Pediatric PN Hesi exam 2023
1. The nurse is caring for a child with a suspected head injury. Which assessment finding would be of
concern? Answer: A decrease in level of consciousness is a concerning finding in a child with a
suspected head injury.
2. The nurse is caring for a child with a fever. Which intervention should be included in the child's plan
of care? Answer: The nurse should administer antipyretics to manage the child's fever.
3. The nurse is caring for a child with croup. Which intervention should the nurse include in the child's
plan of care? Answer: The nurse should provide humidified oxygen to the child to improve
respiratory function.
4. The nurse is caring for a child with a seizure disorder. Which medication would the nurse anticipate
the provider prescribing for seizure control? Answer: Anticonvulsants are the primary medication for
seizure control in children.
5. The nurse is caring for a child with a history of sickle cell anemia. Which intervention should the
nurse include in the child's plan of care? Answer: The nurse should monitor the child's oxygen
saturation and pain level regularly.
6. The nurse is caring for a child with a suspected case of meningitis. Which assessment finding would
be of concern? Answer: A stiff neck is a concerning finding in a child with a suspected case of
meningitis.
7. The nurse is caring for a child with asthma. Which intervention should be included in the child's plan
of care? Answer: The nurse should teach the child and family about trigger avoidance and proper use
of asthma medications.
8. The nurse is caring for a child with a history of asthma. Which assessment finding would indicate that
the child's asthma is worsening? Answer: Increased use of rescue inhalers and decreased peak flow
readings may indicate that a child's asthma is worsening.
9. The nurse is caring for a child with a fever and a rash. Which assessment finding would be of
concern? Answer: A petechial rash is a concerning finding in a child with a fever and a rash, as it may
indicate a serious infection such as meningitis.
10. The nurse is caring for a child with a suspected case of appendicitis. Which assessment finding would
be of concern? Answer: Rebound tenderness in the right lower quadrant is a concerning finding in a
child with a suspected case of appendicitis.
11. The nurse is caring for a child with a fractured arm. Which intervention should be included in the
child's plan of care? Answer: The nurse should assess the child's neurovascular status regularly to
monitor for any changes in circulation or sensation.
12. The nurse is caring for a child with cerebral palsy. Which intervention should be included in the
child's plan of care? Answer: The nurse should provide appropriate positioning and range-of-motion
exercises to prevent contractures and promote mobility.
13. The nurse is caring for a child with a history of epilepsy. Which intervention should be included in the
child's plan of care? Answer: The nurse should teach the child and family about the importance of
medication compliance and seizure precautions.
14. The nurse is caring for a child with a respiratory infection. Which intervention should be included in
the child's plan of care? Answer: The nurse should encourage adequate hydration to help loosen and
expectorate respiratory secretions.
15. The nurse is caring for a child with a history of congenital heart disease. Which assessment finding
would be of concern? Answer: Cyanosis or decreased oxygen saturation may be a concerning finding
in a child with a history of congenital heart disease.
16. The nurse is caring for a child with a suspected case of meningitis. Which intervention should the
nurse include in the child's plan of
,Pediatric PN Hesi exam 2023
17. The nurse is caring for a child with a history of type 1 diabetes. Which intervention should be
included in the child's plan of care? Answer: The nurse should teach the child and family about
proper glucose monitoring, insulin administration, and diet management.
18. The nurse is caring for a child with a history of allergic reactions. Which medication should the nurse
have readily available in case of an anaphylactic reaction? Answer: The nurse should have
epinephrine readily available in case of an anaphylactic reaction.
19. The nurse is caring for a child with a suspected case of pneumonia. Which assessment finding would
be of concern? Answer: Crackles or wheezes on lung auscultation may be a concerning finding in a
child with a suspected case of pneumonia.
20. The nurse is caring for a child with a suspected case of sepsis. Which intervention should be included
in the child's plan of care? Answer: The nurse should obtain cultures and initiate broad-spectrum
antibiotics as soon as possible in a child with a suspected case of sepsis.
21. The nurse is caring for a child with a history of ADHD. Which intervention should be included in the
child's plan of care? Answer: The nurse should provide a structured environment and appropriate
behavioral interventions to help manage symptoms of ADHD.
