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PEDIATRIC PN HESI Speciality Exam(355 Questions & Answers) (NEW-204/2025, All Correct Answers)
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PEDIATRIC PN HESI Speciality Exam(355 Questions & Answers) (NEW-204/2025, All Correct Answers)
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PEDIATRIC PN HESI Speciality Exam(355 Questions &Answers) (NEW-204/2025, All Correct Answers)
B. latex. - 3) A mother tells the nurse that her preschool-age daughter with spina bifida
sneezes and gets a rash when playing with brightly colored balloons, and that recently
she had an allergic reaction after eating kiwifruit and bananas. The LPN/LVN would
suspect that the child may have an allergy to:
a. bananas.
b. latex.
c. kiwifruit.
d. color dyes.
B. Place the infant in an upright position when giving a bottle. - 4) A LPN/LVN is
developing a plan to teach a mother how to reduce her infant's risk of developing otitis
media. Which direction should the nurse include in the teaching plan?
a. Administer antibiotics whenever the infant has a cold.
b. Place the infant in an upright position when giving a bottle.
c. Avoid getting the infant's ears wet while bathing or swimming.
d. Clean the infant's external ear canal daily.
B. establishing an identity. - When developing a care plan for an adolescent, the nurse
considers the child's psychosocial needs. During adolescence, psychosocial
development focuses on:
a. becoming industrious.
b. establishing an identity.
c. achieving intimacy.
d. developing initiative.
B. Reading books - 6) A LPN/LVN is planning care for a 10-year-old child in the acute
phase of rheumatic fever. Which activity is most appropriate for the nurse to schedule in
the care plan?
a. Playing ping-pong
b. Reading books
c. Climbing on play equipment in the playroom
d. Ambulating without restrictions
,C. Clamp the catheter. - 1) A toddler is receiving an infusion of total parenteral nutrition
via a Broviac catheter. As the child plays, the I.V. tubing becomes disconnected from
the catheter. What should the LPN/LVN do first?
a. Turn off the infusion pump.
b. Position the child on the side.
c. Clamp the catheter.
d. Flush the catheter with heparin.
b. Pureed fruits d. Rice cereal e. Strained vegetables - 2) A LPN/LVN is conducting an
infant nutrition class for parents. Which foods are appropriate to introduce during the
first year of life? Select all that apply.
a. Sliced beef
b. Pureed fruits
c. Whole milk
d. Rice cereal
e. Strained vegetables
f. Fruit juice
D. A preoccupation with death - 7) A LPN/LVN is assessing a severely depressed
adolescent. Which finding indicates a risk of suicide?
a. Excessive talking
b. Excessive sleepiness
c. A history of cocaine used.
d. A preoccupation with death
B. Sadness - 8) A child is admitted with a tentative diagnosis of clinical depression.
Which assessment finding is most significant in confirming this diagnosis?
a. Irritability
b. Sadness
c. Weight gain
d. Fatigue
A. "The vitamin C in the citrus juice helps with iron absorption." - 9) A child with iron
deficiency anemia is ordered ferrous sulfate (Ferralyn), an oral iron supplement. When
teaching the child and parent how to administer this preparation, the mother asks why
she needs to mix the supplement with citrus juice. Which response by the nurse is best?
a. "The vitamin C in the citrus juice helps with iron absorption."
b. "Having food and juice in the stomach helps with iron absorption."
c. "The citrus juice counteracts the unpleasant taste of the iron."
d. "There isn't a specific reason for it."
,B. Honey-colored, crusted lesions - 10) When assessing a child for impetigo, the nurse
expects which assessment findings?
a. Small, brown, benign lesions
b. Honey-colored, crusted lesions c. Linear, threadlike burrows
d. Circular lesions that clear centrally
D. Right to privacy - 11) A female adolescent client refuses to allow male nurses to care
for her while she's hospitalized. Which of these health care rights is this adolescent
exerting?
a. Right to competent care
b. Right to have an advance directive on file
c. Right to confidentiality of her medical record
d. Right to privacy
Correct Answer:
b. Lay the infant on his back or side to sleep.
c. Sit the infant up for each feeding.
e. Clean the suture line after each feeding by dabbing it with saline solution.
f. Give the infant extra care and support. - 12) A LPN/LVN is reviewing a teaching plan
with parents of an infant undergoing repair for a cleft lip. Which instructions are the most
appropriate for the nurse to give? Select all that apply.
a. Offer a pacifier as needed.
b. Lay the infant on his back or side to sleep.
c. Sit the infant up for each feeding.
d. Loosen the arm restraints every 4 hours.
e. Clean the suture line after each feeding by dabbing it with saline solution.
f. Give the infant extra care and support.
B. Proximodistal - 13) A LPN/LVN notes that an infant develops arm movement before
finemotor finger skills and interprets this as an example of which pattern of
development?
a. Cephalocaudal
b. Proximodistal
c. Differentiation
d. Mass-to-specific
B. "Let's see about further developmental testing." - 14) A teenage mother brings her 1-
year-old child to the pediatrician's office for a well-baby checkup. She says that her
infant can't sit alone or roll over. An appropriate response by the nurse would be:
a. "This is very abnormal. Your child must be sick."
b. "Let's see about further developmental testing."
c. "Don't worry, this is normal for her age."
, d. "Maybe you just haven't seen her do it."
A. Potassium level of 6.5 mEq/L - 15) Which finding in a 3-year-old child with acute
renal failure requires immediate follow-up?
a. Potassium level of 6.5 mEq/L
b. Blood pressure in right leg of 90/50 mm Hg
c. Abdominal cramps
d. No albumin in the urine
B. prepare to ventilate the child. - 16) A school nurse is evaluating a 7-year-old child
who is having an asthma attack. The child is cyanotic and unable to speak, with
decreased breath sounds and shallow respirations. Based on these physical findings,
the nurse should first:
a. monitor the child with a pulse oximeter in her office.
b. prepare to ventilate the child.
c. return the child to class.
d. contact the child's parent or guardian.
B. Ask the mother for more information about the infant's sleep patterns. - 17) The
mother of an 11-month-old infant reports to the nurse that her infant sleeps much less
than other children. The mother asks the nurse whether her infant is getting sufficient
sleep. What should be the nurse's initial response?
a. Reassure the mother that each infant's sleep needs are individual. b. Ask the mother
for more information about the infant's sleep patterns.
c. Instruct the mother to decrease the infant's daytime sleep to increase his nighttime
sleep.
d. Inform the mother that her infant's growth and development are appropriate for his
age, so sleep isn't a concern.
C. Arm restraints while asleep - 18) Which item in the care plan for a toddler with a
seizure disorder should a nurse revise?
a. Padded side rails
b. Oxygen mask and bag system at bedside
c. Arm restraints while asleep
d. Cardiorespiratory monitoring
B. Parallel play - 19) A LPN/LVN observes a 2½-year-old child playing with another
child of the same age in the playroom on the pediatric unit. What type of play should the
nurse expect the children to engage in?
a. Associative play
b. Parallel play
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