HESI PN OBSTETRICS EXAM ACTUAL EXAM 2026 |
PEDIATRICS HESI PN REVIEW | PN HESI PEDS | ALL
QUESTIONS AND CORRECT ANSWERS WITH
RATIONALES | JUST RELEASED
The practical nurse (PN) identifies an increased frequency of otitis media (OM) is
children who are coming to the clinic. Based on this finding, which age group
should the PN monitor a child for signs and symptoms of OM?
a) toddler
b) preschooler
c) school ager
d) adolescent ---------CORRECT ANSWER-----------------Answer: A
Rationale:
Infants and toddlers (A) are most prone to otitis media due to the anatomical
structure of the eustachian tube that allows fluid and microbial entry into the
middle ear. (B, C, and D) are most susceptible to acute infectious diseases
acquired through environmental transmission from daycare or school settings.
The practical nurse (PN) collects information about infant growth and
development milestones for infants who come to the clinic for a well child visit.
Which findings should the PN document as normal infant growth and
development?
,a) maternal iron stores persist during the first 12 months of life
b) anterior fontanel closes by 6 to 10 months of age
c) binocularity is well established by 8 months of age
d) birth weight double by age 5 months and triples by 1 year ---------CORRECT
ANSWER-----------------Answer: D
Rationale:
Infants gain approximately 1.5 pounds/month until age 5 to 6 months, when the
birth weight doubles, and by 1 year of age, the birth weight usually triples (D).
The anterior fontanel closes by 12 to 18 months of age, with the average being
14 months, not (B). Binocularity begins to develop by 6 weeks of age and should
be well established by age 4 months, not (C). Maternally derived iron stores ares
present for the first 5 to 6 months and gradually diminish, which results in an
expected lowered hemoglobin levels toward the end of the first 6 months (A).
Which nonfood item is the most common cause of respiratory arrest in young
children?
a) latex balloons
b) broken rattles
c) buttons
d) pacifiers ---------CORRECT ANSWER-----------------Answer: A
Rationale:
Nonfood items cause the majority of choking deaths in young children. Latex
balloons (A), whether partially inflated, uninflated, or popped, are the leading
,cause of pediatric choking that leads to aspiration of small objects (A,B, and D)
because they experience the environment by placing objects in the mouth, but
(A) is the leading cause of death causing respiratory obstruction and arrest.
The practical nurse (PN) is talking with a group of elementary students about
bicycle safety. Which information should the PN provide?
a) wearing protective gear on a bicycle is a voluntary measure
b) children should wear a bicycle helmet when riding a bicycle
c) bicycle injuries involve a collision with an automobile
d) riding double is allowed if the bicycle has an extra large seat ---------CORRECT
ANSWER-----------------Answer: B
Rationale:
Bicycle accidents that result in head injuries are a common, accidental cause of
morbidity and mortality, so bicycle safety and some state laws mandate that
children should wear a protective helmet (B). (A, C, and D) do not provide
accurate information.
An adolescent female who comes to the school clinic is reluctant to confide her
concerns to the practical nurse (PN). The PN tells the teen that confidentiality and
privacy are maintained unless a life-threatening situation arises. Which principal
supports the PN's response?
a) disclosures from the adolescent should be kept confidential
, b) minor adolescents should not be encouraged to disclose private concerns
c) the adolescent should be encouraged to seek help outside of the school clinic
d) honest information ensures establishing a trusting relationship ---------CORRECT
ANSWER-----------------Answer: D
Rationale:
Critical elements in establishing trusting relationships include active listening,
responding to the adolescent's emotions, and ensuring confidentiality and
privacy, but situations that pose a life-threatening situation for the adolescent
must be reported. Minor-aged adolescents have the right to confidential
communication with providers unless the client is being abused or a life-
threatening situation is evident. Honesty (D) is vital in the development of trust
between an adolescent and a health professional. (A,B, and C) do not provide
immediate intervention for the adolescent's concerns about self integrity and
safety.
