HESI Pediatrics Exam Prep
HESI PEDIATRICS EXAM PREP NEWEST 2026/2027 ACTUAL
EXAM COMPLETE 150 QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+||BRAND
NEW VERSION!!
The nurse is assigning care for a 4-year-old child with otitis media and is
concerned about the child's increasing temperature over the past 24 hours. When
planning care for this child, it is important for the nurse to consider that
A. Only an RN should be assigned to monitor this child's temperature.
B. A tympanic measurement of temperature will provide the most accurate
reading.
C. The licensed practical nurse should be instructed to obtain rectal temperatures
on this child.
D. The healthcare provider should be asked to prescribe the method for
measurement of the child's temperatures. - Correct Answer-B. A tympanic
measurement of temperature will provide the most accurate reading.
The nurse is assessing an 8-month-old child who has a medical diagnosis of
Tetrology of Fallot. Which symptom is this client most likely to exhibit?
A. Bradycardia.
B. Machinery murmur.
C. Weak pedal pulses.
D. Clubbed fingers. - Correct Answer-D. Clubbed fingers.
1|Page
, HESI Pediatrics Exam Prep
As part of the physical assessment of children, the nurse observes and palpates
the fontanels. Which child's fontanel finding should be reported to the healthcare
provider?
A. A 6-month-old with failure to thrive that has a closed anterior fontanel.
B. A 24-month-old with gastroenteritis that has a closed posterior fontanel.
C. A 2-month-old with chickenpox that has an open posterior fontanel.
D. A 28-month-old with hydrocephalus that has an open anterior fontanel. -
Correct Answer-A. A 6-month-old with failure to thrive that has a closed anterior
fontanel.
A preschool-age child who is hospitalized for hypospadias repair is most strongly
influenced by which behavior?
A. Ability to communicate verbally.
B. Response to separation from family.
C. Concern for body integrity.
D. Socialization with other children. - Correct Answer-C. Concern for body
integrity.
An infant is born with a ventricular septal defect (VSD) and surgery is planned to
correct the defect. The nurse recognizes that surgical correction is designed to
achieve which outcome?
A. Stop the flow of unoxygenated blood into systemic circulation.
B. Increase the flow of unoxygenated blood to the lungs.
C. Prevent the return of oxygenated blood to the lungs.
D. Reduce peripheral tissue hypoxia and nailbed clubbing. - Correct Answer-C.
Prevent the return of oxygenated blood to the lungs.
2|Page
, HESI Pediatrics Exam Prep
A three-month old boy weighing 10 lbs 15 oz has an axillary temperature of 98.9 F.
The nurse determines the daily caloric need for this child is approximately
A. 400 calories per day.
B. 500 calories per day.
C. 600 calories per day.
D. 700 calories per day. - Correct Answer-C. 600 calories per day.
The nurse is preparing a health teaching program for parents of toddlers and
preschoolers and plans to include information about prevention of accidental
poisonings. It is most important for the nurse to include which instruction?
A. Tell children they should not taste anything but food.
B. Store all toxic agents and medicines in locked cabinets.
C. Provide special play areas in the house and restrict play in other areas.
D. Punish children if they open cabinets that contain household chemicals. -
Correct Answer-B. Store all toxic agents and medicines in locked cabinets.
A 6-month-old infant with congestive heart failure (CHF) is receiving digoxin elixir.
Which observation by the nurse warrants immediate intervention?
A. Apical heart rate of 60.
B. Sweating across the forehead.
C. Doesn't suck well.
D. Respiratory rate of 30 breaths per minute. - Correct Answer-A. Apical heart rate
of 60.
3|Page
, HESI Pediatrics Exam Prep
At 8 a.m. the unlicensed assistive personnel (UAP) informs the charge nurse that a
female adolescent client with acute glomerulonephritis has a blood pressure of
210/110. The 4 a.m. blood pressure reading was 170/88. The client reports to the
UAP that she is upset because her boyfriend did not visit last night. What action
should the nurse take first?
A. Give the client her 9 a.m. prescription for an oral diuretic early.
B. Administer PRN prescription of nifedipine (Procardia) sublingually.
C. Notify the healthcare provider and inform the nursing supervisor of the client's
condition.
D. Attempt to calm the client and retake the blood pressure in thirty minutes. -
Correct Answer-B. Administer PRN prescription of nifedipine (Procardia)
sublingually.
A premature newborn girl, born 24 hours ago, is diagnosed with a patent ductus
arteriosus (PDA) and placed under an oxygen hood at 35%. The parents visit the
nursery and ask to hold her. Which response should the nurse provide to the
parents?
A. "Studies have shown that handling a sick newborn is not good for the baby and
upsets the parents."
B. "The oxygen hood is holding the baby's oxygen level just at the point which is
needed. You may stroke and talk to her."
C. "Since your baby has been doing well under oxygen for 24 hours, I can let you
hold the baby without oxygen."
D. "You can hold the baby with the oxygen blowing in the baby's face since the
level is very close to room air." - Correct Answer-B. "The oxygen hood is holding
the baby's oxygen level just at the point which is needed. You may stroke and talk
to her."
