Pediatrics HESI Practice Exam Prep
PEDIATRICS HESI PRACTICE EXAM PREP NEWEST 2026/2027 ACTUAL
EXAM COMPLETE 80 QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) WITH DETAILED RATIONALES |ALREADY GRADED
A+||BRAND NEW VERSION!!
The nurse observes the interactions of a 2-year-old child who says, "No," even
when "Yes" is what the child really wants to say. The parent says to the nurse,
"We, as parents, are such positive people, why is our child so negative?" How
should the nurse respond?
A 2-year-old often acts in the opposite way to get attention.
This age child is testing the limits of the parent's patience.
The toddler is exhibiting an example of ritualistic behavior.
The child is trying to assert autonomy through negativism. - Correct Answer-The
child is trying to assert autonomy through negativism.
As a toddler tests autonomy and ego boundaries, sometimes they clash with
parental restrictions and respond with recital of prompts that parents often say.
"No" is a favorite repeated word and is the child's way of exploring autonomy
through negativism.
1|Page
, Pediatrics HESI Practice Exam Prep
A newborn who is breastfeeding is diagnosed with galactosemia. What action
should the nurse implement?
Stop the infant breastfeeding.
Add amino acids to breast milk.
Give galactokinase with breast milk.
Substitute a lactose-containing formula. - Correct Answer-Stop the infant
breastfeeding.
Galactosemia is a rare genetic disorder that involves an inborn error of
carbohydrate metabolism in which a hepatic enzyme, galactokinase, involved in
the conversion of galactose to glucose is absent. Treatment consists of eliminating
all lactose-containing foods, including breast milk, so the infant should stop
breastfeeding. Soy protein formula is the feeding of choice during infancy.
A 4-year-old child who is ventilator-dependent is receiving tube feedings in the
home setting. The family wants to begin oral feeding of the child and asks the
home health nurse to feed the 4-year-old baby food. What steps should be taken?
(Rank in priority order.)
1. Explore available options.
2. Contact the healthcare provider (HCP) and discuss suggested new options for
further orders and additional discussion.
2|Page
, Pediatrics HESI Practice Exam Prep
3. Explain the risk of aspiration.
4. Acknowledge the request. - Correct Answer-1. Acknowledge the request.
2. Explain the risk of aspiration.
3. Explore available options.
4. Contact the healthcare provider (HCP) and discuss suggested new options for
further orders and additional discussion.
The request for oral feeding should be acknowledged, risk of aspiration should be
discussed, and then options should be explored. These options and suggested
changes must be presented to the HCP and new orders must be written before
implementation. All education and outcomes should be thoroughly documented.
What is a priority nursing diagnosis for a child in the subacute stage of Kawasaki
disease?
Alterations in skin integrity.
High risk for altered tissue perfusion, cardiopulmonary.
Risk for imbalanced body temperature, hyperthermia.
High risk for fluid volume deficit. - Correct Answer-High risk for altered tissue
perfusion, cardiopulmonary.
3|Page
, Pediatrics HESI Practice Exam Prep
KD is an acute systemic vasculitis that places the child at risk for coronary artery
aneurysm, which is most likely to occur during the subacute phase resulting in
reduced cardiac output. KD causes a rash and desquamation of the hands and
feet. This is not as life-threatening as cardiac involvement.
A mother brings her 6-month-old infant to the clinic for a well-child checkup. She
comments, "I want to go back to work, but I don't want my baby to suffer because
I'll have less time at home." How should the nurse respond to the mother?
Stay home until the child starts school.
Find a good baby-sitter close to the house.
Let's talk about the child care options that are best for the child.
Go back to work now so the infant will get used to being with others. - Correct
Answer-Let's talk about the child care options that are best for the child.
It is common for mothers to feel torn between their work and child and to have
feelings of guilt. The nurse should assist the mother to explore her feelings on the
subject while focusing on the optimal, appropriate, safe, and available options for
her child.
A seven-month old infant is admitted with nonorganic failure to thrive (NFTT). To
aid the child's growth and development, which intervention is most important for
the nurse to implement?