The practical nurse (PN) 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 is not present
b) truthful reporting of pain should occur by this age
c) a child may have pain yet deny its presence to the nurse
d) children use pain experiences to manipulate their parents ---------CORRECT
ANSWER-----------------Answer: C
PEDIATRICS HESI PN REVIEW | PN HESI PEDS | ALL
QUESTIONS AND CORRECT ANSWERS WITH
RATIONALES | JUST RELEASED
The practical nurse (PN) identifies an increased frequency of otitis media (OM) is
children who are coming to the clinic. Based on this finding, which age group
should the PN monitor a child for signs and symptoms of OM?
a) toddler
b) preschooler
c) school ager
d) adolescent ---------CORRECT ANSWER-----------------Answer: A
Rationale:
Infants and toddlers (A) are most prone to otitis media due to the anatomical
structure of the eustachian tube that allows fluid and microbial entry into the
middle ear. (B, C, and D) are most susceptible to acute infectious diseases
acquired through environmental transmission from daycare or school settings.
The practical nurse (PN) collects information about infant growth and
development milestones for infants who come to the clinic for a well child visit.
Which findings should the PN document as normal infant growth and
development?
,a) maternal iron stores persist during the first 12 months of life
b) anterior fontanel closes by 6 to 10 months of age
c) binocularity is well established by 8 months of age
d) birth weight double by age 5 months and triples by 1 year ---------CORRECT
ANSWER-----------------Answer: D
Rationale:
Infants gain approximately 1.5 pounds/month until age 5 to 6 months, when the
birth weight doubles, and by 1 year of age, the birth weight usually triples (D).
The anterior fontanel closes by 12 to 18 months of age, with the average being
14 months, not (B). Binocularity begins to develop by 6 weeks of age and should
be well established by age 4 months, not (C). Maternally derived iron stores ares
present for the first 5 to 6 months and gradually diminish, which results in an
expected lowered hemoglobin levels toward the end of the first 6 months (A).
Which nonfood item is the most common cause of respiratory arrest in young
children?
a) latex balloons
b) broken rattles
c) buttons
d) pacifiers ---------CORRECT ANSWER-----------------Answer: A
Rationale:
Nonfood items cause the majority of choking deaths in young children. Latex
balloons (A), whether partially inflated, uninflated, or popped, are the leading
,cause of pediatric choking that leads to aspiration of small objects (A,B, and D)
because they experience the environment by placing objects in the mouth, but
(A) is the leading cause of death causing respiratory obstruction and arrest.
The practical nurse (PN) is talking with a group of elementary students about
bicycle safety. Which information should the PN provide?
a) wearing protective gear on a bicycle is a voluntary measure
b) children should wear a bicycle helmet when riding a bicycle
c) bicycle injuries involve a collision with an automobile
d) riding double is allowed if the bicycle has an extra large seat ---------CORRECT
ANSWER-----------------Answer: B
Rationale:
Bicycle accidents that result in head injuries are a common, accidental cause of
morbidity and mortality, so bicycle safety and some state laws mandate that
children should wear a protective helmet (B). (A, C, and D) do not provide
accurate information.
An adolescent female who comes to the school clinic is reluctant to confide her
concerns to the practical nurse (PN). The PN tells the teen that confidentiality and
privacy are maintained unless a life-threatening situation arises. Which principal
supports the PN's response?
a) disclosures from the adolescent should be kept confidential
, b) minor adolescents should not be encouraged to disclose private concerns
c) the adolescent should be encouraged to seek help outside of the school clinic
d) honest information ensures establishing a trusting relationship ---------CORRECT
ANSWER-----------------Answer: D
Rationale:
Critical elements in establishing trusting relationships include active listening,
responding to the adolescent's emotions, and ensuring confidentiality and
privacy, but situations that pose a life-threatening situation for the adolescent
must be reported. Minor-aged adolescents have the right to confidential
communication with providers unless the client is being abused or a life-
threatening situation is evident. Honesty (D) is vital in the development of trust
between an adolescent and a health professional. (A,B, and C) do not provide
immediate intervention for the adolescent's concerns about self integrity and
safety.
The practical nurse (PN) 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 is not present
b) truthful reporting of pain should occur by this age
c) a child may have pain yet deny its presence to the nurse
d) children use pain experiences to manipulate their parents ---------CORRECT
ANSWER-----------------Answer: C
