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Pediatrics HESI PN Review (Updated) Correct and Verified Answers Graded A .
- Question: The practical nurse (PN) is interviewing a 10 year old girl about school and her
extracurricular activities. She responds, "I like school. I play the flute in the school band, and I take tennis lessons." Based on Erikson's psychosocial theory, the PN identifies that this child is in what stage of development?
Correct Answer: Industry
- Question: The mother of a child with croup is having barking, coughing episodes calls
the clinic for assistance. What action should the practical nurse (PN) recommend that the mother implement first?
Correct Answer: Sit with the child in bathroom with a hot shower running
- Question: Which preoperative action is most important for the practical nurse (PN) to
implement for a newborn with meningomyelocele?
Correct Answer: Minimize the risk for infection
- Question: The practical nurse is caring for a 6 year old girl who had surgery 12 hours ago.
The child tells the PN that she does not have pain but a few minutes later, tells her parents that she does. What child development concept is relevant to this situation?
Correct Answer: A child may have pain yet deny its presence to the nurse
- Question: The mother of a male newborn calls the clinic to inquire about the formation
of a yellow crust over her son's circumcision area. What information should the practical nurse (PN) provide?
Correct Answer: Do not remove the yellow crust from the site
- Question: A 6 year old who had a tonsillectomy 12 hours ago is complaining of thirst.
What should the practical nurse (PN) offer?
Correct Answer: Popsicle
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- Question: The practical nurse (PN) is monitoring a child who is manifesting signs of
shock after a motor vehicle collision. Which finding is most important for the PN to report to the charge nurse?
Correct Answer: Narrowing pulse pressure
- Question: Which finding should the practical nurse confirm with the parents of an infant
who is admitted with possible intussusception?
Correct Answer: Red currant jelly stools
- Question: The mother of a 9 month old male infant is concerned because he cries
- Question: The practical nurse (PN) is observing a group of children at a day care center
whenever she leaves him with a sitter. What is the best response for the practical nurse (PN) to provide?Correct Answer: "Crying when you leave him is a healthy sign of attachment."
to determine whether children are achieving developmental milestones. Which activity should the PN identify as typical for a 2 year old child's cognitive development?
Correct Answer: Uses short sentences to express self
- Question: The practical nurse (PN) identifies an increased frequency of otitis media
(OM) is children who are coming to the clinic. Based on this finding, which age group should the PN monitor a child for signs and symptoms of OM?
Correct Answer: Toddler
- Question: The practical nurse (PN) collects information about infant growth and
development milestones for infants who come to the clinic for a well child visit. Which findings should the PN document as normal infant growth and development?
Correct Answer: Birth weight double by age 5 months and triples by 1 year
- Question: Which nonfood item is the most common cause of respiratory arrest in
young children?
Correct Answer: Latex balloons
- Question: The practical nurse (PN) is talking with a group of elementary students about
bicycle safety. Which information should the PN provide?
Correct Answer: Children should wear a bicycle helmet when riding a bicycle
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- Question: An adolescent female who comes to the school clinic is reluctant to confide
her concerns to the practical nurse (PN). The PN tells the teen that confidentiality and privacy are maintained unless a life-threatening situation arises. Which principal supports the PN's response?
Correct Answer: Honest information ensures establishing a trusting relationship
- Question: The practical nurse (PN) is caring for a 6 year old girl who had surgery 12
hours ago. The child tells the PN that she does not have pain but a few minutes later, tells her parents that she does. What child development concept is relevant to this situation?
Correct Answer: A child may have pain yet deny its presence to the nurse
- Question: The practical nurse (PN) is monitoring a child who is manifesting signs of
shock after a motor vehicle collision. Which finding is most important for the PN to report to the charge nurse?
Correct Answer: Narrowing pulse pressure
- Question: The practical nurse (PN) arrives at the playgrounds and sees a school-aged
boy who has eaten something he is allergic to and is demonstrating a stridor. Which action should the PN implement first?
Correct Answer: Call for an ambulance
19. Question: A child who is admitted with acute abdominal pain and possible
appendicitis. Which action should the practical nurse (PN) implement for the child's abdominal discomfort?
Correct Answer: Assist the child to any position of comfort
- Question: A child is admitted for observation following a closed head injury. Which
assessment is most essential for the practical nurse (PN) to monitor for an early sign of a worsening condition?
Correct Answer: Level of consciousness
- Question: A 3 year old boy with cerebral palsy (CP) has difficulty swallowing, cannot
hold a utensil, and is slightly underweight for his height. Which action should the practical nurse implement when feeding this child?
Correct Answer: Stabilize the child's jaw with the caregiver's hand
22. Question: Which of Freud's psychosexual development stages occurs during a
toddler's growth and development?
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Correct Answer: Anal
- Question: Using Freud's theory, the practical nurse should expect a 2 year old boy to
demonstrate the behaviors of which stage?
Correct Answer: Anal
- Question: The practical nurse (PN) is caring a 6 year old who is hospitalized with
asthma. Which developmentally correct activity should the PN provide the child?
Correct Answer: Crayons and a coloring book
- Question: A child is prescribed radiographs of the hand and wrist. The child's parent
asks the practical nurse (PN) the purpose of this procedure. What finding should the PN explain is provided by the diagnostic study?
Correct Answer: Skeletal age
- Question: A mother asks the practical nurse (PN), "When will I know if my daughter has
entered puberty?" Which finding should the PN tell the mother to observe for with the onset of puberty?
Correct Answer: Growth of pubic hair
- Question: The PN is checking the musculoskeletal system of a one month old infant
during a well child visit. Which finding should the PN report to the healthcare provider?
Correct Answer: One leg is shorter than the other
- Question: Which physiological difference is present in a 3 month old infant that affects
oral drug absorption rates?
Correct Answer: Variable pancreatic enzyme activity
- Question: The practical nurse (PN) is preparing to administer an intramuscular
immunization to a 6 month old infant. What site should the PN select?
Correct Answer: Vastus lateralis
- Question: The mother of a young child with Type 1 diabetes mellitus (DM) who needs
insulin injections at home tells the practical nurse (PN) that she is afraid she does not know what to do properly. Which action is most important for the PN implement to decrease the mother's apprehension?
