Exam
HESI Pediatrics Exam 4 (2026) | RN Pediatric
Exam Prep | NGN Nursing Questions (Pdf)
Questions and Revised Correct Answers, 100%
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Which physiological difference is present in a 3 month old infant that affects oral
drug absorption rates?
A+ TEST BANK 1
, HESI Pediatrics Exam (2026) | RN Pediatric
Exam
a) variable pancreatic enzyme activity
b) more acidic gastric secretions
c) more rapid peristaltic activity
d) an accelerated gastric emptying rate –
Correct Answer :Answer: A
Rationale:
Pancreatic enzyme activity (A) is variable in infants for the first 3 months of life
as the Gi system matures. The gastric secretions of infants are less acidic than
those of older children or adults, not (B). Intestinal motility and gastric emptying
rate tend to be slower in infants, not (C and D).
The practical nurse (PN) is preparing to administer an intramuscular
immunization to a 6 month old infant. What site should the PN select?
a) dorsogluteal
b) ventrogluteal
c) deltoid
d) vastus lateralis –
Correct Answer :Answer: D
A+ TEST BANK 2
, HESI Pediatrics Exam (2026) | RN Pediatric
Exam
Rationale:
The vastus lateralis (D) has minimal nerves or blood vessels and is the best site
for intramuscular (IM) injections in children younger than 3 years of age. The
deltoid muscle (C) is a small muscle mass that accommodates small volumes,
less than 0.5 mL, and is not recommended for IM use in young children. The
gluteal muscles (A and B) are used as an injection site in children whose
musculature develops after walking.
The mother of a young child with Type 1 diabetes mellitus (DM) who needs
insulin injections at home tells the practical nurse (PN) that she is afraid she does
not know what to do properly. Which action is most important for the PN
implement to decrease the mother's apprehension?
a) have the mother verbalize the importance of follow up care
b) help the mother devise a schedule for rotating the injections
c) observe the mother while she administers an insulin injection
d) review the side effects of insulin with the mother –
Correct Answer :Answer: C
Rationale:
Observing the mother's ability to give the insulin injection (C) provides an
opportunity to reinforce information & provide validation to increase the
A+ TEST BANK 3
, HESI Pediatrics Exam (2026) | RN Pediatric
Exam
mother's confidence and relieve apprehension about caring for her child with
DM. (A, B, and D) are of less priority than (C).
Which first aid action should the practical nurse implement for a child who has
sustained a second degree thermal burn?
a) apply petroleum jelly to the burned skin
b) apply ice to the burned area
c) immerse the burned area in cold water
d) break any blisters that are present –
Correct Answer :Answer: C
Rationale:
First aid treatment of a second degree thermal burn is immersion of the burned
area in cold water (C) to halt the burning process. (A, B, and D) are not indicated
due tot he risk of increased skin damage or infection.
What information should the practical nurse (PN) reinforce with the parents of a
3 month old infant about liquid medication administration?
a) pour the medication into a small cup and allow the infant to drink it
b) place the medication in a nipple and have infant suck the nipple
c) administer the medication with a dropper to the back of the infant's tongue
A+ TEST BANK 4