HESI PN Pediatrics Practice Exam With Answers (225 Solved Questions)

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Hesi PN Practice Exam and QuestionsWITHCORRECT ANSWERThe nurse is planning care for the a client who has fourth degree midlinelaceration that occurred during vaginal delivery of an 8 pound 10 ounceinfant. What intervention has the highest priority?A. Administer Prescribed stool softnerB. Administer prescribed PRN sleep medications.C. Encourage breastfeeding topromote uterine involutionD. Encourage use of prescribed analgesic perineal sprays.-CORRECTANSWERA. Administer Prescribed stool softnerThe nurse is palpating the right upper hypochondriac region of theabdomen of a client. What organ lies underneath this area.A. DuodenumB. Gastric PylorusC. LiverD. Spleen-CORRECT ANSWERC. LiverA client comes to the antepartal clinic and tells the nurse that she is 6weeks pregnant. Which sign is she most likely to report?A. Decreased sexual libidoB. AmenorrheaC. QuickeningD. Nocturia-CORRECT ANSWERB AmenorrheaA client's daughter phones the charge nurse to report that the night nursedid not provide good care for her mother. What response should the nursemake?A. Ask for a description of what happened during the nightB. Tell the daughter to talk to the unit's nurse managerC. Reassure the daughter that the mother will get better care.

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D. Explain that all the staff are doing the best they can.-CORRECTANSWERA. Ask for a description of what happened during the nightA hosptitalized toddler who is recovering from a sickle cell crisis holds a toyand say's "mine". According to Erikson's theory of psychosocialdevelopment, this child's behavior is a demonstration of whichdevelopmental stage?A. Autonomy vs. Shame and doubt.B. Industry vs. InferiorityC. intiative vs. GuiltD. Trust vs. Mistrust-CORRECT ANSWERA. Autonomy vs. Shameand doubt.Which action should the nurse implement in caring for a client following anelectroencephalogram (EEG)?A. Monitor the client's vital signs q4hB. Assess for sensation in the client's lower extremitiesC. Instruct the client to maintain bed rest for eight hoursD. Wash any paste from the client's hair and scalp-CORRECT ANSWERD. Wash any paste from the client's hair and scalpThe nurse is caring for a 75-year-old male client who is beginning to form adecubitus ulcer at the coccyx. Which intervention will be most helpfull inpreventing further development of the decubitus?A. Encourage the client to eat foods high in proteinB. Assess the client with daily range of motion exercisesC. Teach the family how to perform sterile wound careD. Ensure the IV fluids are administered as prescribed-CORRECTANSWERA. Encourage the client to eat foods high in proteinWhat is the homeostatic cellular transport mechanism that moves waterfrom a hypotonic to a hypertonic fluid space?A. FiltrationB. DiffusionC. OsmosisD. Active transport-CORRECT ANSWERC. Osmosis

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The nurse is taking blood presure of a client admitted with a possiblemyocardial infarction. When taking the client's BP at the brachial artery, thenurse should place the client's arm in which position?A. Slightly above the level of the heartB. At thelevel of the heartC. At the level of comfort for the clientD. Below the level of the heart-CORRECT ANSWERB. At the level ofthe heartWhat are the final parameters that produce blood pressure? (select all thatapply)A. Heart rateB. Stroke volumeC. Peripheral resistanceD. Neuroendocring hormonesE. Muscle tone-CORRECT ANSWERA. Heart rateB. Stroke volumeC. Peripheral resistanceA client begins an antidepressant drug during the second day ofhospitalization. Which assessment is mostimportant for the nurse toinclude in this client's plan of care while the client is taking theantidepressant?A. AppetiteB. MoodC. WithdrawlD. Energy level-CORRECT ANSWERB. MoodBased on the documentation in the medical record, which actionshould thenurse implement next?A. Give the rubella vaccine subcutaneouslyB. Observe the mother breastfeeding her infantC. Call the nursery for the infant's blodd type resultD. Administer Vicodin one tablet for pain-CORRECT ANSWERA. Givethe rubella vaccine subcutaneously

