Exam
HESI Pediatrics Exam 3 (2026) | RN Pediatric
Exam Prep | NGN Nursing Questions (Pdf)
Questions and Revised Correct Answers, 100%
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Which site should the nurse use to obtain the pulse rate for a 1-year-old child?
A+ TEST BANK 1
, HESI Pediatrics Exam (2026) | RN Pediatric
Exam
a. Radial.
b. Apical.
c. Carotid.
d. Femoral. –
Correct Answer :b. Apical.
An apical pulse rate should be obtained in children less than 2 years of age to assess cardiac
function.
The nurse is assessing a child's skin turgor and grasps the skin on the abdomen between the
thumb and index finger, pulls it taut, and quickly releases it. The tissue remains suspended
and tented for a few seconds, then slowly falls back on the abdomen. How should the nurse
document this finding?
a. Adequate hydration.
b. Poor skin turgor.
c. Normal skin elasticity.
d. Assessment inconclusive. –
Correct Answer :b. Poor skin turgor.
Tissue turgor refers to the amount of elasticity in the skin and is one of the best estimates of
adequate hydration and nutrition. Elastic tissue immediately resumes its normal position
without residual marks or creases. In a child with poor turgor, the skin remains tented or
suspended for a few seconds before returning to a normal position.
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, HESI Pediatrics Exam (2026) | RN Pediatric
Exam
During the well-child assessment of an 18-month-old toddler, the nurse determines the child
does not hold on to furniture while walking but prefers to crawl, rarely speaks, has a flat
affect, and is small for his age. Which nursing problem should the nurse identify?
a. Alteration in nutrition.
b. Alteration in parenting.
c. Delayed growth and development.
d. Alteration in health maintenance. –
Correct Answer :c. Delayed growth and development.
This child does not demonstrate gross motor or psychosocial skills typical of an 18-month-old
toddler, which best supports delayed growth and development.
The nurse is assessing the coping behaviors of the parents whose child has been recently
diagnosed with a chronic illness. What reaction by the parents is a positive step in the ability
to cope with this new situation?
a. Endowing the illness with meaning.
b. Refusing to believe the child is ill.
c. Entertaining an unrealistic future plan for the child.
d. Placing complete faith in religion to the point of relinquishing responsibility.
- Correct Answer :a. Endowing the illness with meaning.
A+ TEST BANK 3
, HESI Pediatrics Exam (2026) | RN Pediatric
Exam
Coping mechanisms are behaviors directed at reducing the tension elicited by a crisis.
Approach behaviors are coping mechanisms resulting in movement toward adjustment and
resolution of the crisis. The parents' ability to assign the illness meaning within an existing
medical, scientific, or spiritual philosophy of life is a long-term coping strategy significantly
related to successful family functioning.
A nurse who is working in the Poison Control Center receives a telephone call from a parent of
a 16-month-old child who drank 2 ounces of acetaminophen elixir. Which action should the
nurse recommend to the parent?
a. Administer oral syrup of ipecac.
b. Give the child a glass of whole milk.
c. Transport the child to the emergency department for gastric decontamination.
d. Obtain oral activated charcoal tablets from the pharmacy. –
Correct Answer :c. Transport the child to the emergency department for gastric
decontamination.
Each 5 mL of elixir contains 160 mg of acetaminophen. This child has ingested twice the
maximum recommended 24-hour dose, which can cause acetaminophen toxicity. The parent
should transport the child to the emergency department for gastrointestinal decontamination
and the possible administration of the antidote, acetylcysteine. Overdosing of
acetaminophen can cause serious liver damage.
A 4-year-old boy is brought to the emergency department by his parent who reports that the
child has been pointing at his stomach and saying, "It hurts so bad." Which pain assessment
tool should the nurse use?
a. Descriptor Scale.
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