HESI PN PEDIATRIC EXAM V2 BEST 2023

HESI PN HESI PN PEDIATRIC EXAM V2 QUESTIONS & ANSWERS (100% VERIFIED) UPDATED VERSION 2023 HESI PN PEDIATRIC SPECIALTY EXAM V2 1) AtoddlerisreceivinganinfusionoftotalparenteralnutritionviaaBroviaccatheter. Asthechildplays,theI.V.tubingbecomesdisconnectedfromthecatheter.Whatshou ldtheLPN/LVNdofirst? a. Turn off the infusion pump. b. Position the child on the side. c. Clamp the catheter. d. Flush the catheter with heparin. Correct Answer: C.Clamp the catheter. 2) ALPN/LVN is conducting an infant nutrition class for parents.Whichfoodsarea ppropriatetointroduceduringthefirstyearoflife?Selectallthatapply. a. Slicedbeef b. Pureedfruits c. Wholemilk d. Ricecereal e. Strainedvegetables f. Fruitjuice CorrectAnswer: b.Pureedfruits d.Ricecereal e.Strainedvegetables 3) Amothertellsthenursethatherpreschoolagedaughterwithspinabifidasneezesandgetsarashwhenplayingwithbrightlycolo redballoons,andthatrecentlyshehadanallergicreactionaftereatingkiwifruitandba nanas.TheLPN/LVNwouldsuspectthatthechildmayhaveanallergyto: a. bananas. b. latex. c. kiwifruit. d. colordyes. CorrectAnswer:B.latex. 4) A LPN/LVNis developing a plan to teach a mother how to reduce herinfant's risk of developing otitis media. Which direction should the nurseinclude in theteaching plan? a. Administerantibioticswhenevertheinfanthasacold. b. Placetheinfantinanuprightpositionwhengivingabottle. c. Avoidgettingtheinfant'searswetwhilebathingorswimming. d. Cleantheinfant'sexternalearcanaldaily. CorrectAnswer:B.Placetheinfantinanuprightpositionwhengivingabottle. 5) Whendevelopingacareplanforanadolescent,thenurseconsidersthechild'sps ychosocialneeds.Duringadolescence,psychosocialdevelopmentfocuses on: a. becomingindustrious. b. establishinganidentity. c. achievingintimacy. d. developinginitiative. CorrectAnswer:B.establishinganidentity. 6) A LPN/LVNis planning care for a 10-year-old child in the acute phase ofrheumatic fever. Which activity is most appropriate for the nurse to schedulein the care plan? a. Playingping-pong b. Readingbooks c. Climbingonplayequipmentintheplayroom d. AmbulatingwithoutrestrictionsC orrectAnswer:B.Readingbooks 7) A LPN/LVNis assessing a severely depressed adolescent. Which findingindicates a riskof suicide? a. Excessivetalking b. Excessivesleepiness c. Ahistoryofcocaineuse d. Apreoccupationwithdeath CorrectAnswer:D.Apreoccupationwithdeath 8) Achildisadmittedwithatentativediagnosisofclinicaldepression.Whichassess mentfindingismostsignificantinconfirmingthisdiagnosis? a. Irritability b. Sadness c. Weightgain d. Fatigue CorrectAnswer:B.Sadness 9) Achildwithirondeficiencyanemiaisorderedferroussulfate(Ferralyn),anorali ronsupplement.Whenteachingthechildandparenthowtoadministerthispreparat ion,themotheraskswhysheneedstomixthesupplementwithcitrusjuice.Whichre sponsebythenurseisbest? a. "ThevitaminCinthecitrusjuicehelpswithironabsorption." b. "Havingfoodandjuiceinthestomachhelpswithironabsorption." c. "Thecitrusjuicecounteractstheunpleasanttasteoftheiron." d. "Thereisn'taspecificreasonforit." CorrectAnswer:A."ThevitaminCinthecitrusjuicehelpswithironabsorption." 