Peds HESI Version 2 Questions and

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Peds HESI Version 2 Questions and Answers | Latest Version | 2025/2026 | Correct & Verified

Which sign indicates dehydration in a toddler?

• Moist mucous membranes
• Warm, elastic skin

✔✔C. Sunken fontanelle and dry lips

• Normal urine output

Which intervention is priority for a child with epiglottitis?

• Encourage oral fluids

✔✔B. Maintain airway and avoid throat manipulation

• Administer antipyretics only
• Encourage coughing

Which action should the nurse take first for a child with suspected meningitis?

• Administer antibiotics immediately after blood cultures
• Provide pain medication 1 / 4

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✔✔C. Isolate the child and obtain cultures

• Encourage oral fluids

Which finding is most concerning in a 4-year-old with asthma?

• Mild cough at night

✔✔B. Retractions and wheezing at rest

• Intermittent use of rescue inhaler
• Occasional shortness of breath with activity

Which immunization is contraindicated for a child with severe egg allergy?

• Tdap

B. MMR

✔✔C. Influenza (live attenuated nasal spray)

• Hepatitis B

Which parent statement indicates understanding of safe medication administration in children?

• “I can give adult doses if my child is very sick.”

✔✔B. “I will calculate the dose using my child’s weight.” 2 / 4

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• “It’s safe to double doses if a dose is missed.”
• “I don’t need to shake liquid medications.”

Which symptom suggests increased intracranial pressure in an infant?

• Sleeping longer than usual
• Mild irritability

✔✔C. Bulging fontanelle and high-pitched cry

• Normal feeding

Which position is best for a child experiencing respiratory distress?

• Supine
• Prone

✔✔C. Upright or tripod

• Lying on the side

Which sign indicates hypoglycemia in a school-age child?

• Flushed skin

✔✔B. Shakiness and irritability 3 / 4

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• Polyuria
• Bradycardia

Which action is most appropriate for a child with croup and stridor?

• Encourage vigorous coughing

✔✔B. Provide humidified air and monitor airway

• Administer antitussive medication
• Restrict fluids

Which finding suggests a urinary tract infection in a toddler?

• Increased appetite
• Clear, odorless urine

✔✔C. Dysuria, frequency, and foul-smelling urine

• Decreased thirst

Which intervention is priority for a child with suspected appendicitis?

• Encourage ambulation
• Administer laxatives
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