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Pediatrics HESI PN exam Review Questions and Answers 100% Pass
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Pediatrics HESI PN exam Review Questions and Answers 100% Pass The practical nurse (PN) is monitoring a child who is manifesting signs of shock after a motor vehicle collision. Which finding is most important for the PN to report to the charge nurse? a) narrowing pulse pressure b) apprehensio...

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  • March 10, 2025
  • 52
  • 2024/2025
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Pediatrics HESI PN exam Review
Questions and Answers 100% Pass


The practical nurse (PN) is monitoring a child who is manifesting signs of

shock after a motor vehicle collision. Which finding is most important for

the PN to report to the charge nurse?




a) narrowing pulse pressure


b) apprehension


c) irritability


d) thirst - ✔✔Answer: A




Rationale:




1
100% Pass Guarantee Katelyn Whitman, All Rights

,As shock progresses, perfusion in the microcirculation becomes marginal

despite compensatory adjustments, and the signs of decompensated shock

become pronounced, such as tachycardia and narrowing pulse pressure

(A). (The difference between systolic and diastolic blood pressure), which

should be reported immediately. (B,C, and D) are not as significant as (A).


The mother of a 9 month old male infant is concerned because he cries

whenever she leaves him with a sitter. What is the best response for the

practical nurse (PN) to provide?




a) "Have you noticed whether your baby is teething?"


b) "Crying when you leave him in a healthy sign of attachment."


c) "Consider taking the baby to the doctor because he may be ill."


d) "You could consider leaving the infant more often so he can adjust." -

✔✔Answer: B




Rationale:



2
100% Pass Guarantee Katelyn Whitman, All Rights

,Healthy attachment is manifested by stranger anxiety in late infancy (B).

Pain from teething expressed by the infant's cries does not occur only when

the mother leaves the infant with another person (A). The PN should

evaluate the infant's developmental needs (C) before suggesting the infant

may be ill. An infant who manifests stranger anxiety is best supported by

the mother if the infant is left for shorter periods of time, not (D).


Which preoperative action is most important for the practical nurse (PN) to

implement for a newborn with meningomyelocele?




a) document vital signs


b) prevent skin breakdown


c) minimize the risk for infection


d) monitor neurologic functioning - ✔✔Answer: C




Rationale:




3
100% Pass Guarantee Katelyn Whitman, All Rights

, A meningomyelocele provides a direct entry for bacteria into the central

nervous system, leading to meningitis. Measures that protect the integrity

of the meningomyelocele sac and infection control measures should be

implemented to minimize the risk of infection (C). (A,B, and D) should be

implemented but do not have the priority of (C).


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:

B




4
100% Pass Guarantee Katelyn Whitman, All Rights

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