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A client is adminitted to the hosptial with a diagnosis of Pneumonia. Whichintervetion should the nurse implement to prevent complications associatedwith Pneumonia?A. Enourage mobilization and ambulationB. Encourage energy conservation with complete bed restC. Provide humidified oxygen per nasal cannulaD. Restrict PO and intravenous fluids-CORRECT ANSWERA.Enourage mobilization and ambulationThe practical nurse is preparing to administer a prescription for cefazolin(kefzol) 600 mg IM every 6 hours. The available vial is labeled, "Cefazolin(Kefzol) 1 gram and the instrutions for reconsittution, "For IM use add 2mlsterile water for injection. Total volume after reconstruction = 2.5 ml. "whenreconstituded, how many milligrams are in each mil of solutions (Enternumeric value only)-CORRECT ANSWER15Which nursing activity is within the scope of practice for the practicalnurse?A. Complete an admission assessment in the normal newborn nursery.B. Discontinue a central venous catheter that has become dislodgedC. Observe a client rotate the subcutaneous site for an insulin pumpD. Monitor a continous narcotic epidural for a postoperative client-CORRECT ANSWERC. Observe a client rotate the subcutaneous sitefor an insulin pumpAfter morning dressing changes are completed, a male client who hasparaplegia contaminates his ischial decubiti dressing with a diarrheal stool.What activity is best for the nurse to assign to the unlicensed assistivepersonnel?A. Identify the need for additional supplies to provide an extra dressingchangeB. Provide perianal care and collect clean linens for the dressing changeC. Document thediarrhea that necessitates an additional dressing changeD. Position the client for access to the decubiti sties and remove dressings-CORRECT ANSWERB. Provide perianal care and collect clean linensfor the dressing change

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The nurse is planning toevaluate the effectiveness of several drugsadministered by different routes. Arrage the routes of administration in theorder from fastest to slowest rate of absorption.SubcutaenousIntravenousIntramuscularSublingualOral-CORRECT ANSWERIntravenous, sublingual, intramuscular,subcutaneous, oral.A 26-year-old gravida 4, para 0 had a spontaneous abortion at 9 weeksgestation. At one-house post dilation and curettage (D&C) the nurseassess the vital signs and vaginal bleeding. The client begins to cry softly.How should the nurse intervene?A. Offer to call the social worker to discuss the possiblity of abortionB. Reassure the client that the infertility specialist can helpC. Express sorrow for the client's grief and offer to sit with herD. Chart the vital signs and amount of vaginal bleeding-CORRECTANSWERC. Express sorrow for the client's grief and offer to sit with herA terminally ill male client and his family are requesting hospice care afterdischarge from the hosptial and ask the nurse to explain what kind of carethey should expect. The nurse should indicate that hospice philosophyfocuses on what aspect of health care?A. Enhance symptom management to improve end of life qualityB. facilitates assisted suicide with the client's consentC. Offers ways to postpone the death experience at homeD. Provide training for family members to care for the client.-CORRECTANSWERA. Enhance symptom management to improve end of lifequalityThe nurse observes a wife shavingher husband's beard with a safety razorby holding the skin taut and shaving in the direction of the hair growth .What action should the nurse take?A. Advsie the wife to shave against the hair growth

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B. Teach the wife to keep the skin loose to avoid cutsC. Encourage the wife to continue shaving her husbandD. Demonstrate the correct procedure to the wife-CORRECT ANSWERC. Encourage the wife to continue shaving her husbandTo assess pedal pulse what arterial sites should the nurse palpate? (selectall that apply)A. Posterior tibialis arteryB. Politeal arteryC. External femoral arteryD. Dorsalis pedis arteryE Radial artery-CORRECT ANSWERA. Posterior tibialis artery, D.Dorsalis pedis arteryThe nurse is admitting a client who is diagnosed with Angina Pectoris.Which precipitating factor in this client's history is likely to be related to theanginal pain?A. Smokes one pack of cigarettes dailyB. Drinks two beers dailyC. Works in a job that requires exposure to the sunD. Eats while lying in bed-CORRECT ANSWERA. Smokes one packof cigarettes dailyThe nurse is assessing an older resident of a long-term care facility whohas a history of Benign Prostatic Hypertrophy and identifies that the client'sbladder is distended. The healthcare provider prescribes post-voidedresidual catherterization over the next 24 hours and placement of anindwelling catheter if the residual volume exceeds 100 mL. The client's POintake is 600 mL, and fifteen minutes ago, the client voided 90 mL. Whataction should the nurse take?A. Stand the client to void and run tap water within hearing distance beforecatheterizing the client.B. Straight catheterize and if the residual uring volume is greater than 100mL, clamp catheterC. Catheterize q2H and place in an indwelling catheter at the end of theprescribed 24hr period.

