HESI PN PEDIATRICS (PEDS) ACTUAL EXAM 85 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+
HESI PN PEDIATRICS (PEDS) 2023-2024 ACTUAL
EXAM 85 QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES (VERIFIED ANSWERS)
|ALREADY GRADED A+
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?
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- 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
b) lemonade
c) orange juice
d) chocolate milk – ANSWER- Answer: A
Rationale:
Small amounts of clear liquids without red dyes should be
offered to the child. Popsicles (A) are cold and help soothe a
dry throat. Citrus drinks (B and C) are acidic and irritate
the operative site in the posterior oropharynx. Milk (D)
thickens oral mucus which makes swallowing more difficult
and causes coughing.
The mother of a male newborn calls the clinic to inquire about
the formation of a yellow crust over her son’s circumcision area.
What information should the practical nurse (PN) provide?
a) do not remove the yellow crust from the site
b) stop using petroleum around the head of the penis
c) bring him into the clinic
d) tightly fasten the diaper – ANSWER- Answer: A
Rationale:
Crust formation is part of the healing process and should be
removed (A). (C) is not indicated at this time. The diaper
should be fastened loosely, not tightly (D) which can place
pressure on the incision site. (B) assists in the healing process
and should not be discontinued.
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- 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 – ANSWER- Answer: A
Rationale:
Red currant jelly stools (A) is a sign of intussusception,
which causes a mixture of stool, mucous, and blood as the
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