HESI Review: Pediatrics Exam Preparation
HESI REVIEW: PEDIATRICS EXAM PREPARATION FOR
2025/2026 COMPLETE 200 QUESTIONS AND CORRECT
ANSWERS |ALREADY GRADED A+||BRAND NEW!!
A hospitalized 16-year-old male refuses all visits from his classmates because he is
concerned about his distorted appearance. To increase the client's social
interaction, what intervention is best for the nurse to initiate?
A. Encourage the client to use a hand-held video game that is popular with all his
friends.
B. Assign a 25-year-old female nursing student to offer support to the client.
C. Arrange for an Internet connection in the client's room for email
communication.
D. Encourage the client's mother to arrange a surprise get together in the
cafeteria.
C. Arrange for an Internet connection in the client's room for email
communication. - Body image and peer acceptance are key concerns for the
adolescent. (C) allows for social interaction without face to face contact, thus
protecting his self-image while also promoting social interaction. (A) does not
promote social interaction. (B) does not encourage interaction with his own peer
group, which is of greater importance. (D) does not respect the client's concern
about his body image.
The nurse is assessing the neurovascular status of a child in Russell's traction.
Which finding should the nurse report to the healthcare provider?
A. Pale bluish coloration of the toes.
B. Skin is warm and dry to the touch.
Toes are wiggled upon command.
Capillary refill less than 3 seconds.
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, HESI Review: Pediatrics Exam Preparation
A. Pale bluish coloration of the toes
Russell's skin traction is used for fractures of the femur in young children and
adolescents whose growth plates remain open and is applied to the lower leg
using moleskin and elastic wrap bandages, which can compress the peroneal
nerve and arteries that supply the foot. Assessment of adequare circulation,
movement, and sensation of the toes and skin distal to the application is made to
identify compromised blood flow, so cyanosis (A) should be reported immediately.
(B, C and D) are normal findings.
Which class of antiinfective drugs is contraindicated for use in children under 8
years of age?
A. Aminoglycosides.
B. Tetracyclines.
C. Penicillins.
D. Quinolones.
B. Tetracyclines
Tetracyclines (B) cause enamel hypoplasia and tooth discoloration in children
under 8 years of age. (A, C, and D) are not contraindicated for use in children.
The nurse is assessing an 8-month-old child who has a medical diagnosis of
Tetrology of Fallot. Which symptom is this client most likely to exhibit?
A. Bradycardia.
B. Machinery murmur.
C. Weak pedal pulses.
D. Clubbed fingers.
D. Clubbed fingers. - Tetrology of Fallot, a cyanotic heart defect, causes clubbing of
fingers and toes (D) due to tissue hypoxia. Tachycardia, not (A), is a manifestation
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, HESI Review: Pediatrics Exam Preparation
of congenital heart disease. (B) is a classic sign of ventricular septal defect. (C) is
characteristic of coarctation of the aorta.
A nurse provides the parents with information on health maintenance for their
child with sickle cell disease. Which information reflected by the parents indicates
understanding of the child's care?
A. Daily iron supplements should be given.
B. Plenty of fluids should be consumed daily.
C. Immunizations should be delayed for a few years.
D. Protective equipment should be worn for contact sports.
B. Plenty of fluids should be consumed daily. - Adequate fluid intake (B) decreases
the viscosity of the blood which affects the incidence of vasocclusive crisis. (A and
D) are not commonly indicated for a child with sickle cell disease. A routine
immunization schedule (C) is recommended for a children with SCD because of
their increased susceptibility to infection that predisposes to sickling phenomena.
When assessing a child with asthma, the nurse should expect intercostal
retractions during:
A. inspiration.
B. coughing.
C. apneic episodes.
D. expiration.
A. inspiration - Intercostals retractions result fr. respiratory effort to draw air into
restricted airways
A 3-year-old client with sickle cell anemia is admitted to the Emergency
Department with abdominal pain. The nurse palpates an enlarged liver, an x-ray
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, HESI Review: Pediatrics Exam Preparation
reveals an enlarged spleen, and a CBC reveals anemia. These findings indicate
which type of crisis?
A. Aplastic.
B. Sequestration.
C. Hyperhemolytic.
D. Vaso-occlusive.
B. Sequestration - The findings support a sequestration crisis (B), where blood
pools in the spleen, and is characterized by abdominal pain and anemia. (A and C)
crises produce anemia but no abdominal pain or splenic enlargement. (D) crisis
may produce abdominal pain, but no splenic enlargement or exacerbation of
anemia.
A female teenager is taking oral tetracycline HCL (Achromycin V) for acne vulgaris.
What is the most important instruction for the nurse to include in this client's
teaching plan?
A. Use sunscreen when lying by the pool.
B. Cleanse the skin at least 4 times a day.
C. Take the medication with a glass of milk.
D. Menstrual periods may become irregular.
A. Use sunscreen when lying by the pool
Photosensitivity is a common side effect of tetracycline HCL (Achromycin V)
therapy. Severe sunburn can occur with minimal sun exposure and clients should
be instructed to avoid sunlight and to use sunscreen (A). (B and D) are not related
to tetracycline HCL (Achromycin V) therapy. (C) should be avoided because dairy
products interfere with the absorption of tetracyclines.
The nurse is giving a liquid iron preparation to a 3-year-old child. Which technique
should the nurse implement to engage the child's cooperation?
