EVOLVE HESI Pediatrics Comprehensive
Examination | University Level (Intermediate to
Advanced) | 160+ Questions, Answers & Rationales |
Ultimate Exam Mastery Guide | High-Yield Revision
Resource | Premium Study Companion | Latest
Revision Edition
A nurse is assessing a 6-month-old infant during a well-child visit. Which
developmental milestone should the nurse expect to observe?
A. Sitting without support
B. Walking with assistance
C. Saying two-word phrases
D. Building a tower of blocks
Answer: A ✓
Rationale: By 6 months of age, infants typically can sit without support. Walking
with assistance occurs around 9-12 months, two-word phrases emerge around
18-24 months, and building towers of blocks develops around 15-18 months.
The parents of a 2-year-old child express concern about frequent temper
tantrums. Which response by the nurse is most appropriate?
,A. "This behavior indicates a developmental delay."
B. "Tantrums are normal as toddlers seek independence."
C. "You should punish the child immediately for this behavior."
D. "This suggests the child needs more discipline at home."
Answer: B ✓
Rationale: Temper tantrums are common in toddlers as they develop autonomy
and struggle with limited communication skills. This is a normal part of
development according to Erikson's stage of autonomy versus shame and
doubt.
A school-age child is hospitalized for appendectomy. According to Piaget's
theory of cognitive development, which characteristic should the nurse consider
when providing care?
A. The child thinks abstractly and hypothetically
B. The child understands conservation and reversibility
C. The child engages in magical thinking
D. The child cannot understand cause and effect
Answer: B ✓
Rationale: School-age children (7-11 years) are in the concrete operational
stage, where they understand conservation, reversibility, and logical thinking
about concrete events. Abstract thinking develops in adolescence, magical
,thinking is characteristic of preschoolers, and understanding cause and effect
begins earlier.
An adolescent patient demonstrates risk-taking behaviors and mood swings.
The nurse recognizes this as consistent with which developmental task?
A. Establishing trust
B. Developing initiative
C. Forming identity
D. Achieving integrity
Answer: C ✓
Rationale: According to Erikson, adolescents work through the stage of identity
versus role confusion. Risk-taking behaviors and mood swings are common as
teens explore their identity and establish independence from parents.
A mother asks the nurse when her infant will develop stranger anxiety. The
nurse responds that this typically occurs at what age?
A. 2-3 months
B. 6-8 months
C. 12-15 months
D. 18-24 months
Answer: B ✓
, Rationale: Stranger anxiety typically emerges around 6-8 months of age as
infants develop object permanence and begin to distinguish between familiar
and unfamiliar people.
The nurse is teaching parents about toilet training readiness. Which sign
indicates a toddler is ready to begin toilet training?
A. Age of 18 months
B. Ability to stay dry for 2 hours
C. Interest in watching siblings use the toilet
D. All of the above
Answer: D ✓
Rationale: Toilet training readiness includes physical signs (staying dry for 2
hours), cognitive signs (understanding instructions), and emotional signs
(showing interest). While 18-24 months is typical, readiness varies among
children.
A 4-year-old child believes that thinking about something makes it happen. The
nurse identifies this as which type of thinking?
A. Concrete operational thinking
B. Magical thinking
C. Abstract thinking
D. Logical reasoning
Answer: B ✓
Examination | University Level (Intermediate to
Advanced) | 160+ Questions, Answers & Rationales |
Ultimate Exam Mastery Guide | High-Yield Revision
Resource | Premium Study Companion | Latest
Revision Edition
A nurse is assessing a 6-month-old infant during a well-child visit. Which
developmental milestone should the nurse expect to observe?
A. Sitting without support
B. Walking with assistance
C. Saying two-word phrases
D. Building a tower of blocks
Answer: A ✓
Rationale: By 6 months of age, infants typically can sit without support. Walking
with assistance occurs around 9-12 months, two-word phrases emerge around
18-24 months, and building towers of blocks develops around 15-18 months.
The parents of a 2-year-old child express concern about frequent temper
tantrums. Which response by the nurse is most appropriate?
,A. "This behavior indicates a developmental delay."
B. "Tantrums are normal as toddlers seek independence."
C. "You should punish the child immediately for this behavior."
D. "This suggests the child needs more discipline at home."
Answer: B ✓
Rationale: Temper tantrums are common in toddlers as they develop autonomy
and struggle with limited communication skills. This is a normal part of
development according to Erikson's stage of autonomy versus shame and
doubt.
A school-age child is hospitalized for appendectomy. According to Piaget's
theory of cognitive development, which characteristic should the nurse consider
when providing care?
A. The child thinks abstractly and hypothetically
B. The child understands conservation and reversibility
C. The child engages in magical thinking
D. The child cannot understand cause and effect
Answer: B ✓
Rationale: School-age children (7-11 years) are in the concrete operational
stage, where they understand conservation, reversibility, and logical thinking
about concrete events. Abstract thinking develops in adolescence, magical
,thinking is characteristic of preschoolers, and understanding cause and effect
begins earlier.
An adolescent patient demonstrates risk-taking behaviors and mood swings.
The nurse recognizes this as consistent with which developmental task?
A. Establishing trust
B. Developing initiative
C. Forming identity
D. Achieving integrity
Answer: C ✓
Rationale: According to Erikson, adolescents work through the stage of identity
versus role confusion. Risk-taking behaviors and mood swings are common as
teens explore their identity and establish independence from parents.
A mother asks the nurse when her infant will develop stranger anxiety. The
nurse responds that this typically occurs at what age?
A. 2-3 months
B. 6-8 months
C. 12-15 months
D. 18-24 months
Answer: B ✓
, Rationale: Stranger anxiety typically emerges around 6-8 months of age as
infants develop object permanence and begin to distinguish between familiar
and unfamiliar people.
The nurse is teaching parents about toilet training readiness. Which sign
indicates a toddler is ready to begin toilet training?
A. Age of 18 months
B. Ability to stay dry for 2 hours
C. Interest in watching siblings use the toilet
D. All of the above
Answer: D ✓
Rationale: Toilet training readiness includes physical signs (staying dry for 2
hours), cognitive signs (understanding instructions), and emotional signs
(showing interest). While 18-24 months is typical, readiness varies among
children.
A 4-year-old child believes that thinking about something makes it happen. The
nurse identifies this as which type of thinking?
A. Concrete operational thinking
B. Magical thinking
C. Abstract thinking
D. Logical reasoning
Answer: B ✓
