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HESI RN PEDIATRICS , Questions and Answers with Rationale, Study Guide

HEAL100 Health Care — exam and revision material · Other

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Health Care exam material, 17 pages. Originally published on StudyMerit.

Pages
17
Academic year
2025/2026
Language
English

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2026 HESI PEDS RN EXIT EXAM | Study Edition V1 & V2 2026 HESI PEDIATRIC (PEDS) RN EXIT EXAM Versions 1 & 2 — Redesigned Study Edition Spring 2026 | Compiled with Correct Answers HOW TO USE THIS GUIDE | V1 uses multiple-choice format with highlighted correct answer(s). V2 uses short-answer/fill-in format with the answer displayed directly. Questions marked with a note contain clarifications where answers are debated. VERSION 1 — Multiple Choice (55 Questions) Q1 The nurse is assessing a 9-year-old boy admitted with possible acute poststreptococcal glomerulonephritis (APSGN). In obtaining his history, what information is most significant? A ✔ A sore throat last week B A history of hypertension C Diuresis during the night D Back pain for a few days ANSWER: A Q2 The nurse is measuring the frontal occipital circumference (FOC) of a 3-month-old infant, and notes that the FOC has increased 5 inches (12.7cm) since birth and the child's head appears large in relation to body size. Which action is most important for the nurse to take next? A Plot the measurement on the infant's growth chart B Observe the infant for sunset eyes C Measure the infant's head-to-heel length D ✔ Palpate the anterior fontanel for tension and bulging ANSWER: D Q3 A female infant recently admitted with vomiting and diarrhea now weighs 10 kg. Her weight at a previous well-baby visit was 11 kg. What is the percentage of body weight loss for this infant? A 4% B ✔ 9% C 10% D 5% ANSWER: B Page 1 | For Study Purposes Only Downloaded by Studymerit Dotcom (samuelkaruiki40@gmail.com) lOMoARcPSD|6879242

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2026 HESI PEDS RN EXIT EXAM | Study Edition V1 & V2 Q4 A male high school student with Type 1 diabetes tests his blood glucose level before playing a game of soccer, and he obtains a reading of 180 mg/dL (10 mmol/L). Based on this reading, which action should the nurse take? A ✔ Tell him to eat a sandwich and fruit before beginning the game B Check his urine for ketones C Give him permission to go ahead and play soccer D Call the healthcare provider ANSWER: A Q5 A 7-year-old child is admitted to the hospital with a diagnosis of acute rheumatic fever. In obtaining a health history from the child's mother, the recent occurrence of which illness is most significant? A ✔ Sore throat B Chickenpox C Mumps D Influenza ANSWER: A Q6 A mother brings her 2-month-old son to the clinic for a well-baby exam. During the assessment the nurse finds that the right testicle is not descended into the scrotum but the left is palpable. Which action should the nurse take? A Prepare to obtain a catheterized urine specimen for culture B Address possible concerns about the child's future fertility C ✔ Ask if the right testis has been seen in the scrotum before D Schedule an IV pyelogram to validate presence of testicle ANSWER: C Q7 The nurse is assessing a 6-month-old infant. Which response requires further evaluation by the nurse? A Has doubled birth weight B Turns head to locate sound C Plays peek-a-boo D ✔ Demonstrates startle reflex ANSWER: D Q8 A 4-year-old girl returns to the pediatrician's office for a postoperative visit following hospitalization for minor surgery. When observing the child in the waiting area, which behavior should the nurse consider normal for this age child? A Ignores other children in the play area B Draws picture of self with facial features C ✔ Talks to an imaginary friend Page 2 | For Study Purposes Only Downloaded by Studymerit Dotcom (samuelkaruiki40@gmail.com) lOMoARcPSD|6879242

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2026 HESI PEDS RN EXIT EXAM | Study Edition V1 & V2 D Sits quietly in her mother's lap ANSWER: C Q9 A preschool-aged child experiencing respiratory distress is brought to the emergency department by the parents. The child is anxious, has a temperature of 102.8°F (39.3°C), and is drooling from the mouth while leaning forward when sitting. Which action should the nurse prepare the child for next? A ✔ Obtain bedside trays for intubation or tracheotomy by the healthcare provider B Begin prescribed intravenous antibiotic administration C Provide a nebulizer treatment with bronchodilators D Schedule the child for a stat magnetic resonance imaging (MRI) of the neck ANSWER: A Q10 The nurse is caring for a preschool-aged child with a congenital heart defect who is admitted with intermittent low-grade fever, fatigue, and weight loss. Further physical assessment findings include a new murmur, splinter hemorrhages under the nails, and painless red lesions on the palms of the hands. Which diagnostic procedure should the nurse prepare the parents to expect the healthcare provider to prescribe? A ✔ Echocardiogram B Electrocardiogram C Chest radiography D Computerized tomography (CT) scan ANSWER: A | Note: A or B are debated; Echocardiogram is preferred Q11 A 6-year-old male with a body mass index (BMI) in the 95th percentile arrives at the clinic after a referral from the school nurse. His laboratory findings include hemoglobin A1c of 5.5%, blood pressure (BP) in the 50th percentile, height in the 75th percentile, and an LDL cholesterol of 90 mg/dL. Which lifestyle modification should the nurse discuss with the parents? A ✔ Recommend increasing daily fruits and vegetables and daily exercise B Return in one month for another evaluation of serum lipids and blood pressure C Instruct the parents to weigh the child weekly and measure his BP daily D See a healthcare provider to further assess for diabetes and hypertension ANSWER: A Q12 When administering indomethacin to a premature infant who has patent ductus arteriosus, the nurse should anticipate which outcome? A Decreased urinary output B ✔ Decreased cardiac murmur C Increased number of red blood cells D Increased respiratory effort ANSWER: B Page 3 | For Study Purposes Only Downloaded by Studymerit Dotcom (samuelkaruiki40@gmail.com) lOMoARcPSD|6879242

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