Pediatrics HESI 2025 - Combine Exam 2025–
2026 Accurate Real Exam Questions and
Verified Correct Answers JUST RELEASED
A mother brings her 8-month-old baby boy to the clinic because he has been vomiting and had
diarrhea for the last 3 days. Which assessment is more important for the nurse to make?
A. Assess the infant's abdomen for tenderness.
B. Determine if the infant was exposed to a virus.
C. Measure the infant's pulse.
D. Evaluate the infant's cry. - answer>>>ANS: C
Measure the infant's pulse
While obtaining the vital signs of a 10-year-old who had a tonsillectomy this morning, the nurse
observes the child swallowing every 2 to minutes. Which assessment should the nurse
implement?
A. Inspect the posterior oropharynx
B. Asses for teeth clenching or grinding.
C. Touch the tonsillar pillars to stimulate the gag reflex.
D. Ask the child to speak to evaluate change in voice tone. - answer>>>ANS: A
Inspect the posterior oropharynx
The parents of a 3-year old boy who has Duchenne muscular dystrophy ask, "How can our son
have this disease? We are wondering if we should have any more children." What information
should the nurse provide to parents?
A. This is an inherited X-linked recessive disorder, which primarily affects male children in the
family.
B. The striated muscle groups of males can be impacted by a lack of protein dystrophin in their
mothers.
,C. The male infant had a viral infection that went unnoticed and untreated so muscle damage was
incurred.
D. Birth trauma with a breech vaginal birth causes damage to the spinal cord, thus weakening the
muscles. - answer>>>ANS: A
This is an inherited X-linked recessive disorder, which primarily affects male children in the family.
A 2-week-old female infant is hospitalized for the surgical repair of an umbilical hernia. After
returning to the postoperative neonatal unit, her respiratory rate and heart rate have increased
during the last hour. Which intervention should the nurse implement?
A. Notify the healthcare provider of these findings.
B. Administer a PRN analgesic prescription.
C. Record the findings in the child's record.
D. Wrap the infant tightly and rock in rocking chair. - answer>>>ANS: B
Administer a PRN analgesic prescription
A 2-year-old girl is brought to the clinic by her 17-year-old mother. When the nurse observes that
the child is drinking sweetened soda from her bottle, what information should the nurse discuss
with this mother? (Select all that apply)
A. A 2-year-old should be speaking in 2 word phrases.
B. Dental caries are associated with drinking soda.
C. Drinking soda is related to childhood obesity.
D. Toddlers should be sleeping 10 hours a night.
E. Toddlers should be drinking from a cup by age 2. - answer>>>ANS: B, C, E
A mother brings her 3-month-old infant to the clinic because the baby does not sleep through the
night. What finding is most significant in planning care for this family?
A. The mother is a single parent and lives with her parents.
B. The mother states the baby is irritable during feedings.
C.The infant's formula has been changed twice.
,D. The diaper area shows severe skin breakdown. - answer>>>ANS: D
The diaper area shows severe skin breakdown.
The nurses determines that an infant admitted for surgical repair of an inguinal hernia voids a
urinary stream from the ventral surface of the penis. What action should the nurse take?
A. Document the finding.
B. Palpate scrotum for testicular descent.
C. Assess for bladder distention.
D. Auscultate bowl sounds. - answer>>>ANS: A
Document the finding.
A 16-year-old with acute myelocytic leukemia is receiving chemotherapy (CT) via an implanted
medication port at the out-patient oncology clinic. What action should the nurse implement when
the infusion is complete?
A. Administer ondansetron (Zofran).
B. Obtain blood samples for RBCs, WBCs, and platelets.
C. Flush the mediport with saline and a heparin solution.
D. Initiate an infusion of normal saline. - answer>>>ANS: C
Flush the mediport with saline and a heparin solutions.
