Exit HESI Test Bank (answered) spring 2023
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
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?
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
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
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
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?
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."
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."
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, 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
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 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? 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
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
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?
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
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
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
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?
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."
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."
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, 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
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 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? 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
