HESI PN OB /HESI PN PEDIATRICS/HESI PN
MATERNITY EXAM 2026/2027 WITH ACTUAL
CORRECT QUESTIONS AND VERIFIED
DETAILED RATIONALES ANSWERS
|CURRENTLY TESTING QUESTIONS AND
SOLUTIONS|ALREADY GRADED A+|NEWEST
|JUST RELEASED!!|GUARANTEED PASS
A child with nephrotic syndrome is receiving prednisone. The practical nurse (PN) reviews
breakfast foods at a fast food restaurant with the child's mother. Which selections indicate that
the mother understands the dietary guidelines necessary for her child?
a. French toast sticks and orange juice
b. Sausage-egg muffin and grape juice
c. Canadian bacon slices and hot chocolate
d. Toasted oat cereal and low-fat milk
d. Toasted oat cereal and low-fat milk
Rationale:A child receiving a corticosteroid for nephrotic syndrome should follow a low-
sodium, low-fat, and low-sugar diet. Based on these guidelines, the best breakfast choice is
toasted oat cereal and low-fat milk.
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?
a. Wrist
b. Mummy
c. Elbow
d. Jacket
1|Page
,c. Elbow
Rationale:Elbow restraints prevent children from bending their arms and bringing their hands
to the oral surgical site.
A mother phones the clinic because her 6-year-old child has been taking prescribed antibiotics
for 7 of the previous 10 days and continues to cough. She also reports that the cough is
worsening and is nonproductive. What information should the practical nurse (PN) provide to
this mother?
a. Watch the child a few more days and see if the cough begins to produce sputum.
b. Complete the full 10-day course of antibiotics and reevaluate the cough then.
c. Give the child plenty of fluids and an over-the-counter cough suppressant.
d. Bring the child to the clinic today for an examination related to the cough.
d. Bring the child to the clinic today for an examination related to the cough.
Rationale:The child should be evaluated as soon as possible for pneumonia. Antibiotics
usually improve symptoms during the first few days of treatment but should be continued for
the full prescribed course. A continued cough after 7 days of antibiotic treatment may indicate
an infectious process in the lower lungs, which could cause a nonproductive cough. Children
with pneumonia can deteriorate unexpectedly and rapidly and can become seriously ill with
no sputum production.
The practical nurse (PN) is assessing an 8-month-old who has a medical diagnosis of tetralogy of
Fallot. The child demonstrates cyanosis with crying and exertion. Which other symptom is this
infant most likely to exhibit?
a. Bradycardia
b. Squatting posture
c. Weak pedal pulses
d. Clubbed fingers
2|Page
,d. Clubbed fingers
Rationale:Tetralogy of Fallot, a cyanotic heart defect, causes clubbing of fingers and toes
resulting from tissue hypoxia.
A high-school graduate with attention deficit hyperactivity disorder (ADHD) presents to the
family health care provider for a precollege physical and tells the practical nurse (PN), "I don't
want to take my amphetamine-dextroamphetamine in college." How should the PN respond?
a. "There are other medications you can use for ADHD."
b. "Your ADHD probably won't be a problem in college."
c. "What will happen if you stop your Adderall?"
d. "What are your concerns about continuing Adderall?"
d. "What are your concerns about continuing Adderall?"
Rationale:It is important to understand the client's concerns about taking amphetamine-
dextroamphetamine before making a judgment about his future use of the drug.
Which action should the practical nurse (PN) implement first when obtaining the tympanic
temperature of a 2-year-old child?
a. Point the thermometer probe tip anteriorly.
b. Remove drainage from the external auditory meatus.
c. Apply the probe cover to the electronic thermometer.
d. Ask the mother to help stabilize the child's head.
c. Apply the probe cover to the electronic thermometer.
Rationale:Before a tympanic temperature is obtained, the equipment should be prepared for
use without manipulating the electronic thermometer in front of the child, so a clean probe
cover should be applied first.
The practical nurse (PN) is assessing a child with asthma for retractions during respirations.
When should the PN recognize the absence or presence of intercostal retractions?
3|Page
, a. Inspiration
b. Coughing
c. Apneic episodes
d. Expiration
a. Inspiration
Rationale:Intercostal retractions result during the respiratory effort to draw air into restricted
airways.
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?
a. Call the health care provider immediately if the nail beds appear "blue" or "empty."
b. Check the child's ability to move his fingers without pain hourly for the first 48 hours.
c. Elevate the arm above the heart for the first 24 hours.
d. Monitor temperature every 4 hours for the next 2 days and call if an elevation is noted.
a. Call the health care provider immediately if the nail beds appear "blue" or "empty."
Rationale:Cyanosis indicates impaired circulation to the fingers and should be reported
immediately.
A 2-year-old child who is hospitalized with an acute upper respiratory infection (URI) is crying
uncontrollably because her mother went to the cafeteria for lunch. Which action should the
practical nurse implement?
a. Distract the child with a favorite toy.
b. Tell the child that her mother will return.
c. Take the child to the cafeteria.
d. Calm the child with a dietary treat.
