2025 PEDIATRICS HESI PN REVIEW| HESI PN OBSTETRICS/MATERNITY
PRACTICE EXAM BEST QUESTIONS & 100 % ACCURATE SOLUTIONS
WITH RATIONALES−GUARANTEED PASS A+ GRADE
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
CORRECT ANS>>A
FEEDBACK:
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."
CORRECT ANS>>B
FEEDBACK:
, 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
CORRECT ANS>>C
FEEDBACK:
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
PRACTICE EXAM BEST QUESTIONS & 100 % ACCURATE SOLUTIONS
WITH RATIONALES−GUARANTEED PASS A+ GRADE
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
CORRECT ANS>>A
FEEDBACK:
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."
CORRECT ANS>>B
FEEDBACK:
, 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
CORRECT ANS>>C
FEEDBACK:
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
