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PEDIATRICS HESI PN
Prepare for the Pediatrics HESI PN exam 2025/2026 with confidence.
This comprehensive exam resource questions Covers essential pediatric
nursing topics such as assessment, care planning, and disease
management, this guide will help you build confidence and improve
your exam performance. Ideal for nursing students looking to refine
their pediatric knowledge and excel in their exams.
The practical nurse (PN) is monitoring a child who is
manifesting signs of shock after a motor vehicle collision.
Which finding is most important for the PN to report to the
charge nurse?
a) narrowing pulse pressure
b) apprehension
c) irritability
d) thirst Answer: A
Rationale:
, As shock progresses, perfusion in the microcirculation
becomes marginal despite compensatory adjustments, and
the signs of decompensated shock become pronounced, such
Page | 2 as tachycardia and narrowing pulse pressure (A). (The
difference between systolic and diastolic blood pressure),
which should be reported immediately. (B,C, and D) are not
as significant as (A).
The mother of a 9 month old male infant is concerned
because he cries whenever she leaves him with a sitter. What
is the best response for the practical nurse (PN) to provide?
a) "Have you noticed whether your baby is teething?"
b) "Crying when you leave him in a healthy sign of
attachment."
c) "Consider taking the baby to the doctor because he may be
ill."
d) "You could consider leaving the infant more often so he
can adjust." Answer: B
Rationale:
Healthy attachment is manifested by stranger anxiety in late
infancy (B). Pain from teething expressed by the infant's cries
does not occur only when the mother leaves the infant with
another person (A). The PN should evaluate the infant's
, developmental needs (C) before suggesting the infant may be
ill. An infant who manifests stranger anxiety is best
supported by the mother if the infant is left for shorter periods
Page | 3 of time, not (D).
Which preoperative action is most important for the practical
nurse (PN) to implement for a newborn with
meningomyelocele?
a) document vital signs
b) prevent skin breakdown
c) minimize the risk for infection
d) monitor neurologic functioning Answer: C
Rationale:
A meningomyelocele provides a direct entry for bacteria into
the central nervous system, leading to meningitis. Measures
that protect the integrity of the meningomyelocele sac and
infection control measures should be implemented to
minimize the risk of infection (C). (A,B, and D) should be
implemented but do not have the priority of (C).
The practical nurse is caring for a 6 year old girl who had
surgery 12 hours ago. The child tells the PN that she does not
, have pain but a few minutes later, tells her parents that she
does. What child development concept is relevant to this
situation?
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a) inconsistency in pain reporting suggests that pain not
present
b) a child may have pain yet deny its presence to the nurse
c) truthful reporting of pain should occur by this age
d) children use pain experiences to manipulate their parents
Answer: B
Rationale:
A child may fear receiving an injection for pain or may
believe that pain is a deserved punishment for some misdeed,
so the pain is denied (D) when the nurse asks the child, who
then readily admits having pain to a parent. This behavior
should not be interpreted as (C) but as a valid indication of
pain. (A and C) are incorrect interpretations of this behavior.
A 6 year old who had a tonsillectomy 12 hours ago is
complaining of thirst. What should the practical nurse (PN)
offer?
a) popsicle