10) Whenassessingachildforimpetigo,thenurseexpectswhichassessmentfinding s? a. Small,brown,benignlesions b. Honey-colored,crustedlesions c. Linear,threadlikeburrows d. Circularlesionsthatclearcentrally CorrectAnswer:B.Honey-colored,crustedlesions 11) Afemaleadolescentclientrefusestoallowmalenursestocareforherwhileshe' shospitalized.Whichofthesehealthcarerightsisthisadolescentexerting? a. Righttocompetentcare b. Righttohaveanadvancedirectiveonfile c. Righttoconfidentialityofhermedicalrecord d. Righttoprivacy CorrectAnswer:D.Righttoprivacy 12) ALPN/LVNisreviewingateachingplanwithparentsofaninfantundergoingre pairforacleftlip.Whichinstructionsarethemostappropriatefor thenurseto give?Selectallthat apply. a. Offerapacifierasneeded. b. Laytheinfantonhisbackorsidetosleep. c. Sittheinfantupforeachfeeding. d. Loosenthearmrestraintsevery4hours. e. Cleanthesuturelineaftereachfeedingbydabbingitwithsalinesolution. f. Givetheinfantextracareandsupport. CorrectAnswer: b.Laytheinfantonhisbackorsidetosleep. c.Sittheinfantupforeachfeeding. e.Cleanthesuturelineaftereachfeedingbydabbingitwithsalinesolution. f.Givetheinfantextracareandsupport. 13) ALPN/LVNnotesthataninfantdevelopsarmmovementbeforefinemotorfingerski llsandinterpretsthisasanexampleofwhichpatternofdevelopme nt? a. Cephalocaudal b. Proximodistal c. Differentiation d. Mass-to-specific CorrectAnswer:B.Proximodistal 14) A teenage mother brings her 1-year-old child to the pediatrician's officefor a well-baby checkup. She says that her infant can't sit alone or roll over.Anappropriateresponsebythenursewouldbe: a. "Thisisveryabnormal.Yourchildmustbesick." b. "Let'sseeaboutfurtherdevelopmentaltesting." c. "Don'tworry,thisisnormalforherage." d. "Maybeyoujusthaven'tseenherdoit." CorrectAnswer:B."Let'sseeaboutfurtherdevelopmentaltesting." 15) Whichfindingina3-yearoldchildwithacuterenalfailurerequiresimmediate follow-up? a. Potassiumlevelof6.5mEq/L b. Bloodpressureinrightlegof90/50mmHg c. Abdominalcramps d. Noalbuminintheurine CorrectAnswer:A.Potassiumlevelof6.5mEq/L 16) Aschoolnurseisevaluatinga7-yearoldchildwhoishavinganasthmaattack.Thechildiscyanoticandunabletospeak,wi thdecreasedbreathsoundsandshallowrespirations.Basedonthesephysicalfindin gs,thenurseshould first: a. monitorthechildwithapulseoximeterinheroffice. b. preparetoventilatethechild. c. returnthechildtoclass. d. contactthechild'sparentorguardian. CorrectAnswer:B.preparetoventilatethechild. 17) The mother of an 11-month-old infant reports to the nurse that her infantsleeps much less than other children. The mother asks the nurse whether herinfantisgettingsufficientsleep.Whatshouldbethenurse'sinitialresponse? a. Reassurethemotherthateachinfant'ssleepneedsareindividual. b. Askthemotherformoreinformationabouttheinfant'ssleeppatterns. c. Instructthemothertodecreasetheinfant'sdaytimesleeptoincreasehisnightti me sleep. d. Informthemotherthatherinfant'sgrowthanddevelopmentareappropriatefor hisage, sosleep isn'ta concern. CorrectAnswer:B.Askthemotherformoreinformationabouttheinfant'ssleep patterns. 18) Which item in the care plan for a toddler with a seizure disorder should anurse revise? a. Paddedsiderails b. Oxygenmaskandbagsystematbedside c. Armrestraintswhileasleep d. Cardiorespiratorymonitoring CorrectAnswer:C.Armrestraintswhileasleep 19) A LPN/LVN observes a 2½-year-old child playing with another child ofthe same age in the playroom on the pediatric unit. What type of play shouldthe nurseexpectthechildrento engagein? a. Associativeplay b. Parallelplay c. Cooperativeplay d. Therapeuticplay CorrectAnswer:B.Parallelplay 