22. The nurse is caring for a child with a history of Down syndrome. Which assessment finding would be
of concern? Answer: Hypotonia or poor muscle tone may be a concerning finding in a child with a
history of Down syndrome.
23. The nurse is caring for a child with a suspected case of dehydration. Which assessment finding would
be of concern? Answer: Sunken fontanelles or dry mucous membranes may be a concerning finding
in a child with a suspected case of dehydration.
24. The nurse is caring for a child with a history of renal disease. Which intervention should be included
in the child's plan of care? Answer: The nurse should monitor the child's fluid and electrolyte balance
closely and administer medications as prescribed to manage renal function.
25. The nurse is caring for a child with a suspected case of gastroenteritis. Which intervention should be
included in the child's plan of care? Answer: The nurse should monitor the child's hydration status
closely and provide appropriate fluid and electrolyte replacement as needed.
26. The nurse is caring for a child with a history of spina bifida. Which intervention should be included in
the child's plan of care? Answer: The nurse should provide appropriate skin care and positioning to
prevent skin breakdown and promote mobility.
27. The nurse is caring for a child with a history of cystic fibrosis. Which intervention should be included
in the child's plan of care? Answer: The nurse should teach the child and family about proper airway
clearance techniques and medication management.
28. The nurse is caring for a child with a suspected case of bronchiolitis. Which assessment finding would
be of concern? Answer: Increased work of breathing or decreased oxygen saturation may be a
concerning finding in a child with a suspected case of bronchiolitis.
29. The nurse is caring for a child with a history of juvenile rheumatoid arthritis. Which intervention
should be included in the child's plan of care? Answer: The nurse should provide appropriate pain
management and range-of-motion exercises to promote joint mobility and function.
30. The nurse is caring for a child with a suspected case of meningitis. Which intervention should be
included in the child's plan of care? Answer: The nurse should monitor the child's vital signs closely
and provide appropriate supportive care, such as IV fluids and oxygen, as needed.
31. The nurse is caring for a child with a history of eczema. Which intervention should be included in the
1. The nurse is caring for a child with a suspected head injury. Which assessment finding would be of
concern? Answer: A decrease in level of consciousness is a concerning finding in a child with a
suspected head injury.
2. The nurse is caring for a child with a fever. Which intervention should be included in the child's plan
of care? Answer: The nurse should administer antipyretics to manage the child's fever.
3. The nurse is caring for a child with croup. Which intervention should the nurse include in the child's
plan of care? Answer: The nurse should provide humidified oxygen to the child to improve
respiratory function.
4. The nurse is caring for a child with a seizure disorder. Which medication would the nurse anticipate
the provider prescribing for seizure control? Answer: Anticonvulsants are the primary medication for
seizure control in children.
5. The nurse is caring for a child with a history of sickle cell anemia. Which intervention should the
nurse include in the child's plan of care? Answer: The nurse should monitor the child's oxygen
saturation and pain level regularly.
6. The nurse is caring for a child with a suspected case of meningitis. Which assessment finding would
be of concern? Answer: A stiff neck is a concerning finding in a child with a suspected case of
meningitis.
7. The nurse is caring for a child with asthma. Which intervention should be included in the child's plan
of care? Answer: The nurse should teach the child and family about trigger avoidance and proper use
of asthma medications.
8. The nurse is caring for a child with a history of asthma. Which assessment finding would indicate that
the child's asthma is worsening? Answer: Increased use of rescue inhalers and decreased peak flow
readings may indicate that a child's asthma is worsening.
9. The nurse is caring for a child with a fever and a rash. Which assessment finding would be of
concern? Answer: A petechial rash is a concerning finding in a child with a fever and a rash, as it may
indicate a serious infection such as meningitis.
10. The nurse is caring for a child with a suspected case of appendicitis. Which assessment finding would
be of concern? Answer: Rebound tenderness in the right lower quadrant is a concerning finding in a
child with a suspected case of appendicitis.
11. The nurse is caring for a child with a fractured arm. Which intervention should be included in the
child's plan of care? Answer: The nurse should assess the child's neurovascular status regularly to
monitor for any changes in circulation or sensation.
