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HESI Pediatrics Practice Test practice test

2026-2027 exam practice page

6 practice questions

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Elsevier
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6 questions / 120 min
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HESI Pediatrics Practice Test

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Question 1 Apply principles of growth and development

Question 1: Apply principles of growth and development

A nurse is assessing a 6-month-old infant during a well child visit. Which developmental milestone should the nurse expect a typical 6-month-old to have achieved?

Question 2 Provide care for a child with respiratory distress

Question 2: Provide care for a child with respiratory distress

A nurse is caring for a 2-year-old child admitted with bronchiolitis caused by respiratory syncytial virus. The child has a respiratory rate of 60 breaths per minute, nasal flaring, and an oxygen saturation of 89 percent. Which nursing action is the priority?

Question 3 Apply medication safety in pediatric care

Question 3: Apply medication safety in pediatric care

A nurse is preparing to administer acetaminophen to a child. The order is for 15 mg per kilogram, and the child weighs 20 kilograms. How many milligrams should the nurse administer?

Question 4 Recognize a pediatric emergency

Question 4: Recognize a pediatric emergency

A nurse is assessing a 4-year-old child with suspected epiglottitis. The child is sitting upright, drooling, and appears anxious. Which action should the nurse avoid?

Question 5 Provide care for a child with dehydration

Question 5: Provide care for a child with dehydration

A nurse is assessing an 8-month-old infant with gastroenteritis. Which finding indicates severe dehydration requiring immediate intervention?

Question 6 Apply principles of immunization

Question 6: Apply principles of immunization

A nurse is reviewing the immunization record of a 12-month-old child. Which vaccine is typically administered at the 12-month visit?

Question 7 Provide care for a child with a chronic illness

Question 7: Provide care for a child with a chronic illness

A nurse is teaching the parents of a child newly diagnosed with type 1 diabetes. Which statement by a parent indicates a need for further teaching?

Question 8 Recognize signs of a pediatric condition

Question 8: Recognize signs of a pediatric condition

A nurse is assessing a 5-year-old child with suspected acute appendicitis. The child suddenly reports that the abdominal pain has stopped completely and feels much better. How should the nurse interpret this change?

Question 9 Provide care for a child with a fracture

Question 9: Provide care for a child with a fracture

A nurse is caring for a child who has a fiberglass cast on the right arm after a fracture. Which finding should the nurse report immediately?

Question 10 Apply principles of pediatric pain assessment

Question 10: Apply principles of pediatric pain assessment

A nurse needs to assess pain in a 3-year-old child who cannot reliably use a numeric scale. Which pain assessment tool is most appropriate for this child?

Question 11 Provide care for a child with otitis media

Question 11: Provide care for a child with otitis media

A nurse is teaching the parents of a toddler who has frequent ear infections. Which instruction helps reduce the risk of recurrent otitis media?

Question 12 Recognize signs of a congenital heart defect

Question 12: Recognize signs of a congenital heart defect

A nurse is assessing a 2-month-old infant with a known congenital heart defect. The parent reports the infant tires quickly and sweats during feeding and gains weight slowly. These findings are most consistent with which problem?

Question 13 Apply principles of pediatric safety

Question 13: Apply principles of pediatric safety

A nurse is teaching parents about home safety for their 10-month-old infant. Which recommendation is most appropriate for this age group?

Question 14 Provide care for a child with leukemia

Question 14: Provide care for a child with leukemia

A nurse is caring for a 7-year-old child with acute lymphoblastic leukemia who is receiving chemotherapy. The latest absolute neutrophil count is very low. Which nursing intervention is the priority?

Question 15 Apply principles of fluid calculation in children

Question 15: Apply principles of fluid calculation in children

A nurse is calculating maintenance fluids for a child who weighs 12 kilograms. Using the rule of 100 mL per kilogram for the first 10 kilograms and 50 mL per kilogram for each kilogram from 10 to 20, what is the total daily maintenance fluid volume?

Question 16 Recognize signs of child abuse

Question 16: Recognize signs of child abuse

A nurse is assessing a 4-year-old child brought to the emergency department. Which finding should most increase the nurse's concern for possible physical abuse?

Question 17 Apply teaching about pediatric nutrition

Question 17: Apply teaching about pediatric nutrition

A nurse is teaching a parent about introducing solid foods to a 6-month-old infant. Which instruction is most appropriate?

Question 18 Provide care for a child with sickle cell disease

Question 18: Provide care for a child with sickle cell disease

A nurse is caring for a child with sickle cell disease who is admitted with a vaso-occlusive crisis. Which group of interventions is most appropriate?

Question 19 Recognize developmental considerations in hospitalized children

Question 19: Recognize developmental considerations in hospitalized children

A nurse is caring for a hospitalized toddler. Which behavior is the most common reaction to separation from parents during the protest phase of separation anxiety?

Question 20 Apply principles of pediatric medication administration

Question 20: Apply principles of pediatric medication administration

A nurse is preparing to administer an oral liquid medication to a 9-month-old infant. Which technique is most appropriate and safe?

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About this practice test

What this 2026-2027 HESI Pediatrics Practice Test covers

Purchase access to the current 6-question practice bank, with exam mode, study mode, answers and rationales. The free sample is separate. Purchase includes the current bank only.

Practice material can include variations on the same concept. It is not an official exam or a guarantee of a passing score. Confirm important facts against current authoritative sources.

Work through up to 100 Elsevier-style questions built around growth and development, pediatric safety, family teaching, medication safety, assessment, and prioritization.
Use answer-by-answer rationales to understand why the best option wins and why close distractors fail.
Start with the free sample before paying, then unlock the full timed bank only if the practice style fits.
Review missed questions with memory-friendly explanations so the tested pattern is easier to recognize later.

Use this HESI Pediatrics Practice Test to practice realistic Elsevier questions with 20 free sample questions, timed full-bank review, answer explanations, and focused rationales for growth and development, pediatric safety, family teaching, medication safety, assessment, and prioritization.

Built for nursing students and candidates searching for HESI Pediatrics Practice Test, HESI Pediatrics practice questions, or a clear HESI Pediatrics study guide before an upcoming exam date.

Focus areas include growth and development, pediatric safety, family teaching, medication safety, assessment, and prioritization, along with realistic timing, careful review of why distractors are wrong, and practical explanations that help the tested pattern stick.

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What you will practice on this page

  • Work through up to 100 Elsevier-style questions built around growth and development, pediatric safety, family teaching, medication safety, assessment, and prioritization.
  • Use answer-by-answer rationales to understand why the best option wins and why close distractors fail.
  • Start with the free sample before paying, then unlock the full timed bank only if the practice style fits.
  • Review missed questions with memory-friendly explanations so the tested pattern is easier to recognize later.

How to use this exam to study smarter

  1. Start with the free HESI Pediatrics sample as a diagnostic so you know whether content, timing, or question wording is the real problem.
  2. Review every missed question before moving on, especially the distractors that felt tempting under time pressure.
  3. Retake the full HESI Pediatrics practice test in timed mode and use the score report to choose the next weak area.

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Purchase access to the current 6-question practice bank, with exam mode, study mode, answers and rationales. The free sample is separate. Purchase includes the current bank only.

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Is this an official exam or a passing-score guarantee?

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