20) A14-yearoldadolescentwithtype1diabetescheckshisbloodglucoselevelat9:ego ingtobed.Ithasbeen4hourssincehisdinnerandhisregularinsulindose.Hisbloodgluc oselevelis60mg/dl,andhestatesthathefeelsalittleshaky.Whatshouldthenursesugg est? a. Abedtimesnackofan8-ozglassofmilkandgrahamcrackerswithpeanutbutter b. Goingtosleeptodecreasethemetabolicdemandsonthebody c. Takingadoseofglucagon d. Doingnothingbecausetheglucoselevelisunreliablebecausetheadoles cent measuredit himself CorrectAnswer:A.Abedtimesnackofan8-ozglassofmilkandgrahamcrackerswith peanutbutter 21) A13-yearoldgirlisbeingevaluatedforpossibleCrohn'sdisease.Thenurseexpectstoprepar eherforwhichdiagnosticstudy? a. Genetictesting b. Cystoscopy c. Myelography d. Colonoscopywithbiopsy CorrectAnswer:D.Colonoscopywithbiopsy 22) Aninfantwhoweighs7.5kgistoreceiveampicillin(Omnipen)25mg/kg I.V.every6hours.Howmanymilligramsshouldthenurseadministerperdose?Recor dyouranswerusingonedecimalplace. CorrectAnswer:187.5milligrams 23) A4-yearoldhasjustreturnedfromsurgery.Hehasanasogastric(NG)tubeinplaceandisatta chedtointermittentsuction.Thechildsaystothenurse,"I'mgoingtothrowup."Wh atshouldthenursedofirst? a. NotifythephysicianbecausethechildhasanNGtube. b. ImmediatelygivethechildanantiemeticI.V. c. IrrigatetheNGtubetoensurepatency. d. Encouragethemothertocalmthechilddown. CorrectAnswer:C.IrrigatetheNGtubetoensurepatency. 24) Achild,age5,isdiagnosedwithchronicrenalfailure.Whenteachingtheparentsa boutdiettherapy,thenurseshouldinstructthemtorestrictwhichfoodsfrom thechild's diet? a. Meats b. Carbohydrates c. Fats d. Dairyproducts CorrectAnswer:A.Meats 25) An8-yearoldchildissuspectedofhavingmeningitis.Signsofmeningitisinclude: a. Cullen'ssign. b. Koplik'sspots. c. Kernig'ssign. d. Chvostek'ssign. CorrectAnswer:C.Kernig'ssign. 26) A6-yearoldchildisadmittedtothepediatricunitforevaluationofrecurrentabdominalpain.T hechildhasbeenadmittedtothepediatricunitwithsimilarcomplaintsseveraltimesi nthepastfewmonths.Thechild'ssymptomsarevague,yethismotherprovidesdetail edinformationabouttheproblem.Thenurseissuspiciousofthesituation.Whatshoul dtheLPN/LVNdo next? a. Requestthattheparentleavethehospitalunitimmediately. b. Asktospeakwiththechildwithouttheparentbeingpresent. c. Notifythephysicianandrequestassistancefromtheinterdisciplinaryteam. d. Contacttheauthoritiesimmediately. CorrectAnswer:C.Notifythephysicianandrequestassistancefromtheinterdisciplina ry team. 27) Whenmakingethicaldecisionsaboutcaringforpreschoolers,anurseshoul d remember to: a. providebeneficialcareandavoidharmingthechild. b. makedecisionsthatwillpreventlegaltrouble. c. dowhatshewoulddoforherownchildorlovedones. d. besuretodowhatthephysiciansays. CorrectAnswer:A.providebeneficialcareandavoidharmingthechild. 28) Anemergencydepartmentnursesuspectsneglectina3- yearoldboyadmittedforfailuretothrive.Signsofneglectinthechildwouldinclude: a. slapping,kicking,andpunchingothers. b. poorhygieneandweightloss. c. loudcryingandscreaming. d. pullinghairandhitting. CorrectAnswer:B.poorhygieneandweightloss. 