EXIT HESI SPRING 2022
(Answered)
1. A nurse is providing information to a group of pregnant clients and their partners
about the psychosocial development of an infant. Using Erikson's theory of
psychosocial development, what should the nurse tell the group about the
infants?
A. Rely on the fact that their needs will be met
B. Need to tolerate a great deal of frustration and discomfort to develop a
healthy personality
C. Must have needs ignored for short periods to develop a healthy
personality
D. Need to experience frustration, so it is best to allow an infant to cry for a
while before meeting his or her needs - A. Rely on the fact that their needs
will be met
ST
2. A nurse is weighing a breastfed 6-month-old infant who has been brought to the
pediatrician's office for a scheduled visit. The infant's weight at birth was 6 lb 8
oz. The nurse notes that the infant now weighs 13 lb. Which action should the
nurse take?
O
A. Tell the mother that the infant's weight is increasing as expected
B. Tell the mother to decrease the daily number of feedings because the
weight gain is excessive
IC
C. Tell the mother that semisolid foods should not be introduced until the
infant's weight stabilizes
D. Tell the mother that the infant should be switched from breast milk to
formula because the weight gain is inadequate - A. Tell the mother that
the infant's weight is increasing as expected
3. A nurse performing a physical assessment of a 12-month-old infant notes that
the infant's head circumference is the same as the chest circumference. Based
on this finding, what should the nurse do?
A. Suspect the presence of hydrocephalus
B. Suggest to the pediatrician that a skull x-ray be performed
C. Tell the mother that the infant is growing faster than expected
D. Document these measurements in the infant's health-care record - D.
Document these measurements in the infant's health-care record
4. A new mother asks the nurse, "I was told that my infant received my antibodies
during pregnancy. Does that mean that my infant is protected against infections?"
Which statement should the nurse make in response to the mother?
A. "Yes, your infant is protected from all infections."
B. "If you breastfeed, your infant is protected from infection."
, C. "The transfer of your antibodies protects your infant until the infant is 12
months old."
D. "The immune system of an infant is immature, and the infant is at risk for
infection." - D. "The immune system of an infant is immature, and the
infant is at risk for infection."
5. A nurse is assessing the language development of a 9-month-old infant. Which
developmental milestone does the nurse expect to note in an infant of this age?
A. The infant babbles.
B. The infant says "Mama."
C. The infant smiles and coos.
6. D .The infant babbles single consonants. - B. The infant says "Mama."
7. The mother of a 9-month-old infant calls the nurse at the pediatrician's office, tells
the nurse that her infant is teething, and asks what can be done to relieve the
infant's discomfort. What should the nurse instruct the mother to do?
A. Schedule an appointment with a dentist for a dental evaluation
ST
B. Rub the infant's gums with baby aspirin that has been dissolved in water
C. Obtain an over-the-counter (OTC) topical medication for gum-pain relief
D. Give the infant cool liquids or a Popsicle and hard foods such as dry toast
- D. Give the infant cool liquids or a Popsicle and hard foods such as dry
toast
O
8. A nurse is teaching the mother of an 11-month-old infant how to clean the infant's
teeth. What should the nurse tell the mother to do?
IC
A. Use water and a cotton swab and rub the teeth
B. Use diluted fluoride and rub the teeth with a soft washcloth
C. Use a small amount of toothpaste and a soft-bristle toothbrush
D. Dip the infant's pacifier in maple syrup so that the infant will suck - A. Use
water and a cotton swab and rub the teeth
9. A nurse provides information about feeding to the mother of a 6-month-old infant.
Which statement by the mother indicates an understanding of the information?
A. "I can mix the food in the my infant's bottle if he won't eat it."
B. "Fluoride supplementation is not necessary until permanent teeth come
in."
C. "Egg white should not be given to my infant because of the risk for an
allergy."
10. D "Meats are really important for iron, and I should start feeding meats to my
infant right away." - C. "Egg white should not be given to my infant because of
the risk for an allergy."
,11. A nurse provides instructions to a mother of a newborn infant who weighs 7 lb 2
oz about car safety. What should the nurse tell the mother?
A. To secure the infant in the middle of the back seat in a rear-facing infant
safety seat
B. To place the infant in a booster seat in the front seat of the car with the
shoulder and lap belts secured around the infant
C. That it is acceptable to place the infant in the front seat in a rear-facing
infant safety seat as long as the car has passenger-side air bags
D. That because of the infant's weight it is acceptable to hold the infant as
long as the mother and infant are sitting in the middle of the back seat of
the car - A. To secure the infant in the middle of the back seat in a rear-
facing infant safety seat
12. A nurse provides instructions to a mother about crib safety for her infant. Which
statement by the mother indicates a need for further instructions?
A. "I need to keep large toys out of the crib."
B. "The drop side needs to be impossible for my infant to release."
ST
C. "Wood surfaces on the crib need to be free of splinters and cracks."
D. "The distance between the slats needs to be no more than 4 inches wide
to prevent entrapment of my infant's head or body." - D. "The distance
between the slats needs to be no more than 4 inches wide to prevent
entrapment of my infant's head or body."
