Pediatrics HESI PN Review, HESI PN
Obstetrics/Maternity Practice Exam, Pediatrics
HESI PN Review, Hesi Peds, PN HESI Peds,
Peds & Maternity HESI, HESI
Maternity/Pediatric Remediation
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?
a) put the child in a well-supported semi-reclining position
b) offer a specialized formula per tube feeding
c) place the child in a sitting position with the neck hyperextended
d) stabilize the child's jaw with the caregiver's hand - Correct AnswerAnswer: D
Rationale:
A child with CP should be fed in an upright, eating position, and manual stability of
the oral mechanisms during swallowing should be provided to minimize the risk of
aspiration. Hold the child's jaw (D) from the side or front of the face assists with
head control, correction of the neck and trunk hyperextension, and jaw
stabilization. (A, B, and C) are not indicated.
Which of Freud's psychosexual development stages occurs during a toddler's
growth and development?
a) anal
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,b) oral
c) genital
d) phallic - Correct AnswerAnswer: A
Rationale:
According to Freud's theory, the anal stage (A_, 1-3 years of age, focuses on toilet
training and learning to delay immediate gratification. Oral gratification(B) occurs
from birth to one year of age. (C) The stage of genital awareness & exploration.
(D) The stage of sexual identity and expression in adolescence.
Using Freud's theory, the practical nurse should expect a 2 year old boy to
demonstrate the behaviors of which stage?
a) phallic
b) anal
c) latency
d) oral - Correct AnswerAnswer: B
Rationale:
The anal phase (B) defines the behaviors of a toddler, ages 1-3 years, who begins
to develop sphincter control and the ability to control the release of feces. Success
in this stage results in a sense of autonomy. The oral phase (D), ages birth to 1
year, is the stage of learning to relate to others without excessive jealously,
dependency, and the development of trust and sense of self-reliance. Phallic
phase (A), ages 3-7 years, is an age r/t formation of an identity focuses on
sexuality or the genitalia. Success in this stage results in mastery over internal
processes and impulses. Latency, ages 7 years to puberty, is a stage of
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,development where one's attention is turned toward learning and successful
achieving the ability to delay gratification.
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?
a) an audio cassette and player
b) crayons and a coloring book
c) a ball to throw into a basket
d) a 1000 piece jigsaw puzzle - Correct AnswerAnswer: B
Painting, drawing, playing computer games, and modeling allow children to
practice and improve newly refined skills, so crayons and a coloring book (B) are
an age appropriate activity for a 6 year old child who is hospitalized with asthma.
A 1000 piece puzzle (D) requires conceptualization of a bigger picture, which a 6
year old may not be able to conceptualize. Throwing a soft foam ball (C) around
the room stresses the oxygen demand for the child with acute asthma and poses a
safety issue with equipment in a hospital room if unsupervised. An audio cassette
play (A) may not provide the best diversion for a 6 year old.
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?
a) skeletal age
b) linear growth
c) external proportions
d) neurologic maturation - Correct AnswerAnswer: A
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, Rationale:
Skeletal age (A) can be determined with radiologic examinations that analysis
carpal bones maturity and degree of ossification, which is most useful for
determining skeletal age before 6 years of age. (B, C, and D) do not describe the
correct rationale for this procedure.
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?
a) mood swings
b) growth of pubic hair
c) heterosexual interest
d) menarche - Correct AnswerAnswer: B
Rationale:
The onset of puberty in girls is observed with the development of secondary sex
characteristics, such as breast development and the growth of pubic hair (B). (A,C,
and D) are not consistently found with pubescence.
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?
a) one leg is shorter than the other.
b) 2 skin folds on the back of each thigh
c) broadening & flattening of the buttocks
Page 4 of 151
Obstetrics/Maternity Practice Exam, Pediatrics
HESI PN Review, Hesi Peds, PN HESI Peds,
Peds & Maternity HESI, HESI
Maternity/Pediatric Remediation
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?
a) put the child in a well-supported semi-reclining position
b) offer a specialized formula per tube feeding
c) place the child in a sitting position with the neck hyperextended
d) stabilize the child's jaw with the caregiver's hand - Correct AnswerAnswer: D
Rationale:
A child with CP should be fed in an upright, eating position, and manual stability of
the oral mechanisms during swallowing should be provided to minimize the risk of
aspiration. Hold the child's jaw (D) from the side or front of the face assists with
head control, correction of the neck and trunk hyperextension, and jaw
stabilization. (A, B, and C) are not indicated.
Which of Freud's psychosexual development stages occurs during a toddler's
growth and development?
a) anal
Page 1 of 151
,b) oral
c) genital
d) phallic - Correct AnswerAnswer: A
Rationale:
According to Freud's theory, the anal stage (A_, 1-3 years of age, focuses on toilet
training and learning to delay immediate gratification. Oral gratification(B) occurs
from birth to one year of age. (C) The stage of genital awareness & exploration.
(D) The stage of sexual identity and expression in adolescence.
Using Freud's theory, the practical nurse should expect a 2 year old boy to
demonstrate the behaviors of which stage?
a) phallic
b) anal
c) latency
d) oral - Correct AnswerAnswer: B
Rationale:
The anal phase (B) defines the behaviors of a toddler, ages 1-3 years, who begins
to develop sphincter control and the ability to control the release of feces. Success
in this stage results in a sense of autonomy. The oral phase (D), ages birth to 1
year, is the stage of learning to relate to others without excessive jealously,
dependency, and the development of trust and sense of self-reliance. Phallic
phase (A), ages 3-7 years, is an age r/t formation of an identity focuses on
sexuality or the genitalia. Success in this stage results in mastery over internal
processes and impulses. Latency, ages 7 years to puberty, is a stage of
Page 2 of 151
,development where one's attention is turned toward learning and successful
achieving the ability to delay gratification.
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?
a) an audio cassette and player
b) crayons and a coloring book
c) a ball to throw into a basket
d) a 1000 piece jigsaw puzzle - Correct AnswerAnswer: B
Painting, drawing, playing computer games, and modeling allow children to
practice and improve newly refined skills, so crayons and a coloring book (B) are
an age appropriate activity for a 6 year old child who is hospitalized with asthma.
A 1000 piece puzzle (D) requires conceptualization of a bigger picture, which a 6
year old may not be able to conceptualize. Throwing a soft foam ball (C) around
the room stresses the oxygen demand for the child with acute asthma and poses a
safety issue with equipment in a hospital room if unsupervised. An audio cassette
play (A) may not provide the best diversion for a 6 year old.
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?
a) skeletal age
b) linear growth
c) external proportions
d) neurologic maturation - Correct AnswerAnswer: A
Page 3 of 151
, Rationale:
Skeletal age (A) can be determined with radiologic examinations that analysis
carpal bones maturity and degree of ossification, which is most useful for
determining skeletal age before 6 years of age. (B, C, and D) do not describe the
correct rationale for this procedure.
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?
a) mood swings
b) growth of pubic hair
c) heterosexual interest
d) menarche - Correct AnswerAnswer: B
Rationale:
The onset of puberty in girls is observed with the development of secondary sex
characteristics, such as breast development and the growth of pubic hair (B). (A,C,
and D) are not consistently found with pubescence.
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?
a) one leg is shorter than the other.
b) 2 skin folds on the back of each thigh
c) broadening & flattening of the buttocks
Page 4 of 151
