1|Page
HESI PEDS EXAM 2025-2026 | COMPLETE QUESTIONS AND
CORRECT ANSWERS WITH EXPLANATIONS | ALREADY
GRADED A+ | VERIFIED ANSWERS | GUARANTEED PASS
1.
Topic: Pediatric Respiratory Disorders – Croup
Question:
A 4-year-old child is brought to the ER with inspiratory stridor, barking
cough, and mild retractions. The nurse suspects croup. Which intervention is
the priority?
a. Administer cool mist and humidified oxygen
b. Give a broad-spectrum antibiotic
c. Encourage oral fluid intake rapidly
d. Perform deep oropharyngeal suctioning
Correct Answer: a. Administer cool mist and humidified oxygen
Rationale: Croup is viral and causes airway narrowing. Humidified air
reduces swelling and improves oxygenation. Antibiotics are ineffective, and
suctioning may worsen edema.
Reference: CDC – Croup Clinical Overview
2.
Topic: Cystic Fibrosis – Pulmonary Management
Question:
A 7-year-old with cystic fibrosis is admitted for pulmonary exacerbation.
Which nursing intervention is most important?
a. Restrict salt in the diet
b. Perform chest physiotherapy before meals
,2|Page
c. Limit fat intake
d. Avoid pancreatic enzyme replacement
Correct Answer: b. Perform chest physiotherapy before meals
Rationale: Airway clearance via CPT helps mobilize secretions and
prevents infection. It should be done before meals to avoid vomiting.
Reference: Cystic Fibrosis Foundation – Airway Clearance
3.
Topic: Pediatric Hematology – Iron Deficiency Anemia
Question:
A 10-month-old infant is diagnosed with iron deficiency anemia. Which
parental statement shows correct understanding?
a. “I will give the iron with milk to help absorption.”
b. “I will give the iron with orange juice.”
c. “I should stop giving iron once the child feels better.”
d. “I will mix the iron with cereal for easier intake.”
Correct Answer: b. “I will give the iron with orange juice.”
Rationale: Vitamin C enhances iron absorption. Milk and cereal decrease
absorption. Treatment should continue as prescribed.
Reference: AAP – Iron Supplementation
4.
Topic: ENT Disorders – Otitis Media
Question:
The nurse is assessing a toddler with suspected otitis media. Which finding
supports this diagnosis?
,3|Page
a. Transparent tympanic membrane
b. Child tugging at the ear, irritability, fever
c. Clear ear drainage
d. Enlarged tonsils with exudate
Correct Answer: b. Child tugging at the ear, irritability, fever
Rationale: Common symptoms of otitis media include ear pain, fever, and
irritability. Transparent membranes are normal; drainage suggests rupture.
Reference: CDC – Ear Infections in Children
5.
Topic: Pediatric Immunizations
Question:
Which vaccine is contraindicated in a child with severe immunodeficiency?
a. Inactivated influenza vaccine
b. Hepatitis B vaccine
c. MMR vaccine
d. DTaP vaccine
Correct Answer: c. MMR vaccine
Rationale: MMR is live-attenuated and contraindicated in severe
immunosuppression. Inactivated vaccines are safe.
Reference: CDC – Vaccine Contraindications
6.
Topic: Gastrointestinal Disorders – Celiac Disease
Question:
A nurse provides dietary teaching for a child with celiac disease. Which food
should be avoided?
, 4|Page
a. Rice
b. Corn
c. Wheat
d. Potato
Correct Answer: c. Wheat
Rationale: Gluten (found in wheat, barley, rye) must be strictly avoided.
Rice, corn, and potatoes are safe.
Reference: Celiac Disease Foundation – Gluten-Free Diet
7.
Topic: Pediatric Respiratory Emergency – Epiglottitis
Question:
A 2-year-old with suspected epiglottitis arrives drooling, sitting upright, and
anxious. What is the nurse’s priority?
a. Obtain a throat culture immediately
b. Prepare for intubation
c. Administer oral fluids
d. Suction the oropharynx
Correct Answer: b. Prepare for intubation
Rationale: Epiglottitis is life-threatening. Airway maintenance is the
priority. Throat cultures and fluids may trigger obstruction.
Reference: Mayo Clinic – Epiglottitis
8.
