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
The practical nurse is caring for a 6 year old girl who had surgery 12
hours ago. The child tells the PN that she does not have pain but a few
minutes later, tells her parents that she does. What child development
concept is relevant to this situation?
a) inconsistency in pain reporting suggests that pain not present
b) a child may have pain yet deny its presence to the nurse
c) truthful reporting of pain should occur by this age
d) children use pain experiences to manipulate their parents - Correct
AnswerAnswer: B
Rationale:
A child may fear receiving an injection for pain or may believe that pain
is a deserved punishment for some misdeed, so the pain is denied (D)
when the nurse asks the child, who then readily admits having pain to a
parent. This behavior should not be interpreted as (C) but as a valid
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,indication of pain. (A and C) are incorrect interpretations of this
behavior.
A 6 year old who had a tonsillectomy 12 hours ago is complaining of
thirst. What should the practical nurse (PN) offer?
a) popsicle
b) lemonade
c) orange juice
d) chocolate milk - Correct AnswerAnswer: A
Rationale:
Small amounts of clear liquids without red dyes should be offered to
the child. Popsicles (A) are cold and help soothe a dry throat. Citrus
drinks (B and C) are acidic and irritate the operative site in the posterior
oropharynx. Milk (D) thickens oral mucus which makes swallowing more
difficult and causes coughing.
The mother of a male newborn calls the clinic to inquire about the
formation of a yellow crust over her son's circumcision area. What
information should the practical nurse (PN) provide?
a) do not remove the yellow crust from the site
b) stop using petroleum around the head of the penis
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,c) bring him into the clinic
d) tightly fasten the diaper - Correct AnswerAnswer: A
Rationale:
Crust formation is part of the healing process and should be removed
(A). (C) is not indicated at this time. The diaper should be fastened
loosely, not tightly (D) which can place pressure on the incision site. (B)
assists in the healing process and should not be discontinued.
The mother of a child with croup is having barking, coughing episodes
calls the clinic for assistance. What action should the practical nurse
(PN) recommend that the mother implement first?
a) take the child outside in the cool air
b) bring the child directly to the emergency room
c) sit with the child in bathroom with a hot shower running
d) have the child drink plenty of fluids - Correct AnswerAnswer: C
Rationale:
Croup (laryngotracheobronchitis) is a viral infection that causes a
"barking" cough and varying degrees of inspiratory stridor, which often
responds to a high humidity environment. Most children can be
managed at home using the stream from a hot shower in a closed
bathroom (C) which often stops laryngeal spasm. Increasing the child's
fluid intake is important (D), but not a priority at this time.Although
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, exposure to cold air (A) also relieves stridor, parents should be
encouraged to use mist humidifier in the child's room. (B) is not
necessary unless the child is having increasingly difficulty breathing that
may lead to a compromised airway.
Which finding should the practical nurse confirm with the parents of an
infant who is admitted with possible intussusception?
a) red currant jelly stools
b) clay colored stools
c) constant abdominal pain
d) projectile vomiting after meals - Correct AnswerAnswer: A
Rationale:
Red currant jelly stools (A) is a sign of intussusception, which causes a
mixture of stool, mucous, and blood as the intestines telescopes inside
itself. (D) is associated with pyloric stenosis. (B) is consistent with biliary
obstruction. Infants with intussusception usually have periods of severe
pain followed by intervals in which they appear comfortable, not (C).
The practical nurse (PN) is observing a group of children at a day care
center to determine whether children are achieving developmental
milestones. Which activity should the PN identify as typical for a 2 year
old child's cognitive development?
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Obstetrics/Maternity Practice Exam, Pediatrics
HESI PN Review, Hesi Peds, PN HESI Peds, Peds &
Maternity HESI, HESI Maternity/Pediatric
Remediation
The practical nurse is caring for a 6 year old girl who had surgery 12
hours ago. The child tells the PN that she does not have pain but a few
minutes later, tells her parents that she does. What child development
concept is relevant to this situation?
a) inconsistency in pain reporting suggests that pain not present
b) a child may have pain yet deny its presence to the nurse
c) truthful reporting of pain should occur by this age
d) children use pain experiences to manipulate their parents - Correct
AnswerAnswer: B
Rationale:
A child may fear receiving an injection for pain or may believe that pain
is a deserved punishment for some misdeed, so the pain is denied (D)
when the nurse asks the child, who then readily admits having pain to a
parent. This behavior should not be interpreted as (C) but as a valid
Page 1 of 180
,indication of pain. (A and C) are incorrect interpretations of this
behavior.
A 6 year old who had a tonsillectomy 12 hours ago is complaining of
thirst. What should the practical nurse (PN) offer?
a) popsicle
b) lemonade
c) orange juice
d) chocolate milk - Correct AnswerAnswer: A
Rationale:
Small amounts of clear liquids without red dyes should be offered to
the child. Popsicles (A) are cold and help soothe a dry throat. Citrus
drinks (B and C) are acidic and irritate the operative site in the posterior
oropharynx. Milk (D) thickens oral mucus which makes swallowing more
difficult and causes coughing.
The mother of a male newborn calls the clinic to inquire about the
formation of a yellow crust over her son's circumcision area. What
information should the practical nurse (PN) provide?
a) do not remove the yellow crust from the site
b) stop using petroleum around the head of the penis
Page 2 of 180
,c) bring him into the clinic
d) tightly fasten the diaper - Correct AnswerAnswer: A
Rationale:
Crust formation is part of the healing process and should be removed
(A). (C) is not indicated at this time. The diaper should be fastened
loosely, not tightly (D) which can place pressure on the incision site. (B)
assists in the healing process and should not be discontinued.
The mother of a child with croup is having barking, coughing episodes
calls the clinic for assistance. What action should the practical nurse
(PN) recommend that the mother implement first?
a) take the child outside in the cool air
b) bring the child directly to the emergency room
c) sit with the child in bathroom with a hot shower running
d) have the child drink plenty of fluids - Correct AnswerAnswer: C
Rationale:
Croup (laryngotracheobronchitis) is a viral infection that causes a
"barking" cough and varying degrees of inspiratory stridor, which often
responds to a high humidity environment. Most children can be
managed at home using the stream from a hot shower in a closed
bathroom (C) which often stops laryngeal spasm. Increasing the child's
fluid intake is important (D), but not a priority at this time.Although
Page 3 of 180
, exposure to cold air (A) also relieves stridor, parents should be
encouraged to use mist humidifier in the child's room. (B) is not
necessary unless the child is having increasingly difficulty breathing that
may lead to a compromised airway.
Which finding should the practical nurse confirm with the parents of an
infant who is admitted with possible intussusception?
a) red currant jelly stools
b) clay colored stools
c) constant abdominal pain
d) projectile vomiting after meals - Correct AnswerAnswer: A
Rationale:
Red currant jelly stools (A) is a sign of intussusception, which causes a
mixture of stool, mucous, and blood as the intestines telescopes inside
itself. (D) is associated with pyloric stenosis. (B) is consistent with biliary
obstruction. Infants with intussusception usually have periods of severe
pain followed by intervals in which they appear comfortable, not (C).
The practical nurse (PN) is observing a group of children at a day care
center to determine whether children are achieving developmental
milestones. Which activity should the PN identify as typical for a 2 year
old child's cognitive development?
Page 4 of 180
