HESI PEDIATRIC EXAM 10 CERTIFICATION
EVALUATION EXAMS 2026 SOLVED
QUESTIONS WITH FULL SOLUTION
◉ When discussing discipline with the mother of a 4-year-old child,
the nurse should include which guideline?
Parental control should be consistent.
Children as young as 4 years rarely need reprimand or punishment.
Withdrawal of approval is effective.
Parents should enforce rigid rules to be followed without question.
Answer: Parental control should be consistent.
Discipline should be a positive and necessary component of
childrearing that is started in infancy and should teach socially
acceptable behavior, help children protect themselves from danger,
and channel undesirable behavior into constructive activity.
Misbehavior may result from inconsistent rules or messages, so
parental attention should be clear, reasonable, and consistent (A). (B
and C) are not helpful to the child. Children need boundaries that are
firm but not rigid (D).
,◉ The nurse is teaching a mother to give 4 ml of a liquid antibiotic to
a 10-month-old infant. Which statement by the parent indicates a
need for further teaching?
I will give this antibiotic to my child until it is finished.
Using a teaspoon will help me measure this correctly.
I will call the clinic if my child develops a rash or itching.
My baby should begin to feel better within a few days.
Answer: Using a teaspoon will help me measure this correctly.
The prescribed medication is 4 ml per dosage and is measured with
the most accuracy using a syringe, so if the parent uses a teaspoon
(B), which is equivalent to 5 ml, further teaching is indicated. (A, C,
and D) indicate correct understanding and require no further
intervention by the nurse.
◉ The nurse is planning care for school-aged children at a
community care center. Which activity is best for the children?
Building model airplanes.
Playing follow-the-leader.
Stringing large and small beads.
Playing with Playdough and clay.
Answer: Playing follow-the-leader.
,School-aged children strive for independence and productivity
(Erikson's Industry vs. Inferiority) and enjoy individual and group
activities related to real-life situations, such as playing follow-the-
leader (B). (A) is an individual activity that could contribute to
feelings of inferiority and inadequacy if the task is too complex.
Although school-aged children enjoy crafts, (C and D) are more
appropriate for pre-school children.
◉ To assess the effectiveness of an analgesic administered to a 4-
year-old, what intervention is best for the nurse to implement?
Use a happy-face/sad-face pain scale.
Ask the mother if she thinks the analgesic is working.
Assess for changes in the child's vital signs.
Teach the child to point to a numeric pain scale.
Answer: Use a happy-face/sad-face pain scale.
A 4-year-old can readily identify with simple pictures (A) to show
the nurse how he/she is feeling. (B) could be used to validate what
the child is telling the nurse via the "faces" pain scale, but it is best to
elicit the child's assessment of his/her pain level. (C) may not
accurately reflect the effectiveness of pain medication as they can
also be affected by other variables, such as fear. (D) requires abstract
number skills beyond the level of a 4-year-old.
, ◉ A 4-year-old girl continues to interrupt her mother during a
routine clinic visit. The mother appears irritated with the child and
asks the nurse, "Is this normal behavior for a child this age?" The
nurse's response should be based on which information?
Children need to retain a sense of initiative without impinging on
the rights and privileges of others.
Negative feelings of doubt and shame are characteristic of 4-year-
old children.
Role conflict is a common problem of children this age. She is just
wondering where she fits into society.
At this age children compete and like to produce and carry through
with tasks. She is just competing with her mother.
Answer: Children need to retain a sense of initiative without
impinging on the rights and privileges of others.
Children aged 3 to 6 are in Erickson's "Initiative vs. Guilt" stage,
which is characterized by vigorous, intrusive behavior, enterprise,
and strong imagination. At this age, children develop a conscience
and must learn to retain a sense of initiative without impinging on
the rights of others (A). (B) describes the "Autonomy vs. Shame and
Doubt," stage (1 to 3 years of age). (C) describes an adolescent (12 to
18 years of age), the "Identity vs. Role Confusion" stage. (D)
describes a child 6 to 12 years of age, the "Industry vs. Inferiority"
stage.
