Pediatrics HESI PN Exam Review

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Pediatrics HESI PN Exam Review Questions and Answers | Latest Version | 2025/2026 | Correct & Verified

A 2-year-old child is admitted with dehydration from diarrhea. Which assessment is the most reliable indicator of hydration status?

• Skin turgor
• Blood pressure

✔✔C. Daily weight

• Capillary refill

A nurse prepares to administer a vaccine to a 5-year-old. What is the best site for the injection?

• Deltoid muscle

✔✔B. Vastus lateralis muscle

• Gluteus maximus muscle
• Abdomen

A child with asthma presents with wheezing and difficulty breathing. What is the priority intervention? 1 / 4

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• Start IV fluids

✔✔B. Administer a short-acting bronchodilator

• Encourage oral fluids
• Place child in supine position

A nurse teaches the parents of a child with iron deficiency anemia about diet. Which food should be encouraged?

• Apples

✔✔B. Lean red meat

• White bread
• Ice cream

A child with cystic fibrosis requires pancreatic enzymes. When should these be administered?

• At bedtime

✔✔B. With meals and snacks

• Before sleep only
• Once in the morning
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A child with nephrotic syndrome has edema. Which diet order should the nurse expect?

• High sodium, low protein
• High sodium, high protein

✔✔C. Low sodium, moderate protein

• Low potassium, low fat

A toddler with suspected lead poisoning is admitted. Which lab test confirms the diagnosis?

A. CBC

✔✔B. Blood lead level

• Urinalysis
• Stool culture

A child with sickle cell anemia complains of severe leg pain. What is the priority nursing action?

• Apply cold compress

✔✔B. Administer prescribed opioid analgesic

• Restrict fluids
• Place child in Trendelenburg position
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A 4-year-old with otitis media is prescribed antibiotics. What teaching is most important for the parent?

• Stop the medicine when symptoms improve
• Keep the medicine refrigerated

✔✔C. Complete the full course of antibiotics

• Give the medicine on an empty stomach

A nurse prepares to insert an IV in a preschool child. What is the best approach?

• Restrain the child immediately

✔✔B. Use age-appropriate explanations and distraction

• Ask the parent to leave the room
• Avoid explaining to reduce fear

A 6-month-old infant is due for immunizations. Which vaccine should the nurse anticipate giving?

A. MMR

✔✔B. DTaP

• Varicella
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