Peduatrics HESI PN Review Maternity NCLEX PN 2023-2024/ HESI PEDIATRICS PN EXAM LATEST EXAM ALL QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+

Peduatrics HESI PN Review Maternity
NCLEX PN 2023-2024/ HESI PEDIATRICS
PN EXAM LATEST EXAM ALL
QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES
(VERIFIED ANSWERS) |ALREADY
GRADED A+
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 - CORRECT ANSWER-Answer: A
Rationale:
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." -
CORRECT ANSWER-Answer: B
Rationale:
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 - CORRECT ANSWER-Answer: C
Rationale:
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