LPN pediatrics nursing EXAM A+ GRADE ASSURED COMPLETE SOLUTIONS AND VERIFIED ANSWERS

EXAM

Exam Solution+t




Pediatrics HESI PN exam Review 2026 A+ GRADE ASSUR +t +t +t +t +t +t +t +t




ED COMPLETE SOLUTIONS AND VERIFIED ANSWERS (5
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6D22)




QUESTION 1 +t




The practical nurse (PN) is monitoring a child who is manifesting signs of shock after a
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motor vehicle collision. Which finding is most important for the PN to report to the char
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ge nurse?
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a) narrowing pulse pressure
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b) apprehension
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c) irritability
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d) thirst
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ANSWER

Answer: A Rationale: As shock progresses, perfusion in the microcirculation becomes marginal despite c
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ompensatory adjustments, and the signs of decompensated shock become pronounced, such as tachycar
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dia and narrowing pulse pressure (A). (The difference between systolic and diastolic blood pressure), w
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hich should be reported immediately. (B,C, and
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D) are not as significant as (A).
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QUESTION 2 +t




Which preoperative action is most important for the practical nurse (PN) to implement f
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or a newborn with meningomyelocele?
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a) document vital signs
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b) prevent skin breakdown
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c) minimize the risk for infection
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d) monitor neurologic functioning
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ANSWER

Answer: C Rationale: A meningomyelocele provides a direct entry for bacteria into the central nervous s
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ystem, leading to meningitis. Measures that protect the integrity of the meningomyelocele sac and infect
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ion control measures should be implemented to minimize the risk of infection (C). (A,B, and
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D) should be implemented but do not have the priority of (C).
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, QUESTION 3 +t




A 6 year old who had a tonsillectomy 12 hours ago is complaining of thirst. What should
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the practical nurse (PN) offer?
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a) popsicle+t



b) lemonade+t



c) orange juice
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d) chocolate milk
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ANSWER

Answer: A Rationale: Small amounts of clear liquids without red dyes should be offered to the child. Po
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psicles ( +t



A) are cold and help soothe a dry throat. Citrus drinks (B and
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C) are acidic and irritate the operative site in the posterior oropharynx. Milk (
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D) thickens oral mucus which makes swallowing more difficult and causes coughing.
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QUESTION 4 +t




The mother of a male newborn calls the clinic to inquire about the formation of a yellow
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crust over her son's circumcision area. What information should the practical nurse (PN
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) provide?
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a) do not remove the yellow crust from the site
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b) stop using petroleum around the head of the penis
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c) bring him into the clinic
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d) tightly fasten the diaper
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ANSWER

Answer: A Rationale: Crust formation is part of the healing process and should be removed (A). (
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C) is not indicated at this time. The diaper should be fastened loosely, not tightly (
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D) which can place pressure on the incision site. (
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B) assists in the healing process and should not be discontinued.
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QUESTION 5 +t




The mother of a child with croup is having barking, coughing episodes calls the clinic for
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assistance. What action should the practical nurse (PN) recommend that the mother im
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plement first? +t



a) take the child outside in the cool air
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b) bring the child directly to the emergency room
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c) sit with the child in bathroom with a hot shower running
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d) have the child drink plenty of fluids
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ANSWER

Answer: C Rationale: Croup (laryngotracheobronchitis) is a viral infection that causes a "barking" cough
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and varying degrees of inspiratory stridor, which often responds to a high humidity environment. Most
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