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PEDS HESI practice test questions with Correct Answers 100% Pass The nurse is assessing a 2-year-old. What behavior indicates that the child's language development is within normal limits? - Half of child's speech is understandable. Rationale: Between approximately 15 and 24 months of age, a ...

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  • March 10, 2025
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  • 2024/2025
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PEDS HESI practice test questions
with Correct Answers 100% Pass


The nurse is assessing a 2-year-old. What behavior indicates that the child's

language development is within normal limits? - ✔✔Half of child's speech

is understandable.




Rationale:


Between approximately 15 and 24 months of age, a child's speech is only

half understandable. A child can begin counting and name colors usually

between 3 and 5 years of age. And a child is capable of two - four word

sentences between 18 months to 24 months of age.


As part of the physical assessment of children, the nurse observes and

palpates the fontanels. Which child's fontanel finding should be reported to




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,the healthcare provider? - ✔✔A 6-month-old with failure to thrive that has

a closed anterior fontanel.




Rationale:


At six months of age the anterior fontanel should be open, and it should

not be closed until approximately 18 months of age. Premature closure of

the fontanels is a condition called "craniosynostosis". The only treatment

for this condition is surgery to reopen the fontanels, to allow and

accommodate the infant's growing brain, otherwise if not surgical

corrected, the infant will suffer severe neurological damage.


The nurse must prevent a 2-year-old with severe eczema on the face, neck,

and scalp from scratching the affected areas. Which nursing intervention is

most effective in preventing further excoriation due to the pruritis? -

✔✔Place elbow restraints on the child's arms.




Rationale:



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,Elbow restraints prevent arm flexion and the ability to reach to scratch the

involved areas, but do not inhibit use of the hands for play activities.


The nurse observes a 4-year-old boy in a daycare setting. Which behavior

should the nurse consider normal for this child? - ✔✔Demonstrates

aggressiveness by boasting when telling a story.




Rationale:


Four-year-old children are aggressive in their behavior and enjoy "tale

telling"


The clinic nurse is taking the history for a new 6-month-old client. The

mother reports that she took a great deal of aspirin while pregnant. Which

assessment should the nurse obtain? - ✔✔Type of reaction to loud noises.




Rationale:


Ototoxicity diminishes hearing acuity and causes symptoms of tinnitus and

vertigo in older children who can express subjective symptoms, so


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, assessing an infant's reaction to loud noises helps to determine an infant's

risk for a hearing deficit related to a history of the mother taking an

ototoxic drug, such as aspirin, while pregnant.


When evaluating the effectiveness of interventions to improve the

nutritional status of an infant with gastro-esophageal reflux, which

intervention is most important for the nurse to implement? - ✔✔Record

weight daily.




Rationale:


The most definitive measure of improved nutrition in an infant is obtaining

the infant's daily weight at the same time and ideally using the same scale

and the infant fully naked.


When taking the health history of a child, the nurse knows that which

finding is an early indication of hypothyroidism in children? -

✔✔Cessation of growth in a child that had been normal.




4
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