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D. Catheterize with an indwelling catheter and if the residual volume isgreater than 100 mL. Inflate the balloon.-CORRECT ANSWERD.Catheterize with an indwelling catheter and if the residual volume is greaterthan 100 mL. Inflate the balloon.A client is receiving dexamethasone (Hexadrol, Decadron). Whatsymptoms should the nurse recognize as Cushionoid side effects?A. Moon face, Slow wound healing, muscle wasting sodium and waterretentionB. Tachycardia hypertension, weight loss, heat intolerance, nervousness,restlessness, tremorC. Bradycardia, weight gain, cold intolerance, myxedema facies andperiobarbital edemaD. Hyperpigmentation, hyponatremia, hyperkalemia, dehydration,hypotension-CORRECT ANSWERA. Moon face, Slow wound healing,muscle wasting sodium and water retentionThe cervix is the opening into the uterine cavity. What is its function inreproduction?A. Accepts and interprets signals of sexual stimuliB. Secretes mucus to facilitate sperm transportC. Serves as the site for union of ovum ans spermD. Receives the penis during intercourse-CORRECT ANSWERB.Secretes mucus to facilitate sperm transportThe nurse is working in a community health setting and assisting thecharge nurse in performing health screenings. Which individual is athighest risk for contracting an HIV infection?A. 17-year-old who is sexually active simultaneously with numerouspartnersB. 34-year old homosexual who is in a monogamous relationshipC. 30-year-old cocaine user who inhales and smokes drugsD. 45-year-old whohas received two blood transfusions in the past 6months-CORRECT ANSWERA. 17-year-old who is sexually activesimultaneously with numerous partners

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The nurse is administering amiodarone (Cordarone) to a client who hasbeen admitted with Atrial Fibrillation (AFIB). What therapeutic responseshould the nurse anticipate?A. Conversion of irregular heart rate to regular heart rhythmB. Pulse oximetry readings within normal range during activityC. Peripheral pulse points with adequate capillary refillD. Increase excercise tolerance without shortness of breath-CORRECTANSWERA. Conversion of irregular heart rate to regular heart rhythmAn elderly male client is planning to vacation with a group of senior citizens.He is concerned about developing constipation during the airplane flight.He share this concern with the nurse at the retirement home. Whichrecommendation is best for the nurse to provide?A. Use an over the counter stool softener when neededB. Eat a high protein dietC Increase thefluid intake in your dietD. Decrease the fat content in your diet-CORRECT ANSWERCIncrease the fluid intake in your dietThe nurse is assessing a client with dark skin who is in RespiratoryDistress. Which client response should the nurse evaluate to determinecyanosis in this particular client?A. Abnormal skin color changes in a client with dark skin cannot bedeterminedB. Blanching the soles of the feet in a client with dark skin reveals cyanosisC. The lips and mucus membranes of a client with dark skin are dusky incolorD. Cyanosis in a client with dark skin is seen in the sclera-CORRECTANSWERC. The lips andmucus membranes of a client with dark skinare dusky in colorWhen inserting an indwelling urinary catheter (Foley) in a female client, thenurse observes uring flow into the tubing. What action is taken next?A. Document the color and clarity of the urineB. Insert the catheter an additional inchC. Ask the client to breathe deeply and slowly exhale

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D. Inflate the balloon with 5mL of sterile water-CORRECT ANSWERB.Insert the catheter an additional inchA client has a prescription for a Transcutaneous Electrical Nerve Stimulator(TENS) unit for pain management during the postoperative period followinga lumber Laminectomy. What information should the nurse reinforce aboutthe action of this adjuvant pain modality?A. Mild electrical stimulus on the skin surface closes the gates of nerveconduction for sever painB. Pain perception in the cerebral cortex is dulled by the unit's discharge ofan electrical stimulusC. An infusion of medication in the spinal canal will block pain perceptionD. The discharge of electricity will distract the client's focus on the pain-CORRECT ANSWERB. Pain perception in the cerebral cortex is dulledby the unit's discharge of an electrical stimulusBased on the Nursing diagnosis of "Potential for infection related to secondand third degree burns," which intervention has the highest priority?A. Application of topical antibacterial creamB. Use of careful hand washing techniqueC. Administration of plasma expandersD. Limiting visitors to the burned client.-CORRECT ANSWERB. Useof careful hand washing techniqueThe mother of an 8-year-old boy tells the nurse that he fell out of a tree andhurt his arm and shoulder, which assessment finding is the most significantindicator of possible child abuse?A. The child looks at the floore when answering the nurse's questionsB. The mother's version of the injury is different from the child's versionC. The child has several abrasions on the chest and legsD. The mother refuses to answer questions about family history-CORRECT ANSWERD. The mother refuses to answer questions aboutfamily historyA client has a prescription for enteric-coated (EC) aspirin 325mg PO daily.The medication drawer containsone 325mg aspirin. What action should thenurse take?

