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PN HESI Peds Questions And Correct Detailed Answers (Verified Answers) Already Graded A+ .
Question: A child with cystic fibrosis is receiving ticarcillin disodium (Ticar) for Pseudomonas pneumonia. What adverse effect should the nurse assess for and report promptly to the health care provider?
Correct Answer: Petechiae
Question: The parents of a 1-year-old child, who was recently diagnosed with
hypospadias, state that they plan to delay corrective surgery to see if the child will outgrow the problem. What response is best for the practical nurse (PN) to provide to these parents?Correct Answer: "Discuss your decision with your healthcare provider for additional information of what you understand about your child's diagnosis." Question: The practical nurse (PN) is caring for a child who had a cleft lip repair. What is the most important reason to minimize this child's crying during the postoperative recovery period?
Correct Answer: Crying stresses the suture line.
Question: The nurse is preparing a child for transport to the operating room for an emergency appendectomy. The anesthesiologist prescribes atropine sulfate (Atropine) IM STAT. What is the primary purpose for administering this drug to the child at this time?
Correct Answer: Decrease the oral secretions.
Question: The health care provider prescribes amoxicillin 60 mg PO three times a day for a child who weighs 13 pounds. The pediatric dosage range is 20 to 40 mg/kg/day in three equal doses. What is the maximum dosage in 24 hours that should be given? (Fill in the blank.)
Correct Answer: 236 mg.
(Calculation provided: First, convert the pounds to kg: 13 lb / 2.2 = 5.9 kg. Second,
determine the maximum dose: 40 mg × 5.9 kg = 236 mg.)
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Question: A short arm cast is applied to a child with a fractured right ulna. The practical nurse (PN) is preparing the parents with home instructions and should reinforce that the parents follow which discharge instruction?Correct Answer: "Call the health care provider immediately if the nail beds appear 'blue' or 'empty.'" Question: A child with poison ivy weighs 25 kg and receives a prescription for Benadryl PO
- mg/kg. Benadryl is available as a 125 mg/5 mL solution. How many milliliters should the
practical nurse administer? (Fill in the blank.)
Correct Answer: 5ml
Question: The practical nurse (PN) is reviewing signs and symptoms of congestive heart failure with the parents of a 2-year-old child with a congenital heart defect. Which behavior is most important for the parents to report to the health care provider?
Correct Answer: Exhibits a sudden and unexplained weight gain
Question: The health care provider prescribes carbamazepine (Tegretol) for a child whose tonic-clonic seizures have been poorly controlled. The nurse informs the mother that the child must have blood tests every week. The mother asks why so many blood tests are necessary. What complication is assessed through frequent laboratory testing that the nurse should explain to this mother?
Correct Answer: Bone marrow suppression
Question: A 15-year-old male with mild mental retardation who is hospitalized for minor surgery tells a female practical nurse (PN), "Wow, you have big ones." Which response is best for the PN to make?
Correct Answer: "That language is not permitted."
Question: The practical nurse (PN) is caring for a child with an acute respiratory condition.When the PN is monitoring for impending respiratory distress, what sign is the child likely to exhibit first?
Correct Answer: Restlessness
Question: The practical nurse (PN) is examining a child with an exacerbation of juvenile rheumatoid arthritis (JRA) and notes that the child's mobility is greatly reduced. What factor should the PN observe that affects the child's mobility?
Correct Answer: Joint inflammation
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Question: The practical nurse (PN) is caring for a toddler who is admitted for cleft palate repair. Which type of restraint should the PN prepare to apply in the postoperative period?
Correct Answer: Elbow
Question: The practical nurse (PN) in the clinic receives a phone call from the mother of a 6-year-old child with a newly applied cast for a fracture of the femur. The mother reports that the child is in pain and is crying and that the child's foot appears swollen and blue.Which nursing diagnosis supports the PN's initial intervention?
Correct Answer: Altered peripheral tissue perfusion
Question: The parents of a 7-month-old male infant with spastic cerebral palsy bring him to the pediatric clinic. Which statement by the parents warrants immediate intervention by the practical nurse (PN)?
Correct Answer: "My son often chokes while I am feeding him."
Question: The practical nurse (PN) observes the unlicensed assistive personnel (UAP) placing a tongue blade at the bedside of a child diagnosed with a seizure disorder. Which intervention should the PN implement?Correct Answer: Tell the UAP that tongue blades should not be inserted during a seizure.Question: A mother phones the clinic because her 6-year-old child has been taking prescribed antibiotics for 7 of the previous 10 days and continues to cough. She also reports that the cough is worsening and is nonproductive. What information should the practical nurse (PN) provide to this mother?Correct Answer: "Bring the child to the clinic today for an examination related to the cough." Question: A child is admitted to the hospital for confirmation of a diagnosis of acute lymphoblastic leukemia. When performing a nursing assessment, which symptoms that are commonly manifested by this condition should the practical nurse (PN) observe in the child?
Correct Answer: Bone pain, pallor
Question: A child with acute appendicitis who is scheduled for surgery in 3 hours is complaining of abdominal pain. Which intervention should the practical nurse implement?
Correct Answer: Assist the child into a position of comfort.
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Question: To minimize separation anxiety in a hospitalized 2-year-old, which nursing intervention is best for the practical nurse to implement?
Correct Answer: Encourage parents to room-in.
Question: The practical nurse (PN) is caring for an infant with pyloric stenosis. What nursing intervention should be included in the preoperative period?
Correct Answer: Observe for projectile vomiting.
Question: The practical nurse (PN) is assessing a child with asthma for retractions during respirations. When should the PN recognize the absence or presence of intercostal retractions?
Correct Answer: Inspiration
Question: A 5-year-old tells the practical nurse (PN) that she "needs a Band-Aid" when she has an injection. Which action is best for the PN to take?
Correct Answer: Apply a Band-Aid over the injection site.
Question: The teacher reports that a 7-year-old child frequently daydreams in school, experiences abrupt interruptions in conversations, and stares into space. Which action should the practical nurse take?
Correct Answer: Observe the child's behavior in the classroom.
Question: The practical nurse (PN) is caring for a child with Wilms' tumor. Which preoperative intervention should the PN implement?Correct Answer: Put a sign above the bed reading, "Do not palpate abdomen." Question: The mother of a 6-month-old asks the practical nurse (PN) when her baby will get the first measles, mumps, and rubella (MMR) vaccine. Based on the recommended childhood immunization schedule published by the Centers for Disease Control and Prevention, which response is accurate?
Correct Answer: 12 to 15 months
Question: The practical nurse (PN) is preparing a child with an intussusception for a prescribed barium enema. The PN should explain to the parent that the purpose for conducting this procedure before surgical intervention is to achieve what objective?
