WITH SOLUTIONS | ALREADY GRADED A+ | 100% VERIFIED
Practical Nursing Pediatric Care | Key Domains: Growth & Development, Pediatric
Assessment, Common Pediatric Illnesses, Safety, Immunizations, Medication
Administration, Family-Centered Care, and Priority Interventions | Expert-Verified Format
& Structure | Exam-Ready
Introduction
This 2026 HESI PN Pediatric Nursing Exam Script format provides the full structural layout
for generating pediatric nursing exam content with verified correct answers. It emphasizes
safe, evidence-based pediatric care, clinical judgment, developmental considerations, and
priority nursing interventions. All exam content created under this format supports mastery
of pediatric nursing principles and high-level clinical reasoning.
Answer Format
All correct answers must appear in bold green, accompanied by concise rationales
explaining pediatric nursing priorities, clinical reasoning, and why alternative options are
less appropriate.
GROWTH & DEVELOPMENT (Questions 1–15)
1. A 6-month-old infant is expected to demonstrate which milestone?
a) Walks alone
b) Says 10 words
c) Sits with support
d) Throws a ball
Rationale: Sitting with support is a 6-month milestone; walking and speech occur later.
2. A 2-year-old child is admitted. Which toy is most appropriate?
a) Board game
b) Puzzle with 100 pieces
c) Push-pull toy
d) Reading a novel
Rationale: Toddlers enjoy gross motor activities like push-pull toys.
3. A 4-year-old is asked to draw a circle. What should the nurse expect?
a) Cannot draw
b) Draws a square
c) Draws a crude circle
d) Draws a triangle
Rationale: 4-year-olds can draw crude circles; squares appear around age 5.
4. According to Erikson, the developmental task for a toddler is:
a) Trust vs. mistrust
b) Initiative vs. guilt
c) Autonomy vs. shame and doubt
d) Industry vs. inferiority
Rationale: Toddlers (1–3 years) work on autonomy.
5. A 12-month-old is expected to weigh approximately:
a) 5 kg
, b) 7 kg
c) 10 kg (triple birth weight)
d) 15 kg
Rationale: Birth weight triples by 12 months.
6. A 3-year-old is hospitalized. Which behavior is expected?
a) Cooperative with procedures
b) No separation anxiety
c) Crying and clinging to parents
d) Understanding of illness
Rationale: Preschoolers fear separation; magical thinking is common.
7. A 5-year-old is asked to hop on one foot. What is the expected response?
a) Cannot hop
b) Falls immediately
c) Hops 2–3 times
d) Hops 10 times perfectly
Rationale: 5-year-olds can hop 2–3 times on one foot.
8. A 9-month-old is not sitting alone. What should the nurse do?
a) Reassure parents
b) Document as normal
c) Refer for developmental evaluation
d) Suggest more tummy time
Rationale: Sitting alone is expected by 8 months; delay needs evaluation.
9. A 15-year-old is admitted. According to Erikson, the task is:
a) Industry vs. inferiority
b) Initiative vs. guilt
c) Identity vs. role confusion
d) Intimacy vs. isolation
Rationale: Adolescents work on identity formation.
10. A 6-year-old is asked to define “friend.” What is expected?
a) “Someone who plays with me.”
b) “A person who shares my values.”
c) “Someone who plays with me.”
d) “A lifelong companion.”
Rationale: 6-year-olds have concrete definitions of friends.
11. A 18-month-old is admitted. Which toy is safest?
a) Marbles
b) Small Lego pieces
c) Large plastic blocks
d) Coins
Rationale: Toddlers mouth objects; large blocks prevent choking.
12. A 4-month-old is not smiling socially. What is the priority?
a) Reassure parents
b) Document as normal
c) Refer for developmental screening
d) Suggest more toys
Rationale: Social smile is expected by 2–3 months; absence needs follow-up.