HESI Pediatrics Actual Exam (2025/2026) – Questions with Correct
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When counseling the mother of an infant with a hepatitis B infection, the nurse should include
which information?
a. Infected newborns are normally asymptomatic.
b. Infected mothers should refrain from breastfeeding.
c. Vaccination is not needed if the mother is a carrier.
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d. The infection is usually transmitted during pregnancy. - ANSWER=a
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The nurse is counseling the parents of a 10-year-old child diagnosed with Klinefelter syndrome.
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Which physical sign should the nurse tell the parents to anticipate during puberty?
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a. Short stature.
b. Enlarged breasts.
c. Narrow hips.
d. Excessive body hair. - ANSWER=b
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The parents of a newborn diagnosed with hypospadias, requests that their son to be
circumcised prior to being discharged from the hospital? How should the nurse respond to the
parent's request of circumcision?
a. Contact the healthcare provider about the parent's request .
b. Explain the reason to the parents that circumcision is not an option.
c. Fill out the surgical consent form and have the parent's sign consent for the procedure.
d. Place the infant on nothing by mouth status (NPO), and prepare the surgical tray for the
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procedure. - ANSWER=b
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The nurse is preparing to catheterize an 8-year-old child. Before starting the procedure, which
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action should the nurse take first?
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A. Obtain the parent's cooperation before initiating the procedure.
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B. Explain to the child and the parents that the procedure needs to be done.
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C. After talking with the parents about the procedure, ask them to leave the room.
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D. Provide the child with privacy by conducting the procedure in the treatment room. -
ANSWER=Explain to the child and the parents that the procedure needs to be done.
The nurse is developing a plan of care for a newborn with a colostomy due to anal agenesis, and
the infant has had three loose stools since surgery yesterday. Which nursing diagnosis has the
highest priority?
Potential for fluid volume deficit.
Alteration in bowel elimination.
Pain related to postoperative condition.
Anxiety of parents related to newborn's condition. - ANSWER=Potential for fluid volume deficit.
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The community health nurse teaches the parents of school-aged children about the need for
fluoride as part of a dental health program. Which statement by the parents indicates that they
understand the teaching?
A. "Excessive amounts of fluoride will make teeth turn brittle and yellow"
B. "Having our children brush with fluoride toothpaste is not effective"
C. "Use of fluoride in water is mostly effective during initial tooth formation"
D. "Dental caries can be prevented through fluoridation of public water" - ANSWER=D. Dental
caries can be prevented through fluoridation of public water
A Spanish-speaking 5 year-old child starts kindergarten in an English-speaking school. The child
cries most of the time, appears helpless and unable to function in the new situation. After
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assessing the child, how should the school nurse document this situation?
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A. Experiencing culture shock
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B. Lacks the maturity needed in school
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C. Refuses to participate in school activities
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D. Going through minority group discrimination - ANSWER=A. Experiencing culture shock
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A mother tells the nurse that her children are asking questions about divorce, but one male
child tells her that he is sorry that he caused the divorce of the parents. Which age group is
most likely to experience feelings of punishment or responsibity for the divorce of parents?
1 year.
4 years.
8 years.
13 years. - ANSWER=4 years
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Newborn screening for hypothyroidism is performed on a 3-day-old infant. Which laboratory
test results support a diagnosis of congenital hypothyroidism?
a. High TSH levels with high T4 levels.
b. Low TSH levels with low T4 levels.
c. Low TSH levels with high T4 levels.
d. High TSH levels with low T4 levels. - ANSWER=d
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A nurse is performing a family assessment. Which of the following should the nurse include?
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(Select all that apply.)
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A. Medical history
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B. Parents' educational level
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C. Child's physical growth
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D. Support systems
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E. Stressors - ANSWER=ANS: A, B, D, E
The nurse should include the child's physical growth (C) when performing an individual
assessment on the child.
A nurse is preparing to assess a preschool-age child. Which of the following is an appropriate
action by the nurse to prepare the child?
A. Allow the child to role-play using miniature equipment.
B. Use medical terminology to describe what will happen.
C. Separate the child from her parent during the examination.
D. Keep medical equipment visible to the child. - ANSWER=ANS: A
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