PEDIATRIC HESI RN NURSING CARE OF CHILDREN LATEST
2022/2023 UPDATE COMPLETE SOLUTION
A nurse manager on a pediatric floor is preparing an education program on working with families for a
group of newly hired nurses. Which of the following should the nurse include when discussing the
developmental theory?
A. Describes that stress is inevitable
B. Emphasizes that change with one member affects the entire family
C. Provides guidance to assist families adapting to stress
D. Defines consistencies in how families change (correct answers)ANS: D
The nurse should include that the developmental theory defines consistencies in how families change.
The family stress theory describes (A) and (C). The family systems theory describes (B).
A nurse is assisting a group of parents on adolescents to develop skills that will improve communications
within the family. The nurse hears one parent state, "My son knows he better do what I say." Which of
the following parenting styles is the parent exhibiting?
A. Authoritarian
B. Permissive
C. Authoritative
D. Passive (correct answers)ANS: A
Using the authoritarian style, the parent controls the adolescent's behaviors and attitudes through
unquestioned rules and expectations.
Using the permissive parenting style, the parent exerts little or no control over the adolescent's
behaviors, and consults the adolescent when making decisions. Using the authoritative parenting style,
the parent directs the adolescent's behavior by setting rules and explaining the reason for each rule
setting. Using the passive parenting style, the parent is uninvolved, indifferent, and emotionally
removed.
,A nurse is performing a family assessment. Which of the following should the nurse include? (Select all
that apply.)
A. Medical history
B. Parents' educational level
C. Child's physical growth
D. Support systems
E. Stressors (correct answers)ANS: A, B, D, E
The nurse should include the child's physical growth (C) when performing an individual assessment on
the child.
A nurse is preparing to assess a preschool-age child. Which of the following is an appropriate action by
the nurse to prepare the child?
A. Allow the child to role-play using miniature equipment.
B. Use medical terminology to describe what will happen.
C. Separate the child from her parent during the examination.
D. Keep medical equipment visible to the child. (correct answers)ANS: A
The nurse should allow the child to role-play, or manipulate, actual or miniature equipment to reduce
anxiety and fear related to the examination.
The nurse should keep medical equipment out of sight unless showing or using it on the child.
A nurse is checking the vital signs of a 3-year-old child during a well-child visit. Which of the following
findings should the nurse report to the provider?
A. Temperature 99.0 F
B. Pulse 114/min
C. Respirations 30/min
D. Blood pressure 88/54 mm Hg (correct answers)ANS: C
,Respirations of 30/min is above the expected reference range for a 3-year-old child. The other findings
are within the expected reference range for a 3-year-old child.
A nurse is assessing a child's ears. Which of the following is an expected finding?
A. Light reflex is located at the 2 o'clock position.
B. Tympanic membrane is red in color.
C. Bony landmarks are not visible.
D. Cerumen is present bilaterally. (correct answers)ANS: D
The light reflex should be located around the 5 or 7 o'clock position. The tympanic membrane should be
a pearly pink, gray color. Bony landmarks should be visible.
A nurse is performing a neurological assessment on an adolescent. Which of the following is an
appropriate reaction by the adolescent when the nurse checks the trigeminal cranial nerve? (Select all
that apply.)
A. Clenching teeth together tightly
B. Recognizes sour tastes on the back of the tongue
C. Identifying smells through each nostril
D. Detecting facial touches with eyes closed
E. Looking down and in with the eyes (correct answers)ANS: A, D
(B) is an appropriate reaction when checking the glossopharyngeal cranial nerve. (C) is an appropriate
reaction when checking the olfactory nerve. (E) is an appropriate reaction when checking the trochlear
cranial nerve.
A nurse is assessing a 6-month-old infant. Which of the following reflexes should the infant exhibit?
A. Moro
B. Plantar Grasp
C. Stepping
D. Tonic neck (correct answers)ANS: B
, The plantar grasp is exhibited by infants from birth to the age of 8 months.
The moro reflex is exhibited by infants from birth to the age of 4 months. The stepping reflex is
exhibited by infants from birth to the age of 4 weeks. The tonic neck reflex is exhibited by infants from
birth to the age of 3 to 4 months.
The nurse is assessing a 12-month-old infant at a well-child visit. Which of the following findings should
the nurse report to the provider?
A. Closed anterior fontanel
B. Eruption of six teeth
C. Birth weight doubled
D. Birth length increased by 50% (correct answers)ANS: C
By the age of 12 months, the infant's birth weight should have tripled.
By the age of 12 to 18 months, the infant's anterior fontanel should close. By the age of 12 months, the
infant should have six to eight teeth erupted.
A nurse is performing a developmental screening on a 10-month-old infant. Which of the following fine
motor skills should the infant be able to perform? (Select all that apply.)
A. Grasp a rattle by the handle.
B. Try building a two-block tower
C. Use a crude pincer grasp
D. Place objects into a container
E. Move objects from hand to hand (correct answers)ANS: A, C, E
The infant should try building a two-block tower at the age of 12 months. The infant should be able to
place objects into a container at the age of 11 months.
