HESI Pediatrics Exam
HESI Pediatrics Exam 2025-2026 Edition Actual Questions And
Correct Verified Answers
The nurse is planning postoperative care fora child who has had a
cleft lip repair. What is the most important reason to minimize this
child's crying during the recovery period?
A. Tear formation increases salivation.
B. This behavior increases respirations.
C.Excessive hysteria can lead to vomiting.
,D. Crying stresses the suture line - Answer ☑️✅D.
Crying stresses the suture line
Rationale:
Prevention of stress on the lip suture line is essential for
optimum healing and the cosmetic appearance of a cleft lip
repair.
An infant is receiving digoxin for congestive heart failure. The
apical heart rate is assessed at 80 beats/min. What intervention
should the nurse implement?
A. Call for a portable chest radiograph.
B. Obtain a therapeutic drug level.
C. Reassess the heart rate in 30 minutes.
D. Administer digoxin immune Fab stat. - Answer ☑️✅B.
Obtain a therapeutic drug level.
Rationale:
Sinus bradycardia (heart rate <90 to 110 beats/min in an infant)
is an indication of digoxin toxicity, so assessment of the client's
digoxin level has the highest priority
,The nurse admits a child to the intensive care unit with a
possible diagnosis of Wilms tumor - What is the most safety
precaution for child?
A. maintain NPO status
B. Limit visitors to the immediate family
C. Place a do not palpate abdomen sign on head of bed
D. Encourage ambulation in the pre-operative period - Answer
☑️✅C. Place a do not palpate abdomen sign on head of
bed
Rationale:
Protect child from injury; place a sign on bed stating "no
abdominal palpation" (to prevent accidental fragmentation and
dislodging into the abdominal cavity).
The nurse is preparing a teaching plan for the mother of a child
who has been diagnosed with celiac disease. Choosing which
lunch will be within the therapeutic management of a child with
celiac disease?
A. Turkey salad, milk, and oatmeal cookies
B. Baked chicken, coleslaw, soda, and frozen fruit dessert
C. Tuna salad sandwich on whole wheat bread, milk, and ice
cream
, D. Turkey sandwich on rye bread, orange juice, and fresh fruit -
Answer ☑️✅B. Baked chicken, coleslaw, soda, and
frozen fruit dessert
Rationale:
A child with celiac disease is managed on a gluten-free diet,
which eliminates food products containing oats, wheat, rye, or
barley.
A 6-month-old male infant is admitted to the postanesthesia care
unit with elbow restraints in place. He has an endotracheal tube
and is ventilator-dependent but will be extubated soon following
recovery from anesthesia. Which nursing intervention should be
included in this child's plan of care?
A. Keep restraints on at all times to prevent unplanned
extubation.
B. Remove restraints one at a time and provide range-of-motion
exercises. C. Remove all restraints simultaneously and provide
play activities.
D. Document the reason for application of the restraints every
72 hours. - Answer ☑️✅B. Remove restraints one at a
time and provide range-of-motion
HESI Pediatrics Exam 2025-2026 Edition Actual Questions And
Correct Verified Answers
The nurse is planning postoperative care fora child who has had a
cleft lip repair. What is the most important reason to minimize this
child's crying during the recovery period?
A. Tear formation increases salivation.
B. This behavior increases respirations.
C.Excessive hysteria can lead to vomiting.
,D. Crying stresses the suture line - Answer ☑️✅D.
Crying stresses the suture line
Rationale:
Prevention of stress on the lip suture line is essential for
optimum healing and the cosmetic appearance of a cleft lip
repair.
An infant is receiving digoxin for congestive heart failure. The
apical heart rate is assessed at 80 beats/min. What intervention
should the nurse implement?
A. Call for a portable chest radiograph.
B. Obtain a therapeutic drug level.
C. Reassess the heart rate in 30 minutes.
D. Administer digoxin immune Fab stat. - Answer ☑️✅B.
Obtain a therapeutic drug level.
Rationale:
Sinus bradycardia (heart rate <90 to 110 beats/min in an infant)
is an indication of digoxin toxicity, so assessment of the client's
digoxin level has the highest priority
,The nurse admits a child to the intensive care unit with a
possible diagnosis of Wilms tumor - What is the most safety
precaution for child?
A. maintain NPO status
B. Limit visitors to the immediate family
C. Place a do not palpate abdomen sign on head of bed
D. Encourage ambulation in the pre-operative period - Answer
☑️✅C. Place a do not palpate abdomen sign on head of
bed
Rationale:
Protect child from injury; place a sign on bed stating "no
abdominal palpation" (to prevent accidental fragmentation and
dislodging into the abdominal cavity).
The nurse is preparing a teaching plan for the mother of a child
who has been diagnosed with celiac disease. Choosing which
lunch will be within the therapeutic management of a child with
celiac disease?
A. Turkey salad, milk, and oatmeal cookies
B. Baked chicken, coleslaw, soda, and frozen fruit dessert
C. Tuna salad sandwich on whole wheat bread, milk, and ice
cream
, D. Turkey sandwich on rye bread, orange juice, and fresh fruit -
Answer ☑️✅B. Baked chicken, coleslaw, soda, and
frozen fruit dessert
Rationale:
A child with celiac disease is managed on a gluten-free diet,
which eliminates food products containing oats, wheat, rye, or
barley.
A 6-month-old male infant is admitted to the postanesthesia care
unit with elbow restraints in place. He has an endotracheal tube
and is ventilator-dependent but will be extubated soon following
recovery from anesthesia. Which nursing intervention should be
included in this child's plan of care?
A. Keep restraints on at all times to prevent unplanned
extubation.
B. Remove restraints one at a time and provide range-of-motion
exercises. C. Remove all restraints simultaneously and provide
play activities.
D. Document the reason for application of the restraints every
72 hours. - Answer ☑️✅B. Remove restraints one at a
time and provide range-of-motion
