HESI: NUR203 / NUR 203 (Latest 2025 /
2026 Update) Pediatric Nursing | Guide with
Questions and Verified Answers 100%
Correct | Grade A – Fortis
This HESI exam for NUR203 Pediatric Nursing at Fortis College includes 200 verified questions
(multiple-choice and select-all-that-apply) based on the 2024/2025 curriculum update, Wong's
Nursing Care of Infants and Children (Hockenberry, 12th ed., 2022), HESI Pediatric Nursing
banks, and Fortis resources. It covers growth/development, common pediatric conditions, family-
centered care, medication administration, pain management, and safety. Each question is worth
0.5 points (total 100 points); aim for ≥90% (180/200 correct) for Grade A. Answers are in blue,
with concise rationales for remediation.
Question 1: A 2-month-old infant's normal respiratory rate is:
Answer: 30-60 breaths/min
Rationale: Newborns have higher rates; monitor for tachypnea (>60) indicating distress
(Hockenberry, Ch. 8).
Question 2: The nurse is assessing a 6-year-old child with asthma. Which finding requires
immediate intervention?
Answer: Respiratory rate 40 breaths/min
Rationale: Tachypnea indicates exacerbation; administer bronchodilator (Hockenberry, Ch. 24).
Question 3: Common developmental milestones for a 12-month-old include: (Select all that
apply)
Answer: Says "mama/dada"; Walks with support; Pincer grasp
Rationale: Fine/gross motor and language skills emerge (Hockenberry, Ch. 6).
Question 4: A 4-year-old child is admitted with dehydration from gastroenteritis. The nurse
administers:
Answer: Oral rehydration solution
Rationale: First-line for mild dehydration; IV if severe.
,Question 5: The nurse is teaching a parent about safe sleep for a 1-month-old. The
recommendation is:
Answer: Back sleeping in a bare crib
Rationale: AAP guidelines to reduce SIDS risk.
Question 6: A 10-year-old child with type 1 diabetes has a blood glucose of 350 mg/dL. The
nurse's priority is:
Answer: Administer insulin
Rationale: Hyperglycemia; check for ketones.
Question 7: The nurse assesses a 3-year-old for autism spectrum disorder. A red flag is:
Answer: Lack of eye contact
Rationale: Social communication delays; use M-CHAT screening.
Question 8: A 7-month-old infant's first tooth erupts at:
Answer: 6-10 months
Rationale: Lower central incisors first; teething symptoms include drooling.
Question 9: The nurse is caring for a 5-year-old with sickle cell crisis. The priority intervention
is:
Answer: Pain management
Rationale: Vaso-occlusive pain; opioids and hydration.
Question 10: A 2-year-old toddler's normal heart rate is:
Answer: 80-130 bpm
Rationale: Age-specific; bradycardia <80 bpm.
Question 11: The nurse teaches a parent about lead poisoning prevention. The key is:
Answer: Avoid old paint in pre-1978 homes
Rationale: CDC screening at 1 and 2 years.
, Question 12: A 9-year-old child with ADHD is prescribed:
Answer: Methylphenidate
Rationale: Stimulant; monitor growth and appetite.
Question 13: The nurse assesses a newborn for hip dysplasia. The positive Ortolani sign is:
Answer: Hip clicks out of socket
Rationale: Screening at birth; ultrasound if positive.
Question 14: A 15-month-old child should be able to:
Answer: Walk independently
Rationale: Gross motor milestone; delay warrants evaluation.
Question 15: The nurse is caring for a 4-year-old with croup. The priority is:
Answer: Humidified air
Rationale: Reduces airway swelling; dexamethasone for severe.
Question 16: A 6-year-old child with asthma has a peak flow of 50% personal best. The nurse's
action is:
Answer: Administer rescue inhaler
Rationale: Yellow zone; seek medical help if persists.
Question 17: The nurse teaches a parent about infant car seat safety. The rear-facing seat is used
until:
Answer: Child outgrows height/weight limit
Rationale: NHTSA guidelines; until at least 2 years.
Question 18: A 10-month-old infant's normal temperature range is:
Answer: 97.9-99.7°F
Rationale: Axillary; fever >100.4°F.
