PN HESI PEDIATRICS ACTUAL EXAM 2025/2026 ACCURATE EXAM COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) A NEW UPDATED VERSION |GUARANTEED SUCCESS A+

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PN HESI PEDIATRICS ACTUAL EXAM
2025/2026 ACCURATE EXAM COMPLETE
QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES (VERIFIED
ANSWERS) A NEW UPDATED VERSION
|GUARANTEED SUCCESS A+

The practical nurse (PN) is monitoring a child who is manifesting signs of s
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hock after a motor vehicle collision. Which finding is most important for th
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e PN to report to the charge nurse?
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a) narrowing pulse pressure
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b) apprehension
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c) irritability
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d) thirst - ..........ANSWER.......Answer: A
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Rationale:
As shock progresses, perfusion in the microcirculation becomes marginal
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despite compensatory adjustments, and the signs of decompensated shock
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become pronounced, such as tachycardia and narrowing pulse pressure (A)
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. (The difference between systolic and diastolic blood pressure), which sho
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uld be reported immediately. (B,C, and D) are not as significant as (A).
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The mother of a 9 month old male infant is concerned because he cries whe
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never she leaves him with a sitter. What is the best response for the practica
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l nurse (PN) to provide?
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a) "Have you noticed whether your baby is teething?"
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b) "Crying when you leave him in a healthy sign of attachment."
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c) "Consider taking the baby to the doctor because he may be ill."
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d) "You could consider leaving the infant more often so he can adjust." -
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..........ANSWER.......Answer: B
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Rationale:
Healthy attachment is manifested by stranger anxiety in late infancy (B). P
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ain from teething expressed by the infant's cries does not occur only when t
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he mother leaves the infant with another person (A). The PN should evaluat
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e the infant's developmental needs (C) before suggesting the infant may be
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ill. An infant who manifests stranger anxiety is best supported by the mothe
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r if the infant is left for shorter periods of time, not (D).
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Which preoperative action is most important for the practical nurse (PN) to
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implement for a newborn with meningomyelocele? k k k k k




a) document vital signs
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b) prevent skin breakdown
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c) minimize the risk for infection
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d) monitor neurologic functioning - ..........ANSWER.......Answer: C
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Rationale:
A meningomyelocele provides a direct entry for bacteria into the central ne
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rvous system, leading to meningitis. Measures that protect the integrity of t
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he meningomyelocele sac and infection control measures should be imple
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mented to minimize the risk of infection (C). (A,B, and D) should be imple
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mented but do not have the priority of (C).
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The practical nurse is caring for a 6 year old girl who had surgery 12 hours a
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go. The child tells the PN that she does not have pain but a few minutes later
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, tells her parents that she does. What child development concept is relevant
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kto this situation?
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a) inconsistency in pain reporting suggests that pain not present
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b) a child may have pain yet deny its presence to the nurse
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c) truthful reporting of pain should occur by this age
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d) children use pain experiences to manipulate their parents -
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..........ANSWER.......Answer: B
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Rationale:
A child may fear receiving an injection for pain or may believe that pain is a
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deserved punishment for some misdeed, so the pain is denied (D) when the
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nurse asks the child, who then readily admits having pain to a parent. This b
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ehavior should not be interpreted as (C) but as a valid indication of pain. (A
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and C) are incorrect interpretations of this behavior.
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A 6 year old who had a tonsillectomy 12 hours ago is complaining of thirst.
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What should the practical nurse (PN) offer?
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a) popsicle
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b) lemonade
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c) orange juice
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d) chocolate milk - ..........ANSWER.......Answer: A
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Rationale:
Small amounts of clear liquids without red dyes should be offered to the chi
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ld. Popsicles (A) are cold and help soothe a dry throat. Citrus drinks (B and
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C) are acidic and irritate the operative site in the posterior oropharynx. Mil
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k (D) thickens oral mucus which makes swallowing more difficult and caus
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es coughing.
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The mother of a male newborn calls the clinic to inquire about the formatio
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n of a yellow crust over her son's circumcision area. What information shou
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ld the practical nurse (PN) provide?
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a) do not remove the yellow crust from the site
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b) stop using petroleum around the head of the penis
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c) bring him into the clinic
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d) tightly fasten the diaper - ..........ANSWER.......Answer: A
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