O
13. The mother of a 2-year-old tells the nurse that she is very concerned about her
child because he has developed "a will of his own" and "acts as if he can control
others." The nurse provides information to the mother to alleviate her concern,
IC
recalling that, according to Erikson, a toddler is confronting which developmental
task?
A. Initiative versus guilt
B. Trust versus mistrust
C. Industry versus inferiority
D. Autonomy versus doubt and shame - D. Autonomy versus doubt and
shame
14. A nurse is planning care for a hospitalized toddler. To best maintain the toddler's
sense of control and security and ease feelings of helplessness and fear, which
action should the nurse take?
A. Spend as much time as possible with the toddler
B. Keep hospital routines as similar as possible to those at home
C. Allow the toddler to play with other children in the nursing unit playroom
, D. Allow the toddler to select toys from the nursing unit playroom that can be
brought into the toddler's hospital room - B. Keep hospital routines as
similar as possible to those at home
15. A nurse in a daycare setting is planning play activities for 2- and 3-year-old
children. Which toy is most appropriate for these activities?
A. Blocks and push-pull toys
B. Finger paints and card games
C. Simple board games and puzzles
D. Videos and cutting-and-pasting toys - A. Blocks and push-pull toys
16. A mother of twin toddlers tells the nurse that she is concerned because she
found her children involved in sex play and didn't know what to do. What should
the nurse tell the mother?
A. To separate her children during playtime
B. That if the behavior continues, she will need to bring her children to a child
psychologist
ST
C. That if she notes the behavior again she should casually tell her children
to dress and to direct them to another activity
D. To tell her children that what they are doing is bad and that they will be
punished if they are caught doing it again - C. That if she notes the
behavior again she should casually tell her children to dress and to direct
O
them to another activity
17. A nurse is assessing the motor development of a 24-month-old child. Which
activities would the nurse expect the mother to report that the child can perform?
IC
Select all that apply.
A. Put on and tie his shoes
B. Align two or more blocks
C. Dress himself appropriately
D. Go to the bathroom without help
E. Turn the pages of a book one at a time - B. Align two or more blocks
F. Turn the pages of a book one at a time
18.AA nurse is assessing language development in a toddler from a bilingual family.
What should the nurse expect about the child's language development?
A. Is slower than expected
B. Is developing as expected
C. Is more advanced than expected
D. Will require assistance from a speech therapist - A. Is slower than
expected
(Answered)
1. A nurse is providing information to a group of pregnant clients and their partners
about the psychosocial development of an infant. Using Erikson's theory of
psychosocial development, what should the nurse tell the group about the
infants?
A. Rely on the fact that their needs will be met
B. Need to tolerate a great deal of frustration and discomfort to develop a
healthy personality
C. Must have needs ignored for short periods to develop a healthy
personality
D. Need to experience frustration, so it is best to allow an infant to cry for a
while before meeting his or her needs - A. Rely on the fact that their needs
will be met
ST
2. A nurse is weighing a breastfed 6-month-old infant who has been brought to the
pediatrician's office for a scheduled visit. The infant's weight at birth was 6 lb 8
oz. The nurse notes that the infant now weighs 13 lb. Which action should the
nurse take?
O
A. Tell the mother that the infant's weight is increasing as expected
B. Tell the mother to decrease the daily number of feedings because the
weight gain is excessive
IC
C. Tell the mother that semisolid foods should not be introduced until the
infant's weight stabilizes
D. Tell the mother that the infant should be switched from breast milk to
formula because the weight gain is inadequate - A. Tell the mother that
the infant's weight is increasing as expected
3. A nurse performing a physical assessment of a 12-month-old infant notes that
the infant's head circumference is the same as the chest circumference. Based
on this finding, what should the nurse do?
A. Suspect the presence of hydrocephalus
B. Suggest to the pediatrician that a skull x-ray be performed
C. Tell the mother that the infant is growing faster than expected
D. Document these measurements in the infant's health-care record - D.
Document these measurements in the infant's health-care record
4. A new mother asks the nurse, "I was told that my infant received my antibodies
during pregnancy. Does that mean that my infant is protected against infections?"
Which statement should the nurse make in response to the mother?
A. "Yes, your infant is protected from all infections."
B. "If you breastfeed, your infant is protected from infection."
, C. "The transfer of your antibodies protects your infant until the infant is 12
months old."
D. "The immune system of an infant is immature, and the infant is at risk for
infection." - D. "The immune system of an infant is immature, and the
infant is at risk for infection."
5. A nurse is assessing the language development of a 9-month-old infant. Which
developmental milestone does the nurse expect to note in an infant of this age?
A. The infant babbles.
B. The infant says "Mama."
C. The infant smiles and coos.
6. D .The infant babbles single consonants. - B. The infant says "Mama."
7. The mother of a 9-month-old infant calls the nurse at the pediatrician's office, tells
the nurse that her infant is teething, and asks what can be done to relieve the
infant's discomfort. What should the nurse instruct the mother to do?
