HESI Pediatrics Exam (2026) | RN Pediatric
Exam
HESI Pediatrics Exam 2026 FINAL | RN
Pediatric Exam Prep | NGN Nursing Questions
(Pdf)
Questions and Revised Correct Answers, 100%
Guarantee Pass GRADED A+
A child who is admitted with acute abdominal pain and possible appendicitis. Which action
should the practical nurse (PN) implement for the child's abdominal discomfort?
a) assist the child to any position of comfort.
b) give a saline enema to cleanse the bowel
A+ TEST BANK 1
, HESI Pediatrics Exam (2026) | RN Pediatric
Exam
c) lay a heating pad on the abdomen
d) place the bed in trendelenburg
Answer: A
Rationale:
Abdominal pain is a common childhood complaint, but this child should be assisted to any
position of comfort (A) that relieves the pain. (B and D) are contraindicated with possible
appendicitis and increase the risk of ruptured appendix. If the appendix should rupture, (C)
increases the spread of the infection.
A child is admitted for observation following a closed head injury. Which assessment is most
essential for the practical nues (PN) to monitor for an early sign of a worsening condition?
a) level of consciousness
b) posturing
c) focal neurologic signs
d) vital signs
Answer: A
Rationale:
Following a head injury, determining a change in the child's LOC (A) provides the first
indication that a progression of the injury is possible. (C) is a symptom of advanced neurologic
insult. Alterations in consciousness appear earlier than alterations of (B and D).
A+ TEST BANK 2
, HESI Pediatrics Exam (2026) | RN Pediatric
Exam
A 3 year old boy with cerebral palsy (CP) has difficulty swallowing, cannot hold a utensil, and is
slightly underweight for his height. Which action should the practical nurse implement when
feeding this child?
a) put the child in a well-supported semi-reclining position
b) offer a specialized formula per tube feeding
c) place the child in a sitting position with the neck hyperextended
d) stabilize the child's jaw with the caregiver's hand
Answer: D
Rationale:
A child with CP should be fed in an upright, eating position, and manual stability of the oral
mechanisms during swallowing should be provided to minimize the risk of aspiration. Hold the
child's jaw (D) from the side or front of the face assists with head control, correction of the
neck and trunk hyperextension, and jaw stabilization. (A, B, and C) are not indicated.
Which of Freud's psychosexual development stages occurs during a toddler's growth and
development?
a) anal
b) oral
c) genital
d) phallic
Answer: A
Rationale:
According to Freud's theory, the anal stage (A_, 1-3 years of age, focuses on toilet training and
learning to delay immediate gratification. Oral gratification(B) occurs from birth to one year of
A+ TEST BANK 3
, HESI Pediatrics Exam (2026) | RN Pediatric
Exam
age. (C) The stage of genital awareness & exploration. (D) The stage of sexual identity and
expression in adolescence.
Using Freud's theory, the practical nurse should expect a 2 year old boy to demonstrate the
behaviors of which stage?
a) phallic
b) anal
c) latency
d) oral
Answer: B
Rationale:
The anal phase (B) defines the behaviors of a toddler, ages 1-3 years, who begins to develop
sphincter control and the ability to control the release of feces. Success in this stage results in
a sense of autonomy. The oral phase (D), ages birth to 1 year, is the stage of learning to relate
to others without excessive jealously, dependency, and the development of trust and sense
of self-reliance. Phallic phase (A), ages 3-7 years, is an age r/t formation of an identity focuses
on sexuality or the genitalia. Success in this stage results in mastery over internal processes
and impulses. Latency, ages 7 years to puberty, is a stage of development where one's
attention is turned toward learning and successful achieving the ability to delay gratification.
