2026 HESI PN OBSTETRICS MATERNITY PRACTICE
EXAM, PEDIATRICS HESI PN REVIEW, HESI PEDS, PN
HESI PEDS, PEDS & MATERNITY HESI, HESI
MATERNITY/PEDIATRIC REMEDIATION | TESTBANK |
LATEST VERSION| WITH NGN VERIFIED QUESTIONS
AND ANSWERS WITH DETAILED RATI
The nurse is giving preoperative instructions to a 14-year-old female
client who is scheduled for surgery to correct a spinal curvature. Which
statement by the client best demonstrates that learning has taken
place?
A. "I will read all the literature you gave me before surgery."
B. "I have had surgery before when I broke my wrist in a bike accident,
so I know what to expect."
C. "All the things people have told me will help me take care of my
back."
D. "I understand that I will be in a body cast and I will show you how
you taught me to turn." - Correct AnswerD. "I understand that I will be
in a body cast and I will show you how you taught me to turn."
To take the vital signs of a 4-month-old child, which order will give the
most accurate results?
A. Respiratory rate, heart rate, then rectal temperature.
B. Heart rate, rectal temperature, then respiratory rate.
C. Rectal temperature, heart rate, then respiratory rate.
Page 1 of 66
,D. Rectal temperature, respiratory rate, then heart rate. - Correct
AnswerA. Respiratory rate, heart rate, then rectal temperature.
During routine screening at a school clinic, an otoscope examination of
a child's ear reveals a tympanic membrane that is pearly gray, slightly
bulging, and not movable. What action should the nurse take next?
A. No action required, as this is an expected finding for a school-aged
child.
B. Ask the child if he/she has had a cold, runny nose, or any ear pain
lately.
C. Send a note home advising the parents to have the child evaluated by
a healthcare provider as soon as possible.
D. Call the parents and have them take the child home from school for
the rest of the day. - Correct AnswerB. Ask the child if he/she has had a
cold, runny nose, or any ear pain lately.
Which restraint should be used for a toddler after a cleft palate repair?
A. Clove hitch.
B. Mummy.
C. Elbow.
D. Jacket. - Correct AnswerC. Elbow.
What preoperative nursing intervention should be included in the plan
of care for an infant with pyloric stenosis?
A. Monitor for signs of metabolic acidosis.
Page 2 of 66
,B. Estimate the quantity of diarrhea stools.
C. Place in a supine position after feeding.
D. Observe for projectile vomiting. - Correct AnswerD. Observe for
projectile vomiting.
A six-month-old returns from surgery with elbow restraints in place.
What nursing care should be included when caring for any restrained
child?
A. Keep restraints on at all times.
B. Remove restraints one at a time and provide range of motion
exercises.
C. Remove all restraints simultaneously and provide play activities.
D. Renew the healthcare provider's prescription for restraints every 72
hours. - Correct AnswerB. Remove restraints one at a time and provide
range of motion exercises.
A 2-year-old child with Down syndrome is brought to the clinic for his
regular physical examination. The nurse knows which problem is
frequently associated with Down syndrome?
A. Congenital heart disease.
B. Fragile X chromosome.
C. Trisomy 13.
D. Pyloric stenosis. - Correct AnswerA. Congenital heart disease.
Page 3 of 66
, When assessing a child with asthma, the nurse should expect intercostal
retractions during
A. Inspiration.
B. Coughing.
C. Apneic episodes.
D. Expiration. - Correct AnswerA. Inspiration.
When planning the care for a child who has had a cleft lip repair, the
nurse knows that crying should be minimized because it
A. Increases salivation.
B. Increases the respiratory rate.
C. Leads to vomiting.
D. Stresses the suture line. - Correct AnswerD. Stresses the suture line.
A full-term infant is admitted to the newborn nursery. After careful
assessment, the nurse suspects that the infant may have an esophageal
atresia. Which symptoms is this newborn likely to have exhibited?
A. Choking, coughing, and cyanosis.
B. Projectile vomiting and cyanosis.
C. Apneic spells and grunting.
D. Scaphoid abdomen and anorexia. - Correct AnswerA. Choking,
coughing, and cyanosis.
