HESI PEDIATRICS EXAM TESTBANK
WITH QUESTIONS AND CORRECT
ANSWERS|||LATEST EXAM UPDATE
(2025-2026)) ||DOWNLOAD IT NOW!!!!
Norms for growth and development -CORRECTANSWER Birth weight doubles by 6
months, triples by yr.
Peek a boo by 6 months
Sits upright without support by 8
pincher grip by 10-12
Hesi hint -CORRECTANSWER Mobiles: infant
Puppets: toddler/preschool
Cars: preschool
Games: school age
Themselves: adolescent
Toddlers -CORRECTANSWER 2-3-word sentences at 2
Ritualistic
Preschool -CORRECTANSWER Favorite word is why
Sentences of 5-8
School age -CORRECTANSWER Each yr. gains 4-6 lbs. grows 2 inches
Socialization with peers very important
Immunization -CORRECTANSWER Cold doesn't stop it unless > 99
Use acetaminophen orally
Cystic fibrosis -CORRECTANSWER Autosomal recessive
Absence of pancreatic enzymes
Greasy stool
Chronic pulmonary infections
High sweat test
Pancreatic enzymes with meals
Digoxin therapy in kids -CORRECTANSWER Hold infants <100, kids <80
Don't skip or make up dose
Give 1-2 hrs. before meals
S/s over dose: vomiting, diarrhea, muscle weakness, drowsiness
Vent septal defect -CORRECTANSWER Abnormal opening between ventricles
,Acyanotic
Atrial septal defect -CORRECTANSWER Opening in atria
Acyanotic
Patent ductus arteriosa -CORRECTANSWER Hole between aorta and pulmonary artery
Acyanototic
So are coarctation of aorta and aortic stenosis
Cyanotic heart defects -CORRECTANSWER Tetralogy of Fallot: 4 defects
Transposition of the great vessels: everything is criss crossed
Truncus arteriosa: single great vessel instead of 2
Rheumatic fever -CORRECTANSWER Most common cause of acquired heart disease
Affects connective tissue, sore throat than fever
Lots of rest, home school
Resp distress infants -CORRECTANSWER Increase
axillary muscles for breathing
Restlessness
Nasal flaring
Tripod
Grunting
Cyanotic
Resp failure infants -CORRECTANSWER Brady
Deceased err
Apneic
Deceased loc
Grunting
Deceased breath sounds
When does birth length double? -CORRECTANSWER by 4 years
When does the child sit unsupported? -CORRECTANSWER 8 months
When does a child achieve 50% of adult height? -CORRECTANSWER 2 years
When does a child throw a ball overhand? -CORRECTANSWER 18 months
When does a child speak 2-3-word sentences? -CORRECTANSWER 2 Years
Age groups concepts of bodily injury -CORRECTANSWER Infants: After 6 months, their
cognitive development allows them to remember pain.
Toddlers: Fear intrusive procedures.
Preschoolers: Fear body mutilation.
,School age: Fear loss of control of their body.
Adolescent: Major concern is change in body image.
Following immunization, what teaching should the nurse provide to the parents? -
CORRECTANSWER Irritability, fever (<102 degrees F), redness and soreness at
injection site for 2-3days are normal side effects of DPT and IPV administration. Call
healthcare provider if seizures, high fever, or high -pitched crying occur. A warm
washcloth on the thigh injection site and "bicycling" the legs w/each diaper change will
decrease soreness. Acetaminophen (Tylenol) is administered orally every 4-6 hours
(10-15 mg/Kg)
Hgb norms -CORRECTANSWER Newborn: 14 to 24 g/dl
Infant: 10 to 15 g/dl
Child: 11 to 16 g/dl
Autosomal recessive -CORRECTANSWER Both parents must be heterozygous, or
carriers of the recessive trait, for the disease to be expressed in their offspring. With
each pregnancy, there is a 1:4 chance of the infant having the disease. However, all
children of such parents CAN get the disease - NOT 25% of them.
A child with leukemia is being discharged after beginning chemotherapy. Which of the
following instructions will the nurse include when teaching the parents of this child?
a) provide a diet low in protein and high carbohydrates
b) avoid fresh vegetables that are not cooked or peeled
c) notify the doctor if the child's temperature exceeds 101 F (39C)
d) increase the use of humidifiers throughout the house -CORRECTANSWER
CORRECTANSWER B
fresh fruits and vegetables harbor microorganisms, which can cause infections in
immune-compromised child. Fruits and vegetables should either be peeled or cooked.
The physician should be notified of a temperature above 100F, a diet low in protein is
not indicated, and humidifiers harbor fungi in the water containers.
