PEDIATRIC HESI ACTUAL EXAM LATEST QUESTIONS
AND CORRECT DETAILED ANSWERS GRADED A+
2025/26
Norms for growth and development - CORRECT ANSWERS-Birth weight doubles by 6 months,
triples by yr
Peek a boo by 6 month
Sits upright without support by 8
pincher grip by 10-12
Hesi hint - CORRECT ANSWERS-Mobiles: infant
Puppets: toddler/preschool
Cars: preschool
Games: school age
Themselves: adolescent
Toddlers - CORRECT ANSWERS-2-3 word sentences at 2
Ritualistic
Preschool - CORRECT ANSWERS-Favorite word is why
Sentences of 5-8
School age - CORRECT ANSWERS-Each yr gains 4-6 lbs grows 2 inches
Socialization with peers very important
Immunization - CORRECT ANSWERS-Cold doesn't stop it unless > 99
Use acetaminophen orally
,After surgical repair of a cleft lip, an infant exhibits difficulty breathing. Which of the following measures
should the nurse institute first?
1. Raising the infant's head.
2. Turning the infant onto the abdomen.
3. Administering oxygen by mask.
4. Exerting downward pressure on the infant's chin. - CORRECT ANSWERS-4. After the repair
of a cleft lip, the infant must become accustomed to nasal breathing. If the infant is having difficulty
breathing, it would be best to open the mouth by exerting downward pressure on the chin.
What is appropriate to include in a teaching plan for a 9-year-old child who has had diabetes for several
years?
1. Beginning to recognize the signs and symptoms of hypoglycemia.
2. Learning to measure insulin accurately in a syringe.
3. Beginning to be able to self-administer injections with adult supervision.
4. Assuming responsibility for self care. - CORRECT ANSWERS-3.
A community health nurse has taught a parent in the clinic about the ages that children receive
immunizations and the reason why certain immunizations, such as the measles, mumps, rubella and
polio vaccines, are given at different times. The nurse should judge the teaching as successful when she
overhears this parent tell another parent:
2. My 6-month-old child will have to wait for the MMR vaccine.
2. My child has a cold and will have to wait 2 weeks to receive immunizations.
3. Children must wait 2 months between the MMR and polio vaccines.
4. Children receive their MMR vaccine and then have to wait 1 month for the tuberculin skin test. -
CORRECT ANSWERS-1.
Two adolescents come to the school nurse's office to talk about their friend. They are concerned
because he seems to be using several different drugs. One of the adolescents asks how he would be able
to tell if his friend was using cocaine. The nurse replies:
1. His eyes would be red and bloodshot.
2. His pupils would be large.
3. His pupils would be constricted to to pinpoints.
,4. His eyes would look tired. - CORRECT ANSWERS-2. Cocaine use causes pupils to dilate.
For a child receiving steroids in therapeutic doses over a long period, the nurse should:
1. Monitor the child's serum glucose level.
2. Decrease the child's ingestion of potassium-rich foods.
3. Give the drug on an empty stomach.
4. Monitor the child's temperature to asses for infection. - CORRECT ANSWERS-1. Steroid use
tends to elevate glucose levels. The child should be monitored for increases.
Age groups concepts of bodily injury - CORRECT ANSWERS-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? - CORRECT
ANSWERS-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 - CORRECT ANSWERS-Newborn: 14 to 24 g/dl
Infant: 10 to 15 g/dl
Child: 11 to 16 g/dl
Autosomal recessive - CORRECT ANSWERS-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 - CORRECT ANSWERS-Answer 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 bicycleriding. 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 - CORRECT ANSWERS-Answer 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 - CORRECT ANSWERS-Answer
C
In autosomal recessive traits, both parents are carriers. There is a 25% chance with each pregnancy that
a child will have the disease.
AND CORRECT DETAILED ANSWERS GRADED A+
2025/26
Norms for growth and development - CORRECT ANSWERS-Birth weight doubles by 6 months,
triples by yr
Peek a boo by 6 month
Sits upright without support by 8
pincher grip by 10-12
Hesi hint - CORRECT ANSWERS-Mobiles: infant
Puppets: toddler/preschool
Cars: preschool
Games: school age
Themselves: adolescent
Toddlers - CORRECT ANSWERS-2-3 word sentences at 2
Ritualistic
Preschool - CORRECT ANSWERS-Favorite word is why
Sentences of 5-8
School age - CORRECT ANSWERS-Each yr gains 4-6 lbs grows 2 inches
Socialization with peers very important
Immunization - CORRECT ANSWERS-Cold doesn't stop it unless > 99
Use acetaminophen orally
,After surgical repair of a cleft lip, an infant exhibits difficulty breathing. Which of the following measures
should the nurse institute first?
1. Raising the infant's head.
2. Turning the infant onto the abdomen.
3. Administering oxygen by mask.
4. Exerting downward pressure on the infant's chin. - CORRECT ANSWERS-4. After the repair
of a cleft lip, the infant must become accustomed to nasal breathing. If the infant is having difficulty
breathing, it would be best to open the mouth by exerting downward pressure on the chin.
What is appropriate to include in a teaching plan for a 9-year-old child who has had diabetes for several
years?
1. Beginning to recognize the signs and symptoms of hypoglycemia.
2. Learning to measure insulin accurately in a syringe.
3. Beginning to be able to self-administer injections with adult supervision.
4. Assuming responsibility for self care. - CORRECT ANSWERS-3.
A community health nurse has taught a parent in the clinic about the ages that children receive
immunizations and the reason why certain immunizations, such as the measles, mumps, rubella and
polio vaccines, are given at different times. The nurse should judge the teaching as successful when she
overhears this parent tell another parent:
2. My 6-month-old child will have to wait for the MMR vaccine.
2. My child has a cold and will have to wait 2 weeks to receive immunizations.
3. Children must wait 2 months between the MMR and polio vaccines.
4. Children receive their MMR vaccine and then have to wait 1 month for the tuberculin skin test. -
CORRECT ANSWERS-1.
Two adolescents come to the school nurse's office to talk about their friend. They are concerned
because he seems to be using several different drugs. One of the adolescents asks how he would be able
to tell if his friend was using cocaine. The nurse replies:
1. His eyes would be red and bloodshot.
2. His pupils would be large.
3. His pupils would be constricted to to pinpoints.
,4. His eyes would look tired. - CORRECT ANSWERS-2. Cocaine use causes pupils to dilate.
For a child receiving steroids in therapeutic doses over a long period, the nurse should:
1. Monitor the child's serum glucose level.
2. Decrease the child's ingestion of potassium-rich foods.
3. Give the drug on an empty stomach.
4. Monitor the child's temperature to asses for infection. - CORRECT ANSWERS-1. Steroid use
tends to elevate glucose levels. The child should be monitored for increases.
Age groups concepts of bodily injury - CORRECT ANSWERS-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? - CORRECT
ANSWERS-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 - CORRECT ANSWERS-Newborn: 14 to 24 g/dl
Infant: 10 to 15 g/dl
Child: 11 to 16 g/dl
Autosomal recessive - CORRECT ANSWERS-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 - CORRECT ANSWERS-Answer 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 bicycleriding. 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 - CORRECT ANSWERS-Answer 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 - CORRECT ANSWERS-Answer
C
In autosomal recessive traits, both parents are carriers. There is a 25% chance with each pregnancy that
a child will have the disease.
