MC BANK HESI\\\MC Bank HESI 2025 –
Complete Multiple Choice Question
Bank
A mother brings her 8 mo. old baby boy to clinic because he has been vomiting and had diarrhea for
last3 days. Which assessment is most important for nurse to make?
Measuretheinfant's pulse
While obtainingthevital signs of a 10 year old who had a tonsillectomy this morning,thenurse
observesthechild swallowing every 2-3 minutes. Which assessment shouldthenurse implement?
a. Inspecttheposterior oropharynx
b. Assess for teeth clenching or grinding
c. Touchthetonsillar pillars to stimulatethegag reflex
d. Askthechild to speak to evaluate change in voice tone
A
The parents of a 3-year old boy who has Duchenne muscular dystrophy ask, “How can our son have
this disease? We are wondering if we should have any more children.” What information
shouldthenurse provide to parents?
a. This is an inherited X-linked recessive disorder, which primarily
affects male children intheFamily
b.thestriated muscle groups of males can be impacted by a lack oftheprotein dystrophin in their
mothers
c.themale infant had a viral infection that went unnoticed and untreated so muscle damage was
incurred
d. Birth trauma with a breech vaginal birth causes damage tothespinal cord, thus
weakeningthemuscles
A
A 2-week-old female infant is hospitalized forthesurgical repair of an umbilical hernia. After returning
tothepostoperative neonatal unit, her RR and HR have increased duringthelast hour. Which
intervention shouldthenurse implement?
a. NotifytheHCP of these findings
b. Administer a PRN analgesic prescription
,c. Recordthefindings inthechild’s record.
D. Wraptheinfant tightly and rock in rocking chair
B
A 2-year-old girl is brought totheclinic by her 17 year old mother. Whenthenurse observes
thatthechild is drinking sweetened soda from her bottle, what information shouldthenurse discuss
with this mother? Select all that apply
a. A 2-year old should be speaking in 2 word phrases
b. Dental caries are associated with drinking soda
c. Drinking soda is related to childhood obesity
d. Toddlers should be sleeping 10 hours a night
e. Toddlers should be drinking from a cup by age 2
B,C,E
A mother brings her 3 month old infant totheclinic becausethebaby does not sleep throughthenight.
Which finding is most significant in planning care for this family?
a.themother is a single parent and lives with her parents
b.themother statesthebaby is irritable during feedings
c.theinfant’s formula has been changed twice
d.thediaper area shows severe skin breakdown
D
The nurse determines that an infant admitted for surgical repair of an inguinal hernia voids a urinary
stream fromtheventral surface ofthepenis. What action shouldthenurse take?
a. Documentthefinding
b. Palpate scrotum for testicular descent
c. Assess for bladder distension
d. Auscultate bowel sounds
A
A 16 year old with acute myelocytic leukemia is receiving chemotherapy (CT) via an implanted
medication port attheoutpatient oncology clinic. What action shouldthenurse implement
whentheinfusion is complete?
a. Administer Zofran
b. Obtain blood samples for RBCs, WBCs, and platelets
, c. Flush mediport w/ saline and heparin solution
d. Initiate an infusion of normal saline
C
A mother brings her 3-week old infant totheclinic becausethebaby vomits after eating and always
seems hungry. Further assessment indicates thattheinfant’s vomiting is projectile, andthechild seems
listless. Which additional assessment finding indicatesthepossibility of a life threatening
complication?
a. Irregular palpable pulse
b. Hyperactive bowel sounds
c. Underweight for age
d. Crying without tears
A
The nurse is performing a routine assessment of a 3-year old at a community health center. Which
behavior bythechild should alertthenurse to request a follow-up for a possible autistic spectrum
disorder?
a. Performs odd repetitive behaviors
b. Shows indifference to verbal stimulation
c. Strokesthehair of a hand held doll
d. Has a history of temper tantrums
A
Following admission for cardiac catheterization,thenurse is providing discharge teaching totheparents
of a 2-year-old toddler with tetralogy of Fallot. What instruction shouldthenurse givetheparents if
their child becomes pale, cool, lethargic?
a. Encourage oral electrolyte solution intake
b. Assessthechild to a recumbent position
c. Contact their HCP immediately
d. Provide a quiet time by holding or rockingthetoddler
C
A mother brings her 2 year old son totheclinic because he has been crying and pulling on his earlobe
forthepast 12 hours.thechild’s oral temperature is 101.2 F. Which intervention shouldthenurse
implement?
a. Askthemother ifthechild has had a runny nose
Complete Multiple Choice Question
Bank
A mother brings her 8 mo. old baby boy to clinic because he has been vomiting and had diarrhea for
last3 days. Which assessment is most important for nurse to make?
