Page 1 of 97
“HESI PN OBSTETRICS MATERNITY PRACTICE
PEDIATRICS HESI PN “ NEWEST UPDATED EXAM 2025 –
2026 SOLVED QUESTIONS & ANSWERS VERIFIED 100%
GRADED A+ (LATEST VERSION)
HESI PN Obstetrics/Maternity Practice Exam, Pediatrics HESI PN Review, Hesi
Peds, PN HESI Peds, Peds & Maternity HESI, HESI Maternity/Pediatric
Remediation
The parents of a gifted child note that their child has been showing signs of
rebellion and acting out. Which is one important thing to teach the parents
about gifted children?
A. They need boundaries like any other child
B. Intense emotions require an outlet
C. All discipline models approve physical aggression
D. Gifted children should be allowed to freely express themselves
They need boundaries like any other child
Gifted children need discipline like any other child to feel loved and safe. Punishment
is appropriate for behavior that is unsafe or falls outside set boundaries. Discipline
appropriately applied does not lead to physical aggression. Free expression does not
mean overstepping the boundaries of appropriate behavior.
The parent of an adolescent who is going to be a foreign exchange student
asks the nurse why the child must have a tetanus toxoid immunization. The
nurse provides which information?
, Page 2 of 97
A. lifelong passive immunity
B. Longer-lasting active immunity
C. Temporary active natural immunity
D. Temporary passive natural immunity
Long-lasting active immunity
Toxoids are modified toxins that stimulate the body the body to form antibodies that
can last up to 10 years against the specific disease; because the adolescent will be
in a foreign country, the toxoid is given prophylactically. The tetanus toxoid provides
active, not passive, immunity; all passive immunity is short acting. Only by having the
disease can someone gain natural immunity. Toxoids confer active, not temporary
passive, immunity.
A young adolescent reports abdominal bloating, pelvic fullness, menstrual
cramps, and breast tenderness. Which is the primary responsibility of the
nurse?
A. Client education
B. Preparation for surgery
C. Medication administration
D. Administration of IV fluids
Client education
female adolescents often experience premenstrual syndrome in their lifetime.
While counseling the parents of an adolescent with anemia related to an
inadequate diet, the nurse explains that several different nutrients, including
protein, iron, and vitamin B12, are involved. Which other nutrient would the
nurse include in the teaching?
A. Calcium
B. Thiamine
C. Folic acid
D. Riboflavin
, Page 3 of 97
Folic acid
Folic acid acts as a necessary coenzyme in the formation of heme, the iron-
containing protein in hemoglobin. Calcium is not involved in the production of red
blood cells. Thiamine is a coenzyme in carbohydrate metabolism. Riboflavin is a
control agent for energy production and tissue formation.
Which pathophysiological process would the nurse expect to account for
growth failure in a 4-year-old child with newly diagnosed cystic fibrosis?
A. Impaired digestion and absorption because of the lack of pancreatic
enzymes
B. Dyspnea and shortness of breath, which cause anorexia and disinterest in
food
C. Increased bowel motility and diarrhea, which lead to inadequate absorption
of nutrients
D. Pulmonary obstruction, which causes an oxygen deficit and inadequate
tissue nourishment
Impaired digestion and absorption because of the lack of pancreatic enzymes
Obstruction of the pancreatic duct and the absence of enzymes (e.g., trypsin,
amylase, and lipase) to aid fat digestion and absorption lead to wasting of tissues
and failure to thrive. Currently it is recommended that children with cystic fibrosis
consume 150% to 200% of the calories recommended for their body weight. Despite
dyspnea and shortness of breath, these children have voracious appetites when
feeling well; the difficulty involves poor digestion and malabsorption of fats and fat-
soluble vitamins. Increased bowel motility and diarrhea are not associated with cystic
fibrosis. The pulmonary disease process leads to localized respiratory dysfunction,
not to retarded physical growth.
An adolescent reports genital warts. Which suggestions would the nurse
provide to reduce the discomfort?
A. Try out cryotherapy if needed
B. Wear loose-fitted cotton clothes
C. Take a bath with oatmeal solution
, Page 4 of 97
D. Use less water for cleaning the genitals
E. Anticipate a prescription of imiquimod
Try out cryotherapy if needed, wear loose-fitted cotton clothes, take a bath with
oatmeal solution
To reduce the irritation and discomfort of genital warts, bathing with oatmeal solution
can be helpful. Wearing loose-fitted cotton clothes helps in reducing the irritation and
friction. Depending on the severity of the warts, cryotherapy can be an option to treat
the warts. Proper cleaning and hygiene of the genital area is necessary to reduce the
growth of the warts. Medications such as imiquimod should not be used during
pregnancy.
Which education would the nurse provide the parents of a preschooler who
stutters?
A. Avoid looking at the child when there is difficulty articulating words.
B. Ignore the stuttering, and try to prevent situations that increase stuttering.
C. Help by supplying the correct word when the child is experiencing a block.
D. Stop the conversation by telling the child to speak slowly and to think
before starting again.
Ignore the stuttering, and try to prevent situations that increase stuttering
Ignoring the stuttering and preventing situations that induce stuttering will avoid
undue emphasis on the speech pattern, thus preventing inadvertent reinforcement of
the pattern. Avoiding looking at the child is demeaning; it may decrease the child's
self-esteem and worsen the stuttering. Stuttering is common in preschoolers
because they are learning new vocabulary and are attempting to find the right words
to express themselves; hesitancy and dysfluency are typical speech characteristics
of preschoolers. Stopping the conversation and telling the child to slow down is
counterproductive; it may decrease the child's self-esteem and worsen the stuttering.
A client's body mass index (BMI) is 31. This client has a history of
hyperinsulinemia caused by an intracranial tumor. Which treatment strategies
would be beneficial?
