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HESI PEDIATRICS (PEDS) 2026 PRACTICE EXAM
WITH 400 PRACTICE QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES
(VERIFIED ANSWERS)
- Surgery is being delayed for an infant with undescended testes. In collaboration
- The nurse is assessing an 8-month-old child who has a medical diagnosis of
- Machinery murmur. C. Weak pedal pulses. D. Clubbed fingers. Correct Answer: D.
with the healthcare provider and the family, which prescription should the nurse anticipate? A. A trial of adrenocorticotrophic hormone injections. B. Frequent stimulation of the cremasteric reflex. C. A trial of human chorionic gonadotrophic hormone. D.Frequent warm baths to gently dilate the scrotal area. Correct Answer: C. A trial of human chorionic gonadotrophic hormone.
Tetralogy of Fallot. Which symptom is this client most likely to exhibit? A. Bradycardia.
Clubbed fingers.
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- At 8 a.m. the unlicensed assistive personnel (UAP) informs the charge nurse that a
- Preoperative nursing care for a child with Wilms' tumor should include which
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.
intervention? A. Gently percuss the abdomen for evidence of trapped air. B. Observe the abdomen for any noticeable discolorations. C. Apply cold compresses to the abdomen to reduce edema. D. Put a sign on the bed reading, "DO NOT PALPATE ABDOMEN." Correct
Answer: D. Put a sign on the bed reading, "DO NOT PALPATE ABDOMEN."
- A 3-week-old newborn is brought to the clinic for follow-up after a home birth. The
mother reports that her child bottle feeds for 5 minutes only and then falls asleep. The
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nurse auscultates a loud murmur characteristic of a ventricular septal defect (VSD), and finds the newborn is acyanotic with a respiratory rate of 64 breaths per minute.What instruction should the nurse provide the mother to ensure the infant is receiving adequate intake? (Select all that apply.) A. Monitor the infant's weight and number of wet diapers per day. B. Increase the infant's intake per feeding by 1 to 2 ounces per week. C. Mix the dose of prophylactic antibiotic in a full bottle of formula. D. Allow the infant to rest and refeed on demand or every 2 hours. E. Use a softer nipple or increase the size of the nipple
opening. Correct Answer: A, B, D, E.
- 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.
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- What preoperative nursing intervention should be included in the plan of care for an
infant with pyloric stenosis? A. Monitor for signs of metabolic acidosis. B. Estimate the quantity of diarrhea stools. C. Place in a supine position after feeding. D. Observe for
projectile vomiting. Correct Answer: D. Observe for projectile vomiting.
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- A female teenager is taking oral tetracycline HCL (Achromycin V) for acne vulgaris.
- Take the medication with a glass of milk. D. Menstrual periods may become irregular.
What is the most important instruction for the nurse to include in this client's teaching plan? A. Use sunscreen when lying by the pool. B. Cleanse the skin at least 4 times a day.
Correct Answer: A. Use sunscreen when lying by the pool.
- The nurse is teaching the parents of a 5-year-old with cystic fibrosis about
respiratory treatments. Which statement indicates to the nurse that the parents understand? A. Perform postural drainage before starting aerosol therapy. B. Give respiratory treatments when the child is coughing a lot. C. Administer aerosol therapy followed by postural drainage before meals. D. Ensure respiratory therapy is done daily during any respiratory infection. Correct Answer: C. Administer aerosol therapy followed by postural drainage before meals.