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A. Contact the pharmacy and request the prescribed form of aspirinB. Instruct the client about the effects when given the medicationC. Administer the aspirin with a full glass of water or a small snackD. Withhold the aspirin until consulting with the healthcare provider-CORRECT ANSWERC. Administer the aspirin with a full glass of wateror a small snackThe nurse explains the 2-week dosage prescription of prednison(Deltasone) to a client who has poison ivy over multiple skin surfaces. Whatshould the nurse emphasize about the dosing schedule?A. Decrease dosage daily as prescribedB. Monitor oral temperature dailyC. Take the prednison with mealsD. Return for blood glucose monitoring in one week-CORRECTANSWERC. Take the prednison with mealsThe nurse is preparing to administer a 1.2mL injection to a 4-year-old.Which are the best sites to administer an IM injection? Select all that apply.A. Vastus lateralisB. VentroglutealC. DorsoglutealD. Rectus femorisE. Deltoid-CORRECT ANSWERA. Vastus lateralisB. VentroglutealC. DorsoglutealWhich nonfood item is the most common cause of respiratory arrest inyoung children?A. Broken rattlesB. ButtonsC. PacifiersD. Latex balloons-CORRECT ANSWERD. Latex balloonsA new mother is at the clinic with her 4-week old for a well baby check up.The nurse should tell the mother to anticipate that the infant willdemonstrate which millstone by 2-months of age.

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A. Turns from side to back and returnsB. Consistently returns smiles to motherC. Finds hands and plays with fingersD. Holds head up and supports weight with arms-CORRECT ANSWERB. Consistently returns smiles to motherThe nurse is monitoring a client's intravenous infusion and observes thatthe venipuncture site is cool to the touch, swollen and teh infusion rate isslower than the prescribed rate. What is the most likely cause of thisfinding?A. The solution's rate is too rapidB. The client has phlebitisC. The infusion site is infectedD. The infusion site is infiltrated-CORRECT ANSWERD. The infusionsite is infiltratedThe nurse observes that a male client's urinary catheter (Foley) drainagetubing is secured with tape to his abdomen and then attached to the bedframe. What action should the nurse implement?A. Raise the bed to ensure the drainage bag remains off the floorB. Attach the drainage bag to the side rail instead of the bed frameC. Observe the appearance of the urine in thedrainage tubingD. Secure the tubing to the client's gown instead of his abdomen-CORRECT ANSWERC. Observe the appearance of the urine in thedrainage tubingIn assisting a client to obtain a sputum specimen, the nurse observes theclient cough andspit a large amount of frothy saliva in the specimencollection cup. What action should the nurse implement next?A. Advise the client that suctioning will be used to obtain another specimenB. Re-instruct the client in coughing techniques to obtain another specimenC. Provide the client a glass of water and mouthwash to rinse the mouthD. Label the container and place the container in a bio-hazard transportbag-CORRECT ANSWERB. Re-instruct the client in coughingtechniques to obtain another specimen

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After report, the nurse receives the laboratory values for 4 clients. Whichclient requires the nurse's immediate intervention? The client who is.....A. short of breath after a shower and has a hemoglobin of 8 gramsB. Bleeding from a finger stick and has a prothrombin time of 30 secondsC. Febrile and has a WBC count of 14,000/mm3D. Trembling and has a glucoselevel of 50 mg/dL-CORRECT ANSWERD. Trembling and has a glucose level of 50 mg/dL4 hours after administration of 20U of regular insulin, the client becomesshakey and diaphoretic. What action should the nurse take?A. Encourage the client to excerciseB. Administer a PRN dose of 10U of regular insulinC. Give the client crackers and milkD. Record the client's reaction on the diabetic flow sheet-CORRECTANSWERC. Give the client crackers and milkThe nurse is changing the colostomy bag for a client who is complaining ofleakage of diarrheal stool under the disposable ostomy bag. What actionshould the nurse implement to prevent leakage?A. Place a 4X4 wick in the stoma openingB. Apply a layer of zinc oxide ointment to the perimeter of the stomaC. Cut the bag opening to the measurement of the stoma sizeD. Administer a PRN antidiarrheal agent-CORRECT ANSWERC. Cutthe bag opening to the measurement of the stoma sizePrior to administering morphine sulfate (Morphine), the nurse takes theclient's vital signs. Based on which finding should the nurse withholdadministration of the medication until the charge nurse is notified?A. Temperature of 100.8FB. A pulse rate of 150 beats per minuteC. A respiratory rate of 10 breaths per minuteD. A blood pressure of 180/110-CORRECT ANSWERC. A respiratoryrate of 10 breaths per minuteFollowing an open reduction of the tibian, the nurse notes fresh bleeding onthe client's cast. Which intervention should the nurse implement?

