Med Surge HESI Real Exam
NUR 230 Exam 3 – Galen OB/Peds (2026)
Actual Questions & Correct Answers |
Guarantee Pass Test Bank Exam 2026/2027 –
Verified | Detailed Rationales – Pass
Guaranteed – A+ Graded
A 3 year old male child who has been toilet trained has had several urinary "accidents" since
hospital admission. What action should the practical nuse (PN) implement?
a) provide the child with frequent opportunities to urinate
b) inform the parent that the child will need to be retrained
c) determine how the long the child has been toilet trained
d) place a bedpan on the bedside table for the child to use –
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, Med Surge HESI Real Exam
Correct Answer :Answer: A
Rationale:
Offering choices and allowing the child to make a decision increases the child's sense of
control. Asking the child frequently if he has to go to the bathroom (A) helps reduce the
incidents of accidental urinations. Regression to previous behaviors is common during
hospitalization, even when the child has been practicing the skill successfully (B). A 3 year old
child is not developmentally able to use a bedpan independently (D). Relearning a skill such as
toilet training, contributes to the child's stress and should not be attempted during
hospitalization.
The practical nurse (PN) is caring for a school aged male child who is having problems
adjusting to a new school. Which action should the PN recommend to the parents that may
foster their child's developmental task of industry.
a) identify failures immediately for feedback from the child and his peers
b) structure the tasks in the home environment and recreational settings
c) decrease their expectations of home tasks and school success
d) ask the child what the child wants to achieve in his new school –
Correct Answer :Answer: B
Rationale:
Structuring the environment (B) provides opportunities to solve increasingly more complex
problems, which enhances self-confidence and promotes a sense of mastery. (C) is not as
important as structuring the environment so that the child is successful. (D) Does not
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, Med Surge HESI Real Exam
promote a sense of achievement or mastery. Sharing failures with the child's peers (A) for
feedback reinforces the child's feelings of failure.
During a well child visit, the mother of an infant states, "I will probably not have my baby
immunized because I am concerned about the risk of a severe reaction." Which response
should the PN provide?
a) have you talked with other parents about this decision
b) no immunization poses a greater risk for your child
c) you are making a mistake
d) it' is your decision –
Correct Answer :Answer: B
Rationale:
Although immunizations have caused reported adverse reactions in a small number of cases,
an infant who is not immunized is at greater risk of developing complications from childhood
diseases than from the vaccines (B). (A,C, and D) ignore the PN's responsibility to inform
parents about the risks to children who are not immunized.
Which play activity should the practical nurse (PN) provide a hospitalized 6 month old infant?
a) push and pull toys
b) ball rolling and hide and seek game
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, Med Surge HESI Real Exam
c) supervised water play
d) pat a cake and peek a boo –
Correct Answer :Answer: D
Rationale:
6 month old enjoy playing pat a cake and peek a boo (D). 12 month old infants enjoy (A). 4
months old infants enjoy (C). 9 month olds enjoy (B).
Which statement by a mother indicates that her 5 month old infant girl is ready for solid food?
a) i find that my baby really has to be encouraged to eat.
b) my baby has started to sit up without any support
c) when i give my baby solid foods she has difficulty getting it to the back of her throat to
swallow
d) i am surprised that my baby only weights 11 pounds. I expected her to have gained more
weight. –
Correct Answer :Answer: B
Rationale:
Voluntary skeletal muscular activities, such as sitting (B) and involuntary activities such as
absence of the protrusion reflex, are indicators of neuromuscular development. (A and C)
indicate that the infant is not interested in starting solid foods. The ability to manipulate foods
to the back of the throat is a sign that the infant is ready to manage solid foods, not (D).
P a g e 4 | 78
NUR 230 Exam 3 – Galen OB/Peds (2026)
Actual Questions & Correct Answers |
Guarantee Pass Test Bank Exam 2026/2027 –
Verified | Detailed Rationales – Pass
Guaranteed – A+ Graded
A 3 year old male child who has been toilet trained has had several urinary "accidents" since
hospital admission. What action should the practical nuse (PN) implement?
a) provide the child with frequent opportunities to urinate
b) inform the parent that the child will need to be retrained
c) determine how the long the child has been toilet trained
d) place a bedpan on the bedside table for the child to use –
P a g e 1 | 78
, Med Surge HESI Real Exam
Correct Answer :Answer: A
Rationale:
Offering choices and allowing the child to make a decision increases the child's sense of
control. Asking the child frequently if he has to go to the bathroom (A) helps reduce the
incidents of accidental urinations. Regression to previous behaviors is common during
hospitalization, even when the child has been practicing the skill successfully (B). A 3 year old
child is not developmentally able to use a bedpan independently (D). Relearning a skill such as
toilet training, contributes to the child's stress and should not be attempted during
hospitalization.
The practical nurse (PN) is caring for a school aged male child who is having problems
adjusting to a new school. Which action should the PN recommend to the parents that may
foster their child's developmental task of industry.
a) identify failures immediately for feedback from the child and his peers
b) structure the tasks in the home environment and recreational settings
c) decrease their expectations of home tasks and school success
d) ask the child what the child wants to achieve in his new school –
Correct Answer :Answer: B
Rationale:
Structuring the environment (B) provides opportunities to solve increasingly more complex
problems, which enhances self-confidence and promotes a sense of mastery. (C) is not as
important as structuring the environment so that the child is successful. (D) Does not
P a g e 2 | 78
, Med Surge HESI Real Exam
promote a sense of achievement or mastery. Sharing failures with the child's peers (A) for
feedback reinforces the child's feelings of failure.
During a well child visit, the mother of an infant states, "I will probably not have my baby
immunized because I am concerned about the risk of a severe reaction." Which response
should the PN provide?
a) have you talked with other parents about this decision
b) no immunization poses a greater risk for your child
c) you are making a mistake
d) it' is your decision –
Correct Answer :Answer: B
Rationale:
Although immunizations have caused reported adverse reactions in a small number of cases,
an infant who is not immunized is at greater risk of developing complications from childhood
diseases than from the vaccines (B). (A,C, and D) ignore the PN's responsibility to inform
parents about the risks to children who are not immunized.
Which play activity should the practical nurse (PN) provide a hospitalized 6 month old infant?
a) push and pull toys
b) ball rolling and hide and seek game
P a g e 3 | 78
, Med Surge HESI Real Exam
c) supervised water play
d) pat a cake and peek a boo –
Correct Answer :Answer: D
Rationale:
6 month old enjoy playing pat a cake and peek a boo (D). 12 month old infants enjoy (A). 4
months old infants enjoy (C). 9 month olds enjoy (B).
Which statement by a mother indicates that her 5 month old infant girl is ready for solid food?
a) i find that my baby really has to be encouraged to eat.
b) my baby has started to sit up without any support
c) when i give my baby solid foods she has difficulty getting it to the back of her throat to
swallow
d) i am surprised that my baby only weights 11 pounds. I expected her to have gained more
weight. –
Correct Answer :Answer: B
Rationale:
Voluntary skeletal muscular activities, such as sitting (B) and involuntary activities such as
absence of the protrusion reflex, are indicators of neuromuscular development. (A and C)
indicate that the infant is not interested in starting solid foods. The ability to manipulate foods
to the back of the throat is a sign that the infant is ready to manage solid foods, not (D).
P a g e 4 | 78
