PN HESI PEDS FINAL PAPER 2025 QUESTIONS AND
ANSWERS RATED A+
✔✔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
, ✔✔While examining a 6-year-old visiting the clinic for fever and a rash, the practical
nurse (PN) notices several elevated 1- to 3-mm white spots on the buccal mucosa.
What other signs should the PN expect this child to exhibit? - ✔✔Red blotchy macular
rash on the face and neck
✔✔A 2-year-old child who is hospitalized with an acute upper respiratory infection (URI)
is crying uncontrollably because her mother went to the cafeteria for lunch. Which action
should the practical nurse implement? - ✔✔Distract the child with a favorite toy.
✔✔A child with nephrotic syndrome is receiving prednisone (Deltasone). The practical
nurse (PN) reviews breakfast foods at a fast food restaurant with the child's mother.
Which selections indicate that the mother understands the dietary guidelines necessary
for her child? - ✔✔Toasted oat cereal and low-fat milk
✔✔The practical nurse (PN) should take the vital signs of a 4-month-old child in which
sequence to collect the most accurate results? - ✔✔Respiratory rate, heart rate, then
axillary temperature
✔✔The practical nurse (PN) is taking the temperature of a 5-year-old child with otitis
media. During the previous 24 hours, the child's temperature readings have ranged from
101.2° F oral to 102° F tympanic. Which statement accurately evaluates these findings
and should be considered when planning care for the remainder of the shift? - ✔✔A
tympanic temperature and an oral temperature are equally accurate techniques in
evaluating the child's fever.
✔✔The practical nurse (PN) is evaluating the play behaviors of a 2-year-old child.
Which behavior should the PN expect the toddler to exhibit? - ✔✔Displays
possessiveness with toys
✔✔An infant is born with a ventricular septal defect (VSD), and surgery is planned to
correct the defect. The practical nurse (PN) should understand that the surgical
correction is designed to achieve which hemodynamic outcome? - ✔✔Prevent the
return of oxygenated blood to the lungs.
✔✔An 11-year-old boy is admitted after being hit in the head with a baseball during a
Little League game. Which subject is most important for the practical nurse to explore
during history taking? - ✔✔The level of consciousness exhibited after the injury
✔✔A newborn who has mild transitional (positional) clubfeet is placed in bilateral casts
in an overcorrected valgus (outward) position. What is the primary issue the practical
nurse should review with the parents during discharge teaching? - ✔✔Observe for skin
and circulation compromise from the cast.
ANSWERS RATED A+
✔✔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
, ✔✔While examining a 6-year-old visiting the clinic for fever and a rash, the practical
nurse (PN) notices several elevated 1- to 3-mm white spots on the buccal mucosa.
What other signs should the PN expect this child to exhibit? - ✔✔Red blotchy macular
rash on the face and neck
✔✔A 2-year-old child who is hospitalized with an acute upper respiratory infection (URI)
is crying uncontrollably because her mother went to the cafeteria for lunch. Which action
should the practical nurse implement? - ✔✔Distract the child with a favorite toy.
✔✔A child with nephrotic syndrome is receiving prednisone (Deltasone). The practical
nurse (PN) reviews breakfast foods at a fast food restaurant with the child's mother.
Which selections indicate that the mother understands the dietary guidelines necessary
for her child? - ✔✔Toasted oat cereal and low-fat milk
✔✔The practical nurse (PN) should take the vital signs of a 4-month-old child in which
sequence to collect the most accurate results? - ✔✔Respiratory rate, heart rate, then
axillary temperature
✔✔The practical nurse (PN) is taking the temperature of a 5-year-old child with otitis
media. During the previous 24 hours, the child's temperature readings have ranged from
101.2° F oral to 102° F tympanic. Which statement accurately evaluates these findings
and should be considered when planning care for the remainder of the shift? - ✔✔A
tympanic temperature and an oral temperature are equally accurate techniques in
evaluating the child's fever.
✔✔The practical nurse (PN) is evaluating the play behaviors of a 2-year-old child.
Which behavior should the PN expect the toddler to exhibit? - ✔✔Displays
possessiveness with toys
✔✔An infant is born with a ventricular septal defect (VSD), and surgery is planned to
correct the defect. The practical nurse (PN) should understand that the surgical
correction is designed to achieve which hemodynamic outcome? - ✔✔Prevent the
return of oxygenated blood to the lungs.
✔✔An 11-year-old boy is admitted after being hit in the head with a baseball during a
Little League game. Which subject is most important for the practical nurse to explore
during history taking? - ✔✔The level of consciousness exhibited after the injury
✔✔A newborn who has mild transitional (positional) clubfeet is placed in bilateral casts
in an overcorrected valgus (outward) position. What is the primary issue the practical
nurse should review with the parents during discharge teaching? - ✔✔Observe for skin
and circulation compromise from the cast.
