Background: With its rising prevalence and adverse effects, chronic renal failure is a global health issues. The nurse must be knowledgeable with nutritional assessment because children undergoing dialysis are at greater risk to suffer from malnutrition. Aim:- To evaluate children undergoing hemodialysis in terms of their nutritional status. Design: A descriptive research design was used for this study. Settings: study was done at the hemodialysis unit in Sohag University Hospital and Sohag General Hospital. Sample: A convenient sample of (100 child) with hemodialysis. Tools : Tool (1): Nutritional Assessment Tool: consists of part (1): Biosocial and medical data of children and their family part (2): Child's Physical assessment and part (3): Child's anthropometric measurements to record and calculate the child's measurements part (4): Biochemical investigation Tool (II): Dietary intake survey. Results: Males made well over half (56%) of the children, majority(82%) of them were live at rural area, less than three quarters (74%)of them had abnormal body weight, more than half(55%) of them were had high creatinine level, less than two third (60%) of them had high urea level. Conclusion: Managing children receiving hemodialysis requires a nutritional assessment. From a dietary perspective, the most stressed areas are fluid balance and low-protein, low-sodium diets. Recommendation: Developing nutritional counselling for children and their parents. Frequent seminars and classes for nurses on how to care for children with dialysis