4|Page
MATERNITY EXAM 2026/2027 WITH ACTUAL
CORRECT QUESTIONS AND VERIFIED
DETAILED RATIONALES ANSWERS
|CURRENTLY TESTING QUESTIONS AND
SOLUTIONS|ALREADY GRADED A+|NEWEST
|JUST RELEASED!!|GUARANTEED PASS
A child with nephrotic syndrome is receiving prednisone. The practical nurse (PN) reviews
breakfast foods at a fast food restaurant with the child's mother. Which selections indicate that
the mother understands the dietary guidelines necessary for her child?
a. French toast sticks and orange juice
b. Sausage-egg muffin and grape juice
c. Canadian bacon slices and hot chocolate
d. Toasted oat cereal and low-fat milk
d. Toasted oat cereal and low-fat milk
Rationale:A child receiving a corticosteroid for nephrotic syndrome should follow a low-
sodium, low-fat, and low-sugar diet. Based on these guidelines, the best breakfast choice is
toasted oat cereal and low-fat milk.
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?
a. Wrist
b. Mummy
c. Elbow
d. Jacket
1|Page
,c. Elbow
Rationale:Elbow restraints prevent children from bending their arms and bringing their hands
to the oral surgical site.
A mother phones the clinic because her 6-year-old child has been taking prescribed antibiotics
for 7 of the previous 10 days and continues to cough. She also reports that the cough is
worsening and is nonproductive. What information should the practical nurse (PN) provide to
this mother?
a. Watch the child a few more days and see if the cough begins to produce sputum.
b. Complete the full 10-day course of antibiotics and reevaluate the cough then.
c. Give the child plenty of fluids and an over-the-counter cough suppressant.
d. Bring the child to the clinic today for an examination related to the cough.
d. Bring the child to the clinic today for an examination related to the cough.
Rationale:The child should be evaluated as soon as possible for pneumonia. Antibiotics
usually improve symptoms during the first few days of treatment but should be continued for
the full prescribed course. A continued cough after 7 days of antibiotic treatment may indicate
an infectious process in the lower lungs, which could cause a nonproductive cough. Children
with pneumonia can deteriorate unexpectedly and rapidly and can become seriously ill with
no sputum production.
The practical nurse (PN) is assessing an 8-month-old who has a medical diagnosis of tetralogy of
Fallot. The child demonstrates cyanosis with crying and exertion. Which other symptom is this
infant most likely to exhibit?
a. Bradycardia
b. Squatting posture
c. Weak pedal pulses
d. Clubbed fingers
2|Page
,d. Clubbed fingers
Rationale:Tetralogy of Fallot, a cyanotic heart defect, causes clubbing of fingers and toes
resulting from tissue hypoxia.
A high-school graduate with attention deficit hyperactivity disorder (ADHD) presents to the
family health care provider for a precollege physical and tells the practical nurse (PN), "I don't
want to take my amphetamine-dextroamphetamine in college." How should the PN respond?
a. "There are other medications you can use for ADHD."
b. "Your ADHD probably won't be a problem in college."
c. "What will happen if you stop your Adderall?"
d. "What are your concerns about continuing Adderall?"
d. "What are your concerns about continuing Adderall?"
Rationale:It is important to understand the client's concerns about taking amphetamine-
dextroamphetamine before making a judgment about his future use of the drug.
Which action should the practical nurse (PN) implement first when obtaining the tympanic
temperature of a 2-year-old child?
a. Point the thermometer probe tip anteriorly.
b. Remove drainage from the external auditory meatus.
c. Apply the probe cover to the electronic thermometer.
d. Ask the mother to help stabilize the child's head.
c. Apply the probe cover to the electronic thermometer.
Rationale:Before a tympanic temperature is obtained, the equipment should be prepared for
use without manipulating the electronic thermometer in front of the child, so a clean probe
cover should be applied first.
The practical nurse (PN) is assessing a child with asthma for retractions during respirations.
When should the PN recognize the absence or presence of intercostal retractions?
3|Page
, a. Inspiration
b. Coughing
c. Apneic episodes
d. Expiration
a. Inspiration
Rationale:Intercostal retractions result during the respiratory effort to draw air into restricted
airways.
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?
a. Call the health care provider immediately if the nail beds appear "blue" or "empty."
b. Check the child's ability to move his fingers without pain hourly for the first 48 hours.
c. Elevate the arm above the heart for the first 24 hours.
d. Monitor temperature every 4 hours for the next 2 days and call if an elevation is noted.
a. Call the health care provider immediately if the nail beds appear "blue" or "empty."
Rationale:Cyanosis indicates impaired circulation to the fingers and should be reported
immediately.
A 2-year-old child who is hospitalized with an acute upper respiratory infection (URI) is crying
uncontrollably because her mother went to the cafeteria for lunch. Which action should the
practical nurse implement?
a. Distract the child with a favorite toy.
b. Tell the child that her mother will return.
c. Take the child to the cafeteria.
d. Calm the child with a dietary treat.
4|Page
