PEDIATRIC HESI RN EXIT EXAM V2
1. "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
2. 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
3. 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
4. "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
,5. 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"
6. 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
7. 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
1. "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
2. 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
3. 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
4. "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
,5. 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"
6. 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
7. 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
