This paper presents an effective application of a variable-node axisymmetric solid element designated as AQV (Axisymmetric Quadrilateral Variable-node element). The variable-node element with physical midside nodes helps to overcome some problems in connecting the different layer patterns on a quadrilateral mesh in the adaptive h-refinement. This element alleviates the necessity of imposing displacement constraints on irregular (hanging) nodes in order to enforce the inter-element compatibility. Therefore, the elements with variable mid-side nodes can be used effectively in the local mesh refinement for the axisymmetric structures which have stress concentrations. A modified Gaussian quadrature should be adopted to evaluate the stiffness matrices of the variable-node elements mainly because of the slope discontinuity of assumed displacement within the elements. Some numerical examples show the usefulness of variable-node axisymmetric elements in the practical application.