A client with hemophilia has a very swollen knee after falling from bicycle riding. Which
of the following is the first nursing action?
a) initiate an IV site to begin administration of cryoprecipitate
b) type and cross-match for possible transfusion
c) monitor the client's vital signs for the first 5 minutes
d) apply ice pack and compression dressings to the knee -CORRECTANSWER
CORRECTANSWER D
rest, ice, compression, and elevation (RICE)are the immediate treatments to reduce the
swelling and bleeding into the joint. These are the priority actions for bleeding into the
joint of a client with hemophilia
A client and her husband are positive for the sickle cell trait. The client asks the nurse
about chances of her children having sickle cell disease. Which of the following is
appropriate response by the nurse?
, a) one of her children will have sickle cell disease
b) only the male children will be affected
c) each pregnancy carries a 25% chance of the child being affected
d) if she had four children, one of them would have the disease -CORRECTANSWER
CORRECTANSWER C
In autosomal recessive traits, both parents are carriers. There is a 25% chance with
each pregnancy that a child will have the disease.
An 8-year-old child has been diagnosed to have iron deficiency anemia. Which of the
following activities is most appropriate for the child to decrease oxygen demands on the
body?
a) Dancing
b) playing video games
c) reading a book
d) riding a bicycle -CORRECTANSWER CORRECTANSWER C
reading a book is restful activity and can keep the child from becoming bored. Choices
a, b, and d require too much energy for a child with anemia and can increase oxygen
demands on the body.
A 16-month-old child diagnosed with Kawasaki Disease (KD) is very irritable, refuses to
eat, and exhibits peeling skin on the hands and feet. Which of the following would the
nurse interpret as the priority?
a) applying lotions to the hands and feet
b) offering foods, the toddler likes
c) placing the toddler in a quiet environment
d) encouraging the parents to get some rest -CORRECTANSWER
CORRECTANSWER C
One of the characteristics of children with KD is irritability. They are often inconsolable.
Placing the child in a quiet environment may help quiet the child and reduce the
workload of the heart. The child's irritability takes priority over peeling of the skin.
A newborn's failure to pass meconium within the first 24 hours after birth may indicate
which of the following?
a. Hirschsprung disease
b. Celiac disease
c. Intussusception
d. Abdominal wall defect -CORRECTANSWER CORRECTANSWER A
Failure to pass meconium within the first 24 hours after birth may be an indication of
Hirschsprung disease, a congenital anomaly resulting in mechanical obstruction due to
inadequate motility in an intestinal segment. Failure to pass meconium is not associated
with celiac disease, intussusception, or abdominal wall defect.
Which of the following should the nurse do first after noting that a child with
Hirschsprung disease has a fever and watery explosive diarrhea?
WITH QUESTIONS AND CORRECT
ANSWERS|||LATEST EXAM UPDATE
(2025-2026)) ||DOWNLOAD IT NOW!!!!
Norms for growth and development -CORRECTANSWER Birth weight doubles by 6
months, triples by yr.
Peek a boo by 6 months
Sits upright without support by 8
pincher grip by 10-12
Hesi hint -CORRECTANSWER Mobiles: infant
Puppets: toddler/preschool
Cars: preschool
Games: school age
Themselves: adolescent
Toddlers -CORRECTANSWER 2-3-word sentences at 2
Ritualistic
Preschool -CORRECTANSWER Favorite word is why
Sentences of 5-8
School age -CORRECTANSWER Each yr. gains 4-6 lbs. grows 2 inches
Socialization with peers very important
Immunization -CORRECTANSWER Cold doesn't stop it unless > 99
Use acetaminophen orally
Cystic fibrosis -CORRECTANSWER Autosomal recessive
Absence of pancreatic enzymes
Greasy stool
Chronic pulmonary infections
High sweat test
Pancreatic enzymes with meals
Digoxin therapy in kids -CORRECTANSWER Hold infants <100, kids <80
Don't skip or make up dose
Give 1-2 hrs. before meals
S/s over dose: vomiting, diarrhea, muscle weakness, drowsiness
Vent septal defect -CORRECTANSWER Abnormal opening between ventricles
,Acyanotic
Atrial septal defect -CORRECTANSWER Opening in atria
Acyanotic
Patent ductus arteriosa -CORRECTANSWER Hole between aorta and pulmonary artery
Acyanototic
So are coarctation of aorta and aortic stenosis
Cyanotic heart defects -CORRECTANSWER Tetralogy of Fallot: 4 defects
Transposition of the great vessels: everything is criss crossed
Truncus arteriosa: single great vessel instead of 2
Rheumatic fever -CORRECTANSWER Most common cause of acquired heart disease
Affects connective tissue, sore throat than fever
Lots of rest, home school
Resp distress infants -CORRECTANSWER Increase
axillary muscles for breathing
Restlessness
Nasal flaring
Tripod
Grunting
Cyanotic
Resp failure infants -CORRECTANSWER Brady
Deceased err
Apneic
Deceased loc
Grunting
Deceased breath sounds
When does birth length double? -CORRECTANSWER by 4 years
When does the child sit unsupported? -CORRECTANSWER 8 months
When does a child achieve 50% of adult height? -CORRECTANSWER 2 years
When does a child throw a ball overhand? -CORRECTANSWER 18 months
When does a child speak 2-3-word sentences? -CORRECTANSWER 2 Years
Age groups concepts of bodily injury -CORRECTANSWER Infants: After 6 months, their
cognitive development allows them to remember pain.
