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2025–2026 HESI RN Pediatrics Exam | 100% A+
Verified Questions & Answers | Detailed Rationales |
Guaranteed Pass"
Question 1
A nurse is caring for a 4-month-old infant who is due for immunizations. Which
vaccines should the nurse anticipate administering at this visit?
A. DTaP, IPV, Hib, PCV, and rotavirus
B. MMR, varicella, Hepatitis A
C. Influenza, Hepatitis B, MMR
D. BCG, oral polio, yellow fever
Correct Answer: A. DTaP, IPV, Hib, PCV, and rotavirus
Rationale: At 4 months, infants receive their second doses of DTaP (diphtheria,
tetanus, pertussis), IPV (inactivated polio vaccine), Hib (Haemophilus influenzae
type b), PCV (pneumococcal conjugate vaccine), and rotavirus. MMR and
varicella are not given until 12 months. Influenza may be given starting at 6
months. BCG and yellow fever are not part of the standard U.S. immunization
schedule.
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Question 2
A 6-year-old with cystic fibrosis is hospitalized for a pulmonary exacerbation.
Which intervention is most important to include in the care plan?
A. Restrict salt intake to prevent fluid overload
B. Perform chest physiotherapy before meals
C. Encourage low-calorie snacks to reduce mucus production
D. Limit fluid intake to prevent pulmonary edema
Correct Answer: B. Perform chest physiotherapy before meals
Rationale: In cystic fibrosis, airway clearance techniques such as chest
physiotherapy are critical to loosen mucus and improve ventilation. Doing this
before meals helps prevent vomiting and enhances respiratory function. Salt and
fluids should not be restricted; these children often need increased salt and fluids
due to excessive losses. Caloric intake should be high, not low, because of
increased metabolic demands.
Question 3
A nurse is assessing a 2-year-old during a well-child visit. Which finding requires
further evaluation?
A. Vocabulary of 15 words
B. Ability to run and climb stairs
C. Parallel play with peers
D. Temper tantrums during frustration
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Correct Answer: A. Vocabulary of 15 words
Rationale: By age 2, most toddlers have a vocabulary of at least 50 words and can
use two-word sentences. Only having 15 words may indicate a speech delay,
requiring referral for hearing and speech evaluation. Running, stair climbing,
parallel play, and occasional tantrums are all normal developmental behaviors for a
2-year-old.
Question 4
A 10-year-old with type 1 diabetes is found to have blood glucose of 45 mg/dL and
is alert but shaky. The nurse should first:
A. Give glucagon intramuscularly
B. Administer 4 oz of orange juice
C. Call the healthcare provider
D. Start an IV with dextrose
Correct Answer: B. Administer 4 oz of orange juice
Rationale: A conscious child with mild hypoglycemia should receive a rapid-
acting carbohydrate, such as juice or glucose tablets, per the “15-15 rule” (15
grams of carbs, recheck in 15 minutes). Glucagon and IV dextrose are reserved for
unconscious or severely symptomatic patients. Calling the provider is not the
priority until the hypoglycemia is treated.
Question 5
The nurse is teaching parents of a newborn about safe sleep practices. Which
statement indicates the need for further teaching?
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A. “We will place our baby on her back to sleep.”
B. “We will keep soft toys out of the crib.”
C. “We will use a loose blanket to keep her warm.”
D. “We will share a room but not the same bed.”
Correct Answer: C. “We will use a loose blanket to keep her warm.”
Rationale: Loose bedding increases the risk of suffocation and sudden infant death
syndrome (SIDS). Instead, use a sleep sack or wearable blanket. All other
statements are correct: back sleeping, no soft objects in the crib, and room-sharing
without bed-sharing reduce SIDS risk.
Question 6
A nurse is providing discharge teaching to parents of a child with acute otitis media
prescribed amoxicillin. Which instruction is most important?
A. Stop the antibiotic when symptoms resolve
B. Give the antibiotic for the full prescribed course
C. Avoid giving the antibiotic with milk
D. Save leftover medication for future ear infections
Correct Answer: B. Give the antibiotic for the full prescribed course
Rationale: Completing the entire antibiotic course prevents incomplete eradication
of bacteria and resistance. Parents should never stop early, avoid saving antibiotics,
and amoxicillin may be taken with or without food, including milk.
Question 7
2025–2026 HESI RN Pediatrics Exam | 100% A+
Verified Questions & Answers | Detailed Rationales |
Guaranteed Pass"
Question 1
A nurse is caring for a 4-month-old infant who is due for immunizations. Which
vaccines should the nurse anticipate administering at this visit?
A. DTaP, IPV, Hib, PCV, and rotavirus
B. MMR, varicella, Hepatitis A
C. Influenza, Hepatitis B, MMR
D. BCG, oral polio, yellow fever
Correct Answer: A. DTaP, IPV, Hib, PCV, and rotavirus
Rationale: At 4 months, infants receive their second doses of DTaP (diphtheria,
tetanus, pertussis), IPV (inactivated polio vaccine), Hib (Haemophilus influenzae
type b), PCV (pneumococcal conjugate vaccine), and rotavirus. MMR and
varicella are not given until 12 months. Influenza may be given starting at 6
months. BCG and yellow fever are not part of the standard U.S. immunization
schedule.
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Question 2
A 6-year-old with cystic fibrosis is hospitalized for a pulmonary exacerbation.
Which intervention is most important to include in the care plan?
A. Restrict salt intake to prevent fluid overload
B. Perform chest physiotherapy before meals
C. Encourage low-calorie snacks to reduce mucus production
D. Limit fluid intake to prevent pulmonary edema
Correct Answer: B. Perform chest physiotherapy before meals
Rationale: In cystic fibrosis, airway clearance techniques such as chest
physiotherapy are critical to loosen mucus and improve ventilation. Doing this
before meals helps prevent vomiting and enhances respiratory function. Salt and
fluids should not be restricted; these children often need increased salt and fluids
due to excessive losses. Caloric intake should be high, not low, because of
increased metabolic demands.
Question 3
A nurse is assessing a 2-year-old during a well-child visit. Which finding requires
further evaluation?
A. Vocabulary of 15 words
B. Ability to run and climb stairs
C. Parallel play with peers
D. Temper tantrums during frustration
, 3
Correct Answer: A. Vocabulary of 15 words
Rationale: By age 2, most toddlers have a vocabulary of at least 50 words and can
use two-word sentences. Only having 15 words may indicate a speech delay,
requiring referral for hearing and speech evaluation. Running, stair climbing,
parallel play, and occasional tantrums are all normal developmental behaviors for a
2-year-old.
Question 4
A 10-year-old with type 1 diabetes is found to have blood glucose of 45 mg/dL and
is alert but shaky. The nurse should first:
A. Give glucagon intramuscularly
B. Administer 4 oz of orange juice
C. Call the healthcare provider
D. Start an IV with dextrose
Correct Answer: B. Administer 4 oz of orange juice
Rationale: A conscious child with mild hypoglycemia should receive a rapid-
acting carbohydrate, such as juice or glucose tablets, per the “15-15 rule” (15
grams of carbs, recheck in 15 minutes). Glucagon and IV dextrose are reserved for
unconscious or severely symptomatic patients. Calling the provider is not the
priority until the hypoglycemia is treated.
Question 5
The nurse is teaching parents of a newborn about safe sleep practices. Which
statement indicates the need for further teaching?
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A. “We will place our baby on her back to sleep.”
B. “We will keep soft toys out of the crib.”
C. “We will use a loose blanket to keep her warm.”
D. “We will share a room but not the same bed.”
Correct Answer: C. “We will use a loose blanket to keep her warm.”
Rationale: Loose bedding increases the risk of suffocation and sudden infant death
syndrome (SIDS). Instead, use a sleep sack or wearable blanket. All other
statements are correct: back sleeping, no soft objects in the crib, and room-sharing
without bed-sharing reduce SIDS risk.
Question 6
A nurse is providing discharge teaching to parents of a child with acute otitis media
prescribed amoxicillin. Which instruction is most important?
A. Stop the antibiotic when symptoms resolve
B. Give the antibiotic for the full prescribed course
C. Avoid giving the antibiotic with milk
D. Save leftover medication for future ear infections
Correct Answer: B. Give the antibiotic for the full prescribed course
Rationale: Completing the entire antibiotic course prevents incomplete eradication
of bacteria and resistance. Parents should never stop early, avoid saving antibiotics,
and amoxicillin may be taken with or without food, including milk.
Question 7
