Page 1 of 57
NEXT GEN PEDS HESI EXAM |ACTUAL
120+ QUESTIONS AND ANSWERS|NEW
UPDATE|ALREADY GRADED A+
Question 1
A 4-month-old infant is brought for a well-child visit. Which
developmental milestone would the nurse expect to observe?
A) Sitting without support
B) Rolling from back to front
C) Holding head steady when upright ✅
D) Transferring objects hand to hand
Rationale: By 4 months, infants have good head control. Sitting
without support (6-8 months), rolling (5-6 months), transfer hand
to hand (7 months).
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Question 2 (Scenario)
The nurse is assessing a 2-year-old child. Which behavior
indicates typical development for this age?
A) Uses parallel play ✅
B) Ties shoelaces
C) Draws a circle
D) Rides a tricycle
Rationale: Parallel play (playing alongside others) is typical for
toddlers. Tying shoelaces (5-6 years), drawing circle (3-4 years),
tricycle (3-4 years).
Question 3
A nurse is teaching parents about teething in an infant. Which
finding is abnormal and requires further evaluation?
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A) Irritability and mild temperature (37.8°C / 100°F)
B) Refusal to eat hard foods
C) Fever of 39.4°C (103°F) ✅
D) Increased drooling and chewing on fingers
Rationale: Teething may cause mild temperature (≤38°C), but
high fever indicates infection, not teething. Evaluate for otitis
media or other causes.
Question 4
The nurse is assessing a 7-year-old child. Which fine motor skill is
expected?
A) Uses scissors to cut a straight line ✅
B) Copies a triangle
C) Ties shoelaces
D) Prints letters smaller than 1 cm
, Page 4 of 57
Rationale: 7-year-olds can cut straight lines. Copying triangle
(5-6 years), tying shoelaces (5-6 years), printing small letters
(6-7 years but more advanced).
Question 5
A mother asks why her 12-month-old no longer wants to eat
pureed foods and only wants table foods. The nurse explains:
A) This is a sign of a feeding disorder.
B) The child is developing a pincer grasp and wants to self-feed.
✅
C) Pureed foods are necessary until 18 months.
D) The child is manipulating the parent.
Rationale: At 9-12 months, the pincer grasp develops, and
infants want to self-feed with finger foods. This is normal
development.
NEXT GEN PEDS HESI EXAM |ACTUAL
120+ QUESTIONS AND ANSWERS|NEW
UPDATE|ALREADY GRADED A+
Question 1
A 4-month-old infant is brought for a well-child visit. Which
developmental milestone would the nurse expect to observe?
A) Sitting without support
B) Rolling from back to front
C) Holding head steady when upright ✅
D) Transferring objects hand to hand
Rationale: By 4 months, infants have good head control. Sitting
without support (6-8 months), rolling (5-6 months), transfer hand
to hand (7 months).
,Page 2 of 57
Question 2 (Scenario)
The nurse is assessing a 2-year-old child. Which behavior
indicates typical development for this age?
A) Uses parallel play ✅
B) Ties shoelaces
C) Draws a circle
D) Rides a tricycle
Rationale: Parallel play (playing alongside others) is typical for
toddlers. Tying shoelaces (5-6 years), drawing circle (3-4 years),
tricycle (3-4 years).
Question 3
A nurse is teaching parents about teething in an infant. Which
finding is abnormal and requires further evaluation?
,Page 3 of 57
A) Irritability and mild temperature (37.8°C / 100°F)
B) Refusal to eat hard foods
C) Fever of 39.4°C (103°F) ✅
D) Increased drooling and chewing on fingers
Rationale: Teething may cause mild temperature (≤38°C), but
high fever indicates infection, not teething. Evaluate for otitis
media or other causes.
Question 4
The nurse is assessing a 7-year-old child. Which fine motor skill is
expected?
A) Uses scissors to cut a straight line ✅
B) Copies a triangle
C) Ties shoelaces
D) Prints letters smaller than 1 cm
, Page 4 of 57
Rationale: 7-year-olds can cut straight lines. Copying triangle
(5-6 years), tying shoelaces (5-6 years), printing small letters
(6-7 years but more advanced).
Question 5
A mother asks why her 12-month-old no longer wants to eat
pureed foods and only wants table foods. The nurse explains:
A) This is a sign of a feeding disorder.
B) The child is developing a pincer grasp and wants to self-feed.
✅
C) Pureed foods are necessary until 18 months.
D) The child is manipulating the parent.
Rationale: At 9-12 months, the pincer grasp develops, and
infants want to self-feed with finger foods. This is normal
development.
