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TEST BANK FOR HESI PN PEDIATRICS EXAM
THIS YEAR WITH COMPLETE 600
QUESTIONS AND WELL ELABORATED
ANSWERS JUST RELEASED
Question: The mother of a child with croup is having barking, coughing episodes calls the clinic
for assistance. What action should the practical nurse (PN) recommend that the mother
implement first?
a) take the child outside in the cool air
b) bring the child directly to the emergency room
c) sit with the child in bathroom with a hot shower running
d) have the child drink plenty of fluids - CORRECT ANSWER✔✔Answer: C
Rationale:
Croup (laryngotracheobronchitis) is a viral infection that causes a "barking" cough and varying
degrees of inspiratory stridor, which often responds to a high humidity environment. Most
children can be managed at home using the stream from a hot shower in a closed bathroom (C)
which often stops laryngeal spasm. Increasing the child's fluid intake is important (D), but not a
priority at this time.Although exposure to cold air (A) also relieves stridor, parents should be
encouraged to use mist humidifier in the child's room. (B) is not necessary unless the child is
having increasingly difficulty breathing that may lead to a compromised airway.
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Question: Which finding should the practical nurse confirm with the parents of an infant who is
admitted with possible intussusception?
a) red currant jelly stools
b) clay colored stools
c) constant abdominal pain
d) projectile vomiting after meals - CORRECT ANSWER✔✔Answer: A
Rationale:
Red currant jelly stools (A) is a sign of intussusception, which causes a mixture of stool, mucous,
and blood as the intestines telescopes inside itself. (D) is associated with pyloric stenosis. (B) is
consistent with biliary obstruction. Infants with intussusception usually have periods of severe
pain followed by intervals in which they appear comfortable, not (C).
Question: The practical nurse (PN) is observing a group of children at a day care center to
determine whether children are achieving developmental milestones. Which activity should the
PN identify as typical for a 2 year old child's cognitive development?
a) has a vocabulary of about 1000 words
b) uses short sentences to express self
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c) initiates play with other children
d) recognizes right and wrong - CORRECT ANSWER✔✔Answer: B
Rationale:
Although children develop at different rates, a 2 year old typically uses short sentences to
express independence and control (B) and has a vocabulary of up to 300 words, not (A). At the
age of 2 years, a toddler is developing negativism without understanding the concepts of right
and wrong (D). A 2 year old engages in solitary play and parallel play but does not initiate or
cooperative with other children (C) in play, which begins with socialization of the preschool
child.
Question: 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 - CORRECT ANSWER✔✔Answer: B
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Rationale:
A child may fear receiving an injection for pain or may believe that pain is a deserved
punishment for some misdeed, so the pain is denied (D) when the nurse asks the child, who
then readily admits having pain to a parent. This behavior should not be interpreted as (C) but
as a valid indication of pain. (A and C) are incorrect interpretations of this behavior.
Question: A 6 year old who had a tonsillectomy 12 hours ago is complaining of thirst. What
should the practical nurse (PN) offer?
a) popsicle
b) lemonade
c) orange juice
d) chocolate milk - CORRECT ANSWER✔✔Answer: A
Rationale:
Small amounts of clear liquids without red dyes should be offered to the child. Popsicles (A) are
cold and help soothe a dry throat. Citrus drinks (B and C) are acidic and irritate the operative
site in the posterior oropharynx. Milk (D) thickens oral mucus which makes swallowing more
difficult and causes coughing.
TEST BANK FOR HESI PN PEDIATRICS EXAM
THIS YEAR WITH COMPLETE 600
QUESTIONS AND WELL ELABORATED
ANSWERS JUST RELEASED
Question: The mother of a child with croup is having barking, coughing episodes calls the clinic
for assistance. What action should the practical nurse (PN) recommend that the mother
implement first?
a) take the child outside in the cool air
b) bring the child directly to the emergency room
c) sit with the child in bathroom with a hot shower running
d) have the child drink plenty of fluids - CORRECT ANSWER✔✔Answer: C
Rationale:
Croup (laryngotracheobronchitis) is a viral infection that causes a "barking" cough and varying
degrees of inspiratory stridor, which often responds to a high humidity environment. Most
children can be managed at home using the stream from a hot shower in a closed bathroom (C)
which often stops laryngeal spasm. Increasing the child's fluid intake is important (D), but not a
priority at this time.Although exposure to cold air (A) also relieves stridor, parents should be
encouraged to use mist humidifier in the child's room. (B) is not necessary unless the child is
having increasingly difficulty breathing that may lead to a compromised airway.
, Page 2 of 249
Question: Which finding should the practical nurse confirm with the parents of an infant who is
admitted with possible intussusception?
a) red currant jelly stools
b) clay colored stools
c) constant abdominal pain
d) projectile vomiting after meals - CORRECT ANSWER✔✔Answer: A
Rationale:
Red currant jelly stools (A) is a sign of intussusception, which causes a mixture of stool, mucous,
and blood as the intestines telescopes inside itself. (D) is associated with pyloric stenosis. (B) is
consistent with biliary obstruction. Infants with intussusception usually have periods of severe
pain followed by intervals in which they appear comfortable, not (C).
Question: The practical nurse (PN) is observing a group of children at a day care center to
determine whether children are achieving developmental milestones. Which activity should the
PN identify as typical for a 2 year old child's cognitive development?
a) has a vocabulary of about 1000 words
b) uses short sentences to express self
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c) initiates play with other children
d) recognizes right and wrong - CORRECT ANSWER✔✔Answer: B
Rationale:
Although children develop at different rates, a 2 year old typically uses short sentences to
express independence and control (B) and has a vocabulary of up to 300 words, not (A). At the
age of 2 years, a toddler is developing negativism without understanding the concepts of right
and wrong (D). A 2 year old engages in solitary play and parallel play but does not initiate or
cooperative with other children (C) in play, which begins with socialization of the preschool
child.
Question: 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 - CORRECT ANSWER✔✔Answer: B
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Rationale:
A child may fear receiving an injection for pain or may believe that pain is a deserved
punishment for some misdeed, so the pain is denied (D) when the nurse asks the child, who
then readily admits having pain to a parent. This behavior should not be interpreted as (C) but
as a valid indication of pain. (A and C) are incorrect interpretations of this behavior.
Question: A 6 year old who had a tonsillectomy 12 hours ago is complaining of thirst. What
should the practical nurse (PN) offer?
a) popsicle
b) lemonade
c) orange juice
d) chocolate milk - CORRECT ANSWER✔✔Answer: A
Rationale:
Small amounts of clear liquids without red dyes should be offered to the child. Popsicles (A) are
cold and help soothe a dry throat. Citrus drinks (B and C) are acidic and irritate the operative
site in the posterior oropharynx. Milk (D) thickens oral mucus which makes swallowing more
difficult and causes coughing.
