nsg 222 HESI final
1. A mother tells the nurse that her child does not want A
anything to do with toilet
training and yells "NO!" consistently when she tries to
toilet train. The child is 2
years old. According to Erikson, the nurse interprets
that the child is experiencing
which psychosocial crisis?"
a. autonomy vs shame and doubt
b. initiative vs guilt
c. industry vs inferiority
d. trust vs mistrust
2. A 2-year-old child is admitted to the hospital with ju- A
venile rheumatoid arthritis
(JRA). During the focused assessment, the nurse
makes it a priority to note the
presence of which of the following?"
a. increased irritability and the child's insistence to be
carried out
b. complaints of joint stiffness
c. history of daily temperature elevations
d. description of how difficult it is to move around after
periods of inactivity
3. A mother of a toddler who is hospitalized with mild B
dehydration must leave her
child to go to work. Which behavior would the nurse
expect to observe in the
toddler immediately after the mother's departure?
, nsg 222 HESI final
a. silently curled in bed with a blanket
b. loudly crying and kicking both legs
c. playing quietly with a favorite toy
d. sucking thumb and rocking back and forth
4. "A newborn infant is diagnosed with hypospadias, and A
the mother asks the nurse
about the disorder. The nurse bases the response on
which of the following?"
a. it is a congenital anomaly in which the actual open-
ing of the urethra meatus is
below the normal placement on the glans penis
b. it occurs when one or both testes fail to descend
through the inguinal canal into
the scrotal sac
c. it is a congenital anomaly in which the actual open-
ing of the urethral meatus is
dorsal to the urethral opening
d. it is a congential anomaly characterized by the ex-
trusion of the urinary bladder to
the outside of the body
5. A home care nurse is providing instructions to a child A
with cystic fibrosis about how
to perform the "huff" maneuver; the child asks the
nurse about the purpose of this
type of breathing. The nurse makes which response to
the child?
a. "this type of breathing is used to mobilize secretions
so that they can be easily
, nsg 222 HESI final
coughed out"
b. "this type of breathing prolongs inspiration time"
c. "this type of breathing moves air out of the lower
lungs"
d. "this type of breathing moves air through the lungs"
6. A home care nurse is instructing the mother of a child B
with cystic fibrosis (CF) about
the appropriate dietary measures. The nurse tells the
mother that the child needs to consume a:
a. low calorie, low fat diet
b. high calorie, high protein diet
c. low calorie, low protein diet
d. high calorie, restricted fat
7. Breathing exercises and postural drainage is pre- A
scribed for a child with cystic fibrosis. A nurse imple-
ments these procedures by telling the child to:
a. perform the postural drainage, then the breathing
exercises
b. perform the breathing exercises, then the postural
drainage
c. schedule the procedures so they are 4 hours apart
d. perform postural drainage in the morning and
breathing exercises in the evening
8. A nurse is reviewing the results of a sweat test per- D
formed on a child with cystic
fibrosis (CF). The nurse would expect to note which
finding?
, nsg 222 HESI final
a. a sweat sodium concentration less than 40 mEq/L
b. a sweat potassium concentration less than 40
mEq/L
c. a sweat potassium concentration greater than 40
mEq/L
d. a sweat sodium concentration greater than 60
mEq/L
9. Methylphenidate (Ritalin) is prescribed for a child with B
a diagnosis of attention
deficit hyperactivity disorder (ADHD). The nurse pro-
vides instructions to the
mother regarding the administration of the medica-
tion and tells the mother to administer the medica-
tion:
a. before dinner and at bedtime
b. before breakfast and before the noontime meal
c. in the morning after breakfast and at bedtime
d. at the noontime and evening meals
10. "Methylphenidate hydrochloride (Ritalin) is prescribed C
for a 10-year-old child
diagnosed with attention deficit hyperactivity disor-
der, and the nurse provides
instructions to the mother about administration of the
medication. The nurse
determines that the mother understands the instruc-
tions when the mother states:"
a. I will give my child the medication at bedtime so that
he will be rested and alert
1. A mother tells the nurse that her child does not want A
anything to do with toilet
training and yells "NO!" consistently when she tries to
toilet train. The child is 2
years old. According to Erikson, the nurse interprets
that the child is experiencing
which psychosocial crisis?"
