2025/2026 ACCURATE EXAM COMPLETE QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) A
NEW UPDATED VERSION |GUARANTEED SUCCESS A+ (BRAND
NEW!) HESI PN PEDS
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
c) initiates play with other children
d) recognizes right and wrong
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.
The practical nurse (PN) is interviewing a 10-year-old girl
about school and her extracurricular activities. She
responds, "I like school. I play the flute in the school
band, and I take tennis lessons." Based on Erikson's
psychosocial theory, the PN identifies that this child is in
what stage of development?
a) identity
b) intimacy
c) industry
d) initiative
Answer: C
Rationale:
,Erikson's stage of industry (C) for a school aged child is
demonstrated by successful participation in new skills and
peer activities, such as sports and band. (A, B, and D) are
achieved in other age groups.
The practical nurse (PN) identifies an increased frequency
of otitis media (OM) is children who are coming to the
clinic. Based on this finding, which age group should the
PN monitor a child for signs and symptoms of OM?
a) toddler
b) preschooler
c) school ager
d) adolescent
Answer: A
Rationale:
Infants and toddlers (A) are most prone to otitis media
due to the anatomical structure of the Eustachian tube that
allows fluid and microbial entry into the middle ear. (B,
C, and D) are most susceptible to acute infectious diseases
, acquired through environmental transmission from
daycare or school settings.
The practical nurse (PN) collects information about infant
growth and development milestones for infants who come
to the clinic for a well-child visit. Which findings should
the PN document as normal infant growth and
development?
a) maternal iron stores persist during the first 12 months
of life
b) anterior fontanel closes by 6 to 10 months of age
c) binocularity is well established by 8 months of age
d) birth weight double by age 5 months and triples by 1
year
Answer: D
Rationale:
Infants gain approximately 1.5 pounds/month until age 5
to 6 months, when the birth weight doubles, and by 1 year
of age, the birth weight usually triples (D). The anterior