PEDRIATICS HESI STUDY EXAM
"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 psych...
"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 - CORRECT ANSWER-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 - CORRECT ANSWER-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 - CORRECT
ANSWER-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 - CORRECT
ANSWER-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" -
CORRECT ANSWER-"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 - CORRECT ANSWER-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 - CORRECT ANSWER-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 -
CORRECT ANSWER-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 - CORRECT ANSWER-
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:"
a. I will give my child the medication at bedtime so that he will
be rested and alert for school the next day
b. I will give my child the medication after meals to obtain the
full effects of the medication
c. I will give my child the medication at breakfast and lunch to
prevent insomnia
d. I will give my child the medication with water to prevent
kidney damage - CORRECT ANSWER-I will give my child the
medication at breakfast and lunch to prevent insomnia
Methylphenidate (Ritalin) is prescribed for a child with attention
deficit hyperactivity disorder (ADHD). The nurse provides
instructions to the mother regarding the administration of the
medication. Which statement by the mother would indicate a
need for further instructions?
a. I will administer the medication with the noontime meal
b. I will keep the medication tightly capped and away from
direct heat
c. I should inform the school nurse that my child is taking this
medication
d. I should avoid giving the medications on Saturdays and
Sundays to provide a medication holiday - CORRECT
ANSWER-I should avoid giving the medications on Saturdays
and Sundays to provide a medication holiday
A client with diplopia has been given an eye patch to promote
better vision and prevent injury. The nurse teaches the client to
do which of the following as part of correct use of this item?
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