4|Page
HESI REVIEW: PEDIATRICS EXAM PREPARATION FOR
2025/2026 COMPLETE 200 QUESTIONS AND CORRECT
ANSWERS |ALREADY GRADED A+||BRAND NEW!!
A hospitalized 16-year-old male refuses all visits from his classmates because he is
concerned about his distorted appearance. To increase the client's social
interaction, what intervention is best for the nurse to initiate?
A. Encourage the client to use a hand-held video game that is popular with all his
friends.
B. Assign a 25-year-old female nursing student to offer support to the client.
C. Arrange for an Internet connection in the client's room for email
communication.
D. Encourage the client's mother to arrange a surprise get together in the
cafeteria.
C. Arrange for an Internet connection in the client's room for email
communication. - Body image and peer acceptance are key concerns for the
adolescent. (C) allows for social interaction without face to face contact, thus
protecting his self-image while also promoting social interaction. (A) does not
promote social interaction. (B) does not encourage interaction with his own peer
group, which is of greater importance. (D) does not respect the client's concern
about his body image.
The nurse is assessing the neurovascular status of a child in Russell's traction.
Which finding should the nurse report to the healthcare provider?
A. Pale bluish coloration of the toes.
B. Skin is warm and dry to the touch.
Toes are wiggled upon command.
Capillary refill less than 3 seconds.
1|Page
, HESI Review: Pediatrics Exam Preparation
A. Pale bluish coloration of the toes
Russell's skin traction is used for fractures of the femur in young children and
adolescents whose growth plates remain open and is applied to the lower leg
using moleskin and elastic wrap bandages, which can compress the peroneal
nerve and arteries that supply the foot. Assessment of adequare circulation,
movement, and sensation of the toes and skin distal to the application is made to
identify compromised blood flow, so cyanosis (A) should be reported immediately.
(B, C and D) are normal findings.
Which class of antiinfective drugs is contraindicated for use in children under 8
years of age?
A. Aminoglycosides.
B. Tetracyclines.
C. Penicillins.
D. Quinolones.
B. Tetracyclines
Tetracyclines (B) cause enamel hypoplasia and tooth discoloration in children
under 8 years of age. (A, C, and D) are not contraindicated for use in children.
The nurse is assessing an 8-month-old child who has a medical diagnosis of
Tetrology of Fallot. Which symptom is this client most likely to exhibit?
A. Bradycardia.
B. Machinery murmur.
C. Weak pedal pulses.
D. Clubbed fingers.
D. Clubbed fingers. - Tetrology of Fallot, a cyanotic heart defect, causes clubbing of
fingers and toes (D) due to tissue hypoxia. Tachycardia, not (A), is a manifestation
2|Page
, HESI Review: Pediatrics Exam Preparation
of congenital heart disease. (B) is a classic sign of ventricular septal defect. (C) is
characteristic of coarctation of the aorta.
A nurse provides the parents with information on health maintenance for their
child with sickle cell disease. Which information reflected by the parents indicates
understanding of the child's care?
A. Daily iron supplements should be given.
B. Plenty of fluids should be consumed daily.
C. Immunizations should be delayed for a few years.
D. Protective equipment should be worn for contact sports.
B. Plenty of fluids should be consumed daily. - Adequate fluid intake (B) decreases
the viscosity of the blood which affects the incidence of vasocclusive crisis. (A and
D) are not commonly indicated for a child with sickle cell disease. A routine
immunization schedule (C) is recommended for a children with SCD because of
their increased susceptibility to infection that predisposes to sickling phenomena.
When assessing a child with asthma, the nurse should expect intercostal
retractions during:
A. inspiration.
B. coughing.
C. apneic episodes.
D. expiration.
A. inspiration - Intercostals retractions result fr. respiratory effort to draw air into
restricted airways
A 3-year-old client with sickle cell anemia is admitted to the Emergency
Department with abdominal pain. The nurse palpates an enlarged liver, an x-ray
3|Page
, HESI Review: Pediatrics Exam Preparation
reveals an enlarged spleen, and a CBC reveals anemia. These findings indicate
which type of crisis?
A. Aplastic.
B. Sequestration.
C. Hyperhemolytic.
D. Vaso-occlusive.
B. Sequestration - The findings support a sequestration crisis (B), where blood
pools in the spleen, and is characterized by abdominal pain and anemia. (A and C)
crises produce anemia but no abdominal pain or splenic enlargement. (D) crisis
may produce abdominal pain, but no splenic enlargement or exacerbation of
anemia.
A female teenager is taking oral tetracycline HCL (Achromycin V) for acne vulgaris.
What is the most important instruction for the nurse to include in this client's
teaching plan?
A. Use sunscreen when lying by the pool.
B. Cleanse the skin at least 4 times a day.
C. Take the medication with a glass of milk.
D. Menstrual periods may become irregular.
A. Use sunscreen when lying by the pool
Photosensitivity is a common side effect of tetracycline HCL (Achromycin V)
therapy. Severe sunburn can occur with minimal sun exposure and clients should
be instructed to avoid sunlight and to use sunscreen (A). (B and D) are not related
to tetracycline HCL (Achromycin V) therapy. (C) should be avoided because dairy
products interfere with the absorption of tetracyclines.
The nurse is giving a liquid iron preparation to a 3-year-old child. Which technique
should the nurse implement to engage the child's cooperation?
4|Page
