HESI PEDIATRIC EXAM
A mother tells the nurse that her child does not want anything to do with toilet
training and yells "NO!" consistently when she
... [Show More] tries to toilet train. The child is 2
years old. According to Erikson, the nurse interprets that the child is experiencing
which psychosocial crisis?"
a. autonomy vs shame and doubt
b. initiative vs guilt
c. industry vs inferiority
d. trust vs mistrust
(ANS- Autonomy vs shame and doubt
A 2-year-old child is admitted to the hospital with juvenile rheumatoid arthritis
(JRA). During the focused assessment, the nurse makes it a priority to note the
presence of which of the following?"
a. increased irritability and the child's insistence to be carried out
b. complaints of joint stiffness
c. history of daily temperature elevations
d. description of how difficult it is to move around after periods of inactivity
(ANS- increased irritability and the child's insistence to be carried out
A mother of a toddler who is hospitalized with mild dehydration must leave her
child to go to work. Which behavior would the nurse expect to observe in the
toddler immediately after the mother's departure?
a. silently curled in bed with a blanket
b. loudly crying and kicking both legs
c. playing quietly with a favorite toy
d. sucking thumb and rocking back and forth
(ANS- loudly crying and kicking both legs
"A newborn infant is diagnosed with hypospadias, and the mother asks the nurse
about the disorder. The nurse bases the response on which of the following?"
a. it is a congenital anomaly in which the actual opening of the urethra meatus is
below the normal placement on the glans penis b. it occurs when one or both testes fail to descend through the inguinal canal into
the scrotal sac
c. it is a congenital anomaly in which the actual opening of the urethral meatus is
dorsal to the urethral opening
d. it is a congential anomaly characterized by the extrusion of the urinary bladder
to the outside of the body
(ANS- it is a congenital anomaly in which the actual opening of the urethra
meatus is below the normal placement on the glans penis
A home care nurse is providing instructions to a child with cystic fibrosis about
how to perform the "huff" maneuver; the child asks the nurse about the purpose of
this type of breathing. The nurse makes which response to the child?
a. "this type of breathing is used to mobilize secretions so that they can be easily
coughed out"
b. "this type of breathing prolongs inspiration time"
c. "this type of breathing moves air out of the lower lungs"
d. "this type of breathing moves air through the lungs"
(ANS- "this type of breathing is used to mobilize secretions so that they can be
easily coughed out"
A home care nurse is instructing the mother of a child with cystic fibrosis (CF)
about the appropriate dietary measures. The nurse tells the mother that the child
needs to consume a:
a. low calorie, low fat diet
b. high calorie, high protein diet
c. low calorie, low protein diet
d. high calorie, restricted fat
(ANS- high calorie, high protein diet
Breathing exercises and postural drainage is prescribed for a child with cystic
fibrosis. A nurse implements these procedures by telling the child to:
a. perform the postural drainage, then the breathing exercises
b. perform the breathing exercises, then the postural drainage
c. schedule the procedures so they are 4 hours apart [Show Less]