PEDIATRICS HESI PN EXAM REVIEW QUESTIONS AND ANSWERS
LATEST UPDATED 2025/2026 A COMPLETE SOLUTION WITH 100%
CORRECT VERIFIED/DETAILED ANSWERS RATED A+ FOR SUCCESS
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 - CORRECT ANSWERS 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
b) call for an ambulance
c) mov the child to a different environment
d) determine what the child has eaten - CORRECT ANSWERS 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
,PEDIATRICS HESI PN EXAM REVIEW QUESTIONS AND ANSWERS
LATEST UPDATED 2025/2026 A COMPLETE SOLUTION WITH 100%
CORRECT VERIFIED/DETAILED ANSWERS RATED A+ FOR SUCCESS
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 - CORRECT ANSWERS Answer: A
Rationale:
Abdominal pain is a common childhood complaint, but this child should be assisted to any
position of comfort (A) that relieves the pain. (B and D) are contraindicated with possible
appendicitis and increase the risk of ruptured appendix. If the appendix should rupture, (C)
increases the spread of the infection.
A child is admitted for observation following a closed head injury. Which assessment is most
essential for the practical nues (PN) to monitor for an early sign of a worsening condition?
a) level of consciousness
b) posturing
c) focal neurologic signs
d) vital signs - CORRECT ANSWERS Answer: A
Rationale:
, PEDIATRICS HESI PN EXAM REVIEW QUESTIONS AND ANSWERS
LATEST UPDATED 2025/2026 A COMPLETE SOLUTION WITH 100%
CORRECT VERIFIED/DETAILED ANSWERS RATED A+ FOR SUCCESS
Following a head injury, determining a change in the child's LOC (A) provides the first indication
that a progression of the injury is possible. (C) is a symptom of advanced neurologic insult.
Alterations in consciousness appear earlier than alterations of (B and D).
A 3 year old boy with cerebral palsy (CP) has difficulty swallowing, cannot hold a utensil, and is
slightly underweight for his height. Which action should the practical nurse implement when
feeding this child?
a) put the child in a well-supported semi-reclining position
b) offer a specialized formula per tube feeding
c) place the child in a sitting position with the neck hyperextended
d) stabilize the child's jaw with the caregiver's hand - CORRECT ANSWERS Answer: D
Rationale:
A child with CP should be fed in an upright, eating position, and manual stability of the oral
mechanisms during swallowing should be provided to minimize the risk of aspiration. Hold the
child's jaw (D) from the side or front of the face assists with head control, correction of the neck
and trunk hyperextension, and jaw stabilization. (A, B, and C) are not indicated.
Which of Freud's psychosexual development stages occurs during a toddler's growth and
development?
a) anal
b) oral
c) genital
d) phallic - CORRECT ANSWERS Answer: A
Rationale:
LATEST UPDATED 2025/2026 A COMPLETE SOLUTION WITH 100%
CORRECT VERIFIED/DETAILED ANSWERS RATED A+ FOR SUCCESS
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 - CORRECT ANSWERS 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
b) call for an ambulance
c) mov the child to a different environment
d) determine what the child has eaten - CORRECT ANSWERS 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
,PEDIATRICS HESI PN EXAM REVIEW QUESTIONS AND ANSWERS
LATEST UPDATED 2025/2026 A COMPLETE SOLUTION WITH 100%
CORRECT VERIFIED/DETAILED ANSWERS RATED A+ FOR SUCCESS
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 - CORRECT ANSWERS Answer: A
Rationale:
Abdominal pain is a common childhood complaint, but this child should be assisted to any
position of comfort (A) that relieves the pain. (B and D) are contraindicated with possible
appendicitis and increase the risk of ruptured appendix. If the appendix should rupture, (C)
increases the spread of the infection.
A child is admitted for observation following a closed head injury. Which assessment is most
essential for the practical nues (PN) to monitor for an early sign of a worsening condition?
a) level of consciousness
b) posturing
c) focal neurologic signs
d) vital signs - CORRECT ANSWERS Answer: A
Rationale:
, PEDIATRICS HESI PN EXAM REVIEW QUESTIONS AND ANSWERS
LATEST UPDATED 2025/2026 A COMPLETE SOLUTION WITH 100%
CORRECT VERIFIED/DETAILED ANSWERS RATED A+ FOR SUCCESS
Following a head injury, determining a change in the child's LOC (A) provides the first indication
that a progression of the injury is possible. (C) is a symptom of advanced neurologic insult.
Alterations in consciousness appear earlier than alterations of (B and D).
A 3 year old boy with cerebral palsy (CP) has difficulty swallowing, cannot hold a utensil, and is
slightly underweight for his height. Which action should the practical nurse implement when
feeding this child?
a) put the child in a well-supported semi-reclining position
b) offer a specialized formula per tube feeding
c) place the child in a sitting position with the neck hyperextended
d) stabilize the child's jaw with the caregiver's hand - CORRECT ANSWERS Answer: D
Rationale:
A child with CP should be fed in an upright, eating position, and manual stability of the oral
mechanisms during swallowing should be provided to minimize the risk of aspiration. Hold the
child's jaw (D) from the side or front of the face assists with head control, correction of the neck
and trunk hyperextension, and jaw stabilization. (A, B, and C) are not indicated.
Which of Freud's psychosexual development stages occurs during a toddler's growth and
development?
a) anal
b) oral
c) genital
d) phallic - CORRECT ANSWERS Answer: A
Rationale:
