PEDS HESI PRACTICE QUESTIONS AND ANSWERS
UPDATED 2025/2026 A COMPLETE EXAM SOLUTION ALL
ANSWERS 100% CORRECT DETAILED BEST GRADED A+
FOR SUCCESS
The child is displaying signs of ketoacidosis. The fruity breath is a hallmark sign. Knowing if the
child has had diabetes will help the health care team understand the underlying cause of the
presenting symptoms and the best course of action. However, often DKA leads to the initial
diagnosis of diabetes in children.
A child presents to the emergency department with vomiting and diarrhea for 36 hours. Which
finding is most concerning to the nurse?
A. No tears when crying
B. Urine specific gravity of 1.035
C. Pink lips and gums
D. Temperature of 99.2°F/37.3°C - CORRECT ANSWERS B. Urine specific gravity of
1.035
The normal specific gravity is 1.002 to 1.025. The high specific gravity is a sign that the child has
a fluid volume deficit. No tears when crying is an indication of dehydration, but it is not as
definitive as the specific gravity reading. Pink lips and gums are an expected finding. The
temperature is a low-grade fever and not as concerning as the specific gravity.
Following the administration of immunizations to a 6-month-old infant, the nurse provides the
family with home care instructions. Which statement by the mother indicates that further
teaching is needed?
A. "I will give my baby a baby aspirin every 4 hours as needed for fever."
B. "I will call the clinic if my baby's cry becomes high-pitched or unusual."
C. "I know I can expect my baby to be irritable over the next 2 days."
,PEDS HESI PRACTICE QUESTIONS AND ANSWERS
UPDATED 2025/2026 A COMPLETE EXAM SOLUTION ALL
ANSWERS 100% CORRECT DETAILED BEST GRADED A+
FOR SUCCESS
D. "I will exercise my baby's legs regularly to decrease the soreness. - CORRECT
ANSWERS A. "I will give my baby a baby aspirin every 4 hours as needed for fever."
Although fever may occur, non-aspirin-containing medications should be used because of the
risk of Reye syndrome. Option B indicates a severe reaction, whereas option C is a common side
effect. Option D decreases soreness in the thigh injection site.
A nurse is conducting a community teach to a group of parents with toddlers. What information
will the nurse include in the presentation? (Select all that apply.)
A. Program the number for poison control in all cellphones.
B. Keep medications in a locked cabinet.
C. Place cleaning chemicals out of reach.
D. Avoid strawberries and blueberries.
E. Do not allow your children to pay with balloons. - CORRECT ANSWERS Correct
Answer: A,B,E
Rationale:
This is a very active stage of life and toddlers will climb, jump, and play. Anything dangerous if
ingested must be placed in a locked cabinet, such as cleaning chemicals. Placing these items
high only poses a challenge for the adventuresome toddler. Balloons are an asphyxiation risk
for this age group. An inhaled balloon or balloon fragment can lodge on the trachea. Poison
control should be on the cell phone of all care providers. Small fruits are permissible, as long as
they are administered in small quantities under supervision. They are an excellent source of
fiber.
A 2-year-old child with trisomy 21 (Down syndrome) is brought to the clinic for a routine
evaluation. Which assessment finding suggests the presence of a common complication often
experienced by those with Down syndrome?
, PEDS HESI PRACTICE QUESTIONS AND ANSWERS
UPDATED 2025/2026 A COMPLETE EXAM SOLUTION ALL
ANSWERS 100% CORRECT DETAILED BEST GRADED A+
FOR SUCCESS
A. Presence of a systolic murmur
B. New onset of patchy alopecia
C. Complaints of long bone pain
D. Recent projectile vomiting - CORRECT ANSWERS A. Presence of a systolic murmur
Congenital heart disease occurs in 40% to 50% of children with trisomy 21 (Down syndrome).
Defects of the atrial or ventricular septum that create systolic murmurs are the most common
heart defects associated with this congenital anomaly. Options B, C, and D are not recognized
as common complications of trisomy 21.
A child is recovering from a splenectomy secondary to a diagnosis of β-Thalassemia major.
What is the most important instruction the nurse must include in the child's discharge plan?
A. Parental genetic counseling
B. Include the pneumococcal vaccine.
C. Weekly hemoglobin levels
D. Report signs of infection. - CORRECT ANSWERS D. Report signs of infection.
The child is at risk for sepsis after a splenectomy. Report to the child's health care provider any
signs and symptoms of infection. Genetic counseling and the pneumococcal vaccine are
important, but do not pose the risk of sepsis. Weekly hemoglobin levels are not necessary.
The in-patient nurse is caring for a child with leukemia. The parents are asking for help with
meal selection for their child. What items will the nurse recommend? (Select all that apply.)