2022/2023 UPDATE COMPLETE SOLUTION
A nurse manager on a pediatric floor is preparing an education program on working with families for a
group of newly hired nurses. Which of the following should the nurse include when discussing the
developmental theory?
A. Describes that stress is inevitable
B. Emphasizes that change with one member affects the entire family
C. Provides guidance to assist families adapting to stress
D. Defines consistencies in how families change (correct answers)ANS: D
The nurse should include that the developmental theory defines consistencies in how families change.
The family stress theory describes (A) and (C). The family systems theory describes (B).
A nurse is assisting a group of parents on adolescents to develop skills that will improve communications
within the family. The nurse hears one parent state, "My son knows he better do what I say." Which of
the following parenting styles is the parent exhibiting?
A. Authoritarian
B. Permissive
C. Authoritative
D. Passive (correct answers)ANS: A
Using the authoritarian style, the parent controls the adolescent's behaviors and attitudes through
unquestioned rules and expectations.
Using the permissive parenting style, the parent exerts little or no control over the adolescent's
behaviors, and consults the adolescent when making decisions. Using the authoritative parenting style,
the parent directs the adolescent's behavior by setting rules and explaining the reason for each rule
setting. Using the passive parenting style, the parent is uninvolved, indifferent, and emotionally
removed.
,A nurse is performing a family assessment. Which of the following should the nurse include? (Select all
that apply.)
A. Medical history
B. Parents' educational level
C. Child's physical growth
D. Support systems
E. Stressors (correct answers)ANS: A, B, D, E
The nurse should include the child's physical growth (C) when performing an individual assessment on
the child.
A nurse is preparing to assess a preschool-age child. Which of the following is an appropriate action by
the nurse to prepare the child?
A. Allow the child to role-play using miniature equipment.
B. Use medical terminology to describe what will happen.
C. Separate the child from her parent during the examination.
D. Keep medical equipment visible to the child. (correct answers)ANS: A
The nurse should allow the child to role-play, or manipulate, actual or miniature equipment to reduce
anxiety and fear related to the examination.
The nurse should keep medical equipment out of sight unless showing or using it on the child.
A nurse is checking the vital signs of a 3-year-old child during a well-child visit. Which of the following
findings should the nurse report to the provider?
A. Temperature 99.0 F
B. Pulse 114/min
C. Respirations 30/min
D. Blood pressure 88/54 mm Hg (correct answers)ANS: C
,Respirations of 30/min is above the expected reference range for a 3-year-old child. The other findings
are within the expected reference range for a 3-year-old child.
A nurse is assessing a child's ears. Which of the following is an expected finding?
A. Light reflex is located at the 2 o'clock position.
B. Tympanic membrane is red in color.
C. Bony landmarks are not visible.
D. Cerumen is present bilaterally. (correct answers)ANS: D
The light reflex should be located around the 5 or 7 o'clock position. The tympanic membrane should be
a pearly pink, gray color. Bony landmarks should be visible.
A nurse is performing a neurological assessment on an adolescent. Which of the following is an
appropriate reaction by the adolescent when the nurse checks the trigeminal cranial nerve? (Select all
that apply.)
A. Clenching teeth together tightly
B. Recognizes sour tastes on the back of the tongue
C. Identifying smells through each nostril
D. Detecting facial touches with eyes closed
E. Looking down and in with the eyes (correct answers)ANS: A, D
(B) is an appropriate reaction when checking the glossopharyngeal cranial nerve. (C) is an appropriate
reaction when checking the olfactory nerve. (E) is an appropriate reaction when checking the trochlear
cranial nerve.
A nurse is assessing a 6-month-old infant. Which of the following reflexes should the infant exhibit?
A. Moro
B. Plantar Grasp
C. Stepping
D. Tonic neck (correct answers)ANS: B
, The plantar grasp is exhibited by infants from birth to the age of 8 months.
The moro reflex is exhibited by infants from birth to the age of 4 months. The stepping reflex is
exhibited by infants from birth to the age of 4 weeks. The tonic neck reflex is exhibited by infants from
birth to the age of 3 to 4 months.
The nurse is assessing a 12-month-old infant at a well-child visit. Which of the following findings should
the nurse report to the provider?
A. Closed anterior fontanel
B. Eruption of six teeth
C. Birth weight doubled
D. Birth length increased by 50% (correct answers)ANS: C
By the age of 12 months, the infant's birth weight should have tripled.
By the age of 12 to 18 months, the infant's anterior fontanel should close. By the age of 12 months, the
infant should have six to eight teeth erupted.
A nurse is performing a developmental screening on a 10-month-old infant. Which of the following fine
motor skills should the infant be able to perform? (Select all that apply.)
A. Grasp a rattle by the handle.
B. Try building a two-block tower
C. Use a crude pincer grasp
D. Place objects into a container
E. Move objects from hand to hand (correct answers)ANS: A, C, E
The infant should try building a two-block tower at the age of 12 months. The infant should be able to
place objects into a container at the age of 11 months.
