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
A 3 year old boy cries, kicks, and clings to his father when the parents try to leave
the hospital room. The parents express their concern to the practical nurse (PN).
What response should the PN provide?
a) "It is not helpful for parents to stay with children during hospitalization."
b) "Your child's behavior indicates a need for a psychological consultation."
c) "You can avoid this if you wait to leave after your child falls asleep."
d) "Your child is showing a normal response to the stress of hospitalization." -
Correct AnswerAnswer: D
Rationale:
The child is exhibiting a healthy attachment to the father (D). Leaving while your
child is asleep creates mistrust in the child (C). To minimize the child's stress
hospital policy often require someone to stay with their child during
hospitalization, not (A). The child's behavior represents the protest stage of
separation and does not represent maladaptive behavior (B).
Which action is best for the practical nurse (PN) to implement to help a 7 year old
child cope with a lengthy course of IV antibiotics therapy?
a) give the child stickers for cooperative behavior
b) arrange for the child to go to the playroom daily
c) ask the child to draw a picture about himself
d) allow the child to participate in injection play - Correct AnswerAnswer: D
Supervised injection play (D) is an effective coping strategy for a school aged child
who is receiving extended IV therapy, or any other therapy involving syringes and
needles. Rewards, such as stickers (A) may enhance cooperative behavior but do
Page 1 of 121
,not address coping with painful treatments. The hospitalized child should have
opportunities for play each day, if his condition warrants, but free play (B) does
not have any specific therapeutic purpose in preparing for painful experiences. (C)
may not elicit the child's feeling about IV treatment.
A 3 year old male child who has been toilet trained has had several urinary
"accidents" since hospital admission. What action should the practical nuse (PN)
implement?
a) provide the child with frequent opportunities to urinate
b) inform the parent that the child will need to be retrained
c) determine how the long the child has been toilet trained
d) place a bedpan on the bedside table for the child to use - Correct
AnswerAnswer: A
Rationale:
Offering choices and allowing the child to make a decision increases the child's
sense of control. Asking the child frequently if he has to go to the bathroom (A)
helps reduce the incidents of accidental urinations. Regression to previous
behaviors is common during hospitalization, even when the child has been
practicing the skill successfully (B). A 3 year old child is not developmentally able
to use a bedpan independently (D). Relearning a skill such as toilet training,
contributes to the child's stress and should not be attempted during
hospitalization.
The practical nurse (PN) is caring for a school aged male child who is having
problems adjusting to a new school. Which action should the PN recommend to
the parents that may foster their child's developmental task of industry.
a) identify failures immediately for feedback from the child and his peers
b) structure the tasks in the home environment and recreational settings
c) decrease their expectations of home tasks and school success
d) ask the child what the child wants to achieve in his new school - Correct
AnswerAnswer: B
Page 2 of 121
,Rationale:
Structuring the environment (B) provides opportunities to solve increasingly more
complex problems, which enhances self-confidence and promotes a sense of
mastery. (C) is not as important as structuring the environment so that the child is
successful. (D) Does not promote a sense of achievement or mastery. Sharing
failures with the child's peers (A) for feedback reinforces the child's feelings of
failure.
During a well child visit, the mother of an infant states, "I will probably not have
my baby immunized because I am concerned about the risk of a severe reaction."
Which response should the PN provide?
a) have you talked with other parents about this decision
b) no immunization poses a greater risk for your child
c) you are making a mistake
d) it' is your decision - Correct AnswerAnswer: B
Rationale:
Although immunizations have caused reported adverse reactions in a small
number of cases, an infant who is not immunized is at greater risk of developing
complications from childhood diseases than from the vaccines (B). (A,C, and D)
ignore the PN's responsibility to inform parents about the risks to children who
are not immunized.
Which play activity should the practical nurse (PN) provide a hospitalized 6 month
old infant?
a) push and pull toys
b) ball rolling and hide and seek game
c) supervised water play
d) pat a cake and peek a boo - Correct AnswerAnswer: D
Rationale:
6 month old enjoy playing pat a cake and peek a boo (D). 12 month old infants
enjoy (A). 4 months old infants enjoy (C). 9 month olds enjoy (B).
Page 3 of 121
, Which statement by a mother indicates that her 5 month old infant girl is ready
for solid food?
a) i find that my baby really has to be encouraged to eat.
b) my baby has started to sit up without any support
c) when i give my baby solid foods she has difficulty getting it to the back of her
throat to swallow
d) i am surprised that my baby only weights 11 pounds. I expected her to have
gained more weight. - Correct AnswerAnswer: B
Rationale:
Voluntary skeletal muscular activities, such as sitting (B) and involuntary activities
such as absence of the protrusion reflex, are indicators of neuromuscular
development. (A and C) indicate that the infant is not interested in starting solid
foods. The ability to manipulate foods to the back of the throat is a sign that the
infant is ready to manage solid foods, not (D).
Which information is most important for the PN to reinforce with an adolescent
who has hepatitis A about preventing the spread of hepatitis in the home?
a) wash the adolescent's dishes separately
b) ensure that all family members wash their hands before eating
c) prevent the adolescent from preparing food
d) encourage the adolescent to wear a mask over the nose and mouth - Correct
AnswerAnswer: C
Rationale:
Hepatitis A is spread through fecal oral contamination, so the chance of
contaminating others is best reduced when the client does not participate in any
food prep (C). Although (B) is always recommended, the adolescent is an
infectious reservoir and should refrain from family meal prep during the period of
communicability. (A and D) are not necessary.