UPDATED 2025/2026 A COMPLETE EXAM SOLUTION ALL
ANSWERS 100% CORRECT DETAILED BEST GRADED A+
FOR SUCCESS
The child is displaying signs of ketoacidosis. The fruity breath is a hallmark sign. Knowing if the
child has had diabetes will help the health care team understand the underlying cause of the
presenting symptoms and the best course of action. However, often DKA leads to the initial
diagnosis of diabetes in children.
A child presents to the emergency department with vomiting and diarrhea for 36 hours. Which
finding is most concerning to the nurse?
A. No tears when crying
B. Urine specific gravity of 1.035
C. Pink lips and gums
D. Temperature of 99.2°F/37.3°C - CORRECT ANSWERS B. Urine specific gravity of
1.035
The normal specific gravity is 1.002 to 1.025. The high specific gravity is a sign that the child has
a fluid volume deficit. No tears when crying is an indication of dehydration, but it is not as
definitive as the specific gravity reading. Pink lips and gums are an expected finding. The
temperature is a low-grade fever and not as concerning as the specific gravity.
Following the administration of immunizations to a 6-month-old infant, the nurse provides the
family with home care instructions. Which statement by the mother indicates that further
teaching is needed?
A. "I will give my baby a baby aspirin every 4 hours as needed for fever."
B. "I will call the clinic if my baby's cry becomes high-pitched or unusual."
C. "I know I can expect my baby to be irritable over the next 2 days."
,PEDS HESI PRACTICE QUESTIONS AND ANSWERS
UPDATED 2025/2026 A COMPLETE EXAM SOLUTION ALL
ANSWERS 100% CORRECT DETAILED BEST GRADED A+
FOR SUCCESS
D. "I will exercise my baby's legs regularly to decrease the soreness. - CORRECT
ANSWERS A. "I will give my baby a baby aspirin every 4 hours as needed for fever."
Although fever may occur, non-aspirin-containing medications should be used because of the
risk of Reye syndrome. Option B indicates a severe reaction, whereas option C is a common side
effect. Option D decreases soreness in the thigh injection site.
A nurse is conducting a community teach to a group of parents with toddlers. What information
will the nurse include in the presentation? (Select all that apply.)
A. Program the number for poison control in all cellphones.
B. Keep medications in a locked cabinet.
C. Place cleaning chemicals out of reach.
D. Avoid strawberries and blueberries.
E. Do not allow your children to pay with balloons. - CORRECT ANSWERS Correct
Answer: A,B,E
Rationale:
This is a very active stage of life and toddlers will climb, jump, and play. Anything dangerous if
ingested must be placed in a locked cabinet, such as cleaning chemicals. Placing these items
high only poses a challenge for the adventuresome toddler. Balloons are an asphyxiation risk
for this age group. An inhaled balloon or balloon fragment can lodge on the trachea. Poison
control should be on the cell phone of all care providers. Small fruits are permissible, as long as
they are administered in small quantities under supervision. They are an excellent source of
fiber.
A 2-year-old child with trisomy 21 (Down syndrome) is brought to the clinic for a routine
evaluation. Which assessment finding suggests the presence of a common complication often
experienced by those with Down syndrome?
, PEDS HESI PRACTICE QUESTIONS AND ANSWERS
UPDATED 2025/2026 A COMPLETE EXAM SOLUTION ALL
ANSWERS 100% CORRECT DETAILED BEST GRADED A+
FOR SUCCESS
A. Presence of a systolic murmur
B. New onset of patchy alopecia
C. Complaints of long bone pain
D. Recent projectile vomiting - CORRECT ANSWERS A. Presence of a systolic murmur
Congenital heart disease occurs in 40% to 50% of children with trisomy 21 (Down syndrome).
Defects of the atrial or ventricular septum that create systolic murmurs are the most common
heart defects associated with this congenital anomaly. Options B, C, and D are not recognized
as common complications of trisomy 21.
A child is recovering from a splenectomy secondary to a diagnosis of β-Thalassemia major.
What is the most important instruction the nurse must include in the child's discharge plan?
A. Parental genetic counseling
B. Include the pneumococcal vaccine.
C. Weekly hemoglobin levels
D. Report signs of infection. - CORRECT ANSWERS D. Report signs of infection.
The child is at risk for sepsis after a splenectomy. Report to the child's health care provider any
signs and symptoms of infection. Genetic counseling and the pneumococcal vaccine are
important, but do not pose the risk of sepsis. Weekly hemoglobin levels are not necessary.
The in-patient nurse is caring for a child with leukemia. The parents are asking for help with
meal selection for their child. What items will the nurse recommend? (Select all that apply.)
