Pediatrics HESI PN exam Review
Questions and Answers 100% Pass
The practical nurse (PN) is monitoring a child who is manifesting signs of
shock after a motor vehicle collision. Which finding is most important for
the PN to report to the charge nurse?
a) narrowing pulse pressure
b) apprehension
c) irritability
d) thirst - ✔✔Answer: A
Rationale:
1
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,As shock progresses, perfusion in the microcirculation becomes marginal
despite compensatory adjustments, and the signs of decompensated shock
become pronounced, such as tachycardia and narrowing pulse pressure
(A). (The difference between systolic and diastolic blood pressure), which
should be reported immediately. (B,C, and D) are not as significant as (A).
The mother of a 9 month old male infant is concerned because he cries
whenever she leaves him with a sitter. What is the best response for the
practical nurse (PN) to provide?
a) "Have you noticed whether your baby is teething?"
b) "Crying when you leave him in a healthy sign of attachment."
c) "Consider taking the baby to the doctor because he may be ill."
d) "You could consider leaving the infant more often so he can adjust." -
✔✔Answer: B
Rationale:
2
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,Healthy attachment is manifested by stranger anxiety in late infancy (B).
Pain from teething expressed by the infant's cries does not occur only when
the mother leaves the infant with another person (A). The PN should
evaluate the infant's developmental needs (C) before suggesting the infant
may be ill. An infant who manifests stranger anxiety is best supported by
the mother if the infant is left for shorter periods of time, not (D).
Which preoperative action is most important for the practical nurse (PN) to
implement for a newborn with meningomyelocele?
a) document vital signs
b) prevent skin breakdown
c) minimize the risk for infection
d) monitor neurologic functioning - ✔✔Answer: C
Rationale:
3
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, A meningomyelocele provides a direct entry for bacteria into the central
nervous system, leading to meningitis. Measures that protect the integrity
of the meningomyelocele sac and infection control measures should be
implemented to minimize the risk of infection (C). (A,B, and D) should be
implemented but do not have the priority of (C).
The practical nurse 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 not present
b) a child may have pain yet deny its presence to the nurse
c) truthful reporting of pain should occur by this age
d) children use pain experiences to manipulate their parents - ✔✔Answer:
B
4
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Questions and Answers 100% Pass
The practical nurse (PN) is monitoring a child who is manifesting signs of
shock after a motor vehicle collision. Which finding is most important for
the PN to report to the charge nurse?
a) narrowing pulse pressure
b) apprehension
c) irritability
d) thirst - ✔✔Answer: A
Rationale:
1
100% Pass Guarantee Katelyn Whitman, All Rights
,As shock progresses, perfusion in the microcirculation becomes marginal
despite compensatory adjustments, and the signs of decompensated shock
become pronounced, such as tachycardia and narrowing pulse pressure
(A). (The difference between systolic and diastolic blood pressure), which
should be reported immediately. (B,C, and D) are not as significant as (A).
The mother of a 9 month old male infant is concerned because he cries
whenever she leaves him with a sitter. What is the best response for the
practical nurse (PN) to provide?
a) "Have you noticed whether your baby is teething?"
b) "Crying when you leave him in a healthy sign of attachment."
c) "Consider taking the baby to the doctor because he may be ill."
d) "You could consider leaving the infant more often so he can adjust." -
✔✔Answer: B
Rationale:
2
100% Pass Guarantee Katelyn Whitman, All Rights
,Healthy attachment is manifested by stranger anxiety in late infancy (B).
Pain from teething expressed by the infant's cries does not occur only when
the mother leaves the infant with another person (A). The PN should
evaluate the infant's developmental needs (C) before suggesting the infant
may be ill. An infant who manifests stranger anxiety is best supported by
the mother if the infant is left for shorter periods of time, not (D).
Which preoperative action is most important for the practical nurse (PN) to
implement for a newborn with meningomyelocele?
a) document vital signs
b) prevent skin breakdown
c) minimize the risk for infection
d) monitor neurologic functioning - ✔✔Answer: C
Rationale:
3
100% Pass Guarantee Katelyn Whitman, All Rights
, A meningomyelocele provides a direct entry for bacteria into the central
nervous system, leading to meningitis. Measures that protect the integrity
of the meningomyelocele sac and infection control measures should be
implemented to minimize the risk of infection (C). (A,B, and D) should be
implemented but do not have the priority of (C).
The practical nurse 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 not present
b) a child may have pain yet deny its presence to the nurse
c) truthful reporting of pain should occur by this age
d) children use pain experiences to manipulate their parents - ✔✔Answer:
B
4
100% Pass Guarantee Katelyn Whitman, All Rights