Toddlers: Fear intrusive procedures.
Preschoolers: Fear body mutilation.
,School age: Fear loss of control of their body.
Adolescent: Major concern is change in body image.
Following immunization, what teaching should the nurse provide to the parents? -
CORRECTANSWER Irritability, fever (<102 degrees F), redness and soreness at
injection site for 2-3days are normal side effects of DPT and IPV administration. Call
healthcare provider if seizures, high fever, or high -pitched crying occur. A warm
washcloth on the thigh injection site and "bicycling" the legs w/each diaper change will
decrease soreness. Acetaminophen (Tylenol) is administered orally every 4-6 hours
(10-15 mg/Kg)
Hgb norms -CORRECTANSWER Newborn: 14 to 24 g/dl
Infant: 10 to 15 g/dl
Child: 11 to 16 g/dl
Autosomal recessive -CORRECTANSWER Both parents must be heterozygous, or
carriers of the recessive trait, for the disease to be expressed in their offspring. With
each pregnancy, there is a 1:4 chance of the infant having the disease. However, all
children of such parents CAN get the disease - NOT 25% of them.
A child with leukemia is being discharged after beginning chemotherapy. Which of the
following instructions will the nurse include when teaching the parents of this child?
a) provide a diet low in protein and high carbohydrates
b) avoid fresh vegetables that are not cooked or peeled
c) notify the doctor if the child's temperature exceeds 101 F (39C)
d) increase the use of humidifiers throughout the house -CORRECTANSWER
CORRECTANSWER B
fresh fruits and vegetables harbor microorganisms, which can cause infections in
immune-compromised child. Fruits and vegetables should either be peeled or cooked.
The physician should be notified of a temperature above 100F, a diet low in protein is
not indicated, and humidifiers harbor fungi in the water containers.
A client with hemophilia has a very swollen knee after falling from bicycle riding. Which
of the following is the first nursing action?
a) initiate an IV site to begin administration of cryoprecipitate
b) type and cross-match for possible transfusion
c) monitor the client's vital signs for the first 5 minutes
d) apply ice pack and compression dressings to the knee -CORRECTANSWER
CORRECTANSWER D
rest, ice, compression, and elevation (RICE)are the immediate treatments to reduce the
swelling and bleeding into the joint. These are the priority actions for bleeding into the
joint of a client with hemophilia
A client and her husband are positive for the sickle cell trait. The client asks the nurse
about chances of her children having sickle cell disease. Which of the following is
appropriate response by the nurse?
, a) one of her children will have sickle cell disease
b) only the male children will be affected
c) each pregnancy carries a 25% chance of the child being affected
d) if she had four children, one of them would have the disease -CORRECTANSWER
CORRECTANSWER C
In autosomal recessive traits, both parents are carriers. There is a 25% chance with
each pregnancy that a child will have the disease.
An 8-year-old child has been diagnosed to have iron deficiency anemia. Which of the
following activities is most appropriate for the child to decrease oxygen demands on the
body?
a) Dancing
b) playing video games
c) reading a book
d) riding a bicycle -CORRECTANSWER CORRECTANSWER C
reading a book is restful activity and can keep the child from becoming bored. Choices
a, b, and d require too much energy for a child with anemia and can increase oxygen
demands on the body.
A 16-month-old child diagnosed with Kawasaki Disease (KD) is very irritable, refuses to
eat, and exhibits peeling skin on the hands and feet. Which of the following would the
nurse interpret as the priority?
a) applying lotions to the hands and feet
b) offering foods, the toddler likes
c) placing the toddler in a quiet environment
d) encouraging the parents to get some rest -CORRECTANSWER
CORRECTANSWER C
One of the characteristics of children with KD is irritability. They are often inconsolable.
Placing the child in a quiet environment may help quiet the child and reduce the
workload of the heart. The child's irritability takes priority over peeling of the skin.
A newborn's failure to pass meconium within the first 24 hours after birth may indicate
which of the following?
a. Hirschsprung disease
b. Celiac disease
c. Intussusception
d. Abdominal wall defect -CORRECTANSWER CORRECTANSWER A
Failure to pass meconium within the first 24 hours after birth may be an indication of
Hirschsprung disease, a congenital anomaly resulting in mechanical obstruction due to
inadequate motility in an intestinal segment. Failure to pass meconium is not associated
with celiac disease, intussusception, or abdominal wall defect.
Which of the following should the nurse do first after noting that a child with
Hirschsprung disease has a fever and watery explosive diarrhea?