12. The nurse is caring for a child with cerebral palsy. Which intervention should be included in the
child's plan of care? Answer: The nurse should provide appropriate positioning and range-of-motion
exercises to prevent contractures and promote mobility.
13. The nurse is caring for a child with a history of epilepsy. Which intervention should be included in the
child's plan of care? Answer: The nurse should teach the child and family about the importance of
medication compliance and seizure precautions.
14. The nurse is caring for a child with a respiratory infection. Which intervention should be included in
the child's plan of care? Answer: The nurse should encourage adequate hydration to help loosen and
expectorate respiratory secretions.
15. The nurse is caring for a child with a history of congenital heart disease. Which assessment finding
would be of concern? Answer: Cyanosis or decreased oxygen saturation may be a concerning finding
in a child with a history of congenital heart disease.
16. The nurse is caring for a child with a suspected case of meningitis. Which intervention should the
nurse include in the child's plan of
,Pediatric PN Hesi exam 2023
17. The nurse is caring for a child with a history of type 1 diabetes. Which intervention should be
included in the child's plan of care? Answer: The nurse should teach the child and family about
proper glucose monitoring, insulin administration, and diet management.
18. The nurse is caring for a child with a history of allergic reactions. Which medication should the nurse
have readily available in case of an anaphylactic reaction? Answer: The nurse should have
epinephrine readily available in case of an anaphylactic reaction.
19. The nurse is caring for a child with a suspected case of pneumonia. Which assessment finding would
be of concern? Answer: Crackles or wheezes on lung auscultation may be a concerning finding in a
child with a suspected case of pneumonia.
20. The nurse is caring for a child with a suspected case of sepsis. Which intervention should be included
in the child's plan of care? Answer: The nurse should obtain cultures and initiate broad-spectrum
antibiotics as soon as possible in a child with a suspected case of sepsis.
21. The nurse is caring for a child with a history of ADHD. Which intervention should be included in the
child's plan of care? Answer: The nurse should provide a structured environment and appropriate
behavioral interventions to help manage symptoms of ADHD.
22. The nurse is caring for a child with a history of Down syndrome. Which assessment finding would be
of concern? Answer: Hypotonia or poor muscle tone may be a concerning finding in a child with a
history of Down syndrome.
23. The nurse is caring for a child with a suspected case of dehydration. Which assessment finding would
be of concern? Answer: Sunken fontanelles or dry mucous membranes may be a concerning finding
in a child with a suspected case of dehydration.
24. The nurse is caring for a child with a history of renal disease. Which intervention should be included
in the child's plan of care? Answer: The nurse should monitor the child's fluid and electrolyte balance
closely and administer medications as prescribed to manage renal function.
25. The nurse is caring for a child with a suspected case of gastroenteritis. Which intervention should be
included in the child's plan of care? Answer: The nurse should monitor the child's hydration status
closely and provide appropriate fluid and electrolyte replacement as needed.
26. The nurse is caring for a child with a history of spina bifida. Which intervention should be included in
the child's plan of care? Answer: The nurse should provide appropriate skin care and positioning to
prevent skin breakdown and promote mobility.
27. The nurse is caring for a child with a history of cystic fibrosis. Which intervention should be included
in the child's plan of care? Answer: The nurse should teach the child and family about proper airway
clearance techniques and medication management.
28. The nurse is caring for a child with a suspected case of bronchiolitis. Which assessment finding would
be of concern? Answer: Increased work of breathing or decreased oxygen saturation may be a
concerning finding in a child with a suspected case of bronchiolitis.
29. The nurse is caring for a child with a history of juvenile rheumatoid arthritis. Which intervention
should be included in the child's plan of care? Answer: The nurse should provide appropriate pain
management and range-of-motion exercises to promote joint mobility and function.
30. The nurse is caring for a child with a suspected case of meningitis. Which intervention should be
included in the child's plan of care? Answer: The nurse should monitor the child's vital signs closely
and provide appropriate supportive care, such as IV fluids and oxygen, as needed.
31. The nurse is caring for a child with a history of eczema. Which intervention should be included in the
