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PN HESI PEDS LATEST FINAL EXAM UPDATED FOR 2025-2026 TOP SCORE COMPREHENSIVE QUESTIONS WI, Exams of Health sciences

Chamberlain College of Nursing Health sciences

PN HESI PEDS LATEST FINAL EXAM UPDATED FOR 2025-2026 TOP SCORE COMPREHENSIVE QUESTIONS WITH 100% CERTIFIED, ELABORATED & VERIFIED SOLUTIONS, ACE YOUR EXAMS- DEFINITE SUCCESS!!! A 15-year-old male with mild mental retardation who is hospitalized for minor surgery tells a female practical nurse (PN), "Wow, you have big ones." Which response is best for the PN to make? That language is not permitted." The health care provider prescribes carbamazepine (Tegretol) for a child whose tonic-clonic seizures have been poorly controlled.

Typology: Exams

2024/2025

Available from 07/03/2025

NURSE-GENIUS 🇺🇸

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PN HESI PEDS LATEST FINAL EXAM UPDATED FOR 2025-2026 TOP

SCORE COMPREHENSIVE QUESTIONS WITH 100% CERTIFIED,

ELABORATED & VERIFIED SOLUTIONS, ACE YOUR EXAMS- DEFINITE

SUCCESS!!!

A 15-year-old male with mild mental retardation who is hospitalized for minor surgery tells a

female practical nurse (PN), "Wow, you have big ones." Which response is best for the PN to

make?

That language is not permitted."

The health care provider prescribes carbamazepine (Tegretol) for a child whose tonic-clonic

seizures have been poorly controlled. The nurse informs the mother that the child must have

blood tests every week. The mother asks why so many blood tests are necessary. What

complication is assessed through frequent laboratory testing that the nurse should explain to

this mother?

Bone marrow suppression

The practical nurse (PN) is reviewing signs and symptoms of congestive heart failure with the

parents of a 2-year-old child with a congenital heart defect. Which behavior is most important

for the parents to report to the health care provider?

Exhibits a sudden and unexplained weight gain

A child with poison ivy weighs 25 kg and receives a prescription for Benadryl PO 5 mg/kg.

Benadryl is available as a 125 mg/5 mL solution. How many milliliters should the practical nurse

administer? (Fill in the blank.)

5ml

A short arm cast is applied to a child with a fractured right ulna. The practical nurse (PN) is

preparing the parents with home instructions and should reinforce that the parents follow

which discharge instruction?

Partial preview of the text

Download PN HESI PEDS LATEST FINAL EXAM UPDATED FOR 2025-2026 TOP SCORE COMPREHENSIVE QUESTIONS WI and more Exams Health sciences in PDF only on Docsity!

PN HESI PEDS LATEST FINAL EXAM UPDATED FOR 2025-2026 TOP

SCORE COMPREHENSIVE QUESTIONS WITH 100% CERTIFIED,

ELABORATED & VERIFIED SOLUTIONS, ACE YOUR EXAMS- DEFINITE

SUCCESS!!!

A 15-year-old male with mild mental retardation who is hospitalized for minor surgery tells a female practical nurse (PN), "Wow, you have big ones." Which response is best for the PN to make? That language is not permitted." The health care provider prescribes carbamazepine (Tegretol) for a child whose tonic-clonic seizures have been poorly controlled. The nurse informs the mother that the child must have blood tests every week. The mother asks why so many blood tests are necessary. What complication is assessed through frequent laboratory testing that the nurse should explain to this mother? Bone marrow suppression The practical nurse (PN) is reviewing signs and symptoms of congestive heart failure with the parents of a 2-year-old child with a congenital heart defect. Which behavior is most important for the parents to report to the health care provider? Exhibits a sudden and unexplained weight gain A child with poison ivy weighs 25 kg and receives a prescription for Benadryl PO 5 mg/kg. Benadryl is available as a 125 mg/5 mL solution. How many milliliters should the practical nurse administer? (Fill in the blank.) 5ml A short arm cast is applied to a child with a fractured right ulna. The practical nurse (PN) is preparing the parents with home instructions and should reinforce that the parents follow which discharge instruction?

"Call the health care provider immediately if the nail beds appear 'blue' or 'empty.'" The health care provider prescribes amoxicillin 60 mg PO three times a day for a child who weighs 13 pounds. The pediatric dosage range is 20 to 40 mg/kg/day in three equal doses. What is the maximum dosage in 24 hours that should be given? (Fill in the blank.) First, convert the pounds to kg because the conversion is for kg. 1 kg = 2.2 lb 13 lb/(2.2 lb/kg) = 5.9 kg Second, determine the maximum dose the child can have in 24 hours: 40 mg × 5.9 kg = 236 mg. The maximum dose the child can have is 236 mg. The nurse is preparing a child for transport to the operating room for an emergency appendectomy. The anesthesiologist prescribes atropine sulfate (Atropine) IM STAT. What is the primary purpose for administering this drug to the child at this time? Decrease the oral secretions. The practical nurse (PN) is caring for a child who had a cleft lip repair. What is the most important reason to minimize this child's crying during the postoperative recovery period? Crying stresses the suture line. The parents of a 1-year-old child, who was recently diagnosed with hypospadias, state that they plan to delay corrective surgery to see if the child will outgrow the problem. What response is best for the practical nurse (PN) to provide to these parents? "Discuss your decision with your healthcare provider for additional information of what you understand about your child's diagnosis." A child with cystic fibrosis is receiving ticarcillin disodium (Ticar) for Pseudomonas pneumonia. What adverse effect should the nurse assess for and report promptly to the health care provider? Petechiae The practical nurse (PN) is caring for a child with an acute respiratory condition. When the PN is monitoring for impending respiratory distress, what sign is the child likely to exhibit first? Restlessness

