PN HESI Peds Questions And Answers
Already Rated A+
A 15-year-old male with mild mental retardation who is hospitalized for minor surgery tells a female
practical nurse (PN), "Wow, you have big ones." Which response is best for the PN to make? Ans- That
language is not permitted."
The health care provider prescribes carbamazepine (Tegretol) for a child whose tonic-clonic seizures
have been poorly controlled. The nurse informs the mother that the child must have blood tests every
week. The mother asks why so many blood tests are necessary. What complication is assessed through
frequent laboratory testing that the nurse should explain to this mother? Ans- Bone marrow
suppression
The practical nurse (PN) is reviewing signs and symptoms of congestive heart failure with the parents of
a 2-year-old child with a congenital heart defect. Which behavior is most important for the parents to
report to the health care provider? Ans- Exhibits a sudden and unexplained weight gain
A child with poison ivy weighs 25 kg and receives a prescription for Benadryl PO 5 mg/kg. Benadryl is
available as a 125 mg/5 mL solution. How many milliliters should the practical nurse administer? (Fill in
the blank.) Ans- 5ml
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? Ans- "Call the health care provider immediately if the nail beds appear 'blue' or 'empty.'"
The health care provider prescribes amoxicillin 60 mg PO three times a day for a child who weighs 13
pounds. The pediatric dosage range is 20 to 40 mg/kg/day in three equal doses. What is the maximum
dosage in 24 hours that should be given? (Fill in the blank.) Ans- First, convert the pounds to kg because
the conversion is for kg.
1 kg = 2.2 lb
13 lb/(2.2 lb/kg) = 5.9 kg
, Second, determine the maximum dose the child can have in 24 hours: 40 mg × 5.9 kg = 236 mg. The
maximum dose the child can have is 236 mg.
The nurse is preparing a child for transport to the operating room for an emergency appendectomy. The
anesthesiologist prescribes atropine sulfate (Atropine) IM STAT. What is the primary purpose for
administering this drug to the child at this time? Ans- Decrease the oral secretions.
The practical nurse (PN) is caring for a child who had a cleft lip repair. What is the most important
reason to minimize this child's crying during the postoperative recovery period? Ans- Crying stresses the
suture line.
The parents of a 1-year-old child, who was recently diagnosed with hypospadias, state that they plan to
delay corrective surgery to see if the child will outgrow the problem. What response is best for the
practical nurse (PN) to provide to these parents? Ans- "Discuss your decision with your healthcare
provider for additional information of what you understand about your child's diagnosis."
A child with cystic fibrosis is receiving ticarcillin disodium (Ticar) for Pseudomonas pneumonia. What
adverse effect should the nurse assess for and report promptly to the health care provider? Ans-
Petechiae
The practical nurse (PN) is caring for a child with an acute respiratory condition. When the PN is
monitoring for impending respiratory distress, what sign is the child likely to exhibit first? Ans-
Restlessness
The practical nurse (PN) is examining a child with an exacerbation of juvenile rheumatoid arthritis (JRA)
and notes that the child's mobility is greatly reduced. What factor should the PN observe that affects the
child's mobility? Ans- Joint inflammation
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? Ans- Elbow
The practical nurse (PN) in the clinic receives a phone call from the mother of a 6-year-old child with a
newly applied cast for a fracture of the femur. The mother reports that the child is in pain and is crying
and that the child's foot appears swollen and blue. Which nursing diagnosis supports the PN's initial
intervention? Ans- Altered peripheral tissue perfusion
Already Rated A+
A 15-year-old male with mild mental retardation who is hospitalized for minor surgery tells a female
practical nurse (PN), "Wow, you have big ones." Which response is best for the PN to make? Ans- That
language is not permitted."
The health care provider prescribes carbamazepine (Tegretol) for a child whose tonic-clonic seizures
have been poorly controlled. The nurse informs the mother that the child must have blood tests every
week. The mother asks why so many blood tests are necessary. What complication is assessed through
frequent laboratory testing that the nurse should explain to this mother? Ans- Bone marrow
suppression
The practical nurse (PN) is reviewing signs and symptoms of congestive heart failure with the parents of
a 2-year-old child with a congenital heart defect. Which behavior is most important for the parents to
report to the health care provider? Ans- Exhibits a sudden and unexplained weight gain
A child with poison ivy weighs 25 kg and receives a prescription for Benadryl PO 5 mg/kg. Benadryl is
available as a 125 mg/5 mL solution. How many milliliters should the practical nurse administer? (Fill in
the blank.) Ans- 5ml
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? Ans- "Call the health care provider immediately if the nail beds appear 'blue' or 'empty.'"
The health care provider prescribes amoxicillin 60 mg PO three times a day for a child who weighs 13
pounds. The pediatric dosage range is 20 to 40 mg/kg/day in three equal doses. What is the maximum
dosage in 24 hours that should be given? (Fill in the blank.) Ans- First, convert the pounds to kg because
the conversion is for kg.
1 kg = 2.2 lb
13 lb/(2.2 lb/kg) = 5.9 kg
, Second, determine the maximum dose the child can have in 24 hours: 40 mg × 5.9 kg = 236 mg. The
maximum dose the child can have is 236 mg.
The nurse is preparing a child for transport to the operating room for an emergency appendectomy. The
anesthesiologist prescribes atropine sulfate (Atropine) IM STAT. What is the primary purpose for
administering this drug to the child at this time? Ans- Decrease the oral secretions.
The practical nurse (PN) is caring for a child who had a cleft lip repair. What is the most important
reason to minimize this child's crying during the postoperative recovery period? Ans- Crying stresses the
suture line.
The parents of a 1-year-old child, who was recently diagnosed with hypospadias, state that they plan to
delay corrective surgery to see if the child will outgrow the problem. What response is best for the
practical nurse (PN) to provide to these parents? Ans- "Discuss your decision with your healthcare
provider for additional information of what you understand about your child's diagnosis."
A child with cystic fibrosis is receiving ticarcillin disodium (Ticar) for Pseudomonas pneumonia. What
adverse effect should the nurse assess for and report promptly to the health care provider? Ans-
Petechiae
The practical nurse (PN) is caring for a child with an acute respiratory condition. When the PN is
monitoring for impending respiratory distress, what sign is the child likely to exhibit first? Ans-
Restlessness
The practical nurse (PN) is examining a child with an exacerbation of juvenile rheumatoid arthritis (JRA)
and notes that the child's mobility is greatly reduced. What factor should the PN observe that affects the
child's mobility? Ans- Joint inflammation
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? Ans- Elbow
The practical nurse (PN) in the clinic receives a phone call from the mother of a 6-year-old child with a
newly applied cast for a fracture of the femur. The mother reports that the child is in pain and is crying
and that the child's foot appears swollen and blue. Which nursing diagnosis supports the PN's initial
intervention? Ans- Altered peripheral tissue perfusion