The practical nurse (PN) is caring a 6 year old who is hospitalized with asthma. Which
developmentally correct activity should the PN provide the child?
a) an audio cassette and player
b) crayons and a coloring book
c) a ball to throw into a basket
d) a 1000 piece jigsaw puzzle
Answer: B
A+ TEST BANK 4
Exam
HESI Pediatrics Exam 2026 FINAL | RN
Pediatric Exam Prep | NGN Nursing Questions
(Pdf)
Questions and Revised Correct Answers, 100%
Guarantee Pass GRADED A+
A child who is admitted with acute abdominal pain and possible appendicitis. Which action
should the practical nurse (PN) implement for the child's abdominal discomfort?
a) assist the child to any position of comfort.
b) give a saline enema to cleanse the bowel
A+ TEST BANK 1
, HESI Pediatrics Exam (2026) | RN Pediatric
Exam
c) lay a heating pad on the abdomen
d) place the bed in trendelenburg
Answer: A
Rationale:
Abdominal pain is a common childhood complaint, but this child should be assisted to any
position of comfort (A) that relieves the pain. (B and D) are contraindicated with possible
appendicitis and increase the risk of ruptured appendix. If the appendix should rupture, (C)
increases the spread of the infection.
A child is admitted for observation following a closed head injury. Which assessment is most
essential for the practical nues (PN) to monitor for an early sign of a worsening condition?
a) level of consciousness
b) posturing
c) focal neurologic signs
d) vital signs
Answer: A
Rationale:
Following a head injury, determining a change in the child's LOC (A) provides the first
indication that a progression of the injury is possible. (C) is a symptom of advanced neurologic
insult. Alterations in consciousness appear earlier than alterations of (B and D).
A+ TEST BANK 2
, HESI Pediatrics Exam (2026) | RN Pediatric
Exam
A 3 year old boy with cerebral palsy (CP) has difficulty swallowing, cannot hold a utensil, and is
slightly underweight for his height. Which action should the practical nurse implement when
feeding this child?
a) put the child in a well-supported semi-reclining position
b) offer a specialized formula per tube feeding
c) place the child in a sitting position with the neck hyperextended
d) stabilize the child's jaw with the caregiver's hand
Answer: D
Rationale:
A child with CP should be fed in an upright, eating position, and manual stability of the oral
mechanisms during swallowing should be provided to minimize the risk of aspiration. Hold the
child's jaw (D) from the side or front of the face assists with head control, correction of the
neck and trunk hyperextension, and jaw stabilization. (A, B, and C) are not indicated.
Which of Freud's psychosexual development stages occurs during a toddler's growth and
development?
a) anal
b) oral
c) genital
d) phallic
Answer: A
Rationale:
According to Freud's theory, the anal stage (A_, 1-3 years of age, focuses on toilet training and
learning to delay immediate gratification. Oral gratification(B) occurs from birth to one year of
A+ TEST BANK 3
, HESI Pediatrics Exam (2026) | RN Pediatric
Exam
age. (C) The stage of genital awareness & exploration. (D) The stage of sexual identity and
expression in adolescence.
Using Freud's theory, the practical nurse should expect a 2 year old boy to demonstrate the
behaviors of which stage?
a) phallic
b) anal
c) latency
d) oral
Answer: B
Rationale:
The anal phase (B) defines the behaviors of a toddler, ages 1-3 years, who begins to develop
sphincter control and the ability to control the release of feces. Success in this stage results in
a sense of autonomy. The oral phase (D), ages birth to 1 year, is the stage of learning to relate
to others without excessive jealously, dependency, and the development of trust and sense
of self-reliance. Phallic phase (A), ages 3-7 years, is an age r/t formation of an identity focuses
on sexuality or the genitalia. Success in this stage results in mastery over internal processes
and impulses. Latency, ages 7 years to puberty, is a stage of development where one's
attention is turned toward learning and successful achieving the ability to delay gratification.
The practical nurse (PN) is caring a 6 year old who is hospitalized with asthma. Which
developmentally correct activity should the PN provide the child?
a) an audio cassette and player
b) crayons and a coloring book
c) a ball to throw into a basket
d) a 1000 piece jigsaw puzzle
Answer: B
A+ TEST BANK 4
