Pediatrics HESI Questions and

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

Which sign in a child with pneumonia requires immediate intervention?

• Mild nasal congestion
• Low-grade fever

✔✔C. Intercostal retractions

• Slightly decreased appetite

Which intervention is most important for a hospitalized child with pneumonia?

• Offering snacks frequently

✔✔B. Monitoring oxygen saturation

• Encouraging screen time for distraction
• Allowing unlimited visitors

Which discharge instruction is most appropriate for the parent of a child recovering from pneumonia?

• “Stop antibiotics when symptoms improve.” 1 / 4

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✔✔B. “Give all prescribed antibiotics until finished.”

• “Keep your child in bed for two weeks.”
• “Avoid fluids to reduce coughing.”

Which finding suggests worsening pneumonia in a child?

• Productive cough
• Fatigue after play

✔✔C. Respiratory rate of 60/min

• Occasional nasal flaring

Which position should the nurse encourage for a child with pneumonia to improve oxygenation?

• Supine with legs elevated

✔✔B. Semi-Fowler’s

• Prone with head turned
• Trendelenburg

Which is the best method to encourage fluid intake in a 4-year-old with pneumonia?

• Offer plain water only 2 / 4

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✔✔B. Provide small amounts of favorite fluids frequently

• Restrict fluids to avoid aspiration
• Offer large glasses of milk each meal

Which assessment finding should the nurse report immediately in a child with pneumonia?

• Temp 100.8°F
• Moist productive cough

✔✔C. O2 sat of 85% on room air

• Mild nasal flaring with activity

What is the priority nursing action when a child with pneumonia becomes restless and anxious?

• Call respiratory therapy
• Encourage the child to nap

✔✔C. Check oxygen saturation and apply oxygen

• Offer a toy for distraction

Which teaching point should be included for preventing future pneumonia episodes?

• Avoid all vaccinations 3 / 4

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• Limit outdoor activity

✔✔C. Ensure routine immunizations are up to date

• Avoid all contact with peers

Which parental statement indicates correct understanding of home care for a child recovering from pneumonia?

• “I should keep my child isolated until cough disappears completely.”

✔✔B. “I will allow frequent rest periods during recovery.”

• “I should restart daycare the next day after hospital discharge.”
• “I will double the antibiotic dose if fever returns.”

Which lab finding is consistent with bacterial pneumonia?

• Decreased white blood cell count

✔✔B. Elevated white blood cell count

• Low hemoglobin
• Elevated platelet count

Which intervention helps reduce fever in a child with pneumonia?

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