Pediatrics HESI PN TEST BANK, HESI PN
Obstetrics/Maternity Practice Exam, Pediatrics
HESI PN Review, Hesi Peds, PN HESI Peds, Peds &
Maternity HESI, HESI Maternity/Pediatric
Remediation
A five-year-old child's physical examination is normal and the child has
no known allergies to foods or medications. To date, the child has not
been immunized and has had varicelladisease. The pediatric primary
care nurse practitioner now administers a poliovirus vaccine, a
diphtheria, tetanus, and acellular pertussis vaccine; a measles, mumps,
and rubella virus vaccine, and a:
a. Haemophilus influenza Type b vaccine
b. Hepatitis B vaccine
c. Meningococcal vaccined.
d. Varicella vaccine (Varivax) - Correct Answerb. Hepatitis B vaccine
Rationale: Since the child has not been previously immunized, Hepatitis
B should be given. The Haemophilus influenza Type B vaccine should
not be given to children over 5 years of age if they are otherwise
healthy. The meninogococcal vaccine is not indicated in healthy children
until 11 years of age. Because the child has had the varicella disease,
Page 1 of 190
,the varicella vaccine is not a priority at this visit. (CDC, Immunizations,
2019)
In reacting to parental divorce, a child between the ages of 9 and 12
differs from a younger
child in his or her:
a. Acceptance of the family's dissolution
b. Conscious, intense anger
c. Positive reaction to the departure of a parent
d. Tendency toward emotional decompensation - Correct Answerb.
Conscious, intense anger
Rationale: Divorce is stressful and depending on the age of the child
then you can expect different reactions. Children 2- 5 years of age will
often have regression, sleep disturbances, irritability and aggression.
Children 6-8 years of age will often express open grieving and feelings of
being rejected. They may also experience fussiness, regression, sadness,
fear
and exhibit immature behaviors. Children 9-12 show fear and intense
anger at one or both parents.th The child who is 13 + years of age is
worried about their own future, may act out or have depression
symptoms. (Burns 6 edition, chapter 17)
Page 2 of 190
,A 15-year-old male patient reports a three-day history of sore throat,
fever, malaise. Physical examination reveals pharyngitis, anterior
cervical adenopathy, and an oral temperature of 101.6F (38.7C). Which
diagnostic test does a pediatric primary care nurse practitioner order
next?
a. Antistreptolysin O titer
b. Cytomegalovirus titer
c. Monospot and complete blood count
d. Rapid streptococcal antigen test - Correct Answerd. Rapid
streptococcal antigen test
Rationale: Classic symptoms of strep pharyngitis include rapid onset of
fever, sore throat, anterior cervical adenopathy, abdominal
pain/nausea/vomiting, and headache. The most effective way to test for
this disease process safely and quickly is the rapid streptococcal antigen
test. The monospot tests for EBV and usually is a more insidious onset
without severe symptoms. Cytomegalovirus usually affects the GI tract
primarily. Antstrepotolysin O titer detects antibodies to strep antigens
and don't rise until 1-3 weeks after infection. (Burns)
10. During a well-child visit, a mother expresses concern that her three-
year-old has recently started to stutter when excited. The pediatric
primary care nurse practitioner informs the mother that stuttering in a
preschool-aged child:
Page 3 of 190
, a. Is a normal characteristic of language development
b. Is a sign of abnormal speech pattern development
c. Occurs because the child does not know what to say
d. Signals the presence of stress in the child's environment - Correct
Answera. Is a normal characteristic of language development
Rationale: 3-4 year old children have normal hesistancy in speech or
stuttering. They will repeat words especially when stating a full
sentence or when excited. It should not include syllable repetition. This
usually resolves by 5 years of age and should not cause undue stress to
the child. (Burns)
A 14-year-old female patient has nonpustular, closed and open
comedones. The patient has administered over-the-counter
medications without effect. The pediatric primary care nurse
practitioner's next action is to:
a. Prescribe oral minocyclyine (Minocin)
b. Prescribe topical tretinoin (Retin-A)
c. Recommend an antibacterial facial soap
d. Refer the patient to a dermatologist - Correct Answerb. Prescribe
topical tretinoin (Retin-A)
Rationale: Because over the counter treatment of mild to moderate
acne was ineffective, topical tretinoin (Retin-A) is recommended as the
Page 4 of 190
Obstetrics/Maternity Practice Exam, Pediatrics
HESI PN Review, Hesi Peds, PN HESI Peds, Peds &
Maternity HESI, HESI Maternity/Pediatric
Remediation
A five-year-old child's physical examination is normal and the child has
no known allergies to foods or medications. To date, the child has not
been immunized and has had varicelladisease. The pediatric primary
care nurse practitioner now administers a poliovirus vaccine, a
diphtheria, tetanus, and acellular pertussis vaccine; a measles, mumps,
and rubella virus vaccine, and a:
a. Haemophilus influenza Type b vaccine
b. Hepatitis B vaccine
c. Meningococcal vaccined.