EVALUATION EXAMS 2026 SOLVED
QUESTIONS WITH FULL SOLUTION
◉ When discussing discipline with the mother of a 4-year-old child,
the nurse should include which guideline?
Parental control should be consistent.
Children as young as 4 years rarely need reprimand or punishment.
Withdrawal of approval is effective.
Parents should enforce rigid rules to be followed without question.
Answer: Parental control should be consistent.
Discipline should be a positive and necessary component of
childrearing that is started in infancy and should teach socially
acceptable behavior, help children protect themselves from danger,
and channel undesirable behavior into constructive activity.
Misbehavior may result from inconsistent rules or messages, so
parental attention should be clear, reasonable, and consistent (A). (B
and C) are not helpful to the child. Children need boundaries that are
firm but not rigid (D).
,◉ The nurse is teaching a mother to give 4 ml of a liquid antibiotic to
a 10-month-old infant. Which statement by the parent indicates a
need for further teaching?
I will give this antibiotic to my child until it is finished.
Using a teaspoon will help me measure this correctly.
I will call the clinic if my child develops a rash or itching.
My baby should begin to feel better within a few days.
Answer: Using a teaspoon will help me measure this correctly.
The prescribed medication is 4 ml per dosage and is measured with
the most accuracy using a syringe, so if the parent uses a teaspoon
(B), which is equivalent to 5 ml, further teaching is indicated. (A, C,
and D) indicate correct understanding and require no further
intervention by the nurse.
◉ The nurse is planning care for school-aged children at a
community care center. Which activity is best for the children?
Building model airplanes.
Playing follow-the-leader.
Stringing large and small beads.
Playing with Playdough and clay.
Answer: Playing follow-the-leader.
,School-aged children strive for independence and productivity
(Erikson's Industry vs. Inferiority) and enjoy individual and group
activities related to real-life situations, such as playing follow-the-
leader (B). (A) is an individual activity that could contribute to
feelings of inferiority and inadequacy if the task is too complex.
Although school-aged children enjoy crafts, (C and D) are more
appropriate for pre-school children.
◉ To assess the effectiveness of an analgesic administered to a 4-
year-old, what intervention is best for the nurse to implement?
Use a happy-face/sad-face pain scale.
Ask the mother if she thinks the analgesic is working.
Assess for changes in the child's vital signs.
Teach the child to point to a numeric pain scale.
Answer: Use a happy-face/sad-face pain scale.
A 4-year-old can readily identify with simple pictures (A) to show
the nurse how he/she is feeling. (B) could be used to validate what
the child is telling the nurse via the "faces" pain scale, but it is best to
elicit the child's assessment of his/her pain level. (C) may not
accurately reflect the effectiveness of pain medication as they can
also be affected by other variables, such as fear. (D) requires abstract
number skills beyond the level of a 4-year-old.
, ◉ A 4-year-old girl continues to interrupt her mother during a
routine clinic visit. The mother appears irritated with the child and
asks the nurse, "Is this normal behavior for a child this age?" The
nurse's response should be based on which information?
Children need to retain a sense of initiative without impinging on
the rights and privileges of others.
Negative feelings of doubt and shame are characteristic of 4-year-
old children.
Role conflict is a common problem of children this age. She is just
wondering where she fits into society.
At this age children compete and like to produce and carry through
with tasks. She is just competing with her mother.
Answer: Children need to retain a sense of initiative without
impinging on the rights and privileges of others.
Children aged 3 to 6 are in Erickson's "Initiative vs. Guilt" stage,
which is characterized by vigorous, intrusive behavior, enterprise,
and strong imagination. At this age, children develop a conscience
and must learn to retain a sense of initiative without impinging on
the rights of others (A). (B) describes the "Autonomy vs. Shame and
Doubt," stage (1 to 3 years of age). (C) describes an adolescent (12 to
18 years of age), the "Identity vs. Role Confusion" stage. (D)
describes a child 6 to 12 years of age, the "Industry vs. Inferiority"
stage.
