Evolve HESI Peds UPDATED ACTUAL
Questions and CORRECT Answers
Which gross motor behaviors should the nurse assess for when conducting a health maintenance
visit for a 4-year-old client? Select all that apply.
1 Skating
2 Skipping
3 Jumping rope
4 Catching a ball
5 Hopping on one foot - CORRECT ANSWER -2, 4, 5
Gross motor behaviors the nurse would expect for a 4-year-old client include skipping, catching
a ball, and hopping on one foot. Skating and jumping rope are expected for a 5-, not 4-year-old
client.
Which statement about language development in preschoolers is correct?
1 Preschoolers find words such as "die" and "dye" confusing.
2 Preschoolers realize that words have arbitrary rather than absolute meanings.
3 Preschoolers become aware of the rules for linking words into phrases and sentences.
4 Preschoolers accept language as a means of representing the world in a subjective manner. -
CORRECT ANSWER -1
Preschooler children find phonetically similar words such as "die" and "dye" confusing. School-
aged children realize that words have arbitrary rather than absolute meanings. School-aged
children become aware of the rules for linking words into phrases and sentences; they also accept
language as a means of representing the world in a subjective manner.
Which data collected during a developmental assessment for a 5-year-old client would indicate
the need for further intervention?
,1 Names coins correctly
2 Has a vocabulary of 1500 words
3 Ties shoe laces independently
4 Has hand dominance established - CORRECT ANSWER -2
The nurse would expect that the 5-year-old client would have a vocabulary of 2100, not 1500,
words; therefore, this finding would indicate the need for further intervention by the nurse. It is
expected the that 5-year-old client will be able to name coins correctly, tie shoe laces
independently, and have established hand dominance; therefore, this data does not indicate the
need for further intervention.
According to Freud's theory, in what order do the stages of child development occur?
1. Anal
2. Oral
3. Genital
4. Oedipal
5. Latency - CORRECT ANSWER -2, 1, 4, 5, 3
Freud's theory sets forth five stages of child development. The oral stage (stage 1) spans the
period from birth to 12 to 18 months. The anal stage (stage 2) occurs between the ages of 18
months and 3 years. The Oedipal stage (stage 3) occurs between 3 and 6 years of age. The
latency stage (stage 4) occurs between the ages of 6 and 12 years. Finally, the genital stage (stage
5) lasts from puberty through adulthood.
Which period of Piaget's theory describes the idea of object permanence?
1 Sensorimotor period
2 Preoperational period
3 Formal operations period
,4 Concrete operations period - CORRECT ANSWER -1
There are four periods of Piaget's theory of cognitive development. The first period is the
sensorimotor period; this period describes object permanence. During the ages of birth to 2 years
old, the child understands that objects continue to exist even when they are not visible. The
second period is the preoperational period, which is observed in children between the ages of 2
and 7 years. During this time, children learn to think about the use of symbols and have mental
images. The third period is the concrete operations period, which is observed between the ages of
7 and 11 years. During this period, the child thinks about an action before performing it. The
formal operations period is the fourth period, which is observed in children from the ages of 11
years old throughout adulthood. During this period, there is a prevalence of egocentric thought
A nurse is educating a group of mothers about the nutritional needs of toddlers. Which of these
statements made by a mother indicate the need for further teaching? Select all that apply.
1 "I need to give more than 24 ounces of milk per day."
2 "I should provide more calories from fats than proteins."
3 "I should refrain from giving grapes, nuts, and raw vegetables."
4 "I should give foods rich in calcium and phosphorus for healthy bone growth."
5 "I should try to give small, frequent meals consisting of breakfast, lunch, and dinner." -
CORRECT ANSWER -1, 2
Toddlers who consume more than 24 ounces of milk daily in place of other foods may develop
milk anemia, because milk is a poor source of iron. A toddler needs more protein than fats in the
diet. Certain foods, such as nuts, grapes, and raw vegetables, as well as hot dogs, candy, and
popcorn, have been implicated in choking deaths and should be avoided. Calcium and
phosphorus are important for healthy bone growth. Small frequent meals consisting of breakfast,
lunch, and dinner with three interspersed high nutrient-dense snacks help improve nutritional
intake.
How many words should the nurse expect the 3-year-old child to acquire each day?
1. 2 to 3
2. 5 to 6
, 3. 8 to 10
4. 11 to 13 - CORRECT ANSWER -2. 5-6 words
The nurse would expect the 3-year-old toddler-age child to acquire 5 to 6 new words each day.
Two to 3 new words, 8 to 10 new words, and 11 to 13 new words are not expected parameters
for language development.
Which data should the nurse anticipate when conducting a developmental assessment for a 5-
year-old client? Select all that apply.
1 Names coins correctly
2 Has a vocabulary of 1500 words
3 Participates in parallel play
4 Ties shoe laces independently
5 Has hand dominance established - CORRECT ANSWER -1, 4, 5
When conducting a developmental assessment for a 5-year-old client, the nurse anticipates the
client to be able to name coins correctly, tie shoe laces independently, and have established hand
dominance. A vocabulary of 1500 words would indicate a language delay; the 5-year-old client
is expected to have a vocabulary of 2100 words. Participation is associative, not parallel play,
and is expected by 5 years of age.
Which activities will the nurse suggest to the parents of a preschool-age child to enhance fine
motor skills? Select all that apply.
