Pediatrics HESI PN Review, HESI PN
Obstetrics/Maternity Practice Exam,
Pediatrics HESI PN Review, Hesi Peds, PN
HESI Peds, Peds & Maternity HESI, HESI
Maternity/Pediatric Remediation
Which physiological difference is present in a 3 month old infant that affects oral
drug absorption rates?
a) variable pancreatic enzyme activity
b) more acidic gastric secretions
c) more rapid peristaltic activity
d) an accelerated gastric emptying rate - Correct Answer-Answer: A
Rationale:
Pancreatic enzyme activity (A) is variable in infants for the first 3 months of life as
the Gi system matures. The gastric secretions of infants are less acidic than those
of older children or adults, not (B). Intestinal motility and gastric emptying rate
tend to be slower in infants, not (C and D).
The practical nurse (PN) is preparing to administer an intramuscular immunization
to a 6 month old infant. What site should the PN select?
a) dorsogluteal
b) ventrogluteal
1
,c) deltoid
d) vastus lateralis - Correct Answer-Answer: D
Rationale:
The vastus lateralis (D) has minimal nerves or blood vessels and is the best site for
intramuscular (IM) injections in children younger than 3 years of age. The deltoid
muscle (C) is a small muscle mass that accommodates small volumes, less than 0.5
mL, and is not recommended for IM use in young children. The gluteal muscles (A
and B) are used as an injection site in children whose musculature develops after
walking.
The mother of a young child with Type 1 diabetes mellitus (DM) who needs insulin
injections at home tells the practical nurse (PN) that she is afraid she does not
know what to do properly. Which action is most important for the PN implement
to decrease the mother's apprehension?
a) have the mother verbalize the importance of follow up care
b) help the mother devise a schedule for rotating the injections
c) observe the mother while she administers an insulin injection
d) review the side effects of insulin with the mother - Correct Answer-Answer: C
Rationale:
Observing the mother's ability to give the insulin injection (C) provides an
opportunity to reinforce information & provide validation to increase the
mother's confidence and relieve apprehension about caring for her child with DM.
(A, B, and D) are of less priority than (C).
2
,Which first aid action should the practical nurse implement for a child who has
sustained a second degree thermal burn?
a) apply petroleum jelly to the burned skin
b) apply ice to the burned area
c) immerse the burned area in cold water
d) break any blisters that are present - Correct Answer-Answer: C
Rationale:
First aid treatment of a second degree thermal burn is immersion of the burned
area in cold water (C) to halt the burning process. (A, B, and D) are not indicated
due tot he risk of increased skin damage or infection.
What information should the practical nurse (PN) reinforce with the parents of a 3
month old infant about liquid medication administration?
a) pour the medication into a small cup and allow the infant to drink it
b) place the medication in a nipple and have infant suck the nipple
c) administer the medication with a dropper to the back of the infant's tongue
d) use an oral syringe to place the medication in the side of the infant's mouth -
Correct Answer-Answer: D
Rationale:
An oral syringe is a useful device for measuring small quantities of medications for
infants. The syringe is placed in the side of the mouth. (B) increases the amount of
air the infant swallows, which cause excessive gas. (B and D) increase the risk for
aspiration.
3
, What action should the practical nurse (PN) implement when caring for a dying
child and the family?
a) Provide adequate oral intake on a regular schedule
b) Organize care to minimize contact that interrupts rests
c) Allow family to give basic care when the child is alert
d) Tell family to continue talking to the child until time of death - Correct Answer-
Answer: D
Rationale:
Families should be encouraged to talk to the child because the sense of hearing is
acute until death (D), and verbal communication and physical touch provide
comfort for both the family and child. When a child is dying, comfort is based on
measures that respond to the child's requests beyond a regular schedule for fluids
(A). Nursing care should minimize disruptions but not contact (B). family
involvement in the basic care of the child should continue throughout the child's
dying process, not only when the child is alert (C).
