HESI PN Obstetrics/Maternity Practice Exam, Pediatrics
HESI PN Review, Hesi Peds, PN HESI Peds, Peds &
Maternity HESI, HESI Maternity/Pediatric Remediation
|| Most Recent Exam 2026-2027 Actual Complete Real
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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?
a.Prevent cast soiling and maintain the cast's edge
by petaling.
b.Observe for skin and circulation compromise
from the cast.
c.Manipulate the cast surfaces with the palms of the hands.
d.Support and elevate both legs on pillows continuously. -
ANSWER -b.Observe for skin and circulation compromise from
the cast.
Rationale:Reinforcing information with parents about their role
in care and about
,vigilant observation for potential problems of the infant at
home such as skin
and circulation compromise is the most important
nursing intervention.
A 12-year-old with type 1 diabetes mellitus complains of
abdominal pain and has experienced increased thirst during
the previous 24 hours. What action should the practical nurse
implement first?
a.Obtain blood for a complete blood count (CBC) test.
b.Initiate D10W at 50 mL/hour IV.
c.Test urine for ketones and glucose.
d.Assess temperature and blood pressure. - ANSWER -c.Test
urine for ketones and glucose.
Rationale:This child is exhibiting signs of impending diabetic
ketoacidosis (DKA), so the child's urine should be tested for
ketones and glucose to assess for DKA.
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? a.Stop the flow of
unoxygenated blood into systemic circulation.
b.Increase the flow of unoxygenated blood to the lungs.
c.Prevent the return of oxygenated blood to the lungs.
d.Reduce peripheral tissue hypoxia and nail bed clubbing. -
ANSWER -
c.Prevent the return of oxygenated blood to the lungs.
,Rationale:Closure of the VSD will stop shunting of oxygenated
blood from the
left ventricle (higher pressure) to the
right ventricle.
Minocycline 50 mg PO every 8 hours is prescribed for a 18-
year-old adolescent girl diagnosed with acne. The nurse
discusses self-care with the client while she is taking the
medication. Which teaching points should be included in the
discussion? (Select all that apply.)
a.Report vaginal itching or discharge.
b.Take the medication at 0800, 1500, and 2200 hours.
c.Protect skin from natural and artificial ultraviolet light.
d.Avoid driving until response to medication is known.
e.Take with an antac - ANSWER -a.Report vaginal itching or
discharge.
c.Protect skin from natural and artificial ultraviolet light.
d.Avoid driving until response to medication is known.
f.Use a nonhormonal method of contraception if sexually
active.
Rationale:Adverse effects of tetracyclines include
superinfections, photosensitivity, and decreased efficacy of
oral contraceptives. Therefore, the client should report vaginal
itching or discharge, protect the skin from ultraviolet light, and
use a nonhormonal method of contraception while on the
medication.
, Minocycline (Minocin) is known to cause dizziness and ataxia,
so until the client's response to the medication is known,
driving should be avoided.
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? a.Builds a house with blocks.
b.Rides a small tricycle 6 feet.
c.Displays possessiveness with toys.
d.Looks at a picture book for 15 minutes. - ANSWER -
c.Displays possessiveness with toys.
Rationale:Two-year-old children are egocentric and unable to
share with other
children.
The health care provider prescribes carbamazepine for a child
whose tonicclonic seizures have been poorly controlled. The
nurse informs the mother that the child must have blood tests
every week. The mother asks why so many blood tests are
necessary. What complication is assessed through frequent
laboratory testing that the nurse should explain to this
mother? a.Renal toxicity
b.Inner ear toxicity
c.Bone marrow suppression
d.Liver damage - ANSWER -c.Bone marrow suppression
HESI PN Review, Hesi Peds, PN HESI Peds, Peds &
Maternity HESI, HESI Maternity/Pediatric Remediation
|| Most Recent Exam 2026-2027 Actual Complete Real
Exam Questions And Correct Answers (Verified
Answers) Already Graded A+ | Guaranteed
Success!! | Newest Exam | Just Released!!
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?
a.Prevent cast soiling and maintain the cast's edge
by petaling.
b.Observe for skin and circulation compromise
from the cast.
c.Manipulate the cast surfaces with the palms of the hands.
d.Support and elevate both legs on pillows continuously. -
ANSWER -b.Observe for skin and circulation compromise from
the cast.
Rationale:Reinforcing information with parents about their role
in care and about
,vigilant observation for potential problems of the infant at
home such as skin
and circulation compromise is the most important
nursing intervention.
A 12-year-old with type 1 diabetes mellitus complains of
abdominal pain and has experienced increased thirst during
the previous 24 hours. What action should the practical nurse
implement first?
a.Obtain blood for a complete blood count (CBC) test.
b.Initiate D10W at 50 mL/hour IV.
c.Test urine for ketones and glucose.
d.Assess temperature and blood pressure. - ANSWER -c.Test
urine for ketones and glucose.
Rationale:This child is exhibiting signs of impending diabetic
ketoacidosis (DKA), so the child's urine should be tested for
ketones and glucose to assess for DKA.
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? a.Stop the flow of
unoxygenated blood into systemic circulation.
b.Increase the flow of unoxygenated blood to the lungs.
c.Prevent the return of oxygenated blood to the lungs.
d.Reduce peripheral tissue hypoxia and nail bed clubbing. -
ANSWER -
c.Prevent the return of oxygenated blood to the lungs.
,Rationale:Closure of the VSD will stop shunting of oxygenated
blood from the
left ventricle (higher pressure) to the
right ventricle.
Minocycline 50 mg PO every 8 hours is prescribed for a 18-
year-old adolescent girl diagnosed with acne. The nurse
discusses self-care with the client while she is taking the
medication. Which teaching points should be included in the
discussion? (Select all that apply.)
a.Report vaginal itching or discharge.
b.Take the medication at 0800, 1500, and 2200 hours.
c.Protect skin from natural and artificial ultraviolet light.
d.Avoid driving until response to medication is known.
e.Take with an antac - ANSWER -a.Report vaginal itching or
discharge.
c.Protect skin from natural and artificial ultraviolet light.
d.Avoid driving until response to medication is known.
f.Use a nonhormonal method of contraception if sexually
active.
Rationale:Adverse effects of tetracyclines include
superinfections, photosensitivity, and decreased efficacy of
oral contraceptives. Therefore, the client should report vaginal
itching or discharge, protect the skin from ultraviolet light, and
use a nonhormonal method of contraception while on the
medication.
, Minocycline (Minocin) is known to cause dizziness and ataxia,
so until the client's response to the medication is known,
driving should be avoided.
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? a.Builds a house with blocks.
b.Rides a small tricycle 6 feet.
c.Displays possessiveness with toys.
d.Looks at a picture book for 15 minutes. - ANSWER -
c.Displays possessiveness with toys.
Rationale:Two-year-old children are egocentric and unable to
share with other
children.
The health care provider prescribes carbamazepine for a child
whose tonicclonic seizures have been poorly controlled. The
nurse informs the mother that the child must have blood tests
every week. The mother asks why so many blood tests are
necessary. What complication is assessed through frequent
laboratory testing that the nurse should explain to this
mother? a.Renal toxicity
b.Inner ear toxicity
c.Bone marrow suppression
d.Liver damage - ANSWER -c.Bone marrow suppression
