Standard Healthcare Services-College of Nursing \LPN 220
Pediatrics HESI PN EXAM 4 VERSIONS AND
STUDY GUIDE COMPLETE QUESTIONS WITH
DETAILED VERIFIED ANSWERS /ALREADY
GRADED A+//BRAND NEW!! 2026-2027
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
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: 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
Answer: A
Rationale:
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
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
Answer: A
Rationale:
According to Freud's theory, the anal stage (A_, 1-3 years of age,
focuses on toilet training and learning to delay immediate gratification.
Oral gratification(B) occurs from birth to one year of age. (C) The stage
of genital awareness & exploration. (D) The stage of sexual identity and
expression in adolescence.
Pediatrics HESI PN EXAM 4 VERSIONS AND
STUDY GUIDE COMPLETE QUESTIONS WITH
DETAILED VERIFIED ANSWERS /ALREADY
GRADED A+//BRAND NEW!! 2026-2027
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
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: 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
Answer: A
Rationale:
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
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
Answer: A
Rationale:
According to Freud's theory, the anal stage (A_, 1-3 years of age,
focuses on toilet training and learning to delay immediate gratification.
Oral gratification(B) occurs from birth to one year of age. (C) The stage
of genital awareness & exploration. (D) The stage of sexual identity and
expression in adolescence.