A mother brings her 3-week old infant to the clinic because the baby vomits after eating and
always seems hungry. Further assessment indicates that the infant's vomiting is projectile, and the
child seems listless. Which additional finding indicates the possibility of a life-threatening
complications?
A. Irregular palpable pulse.
B. Hyperactive bowel sounds.
C. Underweight for age.
D. Crying without tears. - answer>>>ANS: A
Irregular palpable pulse.
, The nurse is performing a routine assessment of a 3-year-old at a community health center.
Which behavior by the child should alert the nurse to request a follow-up for a possible autistic
spectrum disorder (ASD)?
A. Performs odd repetitive behaviors.
B. Shows indifference to verbal stimulation.
C. Strokes the hair of a hand held doll.
D. Has a history of temper tantrums. - answer>>>ANS: A
Performs odd repetitive behaviors.
Following admission for a cardiac catheterization, the nurse is providing discharge teaching to the
parents of a 2-year-old toddler with Tetralogy of Fallot. What instruction should the nurse give the
parents if their child becomes pale, cool, and lethargic?
A. Encourage oral electrolyte solution intake.
B. Assist the child to a recumbent position.
C. Contact their healthcare provider immediately.
D. Provide a quiet time by holding or rocking the toddler. - answer>>>ANS: C
Contact their healthcare provider immediately.
A mother brings her 2-year-old son to the clinic because he has been crying and pulling on his
earlobe for the past 12 hours. The child's oral temperature is 101.2 F. Which intervention should
the nurse implement?
A. Ask the mother if the child has had a runny nose.
B. Cleanse purulent exudate from the affected ear canal.
C. Apply a topical antibiotic to the periauricle area.
D. Provide parent education to prevent recurrence - answer>>>ANS: A
Ask the mother if the child has had a runny nose.
During a follow-up clinical visit a mother tells the nurse that her 5-month-old son who had surgical
correction for Tetralogy of Fallot has rapid breathing, often takes a long time to eat, and requires
frequent rest periods. The infant is not crying while being held and his growth is in the expected
range. Which intervention should the nurse implement?
2026 Accurate Real Exam Questions and
Verified Correct Answers JUST RELEASED
A mother brings her 8-month-old baby boy to the clinic because he has been vomiting and had
diarrhea for the last 3 days. Which assessment is more important for the nurse to make?
A. Assess the infant's abdomen for tenderness.
B. Determine if the infant was exposed to a virus.
C. Measure the infant's pulse.
D. Evaluate the infant's cry. - answer>>>ANS: C
Measure the infant's pulse
While obtaining the vital signs of a 10-year-old who had a tonsillectomy this morning, the nurse
observes the child swallowing every 2 to minutes. Which assessment should the nurse
implement?
A. Inspect the posterior oropharynx
B. Asses for teeth clenching or grinding.
C. Touch the tonsillar pillars to stimulate the gag reflex.
D. Ask the child to speak to evaluate change in voice tone. - answer>>>ANS: A
Inspect the posterior oropharynx
The parents of a 3-year old boy who has Duchenne muscular dystrophy ask, "How can our son
have this disease? We are wondering if we should have any more children." What information
should the nurse provide to parents?
A. This is an inherited X-linked recessive disorder, which primarily affects male children in the
family.
B. The striated muscle groups of males can be impacted by a lack of protein dystrophin in their
mothers.
,C. The male infant had a viral infection that went unnoticed and untreated so muscle damage was
incurred.
D. Birth trauma with a breech vaginal birth causes damage to the spinal cord, thus weakening the
muscles. - answer>>>ANS: A
This is an inherited X-linked recessive disorder, which primarily affects male children in the family.
A 2-week-old female infant is hospitalized for the surgical repair of an umbilical hernia. After
returning to the postoperative neonatal unit, her respiratory rate and heart rate have increased
during the last hour. Which intervention should the nurse implement?
