Peds HESI Version 2 With Correct Answers

"A mother tells the nurse that her child does not want anything to do with toilet training and yells "NO!" consistently when she 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 - 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 - 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 - 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 - 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" - "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 - 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
d. perform postural drainage in the morning and breathing exercises in the evening - perform the postural drainage, then the breathing exercises

A nurse is reviewing the results of a sweat test performed on a child with cystic fibrosis (CF). The nurse would expect to note which finding?
a. a sweat sodium concentration less than 40 mEq/L
b. a sweat potassium concentration less than 40 mEq/L
c. a sweat potassium concentration greater than 40 mEq/L
d. a sweat sodium concentration greater than 60 mEq/L - a sweat sodium concentration greater than 60 mEq/L

Methylphenidate (Ritalin) is prescribed for a child with a diagnosis of attention deficit hyperactivity disorder (ADHD). The nurse provides instructions to the mother regarding the administration of the medication and tells the mother to administer the medication:
a. before dinner and at bedtime
b. before breakfast and before the noontime meal
c. in the morning after breakfast and at bedtime
d. at the noontime and evening meals - before breakfast and before the noontime meal

"Methylphenidate hydrochloride (Ritalin) is prescribed for a 10-year-old child diagnosed with attention deficit hyperactivity disorder, and the nurse provides instructions to the mother about administration of the medication. The nurse determines that the mother understands the instructions when the mother states:"