2026 Update) Pediatric Nursing | Guide with
Questions and Verified Answers 100%
Correct | Grade A – Fortis
This HESI exam for NUR203 Pediatric Nursing at Fortis College includes 200 verified questions
(multiple-choice and select-all-that-apply) based on the 2024/2025 curriculum update, Wong's
Nursing Care of Infants and Children (Hockenberry, 12th ed., 2022), HESI Pediatric Nursing
banks, and Fortis resources. It covers growth/development, common pediatric conditions, family-
centered care, medication administration, pain management, and safety. Each question is worth
0.5 points (total 100 points); aim for ≥90% (180/200 correct) for Grade A. Answers are in blue,
with concise rationales for remediation.
Question 1: A 2-month-old infant's normal respiratory rate is:
Answer: 30-60 breaths/min
Rationale: Newborns have higher rates; monitor for tachypnea (>60) indicating distress
(Hockenberry, Ch. 8).
Question 2: The nurse is assessing a 6-year-old child with asthma. Which finding requires
immediate intervention?
Answer: Respiratory rate 40 breaths/min
Rationale: Tachypnea indicates exacerbation; administer bronchodilator (Hockenberry, Ch. 24).
Question 3: Common developmental milestones for a 12-month-old include: (Select all that
apply)
Answer: Says "mama/dada"; Walks with support; Pincer grasp
Rationale: Fine/gross motor and language skills emerge (Hockenberry, Ch. 6).
Question 4: A 4-year-old child is admitted with dehydration from gastroenteritis. The nurse
administers:
Answer: Oral rehydration solution
Rationale: First-line for mild dehydration; IV if severe.
,Question 5: The nurse is teaching a parent about safe sleep for a 1-month-old. The
recommendation is:
Answer: Back sleeping in a bare crib
Rationale: AAP guidelines to reduce SIDS risk.
Question 6: A 10-year-old child with type 1 diabetes has a blood glucose of 350 mg/dL. The
nurse's priority is:
Answer: Administer insulin
Rationale: Hyperglycemia; check for ketones.
Question 7: The nurse assesses a 3-year-old for autism spectrum disorder. A red flag is:
Answer: Lack of eye contact
Rationale: Social communication delays; use M-CHAT screening.
Question 8: A 7-month-old infant's first tooth erupts at:
Answer: 6-10 months
Rationale: Lower central incisors first; teething symptoms include drooling.
Question 9: The nurse is caring for a 5-year-old with sickle cell crisis. The priority intervention
is:
Answer: Pain management
Rationale: Vaso-occlusive pain; opioids and hydration.
Question 10: A 2-year-old toddler's normal heart rate is:
Answer: 80-130 bpm
Rationale: Age-specific; bradycardia <80 bpm.
Question 11: The nurse teaches a parent about lead poisoning prevention. The key is:
Answer: Avoid old paint in pre-1978 homes
Rationale: CDC screening at 1 and 2 years.
, Question 12: A 9-year-old child with ADHD is prescribed:
Answer: Methylphenidate
Rationale: Stimulant; monitor growth and appetite.
Question 13: The nurse assesses a newborn for hip dysplasia. The positive Ortolani sign is:
Answer: Hip clicks out of socket
Rationale: Screening at birth; ultrasound if positive.
Question 14: A 15-month-old child should be able to:
Answer: Walk independently
Rationale: Gross motor milestone; delay warrants evaluation.
Question 15: The nurse is caring for a 4-year-old with croup. The priority is:
Answer: Humidified air
Rationale: Reduces airway swelling; dexamethasone for severe.
Question 16: A 6-year-old child with asthma has a peak flow of 50% personal best. The nurse's
action is:
Answer: Administer rescue inhaler
Rationale: Yellow zone; seek medical help if persists.
Question 17: The nurse teaches a parent about infant car seat safety. The rear-facing seat is used
until:
Answer: Child outgrows height/weight limit
Rationale: NHTSA guidelines; until at least 2 years.
Question 18: A 10-month-old infant's normal temperature range is:
Answer: 97.9-99.7°F
Rationale: Axillary; fever >100.4°F.
