PN HESI PEDS EXAM SCRIPT 2025 QUESTIONS AND
ANSWERS RATED A+
✔✔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? - ✔✔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? -
✔✔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? - ✔✔Altered peripheral
tissue perfusion
✔✔The parents of a 7-month-old male infant with spastic cerebral palsy bring him to the
pediatric clinic. Which statement by the parents warrants immediate intervention by the
practical nurse (PN)? - ✔✔"My son often chokes while I am feeding him."
✔✔The practical nurse (PN) observes the unlicensed assistive personnel (UAP) placing
a tongue blade at the bedside of a child diagnosed with a seizure disorder. Which
intervention should the PN implement? - ✔✔Tell the UAP that tongue blades should not
be inserted during a seizure.
✔✔A mother phones the clinic because her 6-year-old child has been taking prescribed
antibiotics for 7 of the previous 10 days and continues to cough. She also reports that
the cough is worsening and is nonproductive. What information should the practical
nurse (PN) provide to this mother? - ✔✔"Bring the child to the clinic today for an
examination related to the cough."
✔✔A child is admitted to the hospital for confirmation of a diagnosis of acute
lymphoblastic leukemia. When performing a nursing assessment, which symptoms that
are commonly manifested by this condition should the practical nurse (PN) observe in
the child? - ✔✔Bone pain, pallor
✔✔A child with acute appendicitis who is scheduled for surgery in 3 hours is
complaining of abdominal pain. Which intervention should the practical nurse
implement? - ✔✔Assist the child into a position of comfort.
✔✔To minimize separation anxiety in a hospitalized 2-year-old, which nursing
intervention is best for the practical nurse to implement - ✔✔Encourage parents to
room-in.
, ✔✔The practical nurse (PN) is caring for an infant with pyloric stenosis. What nursing
intervention should be included in the preoperative period? - ✔✔Observe for projectile
vomiting.
✔✔The practical nurse (PN) is assessing a child with asthma for retractions during
respirations. When should the PN recognize the absence or presence of intercostal
retractions? - ✔✔Inspiration
✔✔A 5-year-old tells the practical nurse (PN) that she "needs a Band-Aid" when she
has an injection. Which action is best for the PN to take? - ✔✔Apply a Band-Aid over
the injection site.
✔✔The teacher reports that a 7-year-old child frequently daydreams in school,
experiences abrupt interruptions in conversations, and stares into space. Which action
should the practical nurse take? - ✔✔Observe the child's behavior in the classroom.
✔✔The practical nurse (PN) is caring for a child with Wilms' tumor. Which preoperative
intervention should the PN implement? - ✔✔Put a sign above the bed reading, "Do not
palpate abdomen."
✔✔The mother of a 6-month-old asks the practical nurse (PN) when her baby will get
the first measles, mumps, and rubella (MMR) vaccine. Based on the recommended
childhood immunization schedule published by the Centers for Disease Control and
Prevention, which response is accurate? - ✔✔12 to 15 months
✔✔The practical nurse (PN) is preparing a child with an intussusception for a prescribed
barium enema. The PN should explain to the parent that the purpose for conducting this
procedure before surgical intervention is to achieve what objective? - ✔✔Reduce the
invaginated bowel segment.
✔✔The practical nurse (PN) is caring for a child with a diagnosis of acquired aplastic
anemia. What should the PN expect in the child's health history that is a common cause
of this type of anemia? - ✔✔Exposure to certain drugs
✔✔A full-term infant is admitted to the newborn nursery. During the initial PO feeding,
the practical nurse (PN) observes the infant for possible tracheal esophageal atresia.
Which symptoms are likely to be exhibited during the feeding if this condition is present?