Page 4 of 66
EXAM, PEDIATRICS HESI PN REVIEW, HESI PEDS, PN
HESI PEDS, PEDS & MATERNITY HESI, HESI
MATERNITY/PEDIATRIC REMEDIATION | TESTBANK |
LATEST VERSION| WITH NGN VERIFIED QUESTIONS
AND ANSWERS WITH DETAILED RATI
The nurse is giving preoperative instructions to a 14-year-old female
client who is scheduled for surgery to correct a spinal curvature. Which
statement by the client best demonstrates that learning has taken
place?
A. "I will read all the literature you gave me before surgery."
B. "I have had surgery before when I broke my wrist in a bike accident,
so I know what to expect."
C. "All the things people have told me will help me take care of my
back."
D. "I understand that I will be in a body cast and I will show you how
you taught me to turn." - Correct AnswerD. "I understand that I will be
in a body cast and I will show you how you taught me to turn."
To take the vital signs of a 4-month-old child, which order will give the
most accurate results?
A. Respiratory rate, heart rate, then rectal temperature.
B. Heart rate, rectal temperature, then respiratory rate.
C. Rectal temperature, heart rate, then respiratory rate.
Page 1 of 66
,D. Rectal temperature, respiratory rate, then heart rate. - Correct
AnswerA. Respiratory rate, heart rate, then rectal temperature.
During routine screening at a school clinic, an otoscope examination of
a child's ear reveals a tympanic membrane that is pearly gray, slightly
bulging, and not movable. What action should the nurse take next?
A. No action required, as this is an expected finding for a school-aged
child.
B. Ask the child if he/she has had a cold, runny nose, or any ear pain
lately.
C. Send a note home advising the parents to have the child evaluated by
a healthcare provider as soon as possible.
D. Call the parents and have them take the child home from school for
the rest of the day. - Correct AnswerB. Ask the child if he/she has had a
cold, runny nose, or any ear pain lately.
Which restraint should be used for a toddler after a cleft palate repair?
A. Clove hitch.
B. Mummy.
C. Elbow.
D. Jacket. - Correct AnswerC. Elbow.
What preoperative nursing intervention should be included in the plan
of care for an infant with pyloric stenosis?
A. Monitor for signs of metabolic acidosis.
Page 2 of 66
,B. Estimate the quantity of diarrhea stools.
C. Place in a supine position after feeding.
D. Observe for projectile vomiting. - Correct AnswerD. Observe for
projectile vomiting.
A six-month-old returns from surgery with elbow restraints in place.
What nursing care should be included when caring for any restrained
child?
A. Keep restraints on at all times.
B. Remove restraints one at a time and provide range of motion
exercises.
C. Remove all restraints simultaneously and provide play activities.
D. Renew the healthcare provider's prescription for restraints every 72
hours. - Correct AnswerB. Remove restraints one at a time and provide
range of motion exercises.
A 2-year-old child with Down syndrome is brought to the clinic for his
regular physical examination. The nurse knows which problem is
frequently associated with Down syndrome?
A. Congenital heart disease.
B. Fragile X chromosome.
C. Trisomy 13.
D. Pyloric stenosis. - Correct AnswerA. Congenital heart disease.
Page 3 of 66
, When assessing a child with asthma, the nurse should expect intercostal
retractions during
A. Inspiration.
B. Coughing.
C. Apneic episodes.
D. Expiration. - Correct AnswerA. Inspiration.
When planning the care for a child who has had a cleft lip repair, the
nurse knows that crying should be minimized because it
A. Increases salivation.
B. Increases the respiratory rate.
C. Leads to vomiting.
D. Stresses the suture line. - Correct AnswerD. Stresses the suture line.
A full-term infant is admitted to the newborn nursery. After careful
assessment, the nurse suspects that the infant may have an esophageal
atresia. Which symptoms is this newborn likely to have exhibited?
A. Choking, coughing, and cyanosis.
B. Projectile vomiting and cyanosis.
C. Apneic spells and grunting.
D. Scaphoid abdomen and anorexia. - Correct AnswerA. Choking,
coughing, and cyanosis.
Page 4 of 66