Page 4 of 121
Obstetrics/Maternity Practice Exam, Pediatrics
HESI PN Review, Hesi Peds, PN HESI Peds, Peds &
Maternity HESI, HESI Maternity/Pediatric
Remediation
A 3 year old boy cries, kicks, and clings to his father when the parents try to leave
the hospital room. The parents express their concern to the practical nurse (PN).
What response should the PN provide?
a) "It is not helpful for parents to stay with children during hospitalization."
b) "Your child's behavior indicates a need for a psychological consultation."
c) "You can avoid this if you wait to leave after your child falls asleep."
d) "Your child is showing a normal response to the stress of hospitalization." -
Correct AnswerAnswer: D
Rationale:
The child is exhibiting a healthy attachment to the father (D). Leaving while your
child is asleep creates mistrust in the child (C). To minimize the child's stress
hospital policy often require someone to stay with their child during
hospitalization, not (A). The child's behavior represents the protest stage of
separation and does not represent maladaptive behavior (B).
Which action is best for the practical nurse (PN) to implement to help a 7 year old
child cope with a lengthy course of IV antibiotics therapy?
a) give the child stickers for cooperative behavior
b) arrange for the child to go to the playroom daily
c) ask the child to draw a picture about himself
d) allow the child to participate in injection play - Correct AnswerAnswer: D
Supervised injection play (D) is an effective coping strategy for a school aged child
who is receiving extended IV therapy, or any other therapy involving syringes and
needles. Rewards, such as stickers (A) may enhance cooperative behavior but do
Page 1 of 121
,not address coping with painful treatments. The hospitalized child should have
opportunities for play each day, if his condition warrants, but free play (B) does
not have any specific therapeutic purpose in preparing for painful experiences. (C)
may not elicit the child's feeling about IV treatment.
A 3 year old male child who has been toilet trained has had several urinary
"accidents" since hospital admission. What action should the practical nuse (PN)
implement?
a) provide the child with frequent opportunities to urinate
b) inform the parent that the child will need to be retrained
c) determine how the long the child has been toilet trained
d) place a bedpan on the bedside table for the child to use - Correct
AnswerAnswer: A
Rationale:
Offering choices and allowing the child to make a decision increases the child's
sense of control. Asking the child frequently if he has to go to the bathroom (A)
helps reduce the incidents of accidental urinations. Regression to previous
behaviors is common during hospitalization, even when the child has been
practicing the skill successfully (B). A 3 year old child is not developmentally able
to use a bedpan independently (D). Relearning a skill such as toilet training,
contributes to the child's stress and should not be attempted during
hospitalization.
The practical nurse (PN) is caring for a school aged male child who is having
problems adjusting to a new school. Which action should the PN recommend to
the parents that may foster their child's developmental task of industry.
a) identify failures immediately for feedback from the child and his peers
b) structure the tasks in the home environment and recreational settings
c) decrease their expectations of home tasks and school success
d) ask the child what the child wants to achieve in his new school - Correct
AnswerAnswer: B
Page 2 of 121
,Rationale:
Structuring the environment (B) provides opportunities to solve increasingly more
complex problems, which enhances self-confidence and promotes a sense of
mastery. (C) is not as important as structuring the environment so that the child is
successful. (D) Does not promote a sense of achievement or mastery. Sharing
failures with the child's peers (A) for feedback reinforces the child's feelings of
failure.
During a well child visit, the mother of an infant states, "I will probably not have
my baby immunized because I am concerned about the risk of a severe reaction."
Which response should the PN provide?
a) have you talked with other parents about this decision
b) no immunization poses a greater risk for your child
c) you are making a mistake
d) it' is your decision - Correct AnswerAnswer: B
Rationale:
Although immunizations have caused reported adverse reactions in a small
number of cases, an infant who is not immunized is at greater risk of developing
complications from childhood diseases than from the vaccines (B). (A,C, and D)
ignore the PN's responsibility to inform parents about the risks to children who
are not immunized.
Which play activity should the practical nurse (PN) provide a hospitalized 6 month
old infant?
a) push and pull toys
b) ball rolling and hide and seek game
c) supervised water play
d) pat a cake and peek a boo - Correct AnswerAnswer: D
Rationale:
6 month old enjoy playing pat a cake and peek a boo (D). 12 month old infants
enjoy (A). 4 months old infants enjoy (C). 9 month olds enjoy (B).
Page 3 of 121
, Which statement by a mother indicates that her 5 month old infant girl is ready
for solid food?
a) i find that my baby really has to be encouraged to eat.
b) my baby has started to sit up without any support
c) when i give my baby solid foods she has difficulty getting it to the back of her
throat to swallow
d) i am surprised that my baby only weights 11 pounds. I expected her to have
gained more weight. - Correct AnswerAnswer: B
Rationale:
Voluntary skeletal muscular activities, such as sitting (B) and involuntary activities
such as absence of the protrusion reflex, are indicators of neuromuscular
development. (A and C) indicate that the infant is not interested in starting solid
foods. The ability to manipulate foods to the back of the throat is a sign that the
infant is ready to manage solid foods, not (D).
Which information is most important for the PN to reinforce with an adolescent
who has hepatitis A about preventing the spread of hepatitis in the home?
a) wash the adolescent's dishes separately
b) ensure that all family members wash their hands before eating
c) prevent the adolescent from preparing food
d) encourage the adolescent to wear a mask over the nose and mouth - Correct
AnswerAnswer: C
Rationale:
Hepatitis A is spread through fecal oral contamination, so the chance of
contaminating others is best reduced when the client does not participate in any
food prep (C). Although (B) is always recommended, the adolescent is an
infectious reservoir and should refrain from family meal prep during the period of
communicability. (A and D) are not necessary.
Page 4 of 121