29) Whenadministeringgentamicin(Garamicin)toapreschooler,whichmoni toringscheduleisbestfordeterminingthedrug'seffectiveness? a. Aserumtroughleveleverymorning b. Aserumpeaklevelaftertheseconddose c. Aserumtroughandpeaklevelaroundthethirddose d. Serialserumtroughlevelsafterthreedoses(24hours) CorrectAnswer:C.Aserumtroughandpeaklevelaroundthethirddose 30) Whichinterventionprovidesthemostaccurateinformationaboutaninfant 's hydration status? a. Monitoringtheinfant'svitalsigns b. Accuratelymeasuringintakeandoutput c. Monitoringserumelectrolytelevels d. Weighingtheinfantdaily CorrectAnswer:D.Weighingtheinfantdaily 31) Whendevelopingacareplanforachild,thenurseidentifieswhichEriksoni anstageascorrespondingtoFreud'soralstageofpsychosexualdevelopment? a. Initiativeversusguilt b. Autonomyversusshameanddoubt c. Trustversusmistrust d. Industryversusinferiority CorrectAnswer:C.Trustversusmistrust 32) An8-yearoldchildhasjustreturnedfromtheoperatingroomafterhavingatonsillectomy .Thenurseispreparingtodoapostoperativeassessment.Thenurseshouldbeal ertforwhichsignsandsymptomsofbleeding? Select allthat apply. a. Frequentclearingofthethroat b. Breathingthroughthemouth c. Frequentswallowing d. Sleepingforlongintervals e. Pulserateof98beats/minute f. Brightredvomitus CorrectAnswer: a.Frequentclearingofthethroat c.Frequentswallowing f.Brightredvomitus 33) Achild'sphysicianordersadrugforhomeuse.Beforethechildisdischar ged, thenurse should: a. teachthefamilyhowtoadjustthedrugdosageaccordingtothechild'sneeds. b. providethefamilywiththedrug'sname,dosage,route,andfrequencyofadmini stration. c. instructthefamilytoencouragethechildtotakeresponsibilityforensuringtimely drug administration. d. tellthefamilytoavoidexplainingthepurposeofthemedicationtothechild. CorrectAnswer:B.providethefamilywiththedrug'sname,dosage,route,and frequencyof administration. 34) Achild,age5,hasacutelymphocyticleukemia(ALL)andisreceivinginduction chemotherapyconsistingofvincristine(Oncovin),asparaginase(Lasparaginase[El spar]),andprednisone(Deltasone).Whenteachingtheparentsabou ttheadverseeffectsofthisregimen,thenurseshouldstresstheimportance ofpromptly reporting: a. hairloss. b. moonface. c. blindness. d. bonepain. CorrectAnswer:C.blindness. 35) ALPN/LVNisprovidingcaretoa5-yearoldchildwithafracturedfemurwhosenursingdiagnosisisImbalancednutritio n:Lessthanbodyrequirements.Whichchangeismostlikelytooccurwiththisco ndition? a. Decreasedproteincatabolism b. Increasedcalorieintake c. Increaseddigestiveenzymes d. Increasedcarbohydrateneed CorrectAnswer:D.Increasedcarbohydrateneed 36) ALPN/LVNiscaringfora9-year-oldchildwhohasagraveprognosis afterreceivingaclosedinjuryfrombeingstruckbyacar.Whichhealthteammembersho uldapproachthefamilyaboutorgandonation? a. Nurse-manager b. Transplantcoordinator c. Emergencydepartmentnurse d. Pastoralcarestaffmember CorrectAnswer:B.Transplantcoordinator 37) An11-yearoldchildcontractedsevereacuterespiratorysyndrome(SARS)whentravelingabro adwithherparents.Thenurseknowsshemustputonpersonalprotectiveequipmentt oprotectherselfwhileprovidingcare.BasedonthemodeofSARStransmission,whi chpersonalprotectiveequipment shouldtheLPN/LVNwear? a. Gloves b. Gownandgloves c. Gown,gloves,andmask d. Gown,gloves,mask,andeyegogglesoreyeshield CorrectAnswer:D.Gown,gloves,mask,andeyegogglesoreyeshield 38) An18-montholdboyisadmittedtothepediatricunitwithadiagnosisofceliacdisease.Whatfindin gwouldtheLPN/LVNexpectinthischild? a. Aconcaveabdomen b. Bulgesinthegroinarea c. Aprotuberantabdomen d. Apalpableabdominalmass CorrectAnswer:C.Aprotuberantabdomen 39) A boy, age 3, develops a fever and rash and is diagnosed with rubella. Hismother has just given birth to a baby girl. Which statement by the mother bestindicatesthatsheunderstandstheimplicationsofrubella? a. "Itoldmyhusbandtogivemysonaspirinforhisfever." b. "I'llaskthephysicianaboutgivingthebabyanimmunizationshot." c. "Idon'thavetoworrybecauseI'vehadthemeasles." d. "I'llcallmyneighborwho's2monthspregnantandtellhernottohavecontact with my son." CorrectAnswer:D."I'llcallmyneighborwho's2monthspregnantandtellher notto havecontactwith myson." 