2025 HESI PEDIATRIC NURSING REMEDIATION FINAL EXAM
QUESTIONS WITH ANSWERS GRADED A+ 2025/2026
A 2-year-old child with Down syndrome is brought to the clinic for his regular physical
examination. The nurse knows which problem is frequently associated with Down
syndrome?
a. Congenital heart disease.
b. Fragile X chromosome.
c. Trisomy 13.
d. Pyloric stenosis. - a
The mother of a 4-year-old child asks the nurse what she can do to help her other
children cope with their sibling's repeated hospitalizations. Which is the best response
that the nurse should offer?
a. Inform the parent that the other children are too young to visit the hospital.
b. Suggest that the other children visit a grandmother until the sibling returns home.
c. Ask the mother if the children ask when the sibling will be discharged.
d. Encourage the mother to have the children visit the hospitalized sibling. - d
Which behavior would the nurse expect a two-year-old child to exhibit?
a. Build a house with blocks.
b. Ride a tricycle.
c. Display possessiveness of toys.
d. Look at a picture book for 15 minutes. - c
The nurse is having difficulty communicating with a hospitalized 6-year-old child. Which
approach by the nurse is most helpful in establishing communication?
a. Engage the child through drawing pictures.
b. Suggest that the parent read a book to the child.
c. Provide paper and pencil for the child to keep a diary.
d. Ask the parent if the child is always uncommunicative. - a
,A preschool-age child who is hospitalized for hypospadias repair is most strongly
influenced by which behavior?
a. Ability to communicate verbally.
b. Response to separation from family.
c. Concern for body integrity.
d. Socialization with other children. - c
When discussing discipline with the mother of a 4-year-old child, the nurse should
include which guideline?
a. Parental control should be consistent.
b. Children as young as 4 years rarely need reprimand or punishment.
c. Withdrawal of approval is effective.
d. Parents should enforce rigid rules to be followed without question. - a
Which action by the nurse is most helpful in communicating with a preschool-aged
child?
a. Speak clearly and directly to the child.
b. Use a doll to play and communicate.
c. Approach when a parent is not present.
d. Play a board game with the child. - b
A 6-year-old is admitted to the pediatric unit after falling off a bicycle. Which intervention
should the nurse implement to assist the child's adjustment to hospitalization?
a. Explain hospital schedules to the child, such as mealtimes.
b. Use terms, such as "honey" and "dear," to show a caring attitude.
c. Provide a list of rules that limits visitation of siblings in the hospital.
d. Orient the parents to the hospital unit and refreshment areas. - a
,What clinical manifestation is the nurse likely to observe in a child with human
immunodeficiency virus (HIV)?
a. Petechiae.
b. Visual disturbances.
c. Bruising.
d. Oral candidiasis. - d
A school nurse presented a parent-approved lesson about "Prevention transmitting
Herpes Simplex Virus 2" (HSV-2) to a group of adolescent students. Which statement
from one of the students would demonstrate a proper understanding of the lesson?
a. There is currently no cure for HSV-2.
b. Condoms are 100% effective in protecting again HSV-2.
c. HSV-2 cannot be passed through vaginal secretions.
d. When no lesions are visibly, the HSV-2 cannot be passed on. - a
The nurse is counseling a teenage girl who was recently diagnosed with gonorrhea. The
nurse should inform the client that untreated gonorrhea may lead to which
complication?
a. Pelvic inflammatory disease.
b. Gastrointestinal bleeding.
c. Renal failure.
d. Pyelonephritis. - a
A school nurse is assessing rashes on a child's lower shins and forearms that appear
streaked and inflamed and are blistered with clear oozing substance present. The child
reports that it is painful. Based on these signs and symptoms, what most likely caused
this condition?
a. Shellfish.
b. Penicillin elixir.
c. Laundry detergent.
, d. Poison ivy or oak. - d
Upon inspection, a nurse visualizes a blade of grass clipping stuck under the right upper
eyelid of a teenage client complaining of eye pain, increased tear production, and
redden sclera. What should the nurse use to remove the grass clipping?
a. Moist gauze pad.
b. Dry cotton swab.
c. Plastic tweezer.
d. Irrigation solution. - a
A 3-year-old client with sickle cell anemia is admitted to the Emergency Department
with abdominal pain. The nurse palpates an enlarged liver, an x-ray reveals an enlarged
spleen, and a CBC reveals anemia. These findings indicate which type of crisis?
a. Aplastic.
b. Sequestration.
c. Hyperhemolytic.
d. Vaso-occlusive. - b
Which menu selection by a child with celiac disease indicates to the nurse that the child
understands necessary dietary considerations?
a. Oven-baked potato chips and cola.
b. Peanut butter and banana sandwich.
c. Oatmeal-raisin cookies and milk.
d. Graham crackers and fruit juice. - a
A female teenager is taking oral tetracycline HCL (Achromycin V) for acne vulgaris.