d. Varicella vaccine (Varivax) - Correct Answerb. Hepatitis B vaccine
Rationale: Since the child has not been previously immunized, Hepatitis
B should be given. The Haemophilus influenza Type B vaccine should
not be given to children over 5 years of age if they are otherwise
healthy. The meninogococcal vaccine is not indicated in healthy children
until 11 years of age. Because the child has had the varicella disease,
Page 1 of 190
,the varicella vaccine is not a priority at this visit. (CDC, Immunizations,
2019)
In reacting to parental divorce, a child between the ages of 9 and 12
differs from a younger
child in his or her:
a. Acceptance of the family's dissolution
b. Conscious, intense anger
c. Positive reaction to the departure of a parent
d. Tendency toward emotional decompensation - Correct Answerb.
Conscious, intense anger
Rationale: Divorce is stressful and depending on the age of the child
then you can expect different reactions. Children 2- 5 years of age will
often have regression, sleep disturbances, irritability and aggression.
Children 6-8 years of age will often express open grieving and feelings of
being rejected. They may also experience fussiness, regression, sadness,
fear
and exhibit immature behaviors. Children 9-12 show fear and intense
anger at one or both parents.th The child who is 13 + years of age is
worried about their own future, may act out or have depression
symptoms. (Burns 6 edition, chapter 17)
Page 2 of 190
,A 15-year-old male patient reports a three-day history of sore throat,
fever, malaise. Physical examination reveals pharyngitis, anterior
cervical adenopathy, and an oral temperature of 101.6F (38.7C). Which
diagnostic test does a pediatric primary care nurse practitioner order
next?
a. Antistreptolysin O titer
b. Cytomegalovirus titer
c. Monospot and complete blood count
d. Rapid streptococcal antigen test - Correct Answerd. Rapid
streptococcal antigen test
Rationale: Classic symptoms of strep pharyngitis include rapid onset of
fever, sore throat, anterior cervical adenopathy, abdominal
pain/nausea/vomiting, and headache. The most effective way to test for
this disease process safely and quickly is the rapid streptococcal antigen
test. The monospot tests for EBV and usually is a more insidious onset
without severe symptoms. Cytomegalovirus usually affects the GI tract
primarily. Antstrepotolysin O titer detects antibodies to strep antigens
and don't rise until 1-3 weeks after infection. (Burns)
10. During a well-child visit, a mother expresses concern that her three-
year-old has recently started to stutter when excited. The pediatric
primary care nurse practitioner informs the mother that stuttering in a
preschool-aged child:
Page 3 of 190
, a. Is a normal characteristic of language development
b. Is a sign of abnormal speech pattern development
c. Occurs because the child does not know what to say
d. Signals the presence of stress in the child's environment - Correct
Answera. Is a normal characteristic of language development
Rationale: 3-4 year old children have normal hesistancy in speech or
stuttering. They will repeat words especially when stating a full
sentence or when excited. It should not include syllable repetition. This
usually resolves by 5 years of age and should not cause undue stress to
the child. (Burns)
A 14-year-old female patient has nonpustular, closed and open
comedones. The patient has administered over-the-counter
medications without effect. The pediatric primary care nurse
practitioner's next action is to:
a. Prescribe oral minocyclyine (Minocin)
b. Prescribe topical tretinoin (Retin-A)
c. Recommend an antibacterial facial soap
d. Refer the patient to a dermatologist - Correct Answerb. Prescribe
topical tretinoin (Retin-A)
Rationale: Because over the counter treatment of mild to moderate
acne was ineffective, topical tretinoin (Retin-A) is recommended as the
Page 4 of 190