40) Intraosseousinfusionofamedicationwouldbemostappropriateforwhich child? a. An18-month-oldchildwithcysticfibrosis b. A2-year-oldchildwitharupturedspleenandhypovolemia c. A4-year-oldchildwithceliacdisease d. A5-year-oldchildwithstatusasthmaticus CorrectAnswer:B.A2-year-oldchildwitharupturedspleenandhypovolemia 41) Aninfant,age10months,isbroughttothewellbabyclinicforafollowupvisit.Themothertellsthenursethatshehasbeenhavingtroubl efeedingherinfants olidfoods.Tohelpcorrectthisproblem,thenurseshould: a. pointoutthattonguethrustingistheinfant'swayofrejectingfood. b. instructthemothertoplacethefoodatthebackandtowardthesideoftheinfant's mouth. c. advisethemothertopureefoodsifthechildresiststheminsolidform. d. suggestthatthemotherforce-feedthechildifnecessary. CorrectAnswer:B.instructthemothertoplacethefoodatthebackandtoward thesideof theinfant'smouth. 42) A3-montholdinfantjusthadacleftlipandpaletterepair.Topreventtraumatotheoperativesit e,thenurseshould: a. givetheinfantapacifiertohelpsoothehim. b. lietheinfantintheproneposition. c. placetheinfant'sarmsinsoftelbowrestraints. d. avoidtouchingthesutureline,eventoclean. CorrectAnswer:C.placetheinfant'sarmsinsoftelbowrestraints. 43) Achildissuspectedofhavingamblyopia("lazyeye").Tohelpdiagnose thisdisorder,thechildwillundergowhichtest? a. Snellen'stest b. Nearvisiontest c. Weber'stest d. Peripheralvisiontest CorrectAnswer:A.Snellen'stest 44) A10-yearoldchilddiagnosedwithacuteglomerulonephritisisadmittedtothepediatricunit.Th enurseshouldensurethatwhichactionisapartofthechild's care? a. Takingvitalsignsevery4hoursandobtainingdailyweight b. Obtainingabloodsampleforelectrolyteanalysiseverymorning c. Checkingeveryurinespecimenforproteinandspecificgravity d. Ensuringthatthechildhasaccurateintakeandoutputandeatsahigh-protein diet CorrectAnswer:A.Takingvitalsignsevery4hoursandobtainingdailyweight 45) A4-montholdinfantistakentothepediatricianbyhisparentsbecausethey'reconcernedabouthis frequentrespiratoryinfections,poorfeedinghabits,frequentvomiting,andcolic.Th ephysiciannotesthattheinfanthasfailedtogainexpectedweightandrecommendstha ttheinfanthaveasweattestperformedtodetectpossiblecysticfibrosis.Topreparethe parentsforthetest, thenurse shouldexplain that: a. thebabywillneedtofastbeforethetest. b. asampleofbloodwillbenecessary. c. alow-sodiumdietisnecessaryfor24hoursbeforethetest. d. alow-intensity,painlesselectricalcurrentisappliedtotheskin. CorrectAnswer:D.alow-intensity,painlesselectricalcurrentisappliedtotheskin. 46) An8-montholdinfantisadmittedtothepediatricunitfollowingafallfromhishighchair.Thechi ldisawake,alert,andcrying.Thenurseshouldknowthatabraininjuryismoresever einchildrenbecauseof: a. increasedmyelination. b. intracranialhypotension. c. cerebralhyperemia. d. aslightlythickercranium. CorrectAnswer:C.cerebralhyperemia. 