for minor surgery. When observing the child in the waiting area, which
behavior should the nurse consider normal for this age child?
A Ignores other children in the play area
B Draws picture of self with facial features
C ✔ Talks to an imaginary friend
Page 2 | For Study Purposes Only
– 2027 Versions 1 & 2 Review
Questions and Correct
Answers/ RN HESI Pediatrics
Exam Review 2026
Pediatrics hesi exam Prep guide
,2026-2027 HESI PEDS RN EXIT EXAM | Study Edition V1 & V2
2026 HESI PEDIATRICS (PEDS) RN EXIT EXAM
Versions 1 & 2 — Edition Spring 2026
HOW TO USE THIS GUIDE | V1 uses multiple-choice format with highlighted correct answer(s). V2 uses short-answer/fill-in
format with the answer displayed directly. Questions marked with a note contain clarifications where answers are debated.
VERSION 1 — Multiple Choice (55 Questions)
The nurse is assessing a 9-year-old boy admitted with possible acute poststreptococcal
Q1 glomerulonephritis (APSGN). In obtaining his history, what information is most significant?
A ✔ A sore throat last week
B A history of hypertension
C Diuresis during the night
D Back pain for a few days
ANSWER: A
The nurse is measuring the frontal occipital circumference (FOC) of a 3-month-old infant, and
Q2 notes that the FOC has increased 5 inches (12.7cm) since birth and the child's head appears
large in relation to body size. Which action is most important for the nurse to take next?
A Plot the measurement on the infant's growth chart
B Observe the infant for sunset eyes
C Measure the infant's head-to-heel length
D ✔ Palpate the anterior fontanel for tension and bulging
ANSWER: D
A female infant recently admitted with vomiting and diarrhea now weighs 10 kg. Her weight at
Q3 a previous well-baby visit was 11 kg. What is the percentage of body weight loss for this
infant?
A 4%
B ✔ 9%
C 10%
D 5%
ANSWER: B
Page 1 | For Study Purposes Only
, 2026-2027 HESI PEDS RN EXIT EXAM | Study Edition V1 & V2
A male high school student with Type 1 diabetes tests his blood glucose level before playing
Q4 a game of soccer, and he obtains a reading of 180 mg/dL (10 mmol/L). Based on this
reading, which action should the nurse take?
A ✔ Tell him to eat a sandwich and fruit before beginning the game
B Check his urine for ketones
C Give him permission to go ahead and play soccer
D Call the healthcare provider
ANSWER: A
A 7-year-old child is admitted to the hospital with a diagnosis of acute rheumatic fever. In
Q5 obtaining a health history from the child's mother, the recent occurrence of which illness is
most significant?
A ✔ Sore throat
B Chickenpox
C Mumps
D Influenza
ANSWER: A
A mother brings her 2-month-old son to the clinic for a well-baby exam. During the
Q6 assessment the nurse finds that the right testicle is not descended into the scrotum but the
left is palpable. Which action should the nurse take?
A Prepare to obtain a catheterized urine specimen for culture
B Address possible concerns about the child's future fertility
C ✔ Ask if the right testis has been seen in the scrotum before
D Schedule an IV pyelogram to validate presence of testicle
ANSWER: C
The nurse is assessing a 6-month-old infant. Which response requires further evaluation by
Q7 the nurse?
A Has doubled birth weight
B Turns head to locate sound
C Plays peek-a-boo
D ✔ Demonstrates startle reflex
ANSWER: D
A 4-year-old girl returns to the pediatrician's office for a postoperative visit following
Q8 hospitalization for minor surgery. When observing the child in the waiting area, which
behavior should the nurse consider normal for this age child?
A Ignores other children in the play area
B Draws picture of self with facial features
C ✔ Talks to an imaginary friend
Page 2 | For Study Purposes Only
