HESI Pediatrics Practice Exam | 2025/2026 Edition Guaranteed A+ | Actual Questions and Verified Answers | Complete and 100% Correct 1Introduction This document features a complete set of verified, 100% correct questions and answers from the HESI Pediatrics Practice Exam, fully updated for the 2025/2026 academic year. It covers essential pediatric nursing topics such as growth and development, pediatric medication dosages, common childhood diseases, immu- nizations, and family-centered care. Crafted to reflect the format and complexity of the actual HESI Pediatrics exam, this A+ rated study tool is ideal for nursing students preparing for pediatric care assessments.2Exam Questions and Answers 1.A 4-year-old child is admitted with suspected bacterial meningitis. Which action should the nurse prioritize?
- Administer oral antibiotics immediately
- Initiate droplet precautions
- Encourage family visitation
- Perform a developmental assessment
Rationale: Bacterial meningitis is highly contagious and requires droplet pre-
cautions to prevent spread until antibiotics are effective for 24 hours.
2.A nurse is calculating the maintenance fluid rate for a 10-kg child. What is the correct daily fluid requirement?
- 500 mL/day
- 1000 mL/day
- 1500 mL/day
- 2000 mL/day
Rationale: For children weighing 10–20 kg, maintenance fluid is calculated
as 100 mL/kg for the first 10 kg, equaling 1000 mL/day for a 10-kg child.
3.A 6-month-old infant is diagnosed with respiratory syncytial virus (RSV).Which intervention is most appropriate?
- Administer antibiotics
- Provide supplemental oxygen as needed
- Encourage oral feeding
- Restrict parental contact
Rationale: RSV is a viral infection; supplemental oxygen supports breathing
difficulties, which are common in infants with RSV.
4.A nurse is teaching parents about the varicella vaccine. At what age is the first dose typically given?HESI | Pediatrics Practice Exam | Verified Questions and Answers | Guaranteed A+ | 100% Correct | 2025/2026 1 / 2
- 6 months
- 12–15 months
- 2 years
- 4 years
Rationale: The first dose of the varicella vaccine is recommended at 12–15
months, with a second dose at 4–6 years.
5.A 2-year-old is admitted with dehydration due to gastroenteritis. Which assessment finding indicates severe dehydration?
- Moist mucous membranes
- Sunken fontanelles
- Normal skin turgor
- Active behavior
Rationale: Sunken fontanelles in a young child indicate severe dehydration
due to significant fluid loss.
6.A nurse is preparing to administer digoxin to a 3-year-old with heart fail- ure. What should the nurse check first?
- Blood pressure
- Apical pulse
- Respiratory rate
- Temperature
Rationale: Digoxin can cause bradycardia; checking the apical pulse ensures
it is within a safe range before administration.
7.A 5-year-old with asthma is experiencing an acute exacerbation. Which medication should the nurse administer first?
- Prednisone
- Albuterol
- Montelukast
- Ipratropium
Rationale: Albuterol, a short-acting beta-agonist, is the first-line treatment
for acute asthma exacerbations to relieve bronchospasm.
8.A nurse is assessing a 9-month-old for developmental milestones. Which finding indicates a developmental delay?
- Sits without support
- Unable to transfer objects between hands
- Responds to own name
- Babbles vowel sounds
Rationale: By 9 months, infants should transfer objects between hands; in-
ability to do so suggests a fine motor delay.
9.A 12-year-old with type 1 diabetes reports feeling shaky and sweaty. What is the nurse’s priority action?
- Administer insulin
- Provide a fast-acting carbohydrate
- Check blood pressure
- Encourage rest
Rationale: Shaking and sweating indicate hypoglycemia; a fast-acting carbo-
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