HESI MATERNITY PEDIATRICS ACTUAL EXAM
PAPER 2026 QUESTIONS WITH SOLUTIONS
GRADED A+
◉ The parents of a gifted child note that their child has been showing
signs of rebellion and acting out. Which is one important thing to teach
the parents about gifted children?
A. They need boundaries like any other child
B. Intense emotions require an outlet
C. All discipline models approve physical aggression
D. Gifted children should be allowed to freely express themselves.
Answer: They need boundaries like any other child
Gifted children need discipline like any other child to feel loved and
safe. Punishment is appropriate for behavior that is unsafe or falls
outside set boundaries. Discipline appropriately applied does not lead to
physical aggression. Free expression does not mean overstepping the
boundaries of appropriate behavior.
,◉ The parent of an adolescent who is going to be a foreign exchange
student asks the nurse why the child must have a tetanus toxoid
immunization. The nurse provides which information?
A. lifelong passive immunity
B. Longer-lasting active immunity
C. Temporary active natural immunity
D. Temporary passive natural immunity. Answer: Long-lasting active
immunity
Toxoids are modified toxins that stimulate the body the body to form
antibodies that can last up to 10 years against the specific disease;
because the adolescent will be in a foreign country, the toxoid is given
prophylactically. The tetanus toxoid provides active, not passive,
immunity; all passive immunity is short acting. Only by having the
disease can someone gain natural immunity. Toxoids confer active, not
temporary passive, immunity.
◉ A young adolescent reports abdominal bloating, pelvic fullness,
menstrual cramps, and breast tenderness. Which is the primary
responsibility of the nurse?
A. Client education
B. Preparation for surgery
C. Medication administration
,D. Administration of IV fluids. Answer: Client education
female adolescents often experience premenstrual syndrome in their
lifetime.
◉ While counseling the parents of an adolescent with anemia related to
an inadequate diet, the nurse explains that several different nutrients,
including protein, iron, and vitamin B12, are involved. Which other
nutrient would the nurse include in the teaching?
A. Calcium
B. Thiamine
C. Folic acid
D. Riboflavin. Answer: Folic acid
Folic acid acts as a necessary coenzyme in the formation of heme, the
iron-containing protein in hemoglobin. Calcium is not involved in the
production of red blood cells. Thiamine is a coenzyme in carbohydrate
metabolism. Riboflavin is a control agent for energy production and
tissue formation.
◉ Which pathophysiological process would the nurse expect to account
for growth failure in a 4-year-old child with newly diagnosed cystic
fibrosis?
, A. Impaired digestion and absorption because of the lack of pancreatic
enzymes
B. Dyspnea and shortness of breath, which cause anorexia and
disinterest in food
C. Increased bowel motility and diarrhea, which lead to inadequate
absorption of nutrients
D. Pulmonary obstruction, which causes an oxygen deficit and
inadequate tissue nourishment. Answer: Impaired digestion and
absorption because of the lack of pancreatic enzymes
Obstruction of the pancreatic duct and the absence of enzymes (e.g.,
trypsin, amylase, and lipase) to aid fat digestion and absorption lead to
wasting of tissues and failure to thrive. Currently it is recommended that
children with cystic fibrosis consume 150% to 200% of the calories
recommended for their body weight. Despite dyspnea and shortness of
breath, these children have voracious appetites when feeling well; the
difficulty involves poor digestion and malabsorption of fats and fat-
soluble vitamins. Increased bowel motility and diarrhea are not
associated with cystic fibrosis. The pulmonary disease process leads to
localized respiratory dysfunction, not to retarded physical growth.
◉ An adolescent reports genital warts. Which suggestions would the
nurse provide to reduce the discomfort?
A. Try out cryotherapy if needed
B. Wear loose-fitted cotton clothes
C. Take a bath with oatmeal solution
PAPER 2026 QUESTIONS WITH SOLUTIONS
GRADED A+
◉ The parents of a gifted child note that their child has been showing
signs of rebellion and acting out. Which is one important thing to teach
the parents about gifted children?
A. They need boundaries like any other child
B. Intense emotions require an outlet
C. All discipline models approve physical aggression
D. Gifted children should be allowed to freely express themselves.
Answer: They need boundaries like any other child
Gifted children need discipline like any other child to feel loved and
safe. Punishment is appropriate for behavior that is unsafe or falls
outside set boundaries. Discipline appropriately applied does not lead to
physical aggression. Free expression does not mean overstepping the
boundaries of appropriate behavior.
,◉ The parent of an adolescent who is going to be a foreign exchange
student asks the nurse why the child must have a tetanus toxoid
immunization. The nurse provides which information?
A. lifelong passive immunity
B. Longer-lasting active immunity
C. Temporary active natural immunity
D. Temporary passive natural immunity. Answer: Long-lasting active
immunity
Toxoids are modified toxins that stimulate the body the body to form
antibodies that can last up to 10 years against the specific disease;
because the adolescent will be in a foreign country, the toxoid is given
prophylactically. The tetanus toxoid provides active, not passive,
immunity; all passive immunity is short acting. Only by having the
disease can someone gain natural immunity. Toxoids confer active, not
temporary passive, immunity.
◉ A young adolescent reports abdominal bloating, pelvic fullness,
menstrual cramps, and breast tenderness. Which is the primary
responsibility of the nurse?
A. Client education
B. Preparation for surgery
C. Medication administration
,D. Administration of IV fluids. Answer: Client education
female adolescents often experience premenstrual syndrome in their
lifetime.
◉ While counseling the parents of an adolescent with anemia related to
an inadequate diet, the nurse explains that several different nutrients,
including protein, iron, and vitamin B12, are involved. Which other
nutrient would the nurse include in the teaching?
A. Calcium
B. Thiamine
C. Folic acid
D. Riboflavin. Answer: Folic acid
Folic acid acts as a necessary coenzyme in the formation of heme, the
iron-containing protein in hemoglobin. Calcium is not involved in the
production of red blood cells. Thiamine is a coenzyme in carbohydrate
metabolism. Riboflavin is a control agent for energy production and
tissue formation.
◉ Which pathophysiological process would the nurse expect to account
for growth failure in a 4-year-old child with newly diagnosed cystic
fibrosis?
, A. Impaired digestion and absorption because of the lack of pancreatic
enzymes
B. Dyspnea and shortness of breath, which cause anorexia and
disinterest in food
C. Increased bowel motility and diarrhea, which lead to inadequate
absorption of nutrients
D. Pulmonary obstruction, which causes an oxygen deficit and
inadequate tissue nourishment. Answer: Impaired digestion and
absorption because of the lack of pancreatic enzymes
Obstruction of the pancreatic duct and the absence of enzymes (e.g.,
trypsin, amylase, and lipase) to aid fat digestion and absorption lead to
wasting of tissues and failure to thrive. Currently it is recommended that
children with cystic fibrosis consume 150% to 200% of the calories
recommended for their body weight. Despite dyspnea and shortness of
breath, these children have voracious appetites when feeling well; the
difficulty involves poor digestion and malabsorption of fats and fat-
soluble vitamins. Increased bowel motility and diarrhea are not
associated with cystic fibrosis. The pulmonary disease process leads to
localized respiratory dysfunction, not to retarded physical growth.
◉ An adolescent reports genital warts. Which suggestions would the
nurse provide to reduce the discomfort?
A. Try out cryotherapy if needed
B. Wear loose-fitted cotton clothes
C. Take a bath with oatmeal solution
