HESI RN PEDIATRICS PEDS EXAM
2026 ACTUAL TEST PAPER WITH
ACCURATE SOLUTIONS AND
DETAILED RATIONALES GRADE A+
◉ Which information should the practical nurse (PN) provide the
parents about the purpose of instilling erythromycin (llotycin)
ophthalmic ointment in the newborn's eyes. Answer: Prophylactic
treatment for gonorrheal and chlamydia infection.
◉ What is the most important action by the practical nurse (PN) in
preventing neonatal infection? Answer: Hand washing.
◉ a client who took iron supplements during pregnancy delivers and
infant by cesarean section. On the second postpartum day, the client
reports having a constipated stool that is greenish-black in color. Which
action should the practical nurse (PN) implement? Answer: Record color
and consistency of the stool.
◉ A client is 5 weeks pregnant call the clinic to report that her home
pregnancy test is positive. She asks what she should be concerned about
during the weeks before her first visit. Which signs and symptoms
should the practical nurse (PN) tell the client to report immediately to
the healthcare provider? (select all that apply) Answer: A. Vaginal
bleeding
D. Membrane rupture
E. Severe headaches
,◉ A 3-day-old newborn who weighed 7 pounds, 8 ounces at birth is
breast feeding and now weighs 6 pound and 15 ounces. Which action
should the practical nurse take? Answer: Document the weight loss
◉ Which medication is prescribed for the prevention of ophthalmia
neonatorum? Answer: Erythromycin (iilotycin)
◉ A multiparous client's membranes rupture after 8 hours of labor.
which action should the practical nurse implement at this time? Answer:
Assess the fetal heart rate (FHR) and pattern.
◉ The practical nurse (PN) palpates fundal height at the umbilicus of a
multiparous client who has just given birth to an 8-pound boy when dark
red blood comes from the client's vagina. What action is most important
for the PN to implement? Answer: Continue to massage the fundus until
firm.
◉ Which client should the practical nurse (PN) closely monitor for
severe after pains? Answer: A multigravida who is breastfeeding.
◉ The practical nurse (PN) is assessing a client 2 hours after a vaginal
delivery of a 7-pound 3-ounce newborn and determines the client's
bladder is distended. Which additional finding should the PN report to
the charge nurse? Answer: Excessive bleeding on the perineal pad.
,◉ The practical nurse (PN) places a newborn who is 4 hours old with an
axillary temperature of 97.2 F under the radiant heat warmer. Which
rationale supports the PN's action? Answer: The newborn's thin layer of
subcutaneous fat provides poor insulation.
◉ Which strategy should the practical nurse (PN) implement to prevent
a puerperal infection for a client during the first postpartum week?
Answer: Implement strict medical and aseptic technique.
◉ Which client is a candidate for the administration of human immune
globulin (RhoGam) after delivery? Answer: The Rh-negative mother
who delivers a Rh-positive baby.
◉ Which physiological cause(s) for constipation during pregnancy
should the practical nurse (PN) explain to a client in the first trimester?
(Select all that apply.) Answer: A. Displacement of the colon.
E. Decrease in peristalsis.
◉ A 14-week gestational client, who weighed 125 pounds before
pregnancy, comes into the health clinic for a prenatal appointment. The
client's weight today is 129 pounds. What action should the practical
nurse (PN) implement? Answer: Document the finding in the medical
record.
◉ The practical nurse (PN) is reviewing the informational packets with a
client who is at risk for preeclampsia. Which information is most
important for the PN reinforce with the client? Answer: Notify the clinic
if any vision changes are experienced.
, ◉ A primigravida at 33-weeks gestation is admitted after being involved
in a motor vehicle collision (MVC). The client has no complaints of
abdominal pain and no evidence of vaginal bleeding. Which action
should the practical nurse (PN) anticipate implementing for the client?
Answer: Obtain a biophysical profile.
◉ A primigravida client asks the practical nurse (PN). "How will i know
that I will be going into labor soon?" Which sign should the PN provide
that is a common sign? Answer: Burst of energy.
◉ A primigravida client who is at 39-weeks gestation arrives at the
clinic and tells the practical nurse (PN) she is having contractions every
5 minutes. The healthcare provider determines she is dilated 3 cm and in
early labor. What action should the practical nurse (PN) implement
when the client groans with each contraction? Answer: Demonstrate
simple relaxation measures.
◉ A primiparous client asks the practical nurse (PN) how much her
newborn baby should sleep every day. What information should the PN
provide? Answer: A newborn sleeps most of the day and gradually will
have increasing periods of wakefulness.
◉ The mother asks the practical nurse (PN) what her infant may need if
the phenylketonuria(PKU) test is positive. What type of treatment
should the PN tell the mother will be required? Answer: Lifelong dietary
management.