Measuretheinfant's pulse
While obtainingthevital signs of a 10 year old who had a tonsillectomy this morning,thenurse
observesthechild swallowing every 2-3 minutes. Which assessment shouldthenurse implement?
a. Inspecttheposterior oropharynx
b. Assess for teeth clenching or grinding
c. Touchthetonsillar pillars to stimulatethegag reflex
d. Askthechild to speak to evaluate change in voice tone
A
The parents of a 3-year old boy who has Duchenne muscular dystrophy ask, “How can our son have
this disease? We are wondering if we should have any more children.” What information
shouldthenurse provide to parents?
a. This is an inherited X-linked recessive disorder, which primarily
affects male children intheFamily
b.thestriated muscle groups of males can be impacted by a lack oftheprotein dystrophin in their
mothers
c.themale infant had a viral infection that went unnoticed and untreated so muscle damage was
incurred
d. Birth trauma with a breech vaginal birth causes damage tothespinal cord, thus
weakeningthemuscles
A
A 2-week-old female infant is hospitalized forthesurgical repair of an umbilical hernia. After returning
tothepostoperative neonatal unit, her RR and HR have increased duringthelast hour. Which
intervention shouldthenurse implement?
a. NotifytheHCP of these findings
b. Administer a PRN analgesic prescription
,c. Recordthefindings inthechild’s record.
D. Wraptheinfant tightly and rock in rocking chair
B
A 2-year-old girl is brought totheclinic by her 17 year old mother. Whenthenurse observes
thatthechild is drinking sweetened soda from her bottle, what information shouldthenurse discuss
with this mother? Select all that apply
a. A 2-year old should be speaking in 2 word phrases
b. Dental caries are associated with drinking soda
c. Drinking soda is related to childhood obesity
d. Toddlers should be sleeping 10 hours a night
e. Toddlers should be drinking from a cup by age 2
B,C,E
A mother brings her 3 month old infant totheclinic becausethebaby does not sleep throughthenight.
Which finding is most significant in planning care for this family?
a.themother is a single parent and lives with her parents
b.themother statesthebaby is irritable during feedings
c.theinfant’s formula has been changed twice
d.thediaper area shows severe skin breakdown
D
The nurse determines that an infant admitted for surgical repair of an inguinal hernia voids a urinary
stream fromtheventral surface ofthepenis. What action shouldthenurse take?
a. Documentthefinding
b. Palpate scrotum for testicular descent
c. Assess for bladder distension
d. Auscultate bowel sounds
A
A 16 year old with acute myelocytic leukemia is receiving chemotherapy (CT) via an implanted
medication port attheoutpatient oncology clinic. What action shouldthenurse implement
whentheinfusion is complete?
a. Administer Zofran
b. Obtain blood samples for RBCs, WBCs, and platelets
, c. Flush mediport w/ saline and heparin solution
d. Initiate an infusion of normal saline
C
A mother brings her 3-week old infant totheclinic becausethebaby vomits after eating and always
seems hungry. Further assessment indicates thattheinfant’s vomiting is projectile, andthechild seems
listless. Which additional assessment finding indicatesthepossibility of a life threatening
complication?
a. Irregular palpable pulse
b. Hyperactive bowel sounds
c. Underweight for age
d. Crying without tears
A
The nurse is performing a routine assessment of a 3-year old at a community health center. Which
behavior bythechild should alertthenurse to request a follow-up for a possible autistic spectrum
disorder?
a. Performs odd repetitive behaviors
b. Shows indifference to verbal stimulation
c. Strokesthehair of a hand held doll
d. Has a history of temper tantrums
A
Following admission for cardiac catheterization,thenurse is providing discharge teaching totheparents
of a 2-year-old toddler with tetralogy of Fallot. What instruction shouldthenurse givetheparents if
their child becomes pale, cool, lethargic?
a. Encourage oral electrolyte solution intake
b. Assessthechild to a recumbent position
c. Contact their HCP immediately
d. Provide a quiet time by holding or rockingthetoddler
C
A mother brings her 2 year old son totheclinic because he has been crying and pulling on his earlobe
forthepast 12 hours.thechild’s oral temperature is 101.2 F. Which intervention shouldthenurse
implement?
a. Askthemother ifthechild has had a runny nose