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A. Assess the client's hemoglobin to determine if the client is in shockB. Call the surgeon and prepare to take the client back to the operatingroomC. Outline the area with ink and check it q15 minutes to see if the area hasincreasedD. No action is required since postoperative bleeding can be expected-CORRECT ANSWERC. Outline the area with ink and check it q15minutes to see if the area has increasedThe nurse is with a client when the healthcare provider explains that thebiopsy classifies the results as a T1N0M0 tumor. Later in the morning, theclient asks the nurse, "what do these letters T1N0M0, stand for?" whichresponse should the nurse provide first?A. "The letters are used to predict the prognosis of the cancer or tumor."B. "The letters stand for tumor size, node involvement and metastasis."C. "Let me refer you to the charge nurse."D. "Are you confused? Would you like to talk?"-CORRECT ANSWERB. "The letters stand for tumor size, node involvement and metastasis."The nurse plans to administer the rubella vaccine to a postpartum clientwhose titer is < 1:8 and who is breastfeeding? what information should thenurse provide this client?A. The client should bottle feed and pump her breast for 3 days followingimmunizationB. The vaccine is given to produce maternal antibodies before lactationoccursC. The infant will receive immunization through the mother's breast milkD. The client should not get pregnant for 3 months after immunization-CORRECT ANSWERB. The vaccine is given to produce maternalantibodies before lactation occursIn counting a client's radial pulse, the nurse notes the pulse is weak andirregular. To record the most accurate heart rate, what should the nursetake?A. Recheck the radial pulse in thirty minutesB. Palpate the radial pulse for thiry seconds and double the rate

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C. Count the apical pulse rate for sixty secondsD. Compare the radial pulse rate bilaterally and record the higher rate.-CORRECT ANSWERC. Count the apical pulse rate for sixty secondsWhich structures are located in the subcutaneous layer of the skin?A. Sebaceous and sweat glandsB. Melanin and KeratinC. Sensory receptors and hair folliclesD. Adipose cells and blood vessels-CORRECT ANSWERD. Adiposecells and blood vesselsThe nurse in charge of a Nursing unit in a long term care facility. Whichtask is best for the nurse to assign to an unlicensed assistive personnel(UAP) who is helping with the care of several clients?A. Measure the amount of a client's residual urine after voidingB. Cleanse the perineal area of a client with urinary incontinenceC. Insert a straight catheter toobtain a urine specimen for cultureD. Provide catheter care for a client with a suprapubic catheter-CORRECT ANSWERB. Cleanse the perineal area of a client withurinary incontinenceA client requires application of an eye shield to the right eye.What shouldthe nurse do in order to apply tape in which direction to anchor the shieldmost effectively?A. Across the eye from the bridge of the nose to the right templeB. Longitudinally from the right forehead to the right cheekC. From the mid-forehead over to the right zygomatic processD. From the right lateral forehead surface to the medial nasal crease-CORRECT ANSWERB. Longitudinally from the right forehead to theright cheek36 hours after delivery, the nurse determines a client's fundus is just abovethe umbilicus and displaced to the right of midline. What action should thenurse take first?A. Palpate the bladder for distentionB. Ask the client when her last bowel movement occurred

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C. Catheterize the client and record the amountD. Assess the amount of lochia-CORRECT ANSWERA. Palpate thebladder for distentionA client presents in the clinic because of generalized swelling after a beesting. What intervention should the nurse implement first?A. Assess site of sting andremove stinger if presentB. Perform mini-mental status exam to assess level of consciousnessC. Determine respiratory status and apply a pulse oximeterD. Attach electrodes to monitor cardiac rhythm-CORRECT ANSWERC. Determine respiratory status and apply a pulse oximeterThe nurse is administering multiple medications to a 78-year-old clientbecause of problems related to polypharmacy. At this client's age, whichassessment is most important for the nurse to make?A. Cumulative serum drug levelsand toxicityB. Synergistic actions due to simultaneous administrationC. Tolerance to drugs that have been taken for long periods of timeD. Antagonist actions of multiple medications-CORRECT ANSWERA.Cumulative serum drug levels and toxicityInobtaining an orthostatic vital sign measurement, what action should thenurse take first?A. Count the client's radial pulseB. Apply a blood pressure cuffC. Instruct the client to lie supineD. Assist the client to stand upright-CORRECT ANSWERC. Instructthe client to lie supineA 3-week-old infant is admitted for surgical repair of Pyloric Stenosis. Whatinterventions should the nurse expect to implement to establish hydration inthe immediate postoperative period?A. Diaper weights and urinspecific gravityB. Gastronomy feedings in supine positionC. Nipple feedings with glucose water

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