1 Using scissors
2 Riding a bicycle
3 Throwing a ball
4 Tying shoe laces
5 Playing with clay - CORRECT ANSWER -1, 4, 5
Questions and CORRECT Answers
Which gross motor behaviors should the nurse assess for when conducting a health maintenance
visit for a 4-year-old client? Select all that apply.
1 Skating
2 Skipping
3 Jumping rope
4 Catching a ball
5 Hopping on one foot - CORRECT ANSWER -2, 4, 5
Gross motor behaviors the nurse would expect for a 4-year-old client include skipping, catching
a ball, and hopping on one foot. Skating and jumping rope are expected for a 5-, not 4-year-old
client.
Which statement about language development in preschoolers is correct?
1 Preschoolers find words such as "die" and "dye" confusing.
2 Preschoolers realize that words have arbitrary rather than absolute meanings.
3 Preschoolers become aware of the rules for linking words into phrases and sentences.
4 Preschoolers accept language as a means of representing the world in a subjective manner. -
CORRECT ANSWER -1
Preschooler children find phonetically similar words such as "die" and "dye" confusing. School-
aged children realize that words have arbitrary rather than absolute meanings. School-aged
children become aware of the rules for linking words into phrases and sentences; they also accept
language as a means of representing the world in a subjective manner.
Which data collected during a developmental assessment for a 5-year-old client would indicate
the need for further intervention?
,1 Names coins correctly
2 Has a vocabulary of 1500 words
3 Ties shoe laces independently
4 Has hand dominance established - CORRECT ANSWER -2
The nurse would expect that the 5-year-old client would have a vocabulary of 2100, not 1500,
words; therefore, this finding would indicate the need for further intervention by the nurse. It is
expected the that 5-year-old client will be able to name coins correctly, tie shoe laces
independently, and have established hand dominance; therefore, this data does not indicate the
need for further intervention.
According to Freud's theory, in what order do the stages of child development occur?
1. Anal
2. Oral
3. Genital
4. Oedipal
5. Latency - CORRECT ANSWER -2, 1, 4, 5, 3
Freud's theory sets forth five stages of child development. The oral stage (stage 1) spans the
period from birth to 12 to 18 months. The anal stage (stage 2) occurs between the ages of 18
months and 3 years. The Oedipal stage (stage 3) occurs between 3 and 6 years of age. The
latency stage (stage 4) occurs between the ages of 6 and 12 years. Finally, the genital stage (stage
5) lasts from puberty through adulthood.
Which period of Piaget's theory describes the idea of object permanence?
1 Sensorimotor period
2 Preoperational period
3 Formal operations period
,4 Concrete operations period - CORRECT ANSWER -1
There are four periods of Piaget's theory of cognitive development. The first period is the
sensorimotor period; this period describes object permanence. During the ages of birth to 2 years
old, the child understands that objects continue to exist even when they are not visible. The
second period is the preoperational period, which is observed in children between the ages of 2
and 7 years. During this time, children learn to think about the use of symbols and have mental
images. The third period is the concrete operations period, which is observed between the ages of
7 and 11 years. During this period, the child thinks about an action before performing it. The
formal operations period is the fourth period, which is observed in children from the ages of 11
years old throughout adulthood. During this period, there is a prevalence of egocentric thought
A nurse is educating a group of mothers about the nutritional needs of toddlers. Which of these
statements made by a mother indicate the need for further teaching? Select all that apply.
1 "I need to give more than 24 ounces of milk per day."
2 "I should provide more calories from fats than proteins."
3 "I should refrain from giving grapes, nuts, and raw vegetables."
4 "I should give foods rich in calcium and phosphorus for healthy bone growth."
5 "I should try to give small, frequent meals consisting of breakfast, lunch, and dinner." -
CORRECT ANSWER -1, 2
Toddlers who consume more than 24 ounces of milk daily in place of other foods may develop
milk anemia, because milk is a poor source of iron. A toddler needs more protein than fats in the
diet. Certain foods, such as nuts, grapes, and raw vegetables, as well as hot dogs, candy, and
popcorn, have been implicated in choking deaths and should be avoided. Calcium and
phosphorus are important for healthy bone growth. Small frequent meals consisting of breakfast,
lunch, and dinner with three interspersed high nutrient-dense snacks help improve nutritional
intake.
How many words should the nurse expect the 3-year-old child to acquire each day?
1. 2 to 3
2. 5 to 6
, 3. 8 to 10
4. 11 to 13 - CORRECT ANSWER -2. 5-6 words
The nurse would expect the 3-year-old toddler-age child to acquire 5 to 6 new words each day.
Two to 3 new words, 8 to 10 new words, and 11 to 13 new words are not expected parameters
for language development.
Which data should the nurse anticipate when conducting a developmental assessment for a 5-
year-old client? Select all that apply.
1 Names coins correctly
2 Has a vocabulary of 1500 words
3 Participates in parallel play
4 Ties shoe laces independently
5 Has hand dominance established - CORRECT ANSWER -1, 4, 5
When conducting a developmental assessment for a 5-year-old client, the nurse anticipates the
client to be able to name coins correctly, tie shoe laces independently, and have established hand
dominance. A vocabulary of 1500 words would indicate a language delay; the 5-year-old client
is expected to have a vocabulary of 2100 words. Participation is associative, not parallel play,
and is expected by 5 years of age.
Which activities will the nurse suggest to the parents of a preschool-age child to enhance fine
motor skills? Select all that apply.
1 Using scissors
2 Riding a bicycle
3 Throwing a ball
4 Tying shoe laces
5 Playing with clay - CORRECT ANSWER -1, 4, 5