4|Page
HESI PEDIATRICS EXAM PREP NEWEST 2026/2027 ACTUAL
EXAM COMPLETE 150 QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+||BRAND
NEW VERSION!!
The nurse is assigning care for a 4-year-old child with otitis media and is
concerned about the child's increasing temperature over the past 24 hours. When
planning care for this child, it is important for the nurse to consider that
A. Only an RN should be assigned to monitor this child's temperature.
B. A tympanic measurement of temperature will provide the most accurate
reading.
C. The licensed practical nurse should be instructed to obtain rectal temperatures
on this child.
D. The healthcare provider should be asked to prescribe the method for
measurement of the child's temperatures. - Correct Answer-B. A tympanic
measurement of temperature will provide the most accurate reading.
The nurse is assessing an 8-month-old child who has a medical diagnosis of
Tetrology of Fallot. Which symptom is this client most likely to exhibit?
A. Bradycardia.
B. Machinery murmur.
C. Weak pedal pulses.
D. Clubbed fingers. - Correct Answer-D. Clubbed fingers.
1|Page
, HESI Pediatrics Exam Prep
As part of the physical assessment of children, the nurse observes and palpates
the fontanels. Which child's fontanel finding should be reported to the healthcare
provider?
A. A 6-month-old with failure to thrive that has a closed anterior fontanel.
B. A 24-month-old with gastroenteritis that has a closed posterior fontanel.
C. A 2-month-old with chickenpox that has an open posterior fontanel.
D. A 28-month-old with hydrocephalus that has an open anterior fontanel. -
Correct Answer-A. A 6-month-old with failure to thrive that has a closed anterior
fontanel.
A preschool-age child who is hospitalized for hypospadias repair is most strongly
influenced by which behavior?
A. Ability to communicate verbally.
B. Response to separation from family.
C. Concern for body integrity.
D. Socialization with other children. - Correct Answer-C. Concern for body
integrity.
An infant is born with a ventricular septal defect (VSD) and surgery is planned to
correct the defect. The nurse recognizes that surgical correction is designed to
achieve which outcome?
A. Stop the flow of unoxygenated blood into systemic circulation.
B. Increase the flow of unoxygenated blood to the lungs.
C. Prevent the return of oxygenated blood to the lungs.
D. Reduce peripheral tissue hypoxia and nailbed clubbing. - Correct Answer-C.
Prevent the return of oxygenated blood to the lungs.
2|Page
, HESI Pediatrics Exam Prep
A three-month old boy weighing 10 lbs 15 oz has an axillary temperature of 98.9 F.
The nurse determines the daily caloric need for this child is approximately
A. 400 calories per day.
B. 500 calories per day.
C. 600 calories per day.
D. 700 calories per day. - Correct Answer-C. 600 calories per day.
The nurse is preparing a health teaching program for parents of toddlers and
preschoolers and plans to include information about prevention of accidental
poisonings. It is most important for the nurse to include which instruction?
A. Tell children they should not taste anything but food.
B. Store all toxic agents and medicines in locked cabinets.
C. Provide special play areas in the house and restrict play in other areas.
D. Punish children if they open cabinets that contain household chemicals. -
Correct Answer-B. Store all toxic agents and medicines in locked cabinets.
A 6-month-old infant with congestive heart failure (CHF) is receiving digoxin elixir.
Which observation by the nurse warrants immediate intervention?
A. Apical heart rate of 60.
B. Sweating across the forehead.
C. Doesn't suck well.
D. Respiratory rate of 30 breaths per minute. - Correct Answer-A. Apical heart rate
of 60.
3|Page
, HESI Pediatrics Exam Prep
At 8 a.m. the unlicensed assistive personnel (UAP) informs the charge nurse that a
female adolescent client with acute glomerulonephritis has a blood pressure of
210/110. The 4 a.m. blood pressure reading was 170/88. The client reports to the
UAP that she is upset because her boyfriend did not visit last night. What action
should the nurse take first?
A. Give the client her 9 a.m. prescription for an oral diuretic early.
B. Administer PRN prescription of nifedipine (Procardia) sublingually.
C. Notify the healthcare provider and inform the nursing supervisor of the client's
condition.
D. Attempt to calm the client and retake the blood pressure in thirty minutes. -
Correct Answer-B. Administer PRN prescription of nifedipine (Procardia)
sublingually.
A premature newborn girl, born 24 hours ago, is diagnosed with a patent ductus
arteriosus (PDA) and placed under an oxygen hood at 35%. The parents visit the
nursery and ask to hold her. Which response should the nurse provide to the
parents?
A. "Studies have shown that handling a sick newborn is not good for the baby and
upsets the parents."
B. "The oxygen hood is holding the baby's oxygen level just at the point which is
needed. You may stroke and talk to her."
C. "Since your baby has been doing well under oxygen for 24 hours, I can let you
hold the baby without oxygen."
D. "You can hold the baby with the oxygen blowing in the baby's face since the
level is very close to room air." - Correct Answer-B. "The oxygen hood is holding
the baby's oxygen level just at the point which is needed. You may stroke and talk
to her."
4|Page