A 2 year old child who is hospitalized has become withdrawn and quiet on the
fourth day after admission. The parent expresses concern about this change in
behavior. Which explanation should the practical nurse (PN) provide? The child is
a) Experiencing the despair stage of separation
b) Detaching emotionally from the family
c) Protesting the separation from the parents
d) Adjusting to hospitalization - Correct Answer-Answer: A
4
Obstetrics/Maternity Practice Exam,
Pediatrics HESI PN Review, Hesi Peds, PN
HESI Peds, Peds & Maternity HESI, HESI
Maternity/Pediatric Remediation
Which physiological difference is present in a 3 month old infant that affects oral
drug absorption rates?
a) variable pancreatic enzyme activity
b) more acidic gastric secretions
c) more rapid peristaltic activity
d) an accelerated gastric emptying rate - Correct Answer-Answer: A
Rationale:
Pancreatic enzyme activity (A) is variable in infants for the first 3 months of life as
the Gi system matures. The gastric secretions of infants are less acidic than those
of older children or adults, not (B). Intestinal motility and gastric emptying rate
tend to be slower in infants, not (C and D).
The practical nurse (PN) is preparing to administer an intramuscular immunization
to a 6 month old infant. What site should the PN select?
a) dorsogluteal
b) ventrogluteal
1
,c) deltoid
d) vastus lateralis - Correct Answer-Answer: D
Rationale:
The vastus lateralis (D) has minimal nerves or blood vessels and is the best site for
intramuscular (IM) injections in children younger than 3 years of age. The deltoid
muscle (C) is a small muscle mass that accommodates small volumes, less than 0.5
mL, and is not recommended for IM use in young children. The gluteal muscles (A
and B) are used as an injection site in children whose musculature develops after
walking.
The mother of a young child with Type 1 diabetes mellitus (DM) who needs insulin
injections at home tells the practical nurse (PN) that she is afraid she does not
know what to do properly. Which action is most important for the PN implement
to decrease the mother's apprehension?
a) have the mother verbalize the importance of follow up care
b) help the mother devise a schedule for rotating the injections
c) observe the mother while she administers an insulin injection
d) review the side effects of insulin with the mother - Correct Answer-Answer: C
Rationale:
Observing the mother's ability to give the insulin injection (C) provides an
opportunity to reinforce information & provide validation to increase the
mother's confidence and relieve apprehension about caring for her child with DM.
(A, B, and D) are of less priority than (C).
2
,Which first aid action should the practical nurse implement for a child who has
sustained a second degree thermal burn?
a) apply petroleum jelly to the burned skin
b) apply ice to the burned area
c) immerse the burned area in cold water
d) break any blisters that are present - Correct Answer-Answer: C
Rationale:
First aid treatment of a second degree thermal burn is immersion of the burned
area in cold water (C) to halt the burning process. (A, B, and D) are not indicated
due tot he risk of increased skin damage or infection.
What information should the practical nurse (PN) reinforce with the parents of a 3
month old infant about liquid medication administration?
a) pour the medication into a small cup and allow the infant to drink it
b) place the medication in a nipple and have infant suck the nipple
c) administer the medication with a dropper to the back of the infant's tongue
d) use an oral syringe to place the medication in the side of the infant's mouth -
Correct Answer-Answer: D
Rationale:
An oral syringe is a useful device for measuring small quantities of medications for
infants. The syringe is placed in the side of the mouth. (B) increases the amount of
air the infant swallows, which cause excessive gas. (B and D) increase the risk for
aspiration.
3
, What action should the practical nurse (PN) implement when caring for a dying
child and the family?
a) Provide adequate oral intake on a regular schedule
b) Organize care to minimize contact that interrupts rests
c) Allow family to give basic care when the child is alert
d) Tell family to continue talking to the child until time of death - Correct Answer-
Answer: D
Rationale:
Families should be encouraged to talk to the child because the sense of hearing is
acute until death (D), and verbal communication and physical touch provide
comfort for both the family and child. When a child is dying, comfort is based on
measures that respond to the child's requests beyond a regular schedule for fluids
(A). Nursing care should minimize disruptions but not contact (B). family
involvement in the basic care of the child should continue throughout the child's
dying process, not only when the child is alert (C).
A 2 year old child who is hospitalized has become withdrawn and quiet on the
fourth day after admission. The parent expresses concern about this change in
behavior. Which explanation should the practical nurse (PN) provide? The child is
a) Experiencing the despair stage of separation
b) Detaching emotionally from the family
c) Protesting the separation from the parents
d) Adjusting to hospitalization - Correct Answer-Answer: A
4
