“HESI PEDS, PN HESI PEDS, PEDS & MATERNITY HESI,
HESI MATERNITY PEDIATRIC REMEDIATION EXAM “
NEWEST UPDATED EXAM 2025 – 2026 SOLVED
QUESTIONS & ANSWERS VERIFIED 100% GRADED A+
(LATEST VERSION)
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 mother of a 9 month old girl provides the PN information about her
daughter's diet. Which statement by the mother may indicate why the infant
has been diagnosed with iron deficiency anemia?
a) she doesn't like to eat peaches or pears
b) she has been on whole milk for 7 months
c) she almost never drinks sugar water
d) she likes to chew on bread as a snack
Answer: B
Rationale:
Since cow's milk lacks iron, zinc, & vitamin E, which are necessary for a 9 month old
infant's growth & development (B) indicates a possible etiology for the anemia. (A, C,
and D) are not r/t the etiology of iron deficiency anemia.
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The practical nurse (PN) palpates the anterior fontanel of a 14 month old
toddler and finds that it is closed. What action should thePN implement?
a) refer the toddler for a developmental evaluation
b) perform a focused neurological examination
c) report premature cranial suture closure to the healthcare provider
d) document the normal finding for the 14 month old toddler
Answer: D
The anterior fontanel normally closes between 12 and 18 months of age, so this
finding should be documented as a normal finding for the 14 month old toddler (D).
(A, B, and C) are unnecessary.
When reviewing the adverse effects of the DTap (diphtheria, tetanus, and
acellular pertussis) vaccine with parents whose child is being immunized,
what side effect should the practical nurse convey as most common?
a) persistent crying and hyperpyrexia
b) local erythema and edema at injection site
c) vomiting and dehydration
d) seizures and hypo-responsive episodes
Answer: B
Rationale:
Mild side effects of the DTaP vaccine that resolve in 24-48 hours after administration
include mild fever, redness and swelling at the injection site (B), fussiness, & a slight
decrease in appetite. Serious side effects (A and D) usually occur after 48 hours of
administration and manifest signs of encephalopathy, which include persistent,
inconsolable crying, fever of 104.8F, seizures, & hypotonic hypo-responsive
episodes. (C) is not an expected reaction.
When reviewing the dietary guidelines for a child with nephrotic syndrome,
which diet should the practical nurse reinforce with the parents?
a) low sodium
b) high protein
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c) low fat
d) high carbohydrate
Answer: A
Anasarca, generalized edema associated with nephrotic syndrome, indicates that
fluid retention should be managed with a diet that is low in sodium (A). (B, C, and D)
are not dietary recommendations in the management of nephrosis.
What age appropriate play activity should the PN suggest to the parents of a 7
month old infant to encourage visual stimulation?
a) play peek a boo
b) show how to clasp hands
c) play pat a cake
d) imitate animal sounds
Answer: A
Infant stimulation is as important for psychological growth as food is for physical
growth. By 6 months-1 year, play is a very important part of an infant's day and
involves sensorimotor skills. Infants are very personable and enjoy playing games
such as peek a boo, an activity for visual stimulation (A). (B) is an appropriate activity
at 7 months for kinetic stimulation. (C) is more appropriate for auditory stimulation for
infants 9-12 months old. (D) is an age appropriate activity at 7 months for auditory
stimulation.
A male adolescent who is newly diagnosed with a seizure disorder receives a
prescription for an anticonvulsant. Which statement indicates the client is at
risk for non-compliance with life-long medication management?
a) i will take the pills at home so others will not see me
b) my friends will think i am a freak if i take these pills
c) i don't want my parents monitoring my medications
d) i hope i will be able to drive while taking these pills
Answer: B
Rationale:
Adolescents are concerned with being normal, so the statement indicating his fear
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that his peer group will not accept him places the adolescence at risk for
noncompliance (B). The ability to drive an automobile (D), maintaining independence
(C), and privacy (A) are common tasks of adolescence, which should not hinder
compliance.
A 4 year old girl is brought to the emergent care center with a frog like
croaking sound on inspiration. She is having difficulty breathing and has her
chin trust forward with her mouth open. She is drooling, agitated, and insists
on sitting upright. What action should the PN take?
a) Auscultate the lungs and make preparations for placing the child in a mist
tent.
b) Examine the oral pharynx and report to the HCP
c) make the child lie down on the stretcher & rest quietly
c) notify the HCP & prep for immediate intubation of tracheotomy
Answer: D
Rationale:
The child is exhibiting signs of acute epiglottis, a serious obstructive, inflammatory
process that can rapidly progress to severe respiratory distress, which requires
immediate intubation or tracheotomy (D) by the HCP to secure the airway. (A, B, and
C) are contraindicated.
A toddler with a chronic illness that requires frequent hospitalization is likely
to experience which psychosocial developmental problem?
a) interference with the development of autonomy
b) distortion of differentiation of self from parent
c) delayed language, fine motor, and self care skill
d) fixation with the feelings of inadequacy
Answer: A
Rationale:
Frequent hospitalization for a toddler with a chronic illness may experience
interference with the development of autonomy (A), which is a major psychosocial