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."
c. "Take the medication with a glass of milk."
QUESTIONS WITH ANSWERS GRADED A+ 2025/2026
A 2-year-old child with Down syndrome is brought to the clinic for his regular physical
examination. The nurse knows which problem is frequently associated with Down
syndrome?
a. Congenital heart disease.
b. Fragile X chromosome.
c. Trisomy 13.
d. Pyloric stenosis. - a
The mother of a 4-year-old child asks the nurse what she can do to help her other
children cope with their sibling's repeated hospitalizations. Which is the best response
that the nurse should offer?
a. Inform the parent that the other children are too young to visit the hospital.
b. Suggest that the other children visit a grandmother until the sibling returns home.
c. Ask the mother if the children ask when the sibling will be discharged.
d. Encourage the mother to have the children visit the hospitalized sibling. - d
Which behavior would the nurse expect a two-year-old child to exhibit?
a. Build a house with blocks.
b. Ride a tricycle.
c. Display possessiveness of toys.
d. Look at a picture book for 15 minutes. - c
The nurse is having difficulty communicating with a hospitalized 6-year-old child. Which
approach by the nurse is most helpful in establishing communication?
a. Engage the child through drawing pictures.
b. Suggest that the parent read a book to the child.
c. Provide paper and pencil for the child to keep a diary.
d. Ask the parent if the child is always uncommunicative. - a
,A preschool-age child who is hospitalized for hypospadias repair is most strongly
influenced by which behavior?
a. Ability to communicate verbally.
b. Response to separation from family.
c. Concern for body integrity.
d. Socialization with other children. - c
When discussing discipline with the mother of a 4-year-old child, the nurse should
include which guideline?
a. Parental control should be consistent.
b. Children as young as 4 years rarely need reprimand or punishment.
c. Withdrawal of approval is effective.
d. Parents should enforce rigid rules to be followed without question. - a
Which action by the nurse is most helpful in communicating with a preschool-aged
child?
a. Speak clearly and directly to the child.
b. Use a doll to play and communicate.
c. Approach when a parent is not present.
d. Play a board game with the child. - b
A 6-year-old is admitted to the pediatric unit after falling off a bicycle. Which intervention
should the nurse implement to assist the child's adjustment to hospitalization?
a. Explain hospital schedules to the child, such as mealtimes.
b. Use terms, such as "honey" and "dear," to show a caring attitude.
c. Provide a list of rules that limits visitation of siblings in the hospital.
d. Orient the parents to the hospital unit and refreshment areas. - a
,What clinical manifestation is the nurse likely to observe in a child with human
immunodeficiency virus (HIV)?
a. Petechiae.
b. Visual disturbances.
c. Bruising.
d. Oral candidiasis. - d
A school nurse presented a parent-approved lesson about "Prevention transmitting
Herpes Simplex Virus 2" (HSV-2) to a group of adolescent students. Which statement
from one of the students would demonstrate a proper understanding of the lesson?
a. There is currently no cure for HSV-2.
b. Condoms are 100% effective in protecting again HSV-2.
c. HSV-2 cannot be passed through vaginal secretions.
d. When no lesions are visibly, the HSV-2 cannot be passed on. - a
The nurse is counseling a teenage girl who was recently diagnosed with gonorrhea. The
nurse should inform the client that untreated gonorrhea may lead to which
complication?
a. Pelvic inflammatory disease.
b. Gastrointestinal bleeding.
c. Renal failure.
d. Pyelonephritis. - a
A school nurse is assessing rashes on a child's lower shins and forearms that appear
streaked and inflamed and are blistered with clear oozing substance present. The child
reports that it is painful. Based on these signs and symptoms, what most likely caused
this condition?
a. Shellfish.
b. Penicillin elixir.
c. Laundry detergent.
, d. Poison ivy or oak. - d
Upon inspection, a nurse visualizes a blade of grass clipping stuck under the right upper
eyelid of a teenage client complaining of eye pain, increased tear production, and
redden sclera. What should the nurse use to remove the grass clipping?
a. Moist gauze pad.
b. Dry cotton swab.
c. Plastic tweezer.
d. Irrigation solution. - a
A 3-year-old client with sickle cell anemia is admitted to the Emergency Department
with abdominal pain. The nurse palpates an enlarged liver, an x-ray reveals an enlarged
spleen, and a CBC reveals anemia. These findings indicate which type of crisis?
a. Aplastic.
b. Sequestration.
c. Hyperhemolytic.
d. Vaso-occlusive. - b
Which menu selection by a child with celiac disease indicates to the nurse that the child
understands necessary dietary considerations?
a. Oven-baked potato chips and cola.
b. Peanut butter and banana sandwich.
c. Oatmeal-raisin cookies and milk.
d. Graham crackers and fruit juice. - a
A female teenager is taking oral tetracycline HCL (Achromycin V) for acne vulgaris.
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."
c. "Take the medication with a glass of milk."
