Pediatrics HESI PN exam Review
PEDIATRICS HESI PN EXAM REVIEW NEWEST ACTUAL EXAM WITH
COMPLETE 100 QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |ALREADY GRADED A+
The mother of a child with croup is having barking, coughing episodes calls the
clinic for assistance. What action should the practical nurse (PN) recommend that
the mother implement first?
a) take the child outside in the cool air
b) bring the child directly to the emergency room
c) sit with the child in bathroom with a hot shower running
d) have the child drink plenty of fluids
Answer: C
Rationale:
Croup (laryngotracheobronchitis) is a viral infection that causes a "barking" cough
and varying degrees of inspiratory stridor, which often responds to a high
humidity environment. Most children can be managed at home using the stream
from a hot shower in a closed bathroom (C) which often stops laryngeal spasm.
Increasing the child's fluid intake is important (D), but not a priority at this
time.Although exposure to cold air (A) also relieves stridor, parents should be
encouraged to use mist humidifier in the child's room. (B) is not necessary unless
the child is having increasingly difficulty breathing that may lead to a
compromised airway.
Which finding should the practical nurse confirm with the parents of an infant
who is admitted with possible intussusception?
a) red currant jelly stools
b) clay colored stools
c) constant abdominal pain
d) projectile vomiting after meals
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, Pediatrics HESI PN exam Review
Answer: A
Rationale:
Red currant jelly stools (A) is a sign of intussusception, which causes a mixture of
stool, mucous, and blood as the intestines telescopes inside itself. (D) is associated
with pyloric stenosis. (B) is consistent with biliary obstruction. Infants with
intussusception usually have periods of severe pain followed by intervals in which
they appear comfortable, not (C).
The practical nurse (PN) is observing a group of children at a day care center to
determine whether children are achieving developmental milestones. Which
activity should the PN identify as typical for a 2 year old child's cognitive
development?
a) has a vocabulary of about 1000 words
b) uses short sentences to express self
c) initiates play with other children
d) recognizes right and wrong
Answer: B
Rationale:
Although children develop at different rates, a 2 year old typically uses short
sentences to express independence and control (B) and has a vocabulary of up to
300 words, not (A). At the age of 2 years, a toddler is developing negativism
without understanding the concepts of right and wrong (D). A 2 year old engages
in solitary play and parallel play but does not initiate or cooperative with other
children (C) in play, which begins with socialization of the preschool child.
The practical nurse (PN) is interviewing a 10 year old girl about school and her
extracurricular activities. She responds, "I like school. I play the flute in the school
band, and I take tennis lessons." Based on Erikson's psychosocial theory, the PN
identifies that this child is in what stage of development?
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, Pediatrics HESI PN exam Review
a) identity
b) intimacy
c) industry
d) initiative
Answer: C
Rationale:
Erikson's stage of industry (C) for a school aged child is demonstrated by
successful participation in new skills and peer activities, such as sports and band.
(A, B, and D) are achieved in other age groups.
The practical nurse (PN) identifies an increased frequency of otitis media (OM) is
children who are coming to the clinic. Based on this finding, which age group
should the PN monitor a child for signs and symptoms of OM?
a) toddler
b) preschooler
c) school ager
d) adolescent
Answer: A
Rationale:
Infants and toddlers (A) are most prone to otitis media due to the anatomical
structure of the eustachian tube that allows fluid and microbial entry into the
middle ear. (B, C, and D) are most susceptible to acute infectious diseases
acquired through environmental transmission from daycare or school settings.
The practical nurse (PN) collects information about infant growth and
development milestones for infants who come to the clinic for a well child visit.
Which findings should the PN document as normal infant growth and
development?
a) maternal iron stores persist during the first 12 months of life
3|Page
PEDIATRICS HESI PN EXAM REVIEW NEWEST ACTUAL EXAM WITH
COMPLETE 100 QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |ALREADY GRADED A+
The mother of a child with croup is having barking, coughing episodes calls the
clinic for assistance. What action should the practical nurse (PN) recommend that
the mother implement first?
a) take the child outside in the cool air
b) bring the child directly to the emergency room
c) sit with the child in bathroom with a hot shower running
d) have the child drink plenty of fluids
Answer: C
Rationale:
Croup (laryngotracheobronchitis) is a viral infection that causes a "barking" cough
and varying degrees of inspiratory stridor, which often responds to a high
humidity environment. Most children can be managed at home using the stream
from a hot shower in a closed bathroom (C) which often stops laryngeal spasm.
Increasing the child's fluid intake is important (D), but not a priority at this
time.Although exposure to cold air (A) also relieves stridor, parents should be
encouraged to use mist humidifier in the child's room. (B) is not necessary unless
the child is having increasingly difficulty breathing that may lead to a
compromised airway.
Which finding should the practical nurse confirm with the parents of an infant
who is admitted with possible intussusception?
a) red currant jelly stools
b) clay colored stools
c) constant abdominal pain
d) projectile vomiting after meals
1|Page
, Pediatrics HESI PN exam Review
Answer: A
Rationale:
Red currant jelly stools (A) is a sign of intussusception, which causes a mixture of
stool, mucous, and blood as the intestines telescopes inside itself. (D) is associated
with pyloric stenosis. (B) is consistent with biliary obstruction. Infants with
intussusception usually have periods of severe pain followed by intervals in which
they appear comfortable, not (C).
The practical nurse (PN) is observing a group of children at a day care center to
determine whether children are achieving developmental milestones. Which
activity should the PN identify as typical for a 2 year old child's cognitive
development?
a) has a vocabulary of about 1000 words
b) uses short sentences to express self
c) initiates play with other children
d) recognizes right and wrong
Answer: B
Rationale:
Although children develop at different rates, a 2 year old typically uses short
sentences to express independence and control (B) and has a vocabulary of up to
300 words, not (A). At the age of 2 years, a toddler is developing negativism
without understanding the concepts of right and wrong (D). A 2 year old engages
in solitary play and parallel play but does not initiate or cooperative with other
children (C) in play, which begins with socialization of the preschool child.
The practical nurse (PN) is interviewing a 10 year old girl about school and her
extracurricular activities. She responds, "I like school. I play the flute in the school
band, and I take tennis lessons." Based on Erikson's psychosocial theory, the PN
identifies that this child is in what stage of development?
2|Page
, Pediatrics HESI PN exam Review
a) identity
b) intimacy
c) industry
d) initiative
Answer: C
Rationale:
Erikson's stage of industry (C) for a school aged child is demonstrated by
successful participation in new skills and peer activities, such as sports and band.
(A, B, and D) are achieved in other age groups.
The practical nurse (PN) identifies an increased frequency of otitis media (OM) is
children who are coming to the clinic. Based on this finding, which age group
should the PN monitor a child for signs and symptoms of OM?
a) toddler
b) preschooler
c) school ager
d) adolescent
Answer: A
Rationale:
Infants and toddlers (A) are most prone to otitis media due to the anatomical
structure of the eustachian tube that allows fluid and microbial entry into the
middle ear. (B, C, and D) are most susceptible to acute infectious diseases
acquired through environmental transmission from daycare or school settings.
The practical nurse (PN) collects information about infant growth and
development milestones for infants who come to the clinic for a well child visit.
Which findings should the PN document as normal infant growth and
development?
a) maternal iron stores persist during the first 12 months of life
3|Page