2026 ACTUAL TEST PAPER WITH
ACCURATE SOLUTIONS AND
DETAILED RATIONALES GRADE A+
◉ Which information should the practical nurse (PN) provide the
parents about the purpose of instilling erythromycin (llotycin)
ophthalmic ointment in the newborn's eyes. Answer: Prophylactic
treatment for gonorrheal and chlamydia infection.
◉ What is the most important action by the practical nurse (PN) in
preventing neonatal infection? Answer: Hand washing.
◉ a client who took iron supplements during pregnancy delivers and
infant by cesarean section. On the second postpartum day, the client
reports having a constipated stool that is greenish-black in color. Which
action should the practical nurse (PN) implement? Answer: Record color
and consistency of the stool.
◉ A client is 5 weeks pregnant call the clinic to report that her home
pregnancy test is positive. She asks what she should be concerned about
during the weeks before her first visit. Which signs and symptoms
should the practical nurse (PN) tell the client to report immediately to
the healthcare provider? (select all that apply) Answer: A. Vaginal
bleeding
D. Membrane rupture
E. Severe headaches
,◉ A 3-day-old newborn who weighed 7 pounds, 8 ounces at birth is
breast feeding and now weighs 6 pound and 15 ounces. Which action
should the practical nurse take? Answer: Document the weight loss
◉ Which medication is prescribed for the prevention of ophthalmia
neonatorum? Answer: Erythromycin (iilotycin)
◉ A multiparous client's membranes rupture after 8 hours of labor.
which action should the practical nurse implement at this time? Answer:
Assess the fetal heart rate (FHR) and pattern.
◉ The practical nurse (PN) palpates fundal height at the umbilicus of a
multiparous client who has just given birth to an 8-pound boy when dark
red blood comes from the client's vagina. What action is most important
for the PN to implement? Answer: Continue to massage the fundus until
firm.
◉ Which client should the practical nurse (PN) closely monitor for
severe after pains? Answer: A multigravida who is breastfeeding.
◉ The practical nurse (PN) is assessing a client 2 hours after a vaginal
delivery of a 7-pound 3-ounce newborn and determines the client's
bladder is distended. Which additional finding should the PN report to
the charge nurse? Answer: Excessive bleeding on the perineal pad.
,◉ The practical nurse (PN) places a newborn who is 4 hours old with an
axillary temperature of 97.2 F under the radiant heat warmer. Which
rationale supports the PN's action? Answer: The newborn's thin layer of
subcutaneous fat provides poor insulation.
◉ Which strategy should the practical nurse (PN) implement to prevent
a puerperal infection for a client during the first postpartum week?
Answer: Implement strict medical and aseptic technique.
◉ Which client is a candidate for the administration of human immune
globulin (RhoGam) after delivery? Answer: The Rh-negative mother
who delivers a Rh-positive baby.
◉ Which physiological cause(s) for constipation during pregnancy
should the practical nurse (PN) explain to a client in the first trimester?
(Select all that apply.) Answer: A. Displacement of the colon.
E. Decrease in peristalsis.
◉ A 14-week gestational client, who weighed 125 pounds before
pregnancy, comes into the health clinic for a prenatal appointment. The
client's weight today is 129 pounds. What action should the practical
nurse (PN) implement? Answer: Document the finding in the medical
record.
◉ The practical nurse (PN) is reviewing the informational packets with a
client who is at risk for preeclampsia. Which information is most
important for the PN reinforce with the client? Answer: Notify the clinic
if any vision changes are experienced.
, ◉ A primigravida at 33-weeks gestation is admitted after being involved
in a motor vehicle collision (MVC). The client has no complaints of
abdominal pain and no evidence of vaginal bleeding. Which action
should the practical nurse (PN) anticipate implementing for the client?
Answer: Obtain a biophysical profile.
◉ A primigravida client asks the practical nurse (PN). "How will i know
that I will be going into labor soon?" Which sign should the PN provide
that is a common sign? Answer: Burst of energy.
◉ A primigravida client who is at 39-weeks gestation arrives at the
clinic and tells the practical nurse (PN) she is having contractions every
5 minutes. The healthcare provider determines she is dilated 3 cm and in
early labor. What action should the practical nurse (PN) implement
when the client groans with each contraction? Answer: Demonstrate
simple relaxation measures.
◉ A primiparous client asks the practical nurse (PN) how much her
newborn baby should sleep every day. What information should the PN
provide? Answer: A newborn sleeps most of the day and gradually will
have increasing periods of wakefulness.
◉ The mother asks the practical nurse (PN) what her infant may need if
the phenylketonuria(PKU) test is positive. What type of treatment
should the PN tell the mother will be required? Answer: Lifelong dietary
management.