Bone pain, pallor A child with acute appendicitis who is scheduled for surgery in 3 hours is complaining of abdominal pain. Which intervention should the practical nurse implement? Assist the child into a position of comfort. To minimize separation anxiety in a hospitalized 2-year-old, which nursing intervention is best for the practical nurse to implement Encourage parents to room-in. The practical nurse (PN) is caring for an infant with pyloric stenosis. What nursing intervention should be included in the preoperative period? Observe for projectile vomiting. The practical nurse (PN) is assessing a child with asthma for retractions during respirations. When should the PN recognize the absence or presence of intercostal retractions? Inspiration A 5-year-old tells the practical nurse (PN) that she "needs a Band-Aid" when she has an injection. Which action is best for the PN to take? Apply a Band-Aid over the injection site. The teacher reports that a 7-year-old child frequently daydreams in school, experiences abrupt interruptions in conversations, and stares into space. Which action should the practical nurse take? Observe the child's behavior in the classroom. The practical nurse (PN) is caring for a child with Wilms' tumor. Which preoperative intervention should the PN implement? Put a sign above the bed reading, "Do not palpate abdomen." The mother of a 6-month-old asks the practical nurse (PN) when her baby will get the first measles, mumps, and rubella (MMR) vaccine. Based on the recommended childhood

immunization schedule published by the Centers for Disease Control and Prevention, which response is accurate? 12 to 15 months The practical nurse (PN) is preparing a child with an intussusception for a prescribed barium enema. The PN should explain to the parent that the purpose for conducting this procedure before surgical intervention is to achieve what objective? Reduce the invaginated bowel segment. The practical nurse (PN) is caring for a child with a diagnosis of acquired aplastic anemia. What should the PN expect in the child's health history that is a common cause of this type of anemia? Exposure to certain drugs A full-term infant is admitted to the newborn nursery. During the initial PO feeding, the practical nurse (PN) observes the infant for possible tracheal esophageal atresia. Which symptoms are likely to be exhibited during the feeding if this condition is present? Choking, coughing, and cyanosis The practical nurse (PN) is assessing an 8-month-old who has a medical diagnosis of tetralogy of Fallot. The child demonstrates cyanosis with crying and exertion. Which other symptom is this infant most likely to exhibit? Clubbed fingers While examining a 6-year-old visiting the clinic for fever and a rash, the practical nurse (PN) notices several elevated 1- to 3-mm white spots on the buccal mucosa. What other signs should the PN expect this child to exhibit? Red blotchy macular rash on the face and neck

The father of a 4-year-old often observes his daughter at day care via a video camera hookup to his computer. The father tells the practical nurse (PN) at the day care center that he frequently observes his daughter eating with her fingers rather than with utensils. How should the PN respond? Offer reassurance that this behavior is normal but that he can begin teaching his child how to use utensils. A male high-school graduate with attention deficit hyperactivity disorder (ADHD) presents to the family healthcare provider for his precollege physical. He tells the practical nurse (PN), "I don't want to take my Adderall (amphetamine-dextroamphetamine) in college." How should the PN respond? "What are your concerns about continuing Adderall?" A 2-year-old child had tympanostomy ventilating tubes inserted into both tympanic membranes (TMs) 1 week earlier. During a postoperative clinic visit, the practical nurse (PN) notes that the child has a purulent discharge from the right ear, and the mother explains that the toddler has had a cold for 3 days. What action should the PN implement? Collect a specimen of the otorrhea for culture. What is the most important information for the practical nurse (PN) to review with a 12-year- old who is receiving long-term and rescue medications for routine management of asthma? Use albuterol (Proventil) for prevention of exercise-induced bronchospasm. Minocycline (Minocin) 50 mg PO every 8 hours is prescribed for a 18-year old adolescent girl diagnosed with acne. The nurse discusses self-care with the client while she is taking the medication. Which teaching points should be included in the discussion? (Select all that apply.) Report vaginal itching or discharge. Protect skin from natural and artificial ultraviolet light. Avoid driving until response to medication is known. Use a nonhormonal method of contraception if sexually active. A 12-year-old with type 1 diabetes mellitus complains of abdominal pain and has experienced increased thirst during the previous 24 hours. What action should the practical nurse implement first? Test urine for ketones and glucose. Which action should the practical nurse (PN) implement first when obtaining the tympanic temperature of a 2-year-old child?

Apply the probe cover to the electronic thermometer. Which intervention should the practical nurse implement when a child cannot swallow prescribed tablets? Crush tablets to a fine powder and mix with a small amount of soft food. The nurse observes that a 3-year-old child combines words in short phrases and understands the concepts of hot and cold and big and little. Which intervention should the PN implement? Document that the child's expressive speech is age-appropriate. The health care provider prescribes the anticonvulsant carbamazepine (Tegretol) for an adolescent client with a seizure disorder. The nurse should instruct the client to notify the health care provider if which condition occurs? Develops a sore throat A 2-month-old infant is scheduled to receive the first DPT immunization. What is the preferred injection site to administer this immunization? Vastus lateralis