A. Notify the healthcare provider of these findings.
B. Administer a PRN analgesic prescription.
C. Record the findings in the child's record.
D. Wrap the infant tightly and rock in rocking chair. - answer>>>ANS: B
Administer a PRN analgesic prescription
A 2-year-old girl is brought to the clinic by her 17-year-old mother. When the nurse observes that
the child is drinking sweetened soda from her bottle, what information should the nurse discuss
with this mother? (Select all that apply)
A. A 2-year-old should be speaking in 2 word phrases.
B. Dental caries are associated with drinking soda.
C. Drinking soda is related to childhood obesity.
D. Toddlers should be sleeping 10 hours a night.
E. Toddlers should be drinking from a cup by age 2. - answer>>>ANS: B, C, E
A mother brings her 3-month-old infant to the clinic because the baby does not sleep through the
night. What finding is most significant in planning care for this family?
A. The mother is a single parent and lives with her parents.
B. The mother states the baby is irritable during feedings.
C.The infant's formula has been changed twice.
,D. The diaper area shows severe skin breakdown. - answer>>>ANS: D
The diaper area shows severe skin breakdown.
The nurses determines that an infant admitted for surgical repair of an inguinal hernia voids a
urinary stream from the ventral surface of the penis. What action should the nurse take?
A. Document the finding.
B. Palpate scrotum for testicular descent.
C. Assess for bladder distention.
D. Auscultate bowl sounds. - answer>>>ANS: A
Document the finding.
A 16-year-old with acute myelocytic leukemia is receiving chemotherapy (CT) via an implanted
medication port at the out-patient oncology clinic. What action should the nurse implement when
the infusion is complete?
A. Administer ondansetron (Zofran).
B. Obtain blood samples for RBCs, WBCs, and platelets.
C. Flush the mediport with saline and a heparin solution.
D. Initiate an infusion of normal saline. - answer>>>ANS: C
Flush the mediport with saline and a heparin solutions.
A mother brings her 3-week old infant to the clinic because the baby vomits after eating and
always seems hungry. Further assessment indicates that the infant's vomiting is projectile, and the
child seems listless. Which additional finding indicates the possibility of a life-threatening
complications?
A. Irregular palpable pulse.
B. Hyperactive bowel sounds.
C. Underweight for age.
D. Crying without tears. - answer>>>ANS: A
Irregular palpable pulse.
, The nurse is performing a routine assessment of a 3-year-old at a community health center.
Which behavior by the child should alert the nurse to request a follow-up for a possible autistic
spectrum disorder (ASD)?
A. Performs odd repetitive behaviors.
B. Shows indifference to verbal stimulation.
C. Strokes the hair of a hand held doll.
D. Has a history of temper tantrums. - answer>>>ANS: A
Performs odd repetitive behaviors.
Following admission for a cardiac catheterization, the nurse is providing discharge teaching to the
parents of a 2-year-old toddler with Tetralogy of Fallot. What instruction should the nurse give the
parents if their child becomes pale, cool, and lethargic?
A. Encourage oral electrolyte solution intake.
B. Assist the child to a recumbent position.
C. Contact their healthcare provider immediately.
D. Provide a quiet time by holding or rocking the toddler. - answer>>>ANS: C
Contact their healthcare provider immediately.
A mother brings her 2-year-old son to the clinic because he has been crying and pulling on his
earlobe for the past 12 hours. The child's oral temperature is 101.2 F. Which intervention should
the nurse implement?
A. Ask the mother if the child has had a runny nose.
B. Cleanse purulent exudate from the affected ear canal.
C. Apply a topical antibiotic to the periauricle area.
D. Provide parent education to prevent recurrence - answer>>>ANS: A
Ask the mother if the child has had a runny nose.
During a follow-up clinical visit a mother tells the nurse that her 5-month-old son who had surgical
correction for Tetralogy of Fallot has rapid breathing, often takes a long time to eat, and requires
frequent rest periods. The infant is not crying while being held and his growth is in the expected
range. Which intervention should the nurse implement?
