HESI PN OB/HESI PN PEDIATRICS /HESI PN
MATERNITY Exam Preparation Newest 2026-2027
With 350 Complete Questions And Correct Detailed
Answers| Brand New Version!
An adolescent female who comes to the school clinic is reluctant to
confide her concerns to the practical nurse (PN). The PN tells the teen
that confidentiality and privacy are maintained unless a life-threatening
situation arises. Which principal supports the PN's response?
a) disclosures from the adolescent should be kept confidential
b) minor adolescents should not be encouraged to disclose private
concerns
c) the adolescent should be encouraged to seek help outside of the
school clinic
d) honest information ensures establishing a trusting relationship -
ANSWER-Answer: D
Rationale:
Critical elements in establishing trusting relationships include active
listening, responding to the adolescent's emotions, and ensuring
confidentiality and privacy, but situations that pose a life-threatening
1|Page
,situation for the adolescent must be reported. Minor-aged adolescents
have the right to confidential communication with providers unless the
client is being abused or a life-threatening situation is evident. Honesty
(D) is vital in the development of trust between an adolescent and a
health professional. (A,B, and C) do not provide immediate intervention
for the adolescent's concerns about self integrity and safety.
The practical nurse (PN) 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 is not present
b) truthful reporting of pain should occur by this age
c) a child may have pain yet deny its presence to the nurse
d) children use pain experiences to manipulate their parents - ANSWER-
Answer: C
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 (C)
when the nurse asks the child, who then readily admits having pain to a
parent. This behavior should not be interpreted as (D) but as a valid
indication of pain. (A and B) are incorrect interpretations of this
behavior.
2|Page
,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) irritability
c) apprehension
d) thirst - ANSWER-Answer: A
Rationale:
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 practical nurse (PN) arrives at the playgrounds and sees a school-
aged boy who has eaten something he is allergic to and is
demonstrating a stridor. Which action should the PN implement first?
a) ask if the child is alone
3|Page
, b) call for an ambulance
c) mov the child to a different environment
d) determine what the child has eaten - ANSWER-Answer: B
Rationale:
Food allergy hypersensitivity can cause an anaphylactic reaction that
can occur shortly after ingestion (5-30 minutes) or exposure to an
allergen, and manifest with hives, rash, flushing, asthmatic episode, or
airway compromise, such as stridor. The first action is to call for an
ambulance (B) immediately, since the condition may progress and
become life-threatening. (A,C, and D) do not have the same priority of
(B).
A child who is admitted with acute abdominal pain and possible
appendicitis. Which action should the practical nurse (PN) implement
for the child's abdominal discomfort?
a) assist the child to any position of comfort.
b) give a saline enema to cleanse the bowel
c) lay a heating pad on the abdomen
d) place the bed in trendelenburg - ANSWER-Answer: A
Rationale:
4|Page
MATERNITY Exam Preparation Newest 2026-2027
With 350 Complete Questions And Correct Detailed
Answers| Brand New Version!
An adolescent female who comes to the school clinic is reluctant to
confide her concerns to the practical nurse (PN). The PN tells the teen
that confidentiality and privacy are maintained unless a life-threatening
situation arises. Which principal supports the PN's response?
a) disclosures from the adolescent should be kept confidential
b) minor adolescents should not be encouraged to disclose private
concerns
c) the adolescent should be encouraged to seek help outside of the
school clinic
d) honest information ensures establishing a trusting relationship -
ANSWER-Answer: D
Rationale:
Critical elements in establishing trusting relationships include active
listening, responding to the adolescent's emotions, and ensuring
confidentiality and privacy, but situations that pose a life-threatening
1|Page
,situation for the adolescent must be reported. Minor-aged adolescents
have the right to confidential communication with providers unless the
client is being abused or a life-threatening situation is evident. Honesty
(D) is vital in the development of trust between an adolescent and a
health professional. (A,B, and C) do not provide immediate intervention
for the adolescent's concerns about self integrity and safety.
The practical nurse (PN) 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 is not present
b) truthful reporting of pain should occur by this age
c) a child may have pain yet deny its presence to the nurse
d) children use pain experiences to manipulate their parents - ANSWER-
Answer: C
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 (C)
when the nurse asks the child, who then readily admits having pain to a
parent. This behavior should not be interpreted as (D) but as a valid
indication of pain. (A and B) are incorrect interpretations of this
behavior.
2|Page
,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) irritability
c) apprehension
d) thirst - ANSWER-Answer: A
Rationale:
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 practical nurse (PN) arrives at the playgrounds and sees a school-
aged boy who has eaten something he is allergic to and is
demonstrating a stridor. Which action should the PN implement first?
a) ask if the child is alone
3|Page
, b) call for an ambulance
c) mov the child to a different environment
d) determine what the child has eaten - ANSWER-Answer: B
Rationale:
Food allergy hypersensitivity can cause an anaphylactic reaction that
can occur shortly after ingestion (5-30 minutes) or exposure to an
allergen, and manifest with hives, rash, flushing, asthmatic episode, or
airway compromise, such as stridor. The first action is to call for an
ambulance (B) immediately, since the condition may progress and
become life-threatening. (A,C, and D) do not have the same priority of
(B).
A child who is admitted with acute abdominal pain and possible
appendicitis. Which action should the practical nurse (PN) implement
for the child's abdominal discomfort?
a) assist the child to any position of comfort.
b) give a saline enema to cleanse the bowel
c) lay a heating pad on the abdomen
d) place the bed in trendelenburg - ANSWER-Answer: A
Rationale:
4|Page
