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Pediatric PN Hesi Specialty V2
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1) AtoddlerisreceivinganinfusionoftotalparenteralnutritionviaaBroviaccatheter. h
Asthechildplays,theI.V.tubingbecomesdisconnectedfromthecatheter.Whatshou l h
dtheLPN/LVNdofirst?
a. Turnofftheinfusionpump.
b. Positionthechildontheside.
c. Clampthecatheter.
d. Flushthecatheterwithheparin.
CorrectAnswer:C.Clampthecatheter.
2) ALPN/LVNisconductinganinfantnutritionclassforparents.Whichfoodsarea h
ppropriatetointroduceduringthefirstyearoflife?Selectallthatapply.
a. Slicedbeef
b. Pureedfruits
c. Wholemilk
d. Ricecereal
e. Strainedvegetables
f. Fruitjuice
CorrectAnswer:
b.Pureedfruits d.Ricecerea
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l e.Strainedvegetables
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3) Amothertellsthenursethatherpreschool-
hagedaughterwithspinabifidasneezesandgetsarashwhenplayingwithbrightlycolo h
redballoons,andthatrecentlyshehadanallergicreactionaftereatingkiwifruitandba h
nanas.TheLPN/LVNwouldsuspectthatthechildmayhaveanallergyto:
a. bananas.
b. latex.
c. kiwifruit.
d. colordyes.
CorrectAnswer:B.latex.
, PEDIATRIC PN HESI SPECIALTY EXAM V2 2022h h h h h h
4) A LPN/LVNis developing a plan to teach a mother how to reduce herinfa
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nt's risk of developing otitis media. Which direction should the nurseinclud
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e in theteaching plan?
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a. Administerantibioticswhenevertheinfanthasacold.
b. Placetheinfantinanuprightpositionwhengivingabottle.
c. Avoidgettingtheinfant'searswetwhilebathingorswimming.
d. Cleantheinfant'sexternalearcanaldaily.
CorrectAnswer:B.Placetheinfantinanuprightpositionwhengivingabottle.
5) Whendevelopingacareplanforanadolescent,thenurseconsidersthechild'sps h
ychosocialneeds.Duringadolescence,psychosocialdevelopmentfocuses on: h
a. becomingindustrious.
b. establishinganidentity.
c. achievingintimacy.
d. developinginitiative.
CorrectAnswer:B.establishinganidentity.
6) A LPN/LVNis planning care for a 10-year-
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old child in the acute phase ofrheumatic fever. Which activity is most appropria
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te for the nurse to schedulein the care plan?
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a. Playingping-pong
b. Readingbooks
c. Climbingonplayequipmentintheplayroom
d. AmbulatingwithoutrestrictionsC h
orrectAnswer:B.Readingbooks
7) A LPN/LVNis assessing a severely depressed adolescent. Which findingind
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icates a riskof suicide?
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a. Excessivetalking
b. Excessivesleepiness
c. Ahistoryofcocaineuse
d. Apreoccupationwithdeath
, PEDIATRIC PN HESI SPECIALTY EXAM V2 2022
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CorrectAnswer:D.Apreoccupationwithdeath
8) Achildisadmittedwithatentativediagnosisofclinicaldepression.Whichassess h
mentfindingismostsignificantinconfirmingthisdiagnosis?
a. Irritability
b. Sadness
c. Weightgain
d. Fatigue CorrectAnswer:
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B.Sadness
9) Achildwithirondeficiencyanemiaisorderedferroussulfate(Ferralyn),anorali r h
onsupplement.Whenteachingthechildandparenthowtoadministerthispreparat i h
on,themotheraskswhysheneedstomixthesupplementwithcitrusjuice.Whichre s h
ponsebythenurseisbest?
a. "ThevitaminCinthecitrusjuicehelpswithironabsorption."
b. "Havingfoodandjuiceinthestomachhelpswithironabsorption."
c. "Thecitrusjuicecounteractstheunpleasanttasteoftheiron."
d. "Thereisn'taspecificreasonforit." CorrectAnswer:A."ThevitaminCintheci
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trusjuicehelpswithironabsorption."
10) Whenassessingachildforimpetigo,thenurseexpectswhichassessmentfinding h
s?
a. Small,brown,benignlesions
b. Honey-colored,crustedlesions
c. Linear,threadlikeburrows
d. Circularlesionsthatclearcentrally CorrectAnsw
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er:B.Honey-colored,crustedlesions
11) Afemaleadolescentclientrefusestoallowmalenursestocareforherwhileshe' h
shospitalized.Whichofthesehealthcarerightsisthisadolescentexerting?
a. Righttocompetentcare
b. Righttohaveanadvancedirectiveonfile