PEDIATRICS HESI PRACTICE
EXAM LATEST UPDATE 2026
2026 EXAM QUESTIONS AND
ANSWERS | 100% PASS
The nurse is giving preoperative instructions to a 14-year old female
client who is scheduled for surgery to correct a spinal curvature. Which
statement by the client best demonstrates that learning has taken place?
A. I will read all the literature you gave me before surgery.
B. I have had surgery before when I broke my wrist in a bike accident, so
I know what to expect.
C. All the things people have told me will help me take care of my back.
,D. I understand that I will be in a body cast and I will show you how you
taught me to turn. - ANSWER ✔✔D. I understand that I will be in a
body cast and I will show you how you taught me to turn.
Outcome of learning is best demonstrated when the client not only
verbalizes an understanding, but also can provide a return
demonstration. A 14-year old may or may not follow through with reading
material and there is no way of measuring that way of learning. Have a
previous surgery may help the client understand the surgical process,
but wrist surgery is very different from spinal surgery and emergency
surgery is different than elective surgery. In (C), the client may be saying
what the nurse wants to hear, without expressing any real understanding
of what to do after surgery.
To take the vital signs of a 4-month old child, which order will give the
most accurate results?
A. Respiratory rate, heart rate, then rectal temperature
B. Heart rate, rectal temperature, then respiratory rate.
C. Rectal temperature, heart rate, then respiratory rate
D. Rectal temperature, respiratory rate, then heart rate - ANSWER
✔✔A. Respiratory rate, heart rate, then rectal temperature
,The respiratory rate should be taken first in infants, since touching them
or performing unpleasant procedures usually makes them cry, elevating
the heart rate and making respirations difficult to count. Rectal
temperature is the most invasive procedure, and is mot likely to
precipitate crying, so should be done last.
During routine screening at a school clinic, an otoscope examination of a
child's ear reveals a tympanic membrane that is pearly gray, slightly
bulging, and not movable. What action should the nurse take next?
A. No action required, as this is an expected finding for a school-aged
child
B. Ask the child if he/she has had a cold, runny nose, or any ear pain
lately.
C. Send a note home advising the parents to have the child evaluated by
a healthcare provider as soon as possible.
d. Call the parents and have them take the child home from school for
the rest of the day. - ANSWER ✔✔B. Ask the child if he/she has had
a cold, runny nose, or any ear pain lately.
3
COPYRIGHT©JOSHCLAY 2025/2026. YEAR PUBLISHED 2026. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
STATEMENT. ALL RIGHTS RESERVED
, More information is needed to interpret these findings. The tympanic
membrane is normally pearly gray, not bulging, and moves when the
client blows against resistance or a small puff of air is blown into the ear
canal. Since this child's findings are not completely normal, further
assessment of history and related signs and symptoms is indicated for
accurate interpretation of the findings. (A), (C), and (D) are inappropriate
actions based on the data obtained from the otoscope examination.
Which restraint should be used for a toddler after a cleft palate repair?
A. clove hitch
B. Mummy
C. elbow
D. jacket - ANSWER ✔✔C. elbow
Elbow restraints
Elbow restraints prevent children from bending their arms and bringing
their hands to the oral surgical site. A clove hitch restrains the hands, but
the child can bend and bring their head to their hands. A mummy
EXAM LATEST UPDATE 2026
2026 EXAM QUESTIONS AND
ANSWERS | 100% PASS
The nurse is giving preoperative instructions to a 14-year old female
client who is scheduled for surgery to correct a spinal curvature. Which
statement by the client best demonstrates that learning has taken place?
A. I will read all the literature you gave me before surgery.
B. I have had surgery before when I broke my wrist in a bike accident, so
I know what to expect.
C. All the things people have told me will help me take care of my back.
,D. I understand that I will be in a body cast and I will show you how you
taught me to turn. - ANSWER ✔✔D. I understand that I will be in a
body cast and I will show you how you taught me to turn.
Outcome of learning is best demonstrated when the client not only
verbalizes an understanding, but also can provide a return
demonstration. A 14-year old may or may not follow through with reading
material and there is no way of measuring that way of learning. Have a
previous surgery may help the client understand the surgical process,
but wrist surgery is very different from spinal surgery and emergency
surgery is different than elective surgery. In (C), the client may be saying
what the nurse wants to hear, without expressing any real understanding
of what to do after surgery.
To take the vital signs of a 4-month old child, which order will give the
most accurate results?
A. Respiratory rate, heart rate, then rectal temperature
B. Heart rate, rectal temperature, then respiratory rate.
C. Rectal temperature, heart rate, then respiratory rate
D. Rectal temperature, respiratory rate, then heart rate - ANSWER
✔✔A. Respiratory rate, heart rate, then rectal temperature
,The respiratory rate should be taken first in infants, since touching them
or performing unpleasant procedures usually makes them cry, elevating
the heart rate and making respirations difficult to count. Rectal
temperature is the most invasive procedure, and is mot likely to
precipitate crying, so should be done last.
During routine screening at a school clinic, an otoscope examination of a
child's ear reveals a tympanic membrane that is pearly gray, slightly
bulging, and not movable. What action should the nurse take next?
A. No action required, as this is an expected finding for a school-aged
child
B. Ask the child if he/she has had a cold, runny nose, or any ear pain
lately.
C. Send a note home advising the parents to have the child evaluated by
a healthcare provider as soon as possible.
d. Call the parents and have them take the child home from school for
the rest of the day. - ANSWER ✔✔B. Ask the child if he/she has had
a cold, runny nose, or any ear pain lately.
3
COPYRIGHT©JOSHCLAY 2025/2026. YEAR PUBLISHED 2026. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
STATEMENT. ALL RIGHTS RESERVED
, More information is needed to interpret these findings. The tympanic
membrane is normally pearly gray, not bulging, and moves when the
client blows against resistance or a small puff of air is blown into the ear
canal. Since this child's findings are not completely normal, further
assessment of history and related signs and symptoms is indicated for
accurate interpretation of the findings. (A), (C), and (D) are inappropriate
actions based on the data obtained from the otoscope examination.
Which restraint should be used for a toddler after a cleft palate repair?
A. clove hitch
B. Mummy
C. elbow
D. jacket - ANSWER ✔✔C. elbow
Elbow restraints
Elbow restraints prevent children from bending their arms and bringing
their hands to the oral surgical site. A clove hitch restrains the hands, but
the child can bend and bring their head to their hands. A mummy