Topic: Pediatric Nephrology – Nephrotic Syndrome
HESI PEDS EXAM 2025-2026 | COMPLETE QUESTIONS AND
CORRECT ANSWERS WITH EXPLANATIONS | ALREADY
GRADED A+ | VERIFIED ANSWERS | GUARANTEED PASS
1.
Topic: Pediatric Respiratory Disorders – Croup
Question:
A 4-year-old child is brought to the ER with inspiratory stridor, barking
cough, and mild retractions. The nurse suspects croup. Which intervention is
the priority?
a. Administer cool mist and humidified oxygen
b. Give a broad-spectrum antibiotic
c. Encourage oral fluid intake rapidly
d. Perform deep oropharyngeal suctioning
Correct Answer: a. Administer cool mist and humidified oxygen
Rationale: Croup is viral and causes airway narrowing. Humidified air
reduces swelling and improves oxygenation. Antibiotics are ineffective, and
suctioning may worsen edema.
Reference: CDC – Croup Clinical Overview
2.
Topic: Cystic Fibrosis – Pulmonary Management
Question:
A 7-year-old with cystic fibrosis is admitted for pulmonary exacerbation.
Which nursing intervention is most important?
a. Restrict salt in the diet
b. Perform chest physiotherapy before meals
,2|Page
c. Limit fat intake
d. Avoid pancreatic enzyme replacement
Correct Answer: b. Perform chest physiotherapy before meals
Rationale: Airway clearance via CPT helps mobilize secretions and
prevents infection. It should be done before meals to avoid vomiting.
Reference: Cystic Fibrosis Foundation – Airway Clearance
3.
Topic: Pediatric Hematology – Iron Deficiency Anemia
Question:
A 10-month-old infant is diagnosed with iron deficiency anemia. Which
parental statement shows correct understanding?
a. “I will give the iron with milk to help absorption.”
b. “I will give the iron with orange juice.”
c. “I should stop giving iron once the child feels better.”
d. “I will mix the iron with cereal for easier intake.”
Correct Answer: b. “I will give the iron with orange juice.”
Rationale: Vitamin C enhances iron absorption. Milk and cereal decrease
absorption. Treatment should continue as prescribed.
Reference: AAP – Iron Supplementation
4.
Topic: ENT Disorders – Otitis Media
Question:
The nurse is assessing a toddler with suspected otitis media. Which finding
supports this diagnosis?
,3|Page
a. Transparent tympanic membrane
b. Child tugging at the ear, irritability, fever
c. Clear ear drainage
d. Enlarged tonsils with exudate
Correct Answer: b. Child tugging at the ear, irritability, fever
Rationale: Common symptoms of otitis media include ear pain, fever, and
irritability. Transparent membranes are normal; drainage suggests rupture.
Reference: CDC – Ear Infections in Children
5.
Topic: Pediatric Immunizations
Question:
Which vaccine is contraindicated in a child with severe immunodeficiency?
a. Inactivated influenza vaccine
b. Hepatitis B vaccine
c. MMR vaccine
d. DTaP vaccine
Correct Answer: c. MMR vaccine
Rationale: MMR is live-attenuated and contraindicated in severe
immunosuppression. Inactivated vaccines are safe.
Reference: CDC – Vaccine Contraindications
6.
Topic: Gastrointestinal Disorders – Celiac Disease
Question:
A nurse provides dietary teaching for a child with celiac disease. Which food
should be avoided?
, 4|Page
a. Rice
b. Corn
c. Wheat
d. Potato
Correct Answer: c. Wheat
Rationale: Gluten (found in wheat, barley, rye) must be strictly avoided.
Rice, corn, and potatoes are safe.
Reference: Celiac Disease Foundation – Gluten-Free Diet
7.
Topic: Pediatric Respiratory Emergency – Epiglottitis
Question:
A 2-year-old with suspected epiglottitis arrives drooling, sitting upright, and
anxious. What is the nurse’s priority?
a. Obtain a throat culture immediately
b. Prepare for intubation
c. Administer oral fluids
d. Suction the oropharynx
Correct Answer: b. Prepare for intubation
Rationale: Epiglottitis is life-threatening. Airway maintenance is the
priority. Throat cultures and fluids may trigger obstruction.
Reference: Mayo Clinic – Epiglottitis
8.
Topic: Pediatric Nephrology – Nephrotic Syndrome
