PEDIATRICS HESI PN EXIT / HESI PEDIATRICS PN EXAM LATEST EXAM ALL 55 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+

PEDIATRICS HESI PN EXIT 2023-2024/ HESI

PEDIATRICS PN EXAM LATEST EXAM ALL 55

QUESTIONS AND CORRECT DETAILED

ANSWERS WITH RATIONALES (VERIFIED

ANSWERS) |ALREADY GRADED A+

A child who is admitted with acute abdominal pain and possible

appendicitis. Which action should the practical nurse (PN) implement

for the child's abdominal discomfort?

a) assist the child to any position of comfort.

b) give a saline enema to cleanse the bowel

c) lay a heating pad on the abdomen

d) place the bed in trendelenburg - ANSWER- Answer: A

Rationale:

Abdominal pain is a common childhood complaint, but this child

should be assisted to any position of comfort (A) that relieves the

pain. (B and D) are contraindicated with possible appendicitis and

increase the risk of ruptured appendix. If the appendix should

rupture, (C) increases the spread of the infection.

A child is admitted for observation following a closed head injury.

Which assessment is most essential for the practical nues (PN) to

monitor for an early sign of a worsening condition?

a) level of consciousness

b) posturing

c) focal neurologic signs

d) vital signs - ANSWER- Answer: A

Rationale:

Following a head injury, determining a change in the child's LOC

(A) provides the first indication that a progression of the injury is

possible. (C) is a symptom of advanced neurologic insult. Alterations

in consciousness appear earlier than alterations of (B and D).

A 3 year old boy with cerebral palsy (CP) has difficulty swallowing,

cannot hold a utensil, and is slightly underweight for his height. Which

action should the practical nurse implement when feeding this child?

a) put the child in a well-supported semi-reclining position

b) offer a specialized formula per tube feeding

c) place the child in a sitting position with the neck hyperextended

d) stabilize the child's jaw with the caregiver's hand - ANSWERAnswer: D

Rationale:

A child with CP should be fed in an upright, eating position, and

manual stability of the oral mechanisms during swallowing should

be provided to minimize the risk of aspiration. Hold the child's jaw

(D) from the side or front of the face assists with head control,

correction of the neck and trunk hyperextension, and jaw

stabilization. (A, B, and C) are not indicated.

Which of Freud's psychosexual development stages occurs during a

toddler's growth and development?

a) anal

b) oral

c) genital

d) phallic - ANSWER- Answer: A

Rationale:

According to Freud's theory, the anal stage (A_, 1-3 years of age,

focuses on toilet training and learning to delay immediate

gratification. Oral gratification(B) occurs from birth to one year of

age. (C) The stage of genital awareness & exploration. (D) The stage

of sexual identity and expression in adolescence.

Using Freud's theory, the practical nurse should expect a 2 year old boy

to demonstrate the behaviors of which stage?

a) phallic

b) anal

c) latency

d) oral - ANSWER- Answer: B

Rationale:

The anal phase (B) defines the behaviors of a toddler, ages 1-3 years,

who begins to develop sphincter control and the ability to control

the release of feces. Success in this stage results in a sense of

autonomy. The oral phase (D), ages birth to 1 year, is the stage of

learning to relate to others without excessive jealously, dependency,

and the development of trust and sense of self-reliance. Phallic phase

(A), ages 3-7 years, is an age r/t formation of an identity focuses on

sexuality or the genitalia. Success in this stage results in mastery

over internal processes and impulses. Latency, ages 7 years to

puberty, is a stage of development where one's attention is turned

toward learning and successful achieving the ability to delay

gratification.

The practical nurse (PN) is caring a 6 year old who is hospitalized with

asthma. Which developmentally correct activity should the PN provide

the child?

a) an audio cassette and player

b) crayons and a coloring book

c) a ball to throw into a basket

d) a 1000 piece jigsaw puzzle - ANSWER- Answer: B

Painting, drawing, playing computer games, and modeling allow

children to practice and improve newly refined skills, so crayons