a. autonomy vs shame and doubt
b. initiative vs guilt
c. industry vs inferiority
d. trust vs mistrust
2. A 2-year-old child is admitted to the hospital with ju- A
venile rheumatoid arthritis
(JRA). During the focused assessment, the nurse
makes it a priority to note the
presence of which of the following?"
a. increased irritability and the child's insistence to be
carried out
b. complaints of joint stiffness
c. history of daily temperature elevations
d. description of how difficult it is to move around after
periods of inactivity
3. A mother of a toddler who is hospitalized with mild B
dehydration must leave her
child to go to work. Which behavior would the nurse
expect to observe in the
toddler immediately after the mother's departure?
, nsg 222 HESI final
a. silently curled in bed with a blanket
b. loudly crying and kicking both legs
c. playing quietly with a favorite toy
d. sucking thumb and rocking back and forth
4. "A newborn infant is diagnosed with hypospadias, and A
the mother asks the nurse
about the disorder. The nurse bases the response on
which of the following?"
a. it is a congenital anomaly in which the actual open-
ing of the urethra meatus is
below the normal placement on the glans penis
b. it occurs when one or both testes fail to descend
through the inguinal canal into
the scrotal sac
c. it is a congenital anomaly in which the actual open-
ing of the urethral meatus is
dorsal to the urethral opening
d. it is a congential anomaly characterized by the ex-
trusion of the urinary bladder to
the outside of the body
5. A home care nurse is providing instructions to a child A
with cystic fibrosis about how
to perform the "huff" maneuver; the child asks the
nurse about the purpose of this
type of breathing. The nurse makes which response to
the child?
a. "this type of breathing is used to mobilize secretions
so that they can be easily
, nsg 222 HESI final
coughed out"
b. "this type of breathing prolongs inspiration time"
c. "this type of breathing moves air out of the lower
lungs"
d. "this type of breathing moves air through the lungs"
6. A home care nurse is instructing the mother of a child B
with cystic fibrosis (CF) about
the appropriate dietary measures. The nurse tells the
mother that the child needs to consume a:
a. low calorie, low fat diet
b. high calorie, high protein diet
c. low calorie, low protein diet
d. high calorie, restricted fat
7. Breathing exercises and postural drainage is pre- A
scribed for a child with cystic fibrosis. A nurse imple-
ments these procedures by telling the child to:
a. perform the postural drainage, then the breathing
exercises
b. perform the breathing exercises, then the postural
drainage
c. schedule the procedures so they are 4 hours apart
d. perform postural drainage in the morning and
breathing exercises in the evening
8. A nurse is reviewing the results of a sweat test per- D
formed on a child with cystic
fibrosis (CF). The nurse would expect to note which
finding?
, nsg 222 HESI final
a. a sweat sodium concentration less than 40 mEq/L
b. a sweat potassium concentration less than 40
mEq/L
c. a sweat potassium concentration greater than 40
mEq/L
d. a sweat sodium concentration greater than 60
mEq/L
9. Methylphenidate (Ritalin) is prescribed for a child with B
a diagnosis of attention
deficit hyperactivity disorder (ADHD). The nurse pro-
vides instructions to the
mother regarding the administration of the medica-
tion and tells the mother to administer the medica-
tion:
a. before dinner and at bedtime
b. before breakfast and before the noontime meal
c. in the morning after breakfast and at bedtime
d. at the noontime and evening meals
10. "Methylphenidate hydrochloride (Ritalin) is prescribed C
for a 10-year-old child
diagnosed with attention deficit hyperactivity disor-
der, and the nurse provides
instructions to the mother about administration of the
medication. The nurse
determines that the mother understands the instruc-
tions when the mother states:"
a. I will give my child the medication at bedtime so that
he will be rested and alert
