HESI PN PEDIATRICS EXAMINATION TEST
2026 QUESTIONS WITH CORRECT
SOLUTIONS
⩥ A short arm cast is applied to a child with a fractured right ulna. The
practical nurse (PN) is preparing the parents with home instructions and
should reinforce that the parents follow which discharge instruction?
Answer: "Call the health care provider immediately if the nail beds
appear 'blue' or 'empty.'"
⩥ The health care provider prescribes amoxicillin 60 mg PO three times
a day for a child 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? (Fill in the blank.) Answer: 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
Second, determine the maximum dose the child can have in 24 hours: 40
mg × 5.9 kg = 236 mg. The maximum dose the child can have is 236
mg.
, ⩥ 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
2026 QUESTIONS WITH CORRECT
SOLUTIONS
⩥ A short arm cast is applied to a child with a fractured right ulna. The
practical nurse (PN) is preparing the parents with home instructions and
should reinforce that the parents follow which discharge instruction?
Answer: "Call the health care provider immediately if the nail beds
appear 'blue' or 'empty.'"
⩥ The health care provider prescribes amoxicillin 60 mg PO three times
a day for a child 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? (Fill in the blank.) Answer: 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
Second, determine the maximum dose the child can have in 24 hours: 40
mg × 5.9 kg = 236 mg. The maximum dose the child can have is 236
mg.
, ⩥ 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
