1
, Peds HESI Exam (2026) | Pediatrics Nursing RN
Practice Questions | NGN Questions (Pdf)
1. The mother of a 4-month-old infant asks when to start
solid foods. What is the nurse’s best response?
A. “Start rice cereal at 2 months to help with sleep.”
B. “Introduce single-grain cereal around 6 months when
the infant can sit with support.”
C. “Begin pureed fruits at 3 months to prevent allergies.”
D. “Wait until 12 months when the digestive system
matures.”
Answer: B
Rationale: AAP recommends solids at ~6 months with
readiness (sitting with support, head control, loss of
extrusion reflex). Early introduction increases
allergy/obesity risk.
2. Which developmental milestone would the nurse expect
in a 10-month-old?
A. Walks independently
2
,B. Says 3–5 words besides “mama/dada”
C. Pulls to stand and cruises
D. Uses a spoon without spilling
Answer: C
Rationale: By 10 months: pulls to stand/cruises. Walking
independently ~12 months. Language: 1–2 words. Spoon
use ~15–18 months.
3. The nurse is assessing a 2-year-old. Which finding
requires further evaluation?
A. Uses 2–3 word phrases
B. Parallel play
C. Stacks 4 blocks
D. Puts on a shirt independently
Answer: D
Rationale: At 2 years: removes clothing but cannot fully
put on shirt (3-year skill). Others are age-appropriate.
4. According to Erikson, the primary psychosocial task of
the preschooler (3–5 years) is:
3
, A. Trust vs. Mistrust
k k
B. Autonomy vs. Shame/Doubt k k
C. Initiative vs. Guilt k k
D. Industryvs.Inferiority k k
k Answer: C k
Rationale: Initiative vs. Guilt – preschooler asserts control. Trust
k k k k k k k k
k (infant), Autonomy (toddler), Industry (school-age).
k k k k
5. A parent reports that their 15-month-old is not walking
k k k k k k k k
k independently. The nurse should: k k k
A. Reassure that this is normal up to 18 monthsk k k k k k k k
B. Recommend immediate developmental evaluation k k k
C. Advise putting the child in a walker
k k k k k k
D. Suggest physical therapy referral k k k
k Answer: A k
Rationale: Independent walking range = 12–18 months.
k k k k k k
k No intervention needed at 15 months if other milestones
k k k k k k k k
k met.
4
, Peds HESI Exam (2026) | Pediatrics Nursing RN
Practice Questions | NGN Questions (Pdf)
1. The mother of a 4-month-old infant asks when to start
solid foods. What is the nurse’s best response?
A. “Start rice cereal at 2 months to help with sleep.”
B. “Introduce single-grain cereal around 6 months when
the infant can sit with support.”
C. “Begin pureed fruits at 3 months to prevent allergies.”
D. “Wait until 12 months when the digestive system
matures.”
Answer: B
Rationale: AAP recommends solids at ~6 months with
readiness (sitting with support, head control, loss of
extrusion reflex). Early introduction increases
allergy/obesity risk.
2. Which developmental milestone would the nurse expect
in a 10-month-old?
A. Walks independently
2
,B. Says 3–5 words besides “mama/dada”
C. Pulls to stand and cruises
D. Uses a spoon without spilling
Answer: C
Rationale: By 10 months: pulls to stand/cruises. Walking
independently ~12 months. Language: 1–2 words. Spoon
use ~15–18 months.
3. The nurse is assessing a 2-year-old. Which finding
requires further evaluation?
A. Uses 2–3 word phrases
B. Parallel play
C. Stacks 4 blocks
D. Puts on a shirt independently
Answer: D
Rationale: At 2 years: removes clothing but cannot fully
put on shirt (3-year skill). Others are age-appropriate.
4. According to Erikson, the primary psychosocial task of
the preschooler (3–5 years) is:
3
, A. Trust vs. Mistrust
k k
B. Autonomy vs. Shame/Doubt k k
C. Initiative vs. Guilt k k
D. Industryvs.Inferiority k k
k Answer: C k
Rationale: Initiative vs. Guilt – preschooler asserts control. Trust
k k k k k k k k
k (infant), Autonomy (toddler), Industry (school-age).
k k k k
5. A parent reports that their 15-month-old is not walking
k k k k k k k k
k independently. The nurse should: k k k
A. Reassure that this is normal up to 18 monthsk k k k k k k k
B. Recommend immediate developmental evaluation k k k
C. Advise putting the child in a walker
k k k k k k
D. Suggest physical therapy referral k k k
k Answer: A k
Rationale: Independent walking range = 12–18 months.
k k k k k k
k No intervention needed at 15 months if other milestones
k k k k k k k k
k met.
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