A. Schedule an appointment with a dentist for a dental evaluation
ST
B. Rub the infant's gums with baby aspirin that has been dissolved in water
C. Obtain an over-the-counter (OTC) topical medication for gum-pain relief
D. Give the infant cool liquids or a Popsicle and hard foods such as dry toast
- D. Give the infant cool liquids or a Popsicle and hard foods such as dry
toast
O
8. A nurse is teaching the mother of an 11-month-old infant how to clean the infant's
teeth. What should the nurse tell the mother to do?
IC
A. Use water and a cotton swab and rub the teeth
B. Use diluted fluoride and rub the teeth with a soft washcloth
C. Use a small amount of toothpaste and a soft-bristle toothbrush
D. Dip the infant's pacifier in maple syrup so that the infant will suck - A. Use
water and a cotton swab and rub the teeth
9. A nurse provides information about feeding to the mother of a 6-month-old infant.
Which statement by the mother indicates an understanding of the information?
A. "I can mix the food in the my infant's bottle if he won't eat it."
B. "Fluoride supplementation is not necessary until permanent teeth come
in."
C. "Egg white should not be given to my infant because of the risk for an
allergy."
10. D "Meats are really important for iron, and I should start feeding meats to my
infant right away." - C. "Egg white should not be given to my infant because of
the risk for an allergy."
,11. A nurse provides instructions to a mother of a newborn infant who weighs 7 lb 2
oz about car safety. What should the nurse tell the mother?
A. To secure the infant in the middle of the back seat in a rear-facing infant
safety seat
B. To place the infant in a booster seat in the front seat of the car with the
shoulder and lap belts secured around the infant
C. That it is acceptable to place the infant in the front seat in a rear-facing
infant safety seat as long as the car has passenger-side air bags
D. That because of the infant's weight it is acceptable to hold the infant as
long as the mother and infant are sitting in the middle of the back seat of
the car - A. To secure the infant in the middle of the back seat in a rear-
facing infant safety seat
12. A nurse provides instructions to a mother about crib safety for her infant. Which
statement by the mother indicates a need for further instructions?
A. "I need to keep large toys out of the crib."
B. "The drop side needs to be impossible for my infant to release."
ST
C. "Wood surfaces on the crib need to be free of splinters and cracks."
D. "The distance between the slats needs to be no more than 4 inches wide
to prevent entrapment of my infant's head or body." - D. "The distance
between the slats needs to be no more than 4 inches wide to prevent
entrapment of my infant's head or body."
O
13. The mother of a 2-year-old tells the nurse that she is very concerned about her
child because he has developed "a will of his own" and "acts as if he can control
others." The nurse provides information to the mother to alleviate her concern,
IC
recalling that, according to Erikson, a toddler is confronting which developmental
task?
A. Initiative versus guilt
B. Trust versus mistrust
C. Industry versus inferiority
D. Autonomy versus doubt and shame - D. Autonomy versus doubt and
shame
14. A nurse is planning care for a hospitalized toddler. To best maintain the toddler's
sense of control and security and ease feelings of helplessness and fear, which
action should the nurse take?
A. Spend as much time as possible with the toddler
B. Keep hospital routines as similar as possible to those at home
C. Allow the toddler to play with other children in the nursing unit playroom
, D. Allow the toddler to select toys from the nursing unit playroom that can be
brought into the toddler's hospital room - B. Keep hospital routines as
similar as possible to those at home
15. A nurse in a daycare setting is planning play activities for 2- and 3-year-old
children. Which toy is most appropriate for these activities?
A. Blocks and push-pull toys
B. Finger paints and card games
C. Simple board games and puzzles
D. Videos and cutting-and-pasting toys - A. Blocks and push-pull toys
16. A mother of twin toddlers tells the nurse that she is concerned because she
found her children involved in sex play and didn't know what to do. What should
the nurse tell the mother?
A. To separate her children during playtime
B. That if the behavior continues, she will need to bring her children to a child
psychologist
ST
C. That if she notes the behavior again she should casually tell her children
to dress and to direct them to another activity
D. To tell her children that what they are doing is bad and that they will be
punished if they are caught doing it again - C. That if she notes the
behavior again she should casually tell her children to dress and to direct
O
them to another activity
17. A nurse is assessing the motor development of a 24-month-old child. Which
activities would the nurse expect the mother to report that the child can perform?
IC
Select all that apply.
A. Put on and tie his shoes
B. Align two or more blocks
C. Dress himself appropriately
D. Go to the bathroom without help
E. Turn the pages of a book one at a time - B. Align two or more blocks
F. Turn the pages of a book one at a time
18.AA nurse is assessing language development in a toddler from a bilingual family.
What should the nurse expect about the child's language development?
A. Is slower than expected
B. Is developing as expected
C. Is more advanced than expected
D. Will require assistance from a speech therapist - A. Is slower than
expected
