Pediatric PN Hesi Specialty Exam V2 2023/2024

PEDIATRIC PN HESI SPECIALTY EXAM V2 2022


Pediatric PN Hesi Specialty V2

1) AtoddlerisreceivinganinfusionoftotalparenteralnutritionviaaBroviaccatheter.
Asthechildplays,theI.V.tubingbecomesdisconnectedfromthecatheter.Whatshou
ldtheLPN/LVNdofirst?

a. Turnofftheinfusionpump.
b. Positionthechildontheside.
c. Clampthecatheter.
d. Flushthecatheterwithheparin.

CorrectAnswer:C.Clampthecatheter.


2) ALPN/LVNisconductinganinfantnutritionclassforparents.Whichfoodsarea
ppropriatetointroduceduringthefirstyearoflife?Selectallthatapply.

a. Slicedbeef
b. Pureedfruits
c. Wholemilk
d. Ricecereal
e. Strainedvegetables
f. Fruitjuice

CorrectAnswer:
b.Pureedfruits
d.Ricecereal
e.Strainedvegetables


3) Amothertellsthenursethatherpreschool-
agedaughterwithspinabifidasneezesandgetsarashwhenplayingwithbrightlycolo
redballoons,andthatrecentlyshehadanallergicreactionaftereatingkiwifruitandba
nanas.TheLPN/LVNwouldsuspectthatthechildmayhaveanallergyto:

a. bananas.
b. latex.
c. kiwifruit.
d. colordyes.

CorrectAnswer:B.latex.

, PEDIATRIC PN HESI SPECIALTY EXAM V2 2022
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

, PEDIATRIC PN HESI SPECIALTY EXAM V2 2022
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