HESI OB PEDS EXAM 2026 FINAL REVIEW
QUESTIONS ANSWERS BUNDLED PRACTICE
COLLECTION
◉ A 6 year old who had a tonsillectomy 12 hours ago is complaining
of thirst. What should the practical nurse (PN) offer?
a) popsicle
b) lemonade
c) orange juice
d) chocolate milk
Answer: Answer: A
Rationale:
Small amounts of clear liquids without red dyes should be offered to
the child. Popsicles (A) are cold and help soothe a dry throat. Citrus
drinks (B and C) are acidic and irritate the operative site in the
posterior oropharynx. Milk (D) thickens oral mucus which makes
swallowing more difficult and causes coughing.
◉ The mother of a male newborn calls the clinic to inquire about the
formation of a yellow crust over her son's circumcision area. What
information should the practical nurse (PN) provide?
,a) do not remove the yellow crust from the site
b) stop using petroleum around the head of the penis
c) bring him into the clinic
d) tightly fasten the diaper
Answer: Answer: A
Rationale:
Crust formation is part of the healing process and should be
removed (A). (C) is not indicated at this time. The diaper should be
fastened loosely, not tightly (D) which can place pressure on the
incision site. (B) assists in the healing process and should not be
discontinued.
◉ The mother of a child with croup is having barking, coughing
episodes calls the clinic for assistance. What action should the
practical nurse (PN) recommend that the mother implement first?
a) take the child outside in the cool air
b) bring the child directly to the emergency room
c) sit with the child in bathroom with a hot shower running
d) have the child drink plenty of fluids
Answer: Answer: C
,Rationale:
Croup (laryngotracheobronchitis) is a viral infection that causes a
"barking" cough and varying degrees of inspiratory stridor, which
often responds to a high humidity environment. Most children can
be managed at home using the stream from a hot shower in a closed
bathroom (C) which often stops laryngeal spasm. Increasing the
child's fluid intake is important (D), but not a priority at this
time.Although exposure to cold air (A) also relieves stridor, parents
should be encouraged to use mist humidifier in the child's room. (B)
is not necessary unless the child is having increasingly difficulty
breathing that may lead to a compromised airway.
◉ Which finding should the practical nurse confirm with the parents
of an infant who is admitted with possible intussusception?
a) red currant jelly stools
b) clay colored stools
c) constant abdominal pain
d) projectile vomiting after meals
Answer: Answer: A
Rationale:
Red currant jelly stools (A) is a sign of intussusception, which causes
a mixture of stool, mucous, and blood as the intestines telescopes
, inside itself. (D) is associated with pyloric stenosis. (B) is consistent
with biliary obstruction. Infants with intussusception usually have
periods of severe pain followed by intervals in which they appear
comfortable, not (C).
◉ The practical nurse (PN) is observing a group of children at a day
care center to determine whether children are achieving
developmental milestones. Which activity should the PN identify as
typical for a 2 year old child's cognitive development?
a) has a vocabulary of about 1000 words
b) uses short sentences to express self
c) initiates play with other children
d) recognizes right and wrong
Answer: Answer: B
Rationale:
Although children develop at different rates, a 2 year old typically
uses short sentences to express independence and control (B) and
has a vocabulary of up to 300 words, not (A). At the age of 2 years, a
toddler is developing negativism without understanding the
concepts of right and wrong (D). A 2 year old engages in solitary
play and parallel play but does not initiate or cooperative with other
children (C) in play, which begins with socialization of the preschool
child.
QUESTIONS ANSWERS BUNDLED PRACTICE
COLLECTION
◉ A 6 year old who had a tonsillectomy 12 hours ago is complaining
of thirst. What should the practical nurse (PN) offer?
a) popsicle
b) lemonade
c) orange juice
d) chocolate milk
Answer: Answer: A
Rationale:
Small amounts of clear liquids without red dyes should be offered to
the child. Popsicles (A) are cold and help soothe a dry throat. Citrus
drinks (B and C) are acidic and irritate the operative site in the
posterior oropharynx. Milk (D) thickens oral mucus which makes
swallowing more difficult and causes coughing.
◉ The mother of a male newborn calls the clinic to inquire about the
formation of a yellow crust over her son's circumcision area. What
information should the practical nurse (PN) provide?
,a) do not remove the yellow crust from the site
b) stop using petroleum around the head of the penis
c) bring him into the clinic
d) tightly fasten the diaper
Answer: Answer: A
Rationale:
Crust formation is part of the healing process and should be
removed (A). (C) is not indicated at this time. The diaper should be
fastened loosely, not tightly (D) which can place pressure on the
incision site. (B) assists in the healing process and should not be
discontinued.
◉ The mother of a child with croup is having barking, coughing
episodes calls the clinic for assistance. What action should the
practical nurse (PN) recommend that the mother implement first?
a) take the child outside in the cool air
b) bring the child directly to the emergency room
c) sit with the child in bathroom with a hot shower running
d) have the child drink plenty of fluids
Answer: Answer: C
,Rationale:
Croup (laryngotracheobronchitis) is a viral infection that causes a
"barking" cough and varying degrees of inspiratory stridor, which
often responds to a high humidity environment. Most children can
be managed at home using the stream from a hot shower in a closed
bathroom (C) which often stops laryngeal spasm. Increasing the
child's fluid intake is important (D), but not a priority at this
time.Although exposure to cold air (A) also relieves stridor, parents
should be encouraged to use mist humidifier in the child's room. (B)
is not necessary unless the child is having increasingly difficulty
breathing that may lead to a compromised airway.
◉ Which finding should the practical nurse confirm with the parents
of an infant who is admitted with possible intussusception?
a) red currant jelly stools
b) clay colored stools
c) constant abdominal pain
d) projectile vomiting after meals
Answer: Answer: A
Rationale:
Red currant jelly stools (A) is a sign of intussusception, which causes
a mixture of stool, mucous, and blood as the intestines telescopes
, inside itself. (D) is associated with pyloric stenosis. (B) is consistent
with biliary obstruction. Infants with intussusception usually have
periods of severe pain followed by intervals in which they appear
comfortable, not (C).
◉ The practical nurse (PN) is observing a group of children at a day
care center to determine whether children are achieving
developmental milestones. Which activity should the PN identify as
typical for a 2 year old child's cognitive development?
a) has a vocabulary of about 1000 words
b) uses short sentences to express self
c) initiates play with other children
d) recognizes right and wrong
Answer: Answer: B
Rationale:
Although children develop at different rates, a 2 year old typically
uses short sentences to express independence and control (B) and
has a vocabulary of up to 300 words, not (A). At the age of 2 years, a
toddler is developing negativism without understanding the
concepts of right and wrong (D). A 2 year old engages in solitary
play and parallel play but does not initiate or cooperative with other
children (C) in play, which begins with socialization of the preschool
child.
