025 TOP HESI/RN/PEDS EXAM WITH
2
QUESTIONS & VERIFIED ANSWERS
15-year-old male with mild mental retardation who is hospitalized for minor surgery
A
tells a female practical nurse (PN), "Wow, you have big ones." Which response is best
for the PN to make?
That language is not permitted."
he health care provider prescribes carbamazepine (Tegretol) for a child whose
T
tonic-clonic seizures have been poorly controlled. The nurse informs the mother that the
child must have blood tests every week. The mother asks why so many blood tests are
necessary. What complication is assessed through frequent laboratory testing that the
nurse should explain to this mother?
Bone marrow suppression
he practical nurse (PN) is reviewing signs and symptoms of congestive heart failure
T
with the parents of a 2-year-old child with a congenital heart defect. Which behavior is
most important for the parents to report to the health care provider?
Exhibits a sudden and unexplained weight gain
child with poison ivy weighs 25 kg and receives a prescription for Benadryl PO 5
A
mg/kg. Benadryl is available as a 125 mg/5 mL solution. How many milliliters should the
practical nurse administer?
5ml
short arm cast is applied to a child with a fractured right ulna. The practical nurse (PN)
A
is preparing the parents with home instructions and should reinforce that the parents
follow the discharge instructions.
"Call the health care provider immediately if the nail beds appear 'blue' or 'empty.'"
he health care provider prescribes amoxicillin 60 mg PO three times a day for a child
T
who weighs 13 pounds. The pediatric dosage range is 20 to 40 mg/kg/day in three
equal doses. What is the maximum dosage in 24 hours that should be given?
First, convert the pounds to kg because the conversion is for kg.
, 1 kg = 2.2 lb
13 lb/(2.2 lb/kg) = 5.9 kg
econd, determine the maximum dose the child can have in 24 hours: 40 mg × 5.9 kg =
S
236 mg. The maximum dose the child can have is 236 mg.
he nurse is preparing a child for transport to the operating room for an emergency
T
appendectomy. The anesthesiologist prescribes atropine sulfate (Atropine) IM STAT.
What is the primary purpose for administering this drug to the child at this time?
Decrease the oral secretions.
he practical nurse (PN) is caring for a child who had a cleft lip repair. What is the most
T
important reason to minimize this child's crying during the postoperative recovery
period?
Crying stresses the suture line.
he parents of a 1-year-old child who was recently diagnosed with hypospadias state
T
that they plan to delay corrective surgery to see if the child will outgrow the problem.
What response is best for the practical nurse (PN) to provide to these parents?
"Discuss your decision with your healthcare provider for additional information of what
you understand about your child's diagnosis."
child with cystic fibrosis is receiving ticarcillin disodium (Ticar) for Pseudomonas
A
pneumonia. What adverse effect should the nurse assess for and report promptly to the
health care provider?
Petechiae
The practical nurse (PN) is caring for a child with an acute respiratory condition. When
the PN is monitoring for impending respiratory distress, what sign is the child likely to
exhibit first?
Restlessness
The practical nurse (PN) is examining a child with an exacerbation of juvenile
rheumatoid arthritis (JRA) and notes that the child's mobility is greatly reduced. What
factor should the PN observe that affects the child's mobility?
Joint inflammation
The practical nurse (PN) is caring for a toddler who is admitted for cleft palate repair.
Which type of restraint should the PN prepare to apply in the postoperative period?
Elbow
The practical nurse (PN) in the clinic receives a phone call from the mother of a
6-year-old child with a newly applied cast for a fracture of the femur. The mother reports
2
QUESTIONS & VERIFIED ANSWERS
15-year-old male with mild mental retardation who is hospitalized for minor surgery
A
tells a female practical nurse (PN), "Wow, you have big ones." Which response is best
for the PN to make?
That language is not permitted."
he health care provider prescribes carbamazepine (Tegretol) for a child whose
T
tonic-clonic seizures have been poorly controlled. The nurse informs the mother that the
child must have blood tests every week. The mother asks why so many blood tests are
necessary. What complication is assessed through frequent laboratory testing that the
nurse should explain to this mother?
Bone marrow suppression
he practical nurse (PN) is reviewing signs and symptoms of congestive heart failure
T
with the parents of a 2-year-old child with a congenital heart defect. Which behavior is
most important for the parents to report to the health care provider?
Exhibits a sudden and unexplained weight gain
child with poison ivy weighs 25 kg and receives a prescription for Benadryl PO 5
A
mg/kg. Benadryl is available as a 125 mg/5 mL solution. How many milliliters should the
practical nurse administer?
5ml
short arm cast is applied to a child with a fractured right ulna. The practical nurse (PN)
A
is preparing the parents with home instructions and should reinforce that the parents
follow the discharge instructions.
"Call the health care provider immediately if the nail beds appear 'blue' or 'empty.'"
he health care provider prescribes amoxicillin 60 mg PO three times a day for a child
T
who weighs 13 pounds. The pediatric dosage range is 20 to 40 mg/kg/day in three
equal doses. What is the maximum dosage in 24 hours that should be given?
First, convert the pounds to kg because the conversion is for kg.
, 1 kg = 2.2 lb
13 lb/(2.2 lb/kg) = 5.9 kg
econd, determine the maximum dose the child can have in 24 hours: 40 mg × 5.9 kg =
S
236 mg. The maximum dose the child can have is 236 mg.
he nurse is preparing a child for transport to the operating room for an emergency
T
appendectomy. The anesthesiologist prescribes atropine sulfate (Atropine) IM STAT.
What is the primary purpose for administering this drug to the child at this time?
Decrease the oral secretions.
he practical nurse (PN) is caring for a child who had a cleft lip repair. What is the most
T
important reason to minimize this child's crying during the postoperative recovery
period?
Crying stresses the suture line.
he parents of a 1-year-old child who was recently diagnosed with hypospadias state
T
that they plan to delay corrective surgery to see if the child will outgrow the problem.
What response is best for the practical nurse (PN) to provide to these parents?
"Discuss your decision with your healthcare provider for additional information of what
you understand about your child's diagnosis."
child with cystic fibrosis is receiving ticarcillin disodium (Ticar) for Pseudomonas
A
pneumonia. What adverse effect should the nurse assess for and report promptly to the
health care provider?
Petechiae
The practical nurse (PN) is caring for a child with an acute respiratory condition. When
the PN is monitoring for impending respiratory distress, what sign is the child likely to
exhibit first?
Restlessness
The practical nurse (PN) is examining a child with an exacerbation of juvenile
rheumatoid arthritis (JRA) and notes that the child's mobility is greatly reduced. What
factor should the PN observe that affects the child's mobility?
Joint inflammation
The practical nurse (PN) is caring for a toddler who is admitted for cleft palate repair.
Which type of restraint should the PN prepare to apply in the postoperative period?
Elbow
The practical nurse (PN) in the clinic receives a phone call from the mother of a
6-year-old child with a newly applied cast for a fracture of the femur. The mother reports
