HESI PN PEDIATRIC NURSING EXAM
SCRIPT 2026 VERIFIED QUESTIONS WITH
SOLUTIONS
⩥ The nurse is preparing a child for transport to the operating room for
an emergency appendectomy. The anesthesiologist prescribes atropine
sulfate (Atropine) IM STAT. What is the primary purpose for
administering this drug to the child at this time? Answer: Decrease the
oral secretions.
⩥ The practical nurse (PN) is caring for a child who had a cleft lip
repair. What is the most important reason to minimize this child's crying
during the postoperative recovery period? Answer: Crying stresses the
suture line.
⩥ The parents of a 1-year-old child, who was recently diagnosed with
hypospadias, state 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? Answer: "Discuss your decision
with your healthcare provider for additional information of what you
understand about your child's diagnosis."
⩥ A child with cystic fibrosis is receiving ticarcillin disodium (Ticar) for
Pseudomonas pneumonia. What adverse effect should the nurse assess
for and report promptly to the health care provider? Answer: 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? Answer:
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? Answer: 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? Answer: 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 that the child is in pain and is crying and
that the child's foot appears swollen and blue. Which nursing diagnosis
supports the PN's initial intervention? Answer: Altered peripheral tissue
perfusion
⩥ The parents of a 7-month-old male infant with spastic cerebral palsy
bring him to the pediatric clinic. Which statement by the parents
warrants immediate intervention by the practical nurse (PN)? Answer:
"My son often chokes while I am feeding him."
SCRIPT 2026 VERIFIED QUESTIONS WITH
SOLUTIONS
⩥ The nurse is preparing a child for transport to the operating room for
an emergency appendectomy. The anesthesiologist prescribes atropine
sulfate (Atropine) IM STAT. What is the primary purpose for
administering this drug to the child at this time? Answer: Decrease the
oral secretions.
⩥ The practical nurse (PN) is caring for a child who had a cleft lip
repair. What is the most important reason to minimize this child's crying
during the postoperative recovery period? Answer: Crying stresses the
suture line.
⩥ The parents of a 1-year-old child, who was recently diagnosed with
hypospadias, state 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? Answer: "Discuss your decision
with your healthcare provider for additional information of what you
understand about your child's diagnosis."
⩥ A child with cystic fibrosis is receiving ticarcillin disodium (Ticar) for
Pseudomonas pneumonia. What adverse effect should the nurse assess
for and report promptly to the health care provider? Answer: 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? Answer:
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? Answer: 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? Answer: 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 that the child is in pain and is crying and
that the child's foot appears swollen and blue. Which nursing diagnosis
supports the PN's initial intervention? Answer: Altered peripheral tissue
perfusion
⩥ The parents of a 7-month-old male infant with spastic cerebral palsy
bring him to the pediatric clinic. Which statement by the parents
warrants immediate intervention by the practical nurse (PN)? Answer:
"My son often chokes while I am feeding him."