“HESI PN OBSTETRICS MATERNITY PRACTICE
PEDIATRICS HESI PN “ NEWEST UPDATED EXAM 2025 –
2026 SOLVED QUESTIONS & ANSWERS VERIFIED 100%
GRADED A+ (LATEST VERSION)
HESI PN Obstetrics/Maternity Practice Exam, Pediatrics HESI PN Review, Hesi
Peds, PN HESI Peds, Peds & Maternity HESI, HESI Maternity/Pediatric
Remediation
The parents of a gifted child note that their child has been showing signs of
rebellion and acting out. Which is one important thing to teach the parents
about gifted children?
A. They need boundaries like any other child
B. Intense emotions require an outlet
C. All discipline models approve physical aggression
D. Gifted children should be allowed to freely express themselves
They need boundaries like any other child
Gifted children need discipline like any other child to feel loved and safe. Punishment
is appropriate for behavior that is unsafe or falls outside set boundaries. Discipline
appropriately applied does not lead to physical aggression. Free expression does not
mean overstepping the boundaries of appropriate behavior.
The parent of an adolescent who is going to be a foreign exchange student
asks the nurse why the child must have a tetanus toxoid immunization. The
nurse provides which information?
, Page 2 of 97
A. lifelong passive immunity
B. Longer-lasting active immunity
C. Temporary active natural immunity
D. Temporary passive natural immunity
Long-lasting active immunity
Toxoids are modified toxins that stimulate the body the body to form antibodies that
can last up to 10 years against the specific disease; because the adolescent will be
in a foreign country, the toxoid is given prophylactically. The tetanus toxoid provides
active, not passive, immunity; all passive immunity is short acting. Only by having the
disease can someone gain natural immunity. Toxoids confer active, not temporary
passive, immunity.
A young adolescent reports abdominal bloating, pelvic fullness, menstrual
cramps, and breast tenderness. Which is the primary responsibility of the
nurse?
A. Client education
B. Preparation for surgery
C. Medication administration
D. Administration of IV fluids
Client education
female adolescents often experience premenstrual syndrome in their lifetime.
While counseling the parents of an adolescent with anemia related to an
inadequate diet, the nurse explains that several different nutrients, including
protein, iron, and vitamin B12, are involved. Which other nutrient would the
nurse include in the teaching?
A. Calcium
B. Thiamine
C. Folic acid
D. Riboflavin
, Page 3 of 97
Folic acid
Folic acid acts as a necessary coenzyme in the formation of heme, the iron-
containing protein in hemoglobin. Calcium is not involved in the production of red
blood cells. Thiamine is a coenzyme in carbohydrate metabolism. Riboflavin is a
control agent for energy production and tissue formation.
Which pathophysiological process would the nurse expect to account for
growth failure in a 4-year-old child with newly diagnosed cystic fibrosis?
A. Impaired digestion and absorption because of the lack of pancreatic
enzymes
B. Dyspnea and shortness of breath, which cause anorexia and disinterest in
food
C. Increased bowel motility and diarrhea, which lead to inadequate absorption
of nutrients
D. Pulmonary obstruction, which causes an oxygen deficit and inadequate
tissue nourishment
Impaired digestion and absorption because of the lack of pancreatic enzymes
Obstruction of the pancreatic duct and the absence of enzymes (e.g., trypsin,
amylase, and lipase) to aid fat digestion and absorption lead to wasting of tissues
and failure to thrive. Currently it is recommended that children with cystic fibrosis
consume 150% to 200% of the calories recommended for their body weight. Despite
dyspnea and shortness of breath, these children have voracious appetites when
feeling well; the difficulty involves poor digestion and malabsorption of fats and fat-
soluble vitamins. Increased bowel motility and diarrhea are not associated with cystic
fibrosis. The pulmonary disease process leads to localized respiratory dysfunction,
not to retarded physical growth.
An adolescent reports genital warts. Which suggestions would the nurse
provide to reduce the discomfort?
A. Try out cryotherapy if needed
B. Wear loose-fitted cotton clothes
C. Take a bath with oatmeal solution
, Page 4 of 97
D. Use less water for cleaning the genitals
E. Anticipate a prescription of imiquimod
Try out cryotherapy if needed, wear loose-fitted cotton clothes, take a bath with
oatmeal solution
To reduce the irritation and discomfort of genital warts, bathing with oatmeal solution
can be helpful. Wearing loose-fitted cotton clothes helps in reducing the irritation and
friction. Depending on the severity of the warts, cryotherapy can be an option to treat
the warts. Proper cleaning and hygiene of the genital area is necessary to reduce the
growth of the warts. Medications such as imiquimod should not be used during
pregnancy.
Which education would the nurse provide the parents of a preschooler who
stutters?
A. Avoid looking at the child when there is difficulty articulating words.
B. Ignore the stuttering, and try to prevent situations that increase stuttering.
C. Help by supplying the correct word when the child is experiencing a block.
D. Stop the conversation by telling the child to speak slowly and to think
before starting again.
Ignore the stuttering, and try to prevent situations that increase stuttering
Ignoring the stuttering and preventing situations that induce stuttering will avoid
undue emphasis on the speech pattern, thus preventing inadvertent reinforcement of
the pattern. Avoiding looking at the child is demeaning; it may decrease the child's
self-esteem and worsen the stuttering. Stuttering is common in preschoolers
because they are learning new vocabulary and are attempting to find the right words
to express themselves; hesitancy and dysfluency are typical speech characteristics
of preschoolers. Stopping the conversation and telling the child to slow down is
counterproductive; it may decrease the child's self-esteem and worsen the stuttering.
A client's body mass index (BMI) is 31. This client has a history of
hyperinsulinemia caused by an intracranial tumor. Which treatment strategies
would be beneficial?
