2026 UPDATED QUESTIONS DOWNLOAD
HESI RN PEDS ACTUAL EXAM 2026 – 350 MASTER
Q&A | COVERS: GROWTH & DEVELOPMENT,
CARDIAC (TET SPELLS), RESPIRATORY
(EPIGLOTTITIS), GI (PYLORIC STENOSIS), RENAL,
HEMATOLOGY & ERIKSON/PIAGET STAGES
1.
A 2-year-old is hospitalized with dehydration. Which assessment finding is most concerning?
A. Dry lips
B. Sunken eyes
C. Decreased urine output
D. Capillary refill of 4 seconds
Answer: D. Capillary refill of 4 seconds
Rationale: Delayed capillary refill indicates poor perfusion and possible shock.
2.
Which immunization is given at birth?
A. DTaP
B. MMR
C. Hepatitis B
D. Varicella
Answer: C. Hepatitis B
Rationale: The first Hepatitis B vaccine is administered at birth.
3.
A child with asthma is prescribed albuterol. What is its primary action?
A. Reduce inflammation
B. Bronchodilation
C. Mucus thinning
D. Sedation
,2026 UPDATED QUESTIONS DOWNLOAD
Answer: B. Bronchodilation
Rationale: Albuterol is a short-acting beta agonist that relaxes airway muscles.
4.
Which sign is characteristic of croup?
A. Wheezing
B. Barking cough
C. Crackles
D. Stridor only at rest
Answer: B. Barking cough
Rationale: Croup presents with a distinctive barking cough.
5.
A child with diabetes shows sweating and confusion. What should the nurse do first?
A. Give insulin
B. Check blood glucose
C. Give water
D. Call physician
Answer: B. Check blood glucose
Rationale: Symptoms suggest hypoglycemia; confirm before treatment.
6.
Which condition increases risk of sudden infant death syndrome (SIDS)?
A. Supine sleeping
B. Firm mattress
C. Prone sleeping
D. Breastfeeding
Answer: C. Prone sleeping
Rationale: Sleeping on the stomach increases SIDS risk.
7.
,2026 UPDATED QUESTIONS DOWNLOAD
Which is a sign of respiratory distress in infants?
A. Smiling
B. Nasal flaring
C. Sleeping
D. Quiet breathing
Answer: B. Nasal flaring
Rationale: Nasal flaring indicates increased work of breathing.
8.
A child has Kawasaki disease. What is the major complication?
A. Kidney failure
B. Coronary artery aneurysm
C. Liver failure
D. Stroke
Answer: B. Coronary artery aneurysm
Rationale: Kawasaki disease can damage coronary arteries.
9.
Which developmental milestone is expected at 6 months?
A. Walking
B. Sitting with support
C. Talking sentences
D. Toilet training
Answer: B. Sitting with support
Rationale: Most infants can sit with support by 6 months.
10.
Which sign indicates meningitis in infants?
A. Flat fontanel
B. Bulging fontanel
C. Smiling
D. Increased appetite
, 2026 UPDATED QUESTIONS DOWNLOAD
Answer: B. Bulging fontanel
Rationale: Increased intracranial pressure causes bulging fontanel.
11.
Which electrolyte imbalance is common with diarrhea?
A. Hyperkalemia
B. Hypokalemia
C. Hypercalcemia
D. Hypernatremia
Answer: B. Hypokalemia
Rationale: Potassium is lost through diarrhea.
12.
Which food is unsafe for infants under 1 year?
A. Applesauce
B. Honey
C. Rice cereal
D. Bananas
Answer: B. Honey
Rationale: Honey can cause botulism in infants.
13.
Which finding indicates fluid overload in a child?
A. Weight loss
B. Edema
C. Dry skin
D. Sunken eyes
Answer: B. Edema
Rationale: Excess fluid accumulates in tissues.
14.
HESI RN PEDS ACTUAL EXAM 2026 – 350 MASTER
Q&A | COVERS: GROWTH & DEVELOPMENT,
CARDIAC (TET SPELLS), RESPIRATORY
(EPIGLOTTITIS), GI (PYLORIC STENOSIS), RENAL,
HEMATOLOGY & ERIKSON/PIAGET STAGES
1.
A 2-year-old is hospitalized with dehydration. Which assessment finding is most concerning?
A. Dry lips
B. Sunken eyes
C. Decreased urine output
D. Capillary refill of 4 seconds
Answer: D. Capillary refill of 4 seconds
Rationale: Delayed capillary refill indicates poor perfusion and possible shock.
2.
Which immunization is given at birth?
A. DTaP
B. MMR
C. Hepatitis B
D. Varicella
Answer: C. Hepatitis B
Rationale: The first Hepatitis B vaccine is administered at birth.
3.
A child with asthma is prescribed albuterol. What is its primary action?
A. Reduce inflammation
B. Bronchodilation
C. Mucus thinning
D. Sedation
,2026 UPDATED QUESTIONS DOWNLOAD
Answer: B. Bronchodilation
Rationale: Albuterol is a short-acting beta agonist that relaxes airway muscles.
4.
Which sign is characteristic of croup?
A. Wheezing
B. Barking cough
C. Crackles
D. Stridor only at rest
Answer: B. Barking cough
Rationale: Croup presents with a distinctive barking cough.
5.
A child with diabetes shows sweating and confusion. What should the nurse do first?
A. Give insulin
B. Check blood glucose
C. Give water
D. Call physician
Answer: B. Check blood glucose
Rationale: Symptoms suggest hypoglycemia; confirm before treatment.
6.
Which condition increases risk of sudden infant death syndrome (SIDS)?
A. Supine sleeping
B. Firm mattress
C. Prone sleeping
D. Breastfeeding
Answer: C. Prone sleeping
Rationale: Sleeping on the stomach increases SIDS risk.
7.
,2026 UPDATED QUESTIONS DOWNLOAD
Which is a sign of respiratory distress in infants?
A. Smiling
B. Nasal flaring
C. Sleeping
D. Quiet breathing
Answer: B. Nasal flaring
Rationale: Nasal flaring indicates increased work of breathing.
8.
A child has Kawasaki disease. What is the major complication?
A. Kidney failure
B. Coronary artery aneurysm
C. Liver failure
D. Stroke
Answer: B. Coronary artery aneurysm
Rationale: Kawasaki disease can damage coronary arteries.
9.
Which developmental milestone is expected at 6 months?
A. Walking
B. Sitting with support
C. Talking sentences
D. Toilet training
Answer: B. Sitting with support
Rationale: Most infants can sit with support by 6 months.
10.
Which sign indicates meningitis in infants?
A. Flat fontanel
B. Bulging fontanel
C. Smiling
D. Increased appetite
, 2026 UPDATED QUESTIONS DOWNLOAD
Answer: B. Bulging fontanel
Rationale: Increased intracranial pressure causes bulging fontanel.
11.
Which electrolyte imbalance is common with diarrhea?
A. Hyperkalemia
B. Hypokalemia
C. Hypercalcemia
D. Hypernatremia
Answer: B. Hypokalemia
Rationale: Potassium is lost through diarrhea.
12.
Which food is unsafe for infants under 1 year?
A. Applesauce
B. Honey
C. Rice cereal
D. Bananas
Answer: B. Honey
Rationale: Honey can cause botulism in infants.
13.
Which finding indicates fluid overload in a child?
A. Weight loss
B. Edema
C. Dry skin
D. Sunken eyes
Answer: B. Edema
Rationale: Excess fluid accumulates in tissues.
14.
