Exam
HESI Pediatrics Exam 1 (2026) | RN Pediatric
Exam Prep | NGN Nursing Questions (Pdf)
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Which action by the nurse is most helpful in communicating with a preschool-
aged child?
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, HESI Pediatrics Exam (2026) | RN Pediatric
Exam
A. speak clearly and directly to the child
B. use a doll to play and communicate
C. approach when a parent is not present
D. play a board game with the child.
- Correct Answer :B. use a doll to play and communicate
Communicating through play with a doll or other toy gives time for the child to
feel comfortable with a stranger. (A) may frighten some children and is usually
not as effective as (B). to provide security and comfort, preschool aged children
should be approached when a parent is present. (D) is too advanced for a
preschooler.
The nurse is having difficulty communicating with a hospitalized 6 year old child.
Which approach by the nurse is the most helpful in establishing communication?
A. engage the child through drawing pictures
B. suggest that the parent read a book to the child
C. provide paper and pencil for the child to keep a diary
D. ask the parent if the child is always uncommunicable –
Correct Answer :A. engage the child through drawing pictures
Drawing pictures is a valuable form of non-verbal communication. As the nurse
and child look at the drawings, a verbal story can be told that projects the child's
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Exam
thinking. (B) may distract the child, but does not establish communication with
the nurse. (C) is useful for an older child who is able to read and write. (D) is
important, but engaging the child is more effective in establishing
communication patterns.
A child falls on the playground and is brought to the school nurse with a small
laceration on the forearm. Which action should the nurse implement first?
A. slowly pour hydrogen peroxide over the open wound
B. apply ice to the area before rinsing with cold water
C. wash the wound gently with mild soap and water
D. gently cleanse with a sterile pad using povidone-iodine
- Correct Answer :C. wash the wound gently with mild soap and water
A small superficial laceration to the skin should be washed gently with mild soap
and water for several minutes, followed by thorough rinsing. (A and D) are
antiseptics that can be traumatic (painful) when cleaning fresh, open wounds.
Applying ice may reduce or prevent further edema, but the wound should be
washed with mild soap and water first.
A 6 year old is admitted to the pediatric unit after falling off a bicycle. Which
intervention should the nurse implement to assist the child's adjustment to
hospitalization?
A. explain hospital schedules to the child, such as mealtimes.
B. use terms, such as "honey" and "dear" to show a caring attitude.
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, HESI Pediatrics Exam (2026) | RN Pediatric
Exam
C. provide a list of rules that limits visitation of siblings in the hospital
D. orient the parents to the hospital unit and refreshment areas. –
Correct Answer :A. explain hospital schedules to the child, such as mealtimes.
Altered daily schedules and loss of rituals are upsetting to children and increase
separation anxiety, and active sensitivity to the needs of children can minimize
the negative effects of hospitalization. Explaining the hospital schedules and
establishing an individual schedule familiarizes the child to the hospital
environment and decreases anxiety. (B) depersonalizes the child who should be
addressed by name. Family and sibling visitation should be recommended and
encouraged without limitation. Although (D) should be implemented, the direct
involvement of the school-aged child incorporates the child's sense of initiate
and cooperation.
A 16 year old is brought to the emergency department with a crushed leg after
falling off a horse. the adolescent's last tetanus toxoid booster was received
eight year ago. What action should the nurse take?
A. dispense a tetanus antitoxin
B. prepare human tetanus immune globulin
C. administer tetanus toxoid booster
D. delay the tetanus toxoid booster until due –
Correct Answer :C. administer tetanus toxoid booster
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