47) To treat a child's atopic dermatitis, a physician orders a topical applicationof hydrocortisone cream twice daily. After medication instruction by the LPN/LVN,whichstatementbytheparentindicateseffectiveteaching? a. "Iwillspreadathickcoatofhydrocortisonecreamontheaffectedareaandwill wash thisarea oncea week." b. "Iwillgentlyscrapetheskinbeforeapplyingthecreamtopromoteabsorpt ion." c. "Iwillavoidusingsoapandwaterontheaffectedareaandwillapplyanemollient creamonthis areafrequently." d. "Iwillapplyamoisturizingcreamsparinglyandwillwashtheaffectedareafrequent ly." CorrectAnswer:C."Iwillavoidusingsoapandwaterontheaffectedareaandwillappl yanemollientcreamonthisareafrequently." 48) A LPN/LVNis auscultating for heart sounds in a 2-year-old child. Shenotes a grade 1 heart murmur. Which characteristic best describes a grade 1heart murmur? a. Equalinloudnesstotheheartsounds b. Softerthantheheartsounds c. Canbeheardwithoutastethoscope d. Associatedwithaprecordialthrill CorrectAnswer:B.Softerthantheheartsounds 49) WhenaLPN/LVNassessesa2-yearoldchildwithsuspecteddehydration,whichconditionshouldbereporte dtothephysicianimmediately? a. Irritabilityforthepast12hours b. Capillaryrefilllessthan2seconds c. Decreasedbloodpressure d. Tachycardia,dryskin,anddrymucousmembranes CorrectAnswer:C.Decreasedbloodpressure 50) ALPN/LVNisteachingasafetyclassforparentsofpreschoolers.Whichinjuriess houldthenurseincludeascommonamongpreschoolers?Selectallthat apply. a. Automobileaccidents b. Drowning c. Pedestrianaccidents d. Fire e. Sexuallytransmitteddiseases f. Homicide CorrectAnswer: a. Automobileaccidents b. Drowning c. Pedestrianaccidents d. Fire 51) Whenplanningcarefora7- yearoldboywithDownsyndrome,theLPN/LVNshould: a. planinterventionsatthedevelopmentallevelofa7-year-oldbecausethatisthe child's age. b. planinterventionsatthedevelopmentallevelofa5-year-oldbecausethechild willhave developmentaldelays. c. assessthechild'scurrentdevelopmentallevelandplancareaccordingly. d. directallteachingtotheparentsbecausethechildcan'tunderstand. CorrectAnswer:C.assessthechild'scurrentdevelopmentallevelandplancare accordingly. 52) ALPN/LVNisreviewingacareplanforaninfantundergoingphototherapyf orhyperbilirubinemia.Whichinterventionshouldthenurseremove from thecare plan? a. Repositioningtheinfantfrequentlytoexposeallbodysurfaces b. Obtainingfrequentserumbilirubinlevels c. Shieldingtheinfant'seyeswithanopaquemasktopreventexposuretothelight d. Performingfrequentvisualassessmentsofjaundice CorrectAnswer:D.Performingfrequentvisualassessmentsofjaundice 53) Aninfant,age6weeks,isbroughttotheclinicforawellbabyvisit.Toassessthefontanels ,howshouldtheLPN/LVNpositiontheinfant? a. Supine b. Prone c. Intheleftlateralposition d. Seatedupright CorrectAnswer:D.Seatedupright 54) A13-yearoldwithanorexianervosaisadmittedtothefacilityforI.V.fluidtherapyandnutritiona lmanagement.Shesaysshe'sworriedthattheI.V.fluidswillmakehergainweight.Wh ichnursingdiagnosisismostappropriate? a. Noncompliance(dietaryregimen) b. Disturbedbodyimage c. Complicatedgrieving d. Grieving CorrectAnswer:B.Disturbedbodyimage 55) ALPN/LVNiscaringforanadolescentwhounderwentsurgeryforaperforated appendix.Whencaringforthisadolescent,thenurseshouldkeepinmindthatthema inlife-stagetaskforanadolescentisto: a. resolveconflictwithparents. b. developanidentityandindependence. c. developtrust. d. planforthefuture. CorrectAnswer:B.developanidentityandindependence.