HESI PN OBSTETRICS / MATERNITY EXAM LATEST 2025
/2026 ACTUAL COMPLETE ACCURATE REAL EXAM
QUESTIONS AND WELL ELABORATED ANSWERS
WITH RATIONALES (EXPERT VERIFIED ANSWERS)
ALREADY GRADED A+!!
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
d) hypotonicity of the leg muscles - ANSWER-Answer: A
Rationale:
Developmental hip dysplasia, subluxation or discoloration,
either partial or complete, is a common orthopedic
deformity where the head of the femur is partly or
completely displaced as a result of a shallow hip socket
(acetabulum). Hip dysplasia causes the leg on the affected
,side to appear shorter (A) than the leg on the unaffected
side. (D) is a sign of a neurologic problem, not hip
dysplasia. The skin folds of the thigh are deeper and often
asymmetrical, not (B), and the best indicator of hip
dysplasia is femur shortening. (C) is not a sign of hip
dysplasia.
Which physiological difference is present in a 3 month old
infant that affects
oral drug absorption
rates?
a) variable pancreatic enzyme activity
b) more acidic gastric secretions
c) more rapid peristaltic activity
d) an accelerated gastric emptying rate - ANSWER-Answer:
A
Rationale:
Pancreatic enzyme activity (A) is variable in infants for the
first 3 months of life as the Gi system matures. The gastric
secretions of infants are less acidic than those of older
children or adults, not (B). Intestinal motility and gastric
emptying rate tend to be slower in infants, not (C and D).
,The practical nurse (PN) is preparing to administer an
intramuscular immunization to a 6 month old infant. What
site should the PN select?
a) dorsogluteal
b) ventrogluteal
c) deltoid
d) vastus lateralis - ANSWER-Answer: D
Rationale:
The vastus lateralis (D) has minimal nerves or blood vessels
and is the best site for intramuscular (IM) injections in
children younger than 3 years of age. The deltoid muscle (C)
is a small muscle mass that accommodates small volumes,
less than 0.5 mL, and is not recommended for IM use in
young children. The gluteal muscles (A and B) are used as
an injection site in children whose musculature develops
after walking.
The mother of a young child with Type 1 diabetes mellitus
(DM) who needs insulin injections at home tells the practical
nurse (PN) that she is afraid she does not know what to do
properly. Which action is most important for the PN
implement to decrease the mother's apprehension?
, a) have the mother verbalize the importance of follow up
care
b) help the mother devise a schedule for rotating the
injections
c) observe the mother while she administers an insulin
injection
d) review the side effects of insulin with the mother -
ANSWER-Answer: C
Rationale:
Observing the mother's ability to give the insulin injection
(C) provides an opportunity to reinforce information &
provide validation to increase the mother's confidence and
relieve apprehension about caring for her child with DM. (A,
B, and D) are of less priority than (C).
Which first aid action should the practical nurse implement
for a child who
has sustained a second degree
thermal burn?
a) apply petroleum jelly to the burned skin
b) apply ice to the
burned area
/2026 ACTUAL COMPLETE ACCURATE REAL EXAM
QUESTIONS AND WELL ELABORATED ANSWERS
WITH RATIONALES (EXPERT VERIFIED ANSWERS)
ALREADY GRADED A+!!
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
d) hypotonicity of the leg muscles - ANSWER-Answer: A
Rationale:
Developmental hip dysplasia, subluxation or discoloration,
either partial or complete, is a common orthopedic
deformity where the head of the femur is partly or
completely displaced as a result of a shallow hip socket
(acetabulum). Hip dysplasia causes the leg on the affected
,side to appear shorter (A) than the leg on the unaffected
side. (D) is a sign of a neurologic problem, not hip
dysplasia. The skin folds of the thigh are deeper and often
asymmetrical, not (B), and the best indicator of hip
dysplasia is femur shortening. (C) is not a sign of hip
dysplasia.
Which physiological difference is present in a 3 month old
infant that affects
oral drug absorption
rates?
a) variable pancreatic enzyme activity
b) more acidic gastric secretions
c) more rapid peristaltic activity
d) an accelerated gastric emptying rate - ANSWER-Answer:
A
Rationale:
Pancreatic enzyme activity (A) is variable in infants for the
first 3 months of life as the Gi system matures. The gastric
secretions of infants are less acidic than those of older
children or adults, not (B). Intestinal motility and gastric
emptying rate tend to be slower in infants, not (C and D).
,The practical nurse (PN) is preparing to administer an
intramuscular immunization to a 6 month old infant. What
site should the PN select?
a) dorsogluteal
b) ventrogluteal
c) deltoid
d) vastus lateralis - ANSWER-Answer: D
Rationale:
The vastus lateralis (D) has minimal nerves or blood vessels
and is the best site for intramuscular (IM) injections in
children younger than 3 years of age. The deltoid muscle (C)
is a small muscle mass that accommodates small volumes,
less than 0.5 mL, and is not recommended for IM use in
young children. The gluteal muscles (A and B) are used as
an injection site in children whose musculature develops
after walking.
The mother of a young child with Type 1 diabetes mellitus
(DM) who needs insulin injections at home tells the practical
nurse (PN) that she is afraid she does not know what to do
properly. Which action is most important for the PN
implement to decrease the mother's apprehension?
, a) have the mother verbalize the importance of follow up
care
b) help the mother devise a schedule for rotating the
injections
c) observe the mother while she administers an insulin
injection
d) review the side effects of insulin with the mother -
ANSWER-Answer: C
Rationale:
Observing the mother's ability to give the insulin injection
(C) provides an opportunity to reinforce information &
provide validation to increase the mother's confidence and
relieve apprehension about caring for her child with DM. (A,
B, and D) are of less priority than (C).
Which first aid action should the practical nurse implement
for a child who
has sustained a second degree
thermal burn?
a) apply petroleum jelly to the burned skin
b) apply ice to the
burned area