4|Page
PEDIATRICS HESI PRACTICE EXAM PREP NEWEST 2026/2027 ACTUAL
EXAM COMPLETE 80 QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) WITH DETAILED RATIONALES |ALREADY GRADED
A+||BRAND NEW VERSION!!
The nurse observes the interactions of a 2-year-old child who says, "No," even
when "Yes" is what the child really wants to say. The parent says to the nurse,
"We, as parents, are such positive people, why is our child so negative?" How
should the nurse respond?
A 2-year-old often acts in the opposite way to get attention.
This age child is testing the limits of the parent's patience.
The toddler is exhibiting an example of ritualistic behavior.
The child is trying to assert autonomy through negativism. - Correct Answer-The
child is trying to assert autonomy through negativism.
As a toddler tests autonomy and ego boundaries, sometimes they clash with
parental restrictions and respond with recital of prompts that parents often say.
"No" is a favorite repeated word and is the child's way of exploring autonomy
through negativism.
1|Page
, Pediatrics HESI Practice Exam Prep
A newborn who is breastfeeding is diagnosed with galactosemia. What action
should the nurse implement?
Stop the infant breastfeeding.
Add amino acids to breast milk.
Give galactokinase with breast milk.
Substitute a lactose-containing formula. - Correct Answer-Stop the infant
breastfeeding.
Galactosemia is a rare genetic disorder that involves an inborn error of
carbohydrate metabolism in which a hepatic enzyme, galactokinase, involved in
the conversion of galactose to glucose is absent. Treatment consists of eliminating
all lactose-containing foods, including breast milk, so the infant should stop
breastfeeding. Soy protein formula is the feeding of choice during infancy.
A 4-year-old child who is ventilator-dependent is receiving tube feedings in the
home setting. The family wants to begin oral feeding of the child and asks the
home health nurse to feed the 4-year-old baby food. What steps should be taken?
(Rank in priority order.)
1. Explore available options.
2. Contact the healthcare provider (HCP) and discuss suggested new options for
further orders and additional discussion.
2|Page
, Pediatrics HESI Practice Exam Prep
3. Explain the risk of aspiration.
4. Acknowledge the request. - Correct Answer-1. Acknowledge the request.
2. Explain the risk of aspiration.
3. Explore available options.
4. Contact the healthcare provider (HCP) and discuss suggested new options for
further orders and additional discussion.
The request for oral feeding should be acknowledged, risk of aspiration should be
discussed, and then options should be explored. These options and suggested
changes must be presented to the HCP and new orders must be written before
implementation. All education and outcomes should be thoroughly documented.
What is a priority nursing diagnosis for a child in the subacute stage of Kawasaki
disease?
Alterations in skin integrity.
High risk for altered tissue perfusion, cardiopulmonary.
Risk for imbalanced body temperature, hyperthermia.
High risk for fluid volume deficit. - Correct Answer-High risk for altered tissue
perfusion, cardiopulmonary.
3|Page
, Pediatrics HESI Practice Exam Prep
KD is an acute systemic vasculitis that places the child at risk for coronary artery
aneurysm, which is most likely to occur during the subacute phase resulting in
reduced cardiac output. KD causes a rash and desquamation of the hands and
feet. This is not as life-threatening as cardiac involvement.
A mother brings her 6-month-old infant to the clinic for a well-child checkup. She
comments, "I want to go back to work, but I don't want my baby to suffer because
I'll have less time at home." How should the nurse respond to the mother?
Stay home until the child starts school.
Find a good baby-sitter close to the house.
Let's talk about the child care options that are best for the child.
Go back to work now so the infant will get used to being with others. - Correct
Answer-Let's talk about the child care options that are best for the child.
It is common for mothers to feel torn between their work and child and to have
feelings of guilt. The nurse should assist the mother to explore her feelings on the
subject while focusing on the optimal, appropriate, safe, and available options for
her child.
A seven-month old infant is admitted with nonorganic failure to thrive (NFTT). To
aid the child's growth and development, which intervention is most important for
the nurse to implement?
4|Page
