Pediatrics HESI PN EMAN 1 Review, HESI PN
Obstetrics/Maternity Practice Exam, Pediatrics
HESI PN Review, Hesi Peds, PN HESI Peds,
Peds & Maternity HESI, HESI
Maternity/Pediatric Remediation
A 4 year old girl is brought to the emergent care center with a frog like
croaking sound on inspiration. She is having difficulty breathing and has
her chin trust forward with her mouth open. She is drooling, agitated,
and insists on sitting upright. What action should the PN take?
a) Auscultate the lungs and make preparations for placing the child in a
mist tent.
b) Examine the oral pharynx and report to the HCP
c) make the child lie down on the stretcher & rest quietly
c) notify the HCP & prep for immediate intubation of tracheotomy -
Correct AnswerAnswer: D
Rationale:
The child is exhibiting signs of acute epiglottis, a serious obstructive,
inflammatory process that can rapidly progress to severe respiratory
distress, which requires immediate intubation or tracheotomy (D) by
the HCP to secure the airway. (A, B, and C) are contraindicated.
Page 1 of 180
,A toddler with a chronic illness that requires frequent hospitalization is
likely to experience which psychosocial developmental problem?
a) interference with the development of autonomy
b) distortion of differentiation of self from parent
c) delayed language, fine motor, and self care skill
d) fixation with the feelings of inadequacy - Correct AnswerAnswer: A
Rationale:
Frequent hospitalization for a toddler with a chronic illness may
experience interference with the development of autonomy (A), which
is a major psychosocial task of the age group 1-3 years of age. Achieving
other psychosocial development tasks can be impeded during the
stages of school age (B), infancy (C), and preschool age children (D).
After reinforcing information to treat a sprained ankle, what statement
by the adolescent indicates tot he PN that further instruction is
needed?
a) keep the leg elevated when sitting
b) put an ice pack on the ankle, alternating 30 minutes on & 30 minutes
off
c) apply warm compresses to the ankle for the first 24 hours
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,d) wrap the ankle in an elastic bandage for support - Correct
AnswerAnswer: C
Rationale:
The "RICE" treatment (rest, ice, compression, & elevation) should be
implemented for a sprain. Warm compresses (C) reflects the need for
further instruction because heat causes vasodilation which can increase
fluid accumulation in the injured area and increase swelling. (A, B, and
D) reflect correct understanding of the treatment protocol.
Which response should the PN provide a school age child who asks to
talk with a dying sister?
a) touch provides tactile presence of others if she does not responds to
words
b) talk loudly to ensure the dying client hears & recognizes others voices
c) sitting close offers the dying person the sensation of others presence
d) although the dying client may not response, she cna still hear what is
said - Correct AnswerAnswer: D
Rationale:
There is evidence that hearing acuity remains during the dying process,
so talking to a dying client is important both for the client the family (D).
(A) os unnecessary. Although, (B and C) provide additional actions,
Page 3 of 180
, hearing (D) remains an intact sensory perceptions through
unconsciousness and the dying process.
After repeating the vital signs for a newborn who is 4 hours old, the
practical nurse (PN) obtains an axillary temperature of 97.2 F and places
the newborn under a radiant heat warmer. Which additional finding
should the PN observe in the newborn? - Correct AnswerTremors of the
hands during crying.
Which preoperative action is most important for the practical nurse
(PN) to implement for a newborn with meningomyelocele?
a) document vital signs
b) prevent skin breakdown
c) minimize the risk for infection
d) monitor neurologic functioning - Correct AnswerAnswer: C
Rationale:
A meningomyelocele provides a direct entry for bacteria into the central
nervous system, leading to meningitis. Measures that protect the
integrity of the meningomyelocele sac and infection control measures
should be implemented to minimize the risk of infection (C). (A,B, and
D) should be implemented but do not have the priority of (C).
Page 4 of 180
Obstetrics/Maternity Practice Exam, Pediatrics
HESI PN Review, Hesi Peds, PN HESI Peds,
Peds & Maternity HESI, HESI
Maternity/Pediatric Remediation
A 4 year old girl is brought to the emergent care center with a frog like
croaking sound on inspiration. She is having difficulty breathing and has
her chin trust forward with her mouth open. She is drooling, agitated,
and insists on sitting upright. What action should the PN take?
a) Auscultate the lungs and make preparations for placing the child in a
mist tent.
b) Examine the oral pharynx and report to the HCP
c) make the child lie down on the stretcher & rest quietly
c) notify the HCP & prep for immediate intubation of tracheotomy -
Correct AnswerAnswer: D
Rationale:
The child is exhibiting signs of acute epiglottis, a serious obstructive,
inflammatory process that can rapidly progress to severe respiratory
distress, which requires immediate intubation or tracheotomy (D) by
the HCP to secure the airway. (A, B, and C) are contraindicated.
Page 1 of 180
,A toddler with a chronic illness that requires frequent hospitalization is
likely to experience which psychosocial developmental problem?
a) interference with the development of autonomy
b) distortion of differentiation of self from parent
c) delayed language, fine motor, and self care skill
d) fixation with the feelings of inadequacy - Correct AnswerAnswer: A
Rationale:
Frequent hospitalization for a toddler with a chronic illness may
experience interference with the development of autonomy (A), which
is a major psychosocial task of the age group 1-3 years of age. Achieving
other psychosocial development tasks can be impeded during the
stages of school age (B), infancy (C), and preschool age children (D).
After reinforcing information to treat a sprained ankle, what statement
by the adolescent indicates tot he PN that further instruction is
needed?
a) keep the leg elevated when sitting
b) put an ice pack on the ankle, alternating 30 minutes on & 30 minutes
off
c) apply warm compresses to the ankle for the first 24 hours
Page 2 of 180
,d) wrap the ankle in an elastic bandage for support - Correct
AnswerAnswer: C
Rationale:
The "RICE" treatment (rest, ice, compression, & elevation) should be
implemented for a sprain. Warm compresses (C) reflects the need for
further instruction because heat causes vasodilation which can increase
fluid accumulation in the injured area and increase swelling. (A, B, and
D) reflect correct understanding of the treatment protocol.
Which response should the PN provide a school age child who asks to
talk with a dying sister?
a) touch provides tactile presence of others if she does not responds to
words
b) talk loudly to ensure the dying client hears & recognizes others voices
c) sitting close offers the dying person the sensation of others presence
d) although the dying client may not response, she cna still hear what is
said - Correct AnswerAnswer: D
Rationale:
There is evidence that hearing acuity remains during the dying process,
so talking to a dying client is important both for the client the family (D).
(A) os unnecessary. Although, (B and C) provide additional actions,
Page 3 of 180
, hearing (D) remains an intact sensory perceptions through
unconsciousness and the dying process.
After repeating the vital signs for a newborn who is 4 hours old, the
practical nurse (PN) obtains an axillary temperature of 97.2 F and places
the newborn under a radiant heat warmer. Which additional finding
should the PN observe in the newborn? - Correct AnswerTremors of the
hands during crying.
Which preoperative action is most important for the practical nurse
(PN) to implement for a newborn with meningomyelocele?
a) document vital signs
b) prevent skin breakdown
c) minimize the risk for infection
d) monitor neurologic functioning - Correct AnswerAnswer: C
Rationale:
A meningomyelocele provides a direct entry for bacteria into the central
nervous system, leading to meningitis. Measures that protect the
integrity of the meningomyelocele sac and infection control measures
should be implemented to minimize the risk of infection (C). (A,B, and
D) should be implemented but do not have the priority of (C).
Page 4 of 180
