+1 Station - CORRECT ANSWERS-presenting part is 1 cm below the ischial spines
Maternity Practice Exam, Pediatrics
HESI PN Review, Hesi Peds, PN HESI,
Peds and Maternity HESI With Correct
answers
+3/+4 Station - CORRECT ANSWERS-presenting part is visible at the vaginal opening
0 station - CORRECT ANSWERS-presenting part is entering the pelvic inlet
2 year old is admitted to the hospital with possible encehalitis, and a lumbar puncture is
scheduled. Which information should the nurse provide this child concerning the
procedure? - CORRECT ANSWERS-Describe he side-lying, knees to chest position
that must be assumed during the proceudure
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?
a.Obtain blood for a complete blood count (CBC) test.
b.Initiate D10W at 50 mL/hour IV.
c.Test urine for ketones and glucose.
d.Assess temperature and blood pressure. - CORRECT ANSWERS-c.Test urine for
ketones and glucose.
Rationale:This child is exhibiting signs of impending diabetic ketoacidosis (DKA), so the
child's urine should be tested for ketones and glucose to assess for DKA.
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? - CORRECT ANSWERS-Test urine for ketones and
glucose.
,A 14-week gestational client, who weighed 125 pounds before pregnancy, comes into
the health clinic for a prenatal appointment. The client's weight today is 129 pounds.
What action should the practical nurse (PN) implement? - CORRECT ANSWERS-
Document the finding in the medical record.
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?
a. "Do you really think so?"
b. "That language is not permitted."
c. "You should nt speak to me like that, such language offends me."
d. "Ill notify your parents if you continue to talk that way." - CORRECT ANSWERS-b.
"That language is not permitted."
Rationale:Limit setting is necessary for inappropriate behavior or suggestive interaction.
Sets limits without threatening or degrading the client.
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? - CORRECT ANSWERS-That language is not permitted."
A 16 year old female student with a history of asthma controlled with both an oral
antihistamine and an albuterol (Provenfil) metre-dose inhaler (MDI) comes to the school
nurse. The student complains that she cannot sleep at night, feels shaky and her heart
feels like it is "beating a mile per minute" Which information is most important for the
nurse to obtain? - CORRECT ANSWERS-How often the MDI is used daily
A 16 year old male who has been treated in the past for a seizure disorder is admitted
to the hospital. Immediately after admission he begins to have a Grand Mal seizure.
Which action should the nurse take? - CORRECT ANSWERS-observe him carefully
A 2 year old boy begins to cry when the mother starts to leave. What is the nurse's best
response to the situation? - CORRECT ANSWERS-let me read this book to you
A 2 year old child who is hospitalized has become withdrawn and quiet on the fourth
day after admission. The parent expresses concern about this change in behavior.
Which explanation should the practical nurse (PN) provide? The child is
a) Experiencing the despair stage of separation
b) Detaching emotionally from the family
c) Protesting the separation from the parents
d) Adjusting to hospitalization - CORRECT ANSWERS-Answer: A
Rationale:
,In the despair stage of separation (A), the child exhibits signs of hopelessness and
becomes quiet, withdrawn, and apathetic. Toddlers do not readily "adjust" to
hospitalization (D) and separation from caregivers. During the detachment stage (B)
which occurs after prolonged separation, the child becomes interested in the
environment and begins to play. In the protest stage (C), the child is likely to cry and
resist care by others, and is inconsolable.
A 2 year old child with HF is admitted for replacement of a graft for coarcion of the
aorta. Prior to administering the next dose of digoxin (Lanoxin) the nurse obtains and
apical heart rate at 128 bpm. What action should the nurse implement? - CORRECT
ANSWERS-Administer the scheduled dose
A 2-month-old infant is scheduled to receive the first DPT immunization. What is the
preferred injection site to administer this immunization?
a. Dorsal gluteal
b. Vastus lateralis
c. Ventral gluteal
d. Deltoid - CORRECT ANSWERS-b. Vastus lateralis
Rationale:The preferred intramuscular site for children younger than 2 years of age is
the vastus lateralis.
A 2-month-old infant is scheduled to receive the first DPT immunization. What is the
preferred injection site to administer this immunization? - CORRECT ANSWERS-Vastus
lateralis
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? - CORRECT ANSWERS-Collect a specimen of the otorrhea for culture.
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 plan to
implement?
a. Collect a specimen of the otorrhea for culture.
b. Refer the child for audiologic screening tests.
c. Administer prescribed antibiotics.
d. Perform an otoscopic exam for TM tube placement. - CORRECT ANSWERS-a.
Collect a specimen of the otorrhea for culture.
Rationale:The presence of the purulent drainage indicates that the middle ear is
draining a new infectious process, and a specimen of the otorrhea should be collected
for culture. Tympanostomy tubes are surgically placed to manage otitis media with
, effusion (OME) to provide mechanical drainage of fluid and to equalize pressure within
the middle ear. Chronic OME can impede TM and ossicle function, necessitating
hearing screening. The immediate problem, however, is infection.
A 2-year-old child who is hospitalized with an acute upper respiratory infection (URI) is
crying uncontrollably because her mother went to the cafeteria for lunch. Which action
should the practical nurse implement?
a. Distract the child with a favorite toy.
b. Tell the child that her mother will return.
c. Take the child to the cafeteria.
d. Calm the child with a dietary treat. - CORRECT ANSWERS-a. Distract the child with
a favorite toy.
Rationale:The best action is to refocus the child's attention by distracting with a favorite
toy.
A 2-year-old child who is hospitalized with an acute upper respiratory infection (URI) is
crying uncontrollably because her mother went to the cafeteria for lunch. Which action
should the practical nurse implement? - CORRECT ANSWERS-Distract the child with a
favorite toy.
A 3 year old boy cries, kicks, and clings to his father when the parents try to leave the
hospital room. The parents express their concern to the practical nurse (PN). What
response should the PN provide?
a) "It is not helpful for parents to stay with children during hospitalization."
b) "Your child's behavior indicates a need for a psychological consultation."
c) "You can avoid this if you wait to leave after your child falls asleep."
d) "Your child is showing a normal response to the stress of hospitalization." -
CORRECT ANSWERS-Answer: D
Rationale:
The child is exhibiting a healthy attachment to the father (D). Leaving while your child is
asleep creates mistrust in the child (C). To minimize the child's stress hospital policy
often require someone to stay with their child during hospitalization, not (A). The child's
behavior represents the protest stage of separation and does not represent maladaptive
behavior (B).
A 3 year old boy in a daycare facility scratches his head frequently and the nurse
confirms the presence of head lice. The nurse washes the child's hair with permethrin
(Nix) shampoo and call his parents. What instructions should the nurse provide to the
parents about treatment of head lice? - CORRECT ANSWERS-Wash the child's bed
linens and clothing in hot soapy water
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