- ✔✔Choking, coughing, and cyanosis
✔✔The practical nurse (PN) is assessing an 8-month-old who has a medical diagnosis
of tetralogy of Fallot. The child demonstrates cyanosis with crying and exertion. Which
other symptom is this infant most likely to exhibit? - ✔✔Clubbed fingers
ANSWERS RATED A+
✔✔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? - ✔✔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? -
✔✔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? - ✔✔Altered peripheral
tissue perfusion
✔✔The parents of a 7-month-old male infant with spastic cerebral palsy bring him to the
pediatric clinic. Which statement by the parents warrants immediate intervention by the
practical nurse (PN)? - ✔✔"My son often chokes while I am feeding him."
✔✔The practical nurse (PN) observes the unlicensed assistive personnel (UAP) placing
a tongue blade at the bedside of a child diagnosed with a seizure disorder. Which
intervention should the PN implement? - ✔✔Tell the UAP that tongue blades should not
be inserted during a seizure.
✔✔A mother phones the clinic because her 6-year-old child has been taking prescribed
antibiotics for 7 of the previous 10 days and continues to cough. She also reports that
the cough is worsening and is nonproductive. What information should the practical
nurse (PN) provide to this mother? - ✔✔"Bring the child to the clinic today for an
examination related to the cough."
✔✔A child is admitted to the hospital for confirmation of a diagnosis of acute
lymphoblastic leukemia. When performing a nursing assessment, which symptoms that
are commonly manifested by this condition should the practical nurse (PN) observe in
the child? - ✔✔Bone pain, pallor
✔✔A child with acute appendicitis who is scheduled for surgery in 3 hours is
complaining of abdominal pain. Which intervention should the practical nurse
implement? - ✔✔Assist the child into a position of comfort.
✔✔To minimize separation anxiety in a hospitalized 2-year-old, which nursing
intervention is best for the practical nurse to implement - ✔✔Encourage parents to
room-in.
, ✔✔The practical nurse (PN) is caring for an infant with pyloric stenosis. What nursing
intervention should be included in the preoperative period? - ✔✔Observe for projectile
vomiting.
✔✔The practical nurse (PN) is assessing a child with asthma for retractions during
respirations. When should the PN recognize the absence or presence of intercostal
retractions? - ✔✔Inspiration
✔✔A 5-year-old tells the practical nurse (PN) that she "needs a Band-Aid" when she
has an injection. Which action is best for the PN to take? - ✔✔Apply a Band-Aid over
the injection site.
✔✔The teacher reports that a 7-year-old child frequently daydreams in school,
experiences abrupt interruptions in conversations, and stares into space. Which action
should the practical nurse take? - ✔✔Observe the child's behavior in the classroom.
✔✔The practical nurse (PN) is caring for a child with Wilms' tumor. Which preoperative
intervention should the PN implement? - ✔✔Put a sign above the bed reading, "Do not
palpate abdomen."
✔✔The mother of a 6-month-old asks the practical nurse (PN) when her baby will get
the first measles, mumps, and rubella (MMR) vaccine. Based on the recommended
childhood immunization schedule published by the Centers for Disease Control and
Prevention, which response is accurate? - ✔✔12 to 15 months
✔✔The practical nurse (PN) is preparing a child with an intussusception for a prescribed
barium enema. The PN should explain to the parent that the purpose for conducting this
procedure before surgical intervention is to achieve what objective? - ✔✔Reduce the
invaginated bowel segment.
✔✔The practical nurse (PN) is caring for a child with a diagnosis of acquired aplastic
anemia. What should the PN expect in the child's health history that is a common cause
of this type of anemia? - ✔✔Exposure to certain drugs
✔✔A full-term infant is admitted to the newborn nursery. During the initial PO feeding,
the practical nurse (PN) observes the infant for possible tracheal esophageal atresia.
Which symptoms are likely to be exhibited during the feeding if this condition is present?
- ✔✔Choking, coughing, and cyanosis
✔✔The practical nurse (PN) is assessing an 8-month-old who has a medical diagnosis
of tetralogy of Fallot. The child demonstrates cyanosis with crying and exertion. Which
other symptom is this infant most likely to exhibit? - ✔✔Clubbed fingers
