HESI PN NURSING CARE OF CHILDREN PROCTORED EXAM

HESI PN NURSING CARE OF CHILDREN PROCTORED EXAM

VERSION 3

Chapter 1 Family Centered Nursing Care 1. 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

• Emphasizes that change with one member affects

the entire family

• Provides guidance to assist families adapting to

stress D. Defines consistencies in how families change 1a

• T he family stress theory describes that stress is inevitable.
• T he family systems theory emphasizes that change with one

member affects the entire family.

• T he family stress theory provides guidance to assist families

adapting to stress.

D. CORRECT: The nurse should include that thedevelopmental theory

defines consistencies in how families change.1b

• A nurse is assisting a group of parents of adolescents to

develop skills that will improve communication 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?

• Authoritarian
• Permissive
• Authoritative
• Passive

2a

• CORRECT: This parent is exhibiting an authoritarian parenting style. The parent controls the

adolescent's behaviors and attitudes through unquestioned rules and expectations.

• T his parent is not exhibiting a permissive parenting style. Using this style, the parent exerts

little or no control over the adolescent's behaviors, and consults the adolescent when making decisions. C. T his parent is not exhibiting an authoritative parenting style. Using this style, the parent directs the adolescent's behavior by setting rules and explaining the reason for each rule setting.

• T his parent is not exhibiting a passive parenting style. Using this style, the parent is uninvolved,

indifferent, and emotionally

removed. 2b

• A nurse is performing family assessment. Which of

the following should the nurse include? (Select all that apply.)

• Medical history
• Parents' education level
• Child's physical growth
• Support systems
• Stressors

3a

• CORRECT: The nurse should include a medical history on the parents, siblings, and grandparents when

performing a family assessment. B. CORRECT: The nurse should include the family structure, which includes family members, family size, roles/position within the family, and occupation and education of family members, when performing a family assessment.

• T he nurse should include the child's physical growth when performing an individual

assessment on the child.

• CORRECT: The nurse should include support systems to determine the availability of

extended family, work and peer relationships, and social systems and community resources to assist the family in meeting needs when performing a family assessment.

• CORRECT: The nurse should include stressors, both expected and unexpected, when

performing a family assessment.3b Chapter 2 Physical Assessment Findings 1. 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.

• Use medical terminology to describe what will

happen.

• Separate the child from her parent during the

examination. D. Keep medical equipment

visible to the child. 4a

• CORRECT: The nurse should allow the child to role‑play or manipulate actual

or miniature equipment to reduce anxiety and fear related to the examination.

• T he nurse should use neutral words and avoidoverestimating the

child's understanding of words when describing what will happen.

• T he nurse should encourage parental presence during the

examination.

• T he nurse should keep medical equipment out of sight unless showing

or using it on the child.4b

• 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 37.2˚ C (99.0˚ F)

• Heart rate 106/min
• Respirations 30/min
• Blood pressure 88/54 mm Hg

5a

• A temperature of 37.2˚ C (99.0˚ F) is within the expected reference range for a 3‑year‑old child and

should not be reported to the provider. B. A heart rate of 106/min is within the expected reference range for a 3‑year‑old child and should not be reported to the provider.

• CORRECT: Respirations of 30/min is above the expected reference range for a 3‑year‑old child

and should be reported to the provider.

• A blood pressure of 90/52 mm Hg is within the expected reference range for a 3‑year‑old child

and should not be reported to the provider.

5b

• A nurse is assessing a child's ears. Which of

the following is an expected finding?

• Light reflex is located at the 2 o'clock

position. B. Tympanic membrane is red in color.

• Bony landmarks are not visible. D. Cerumen is

present bilaterally.6a

• T he light reflex should be located around the 5 or 7 o'clock

position.

• T he tympanic membrane should be a pearlypink, or gray color.
• Bony landmarks should be visible.

D. CORRECT: The presence of cerumenbilaterally is an expected

finding.6b

• A nurse is assessing a 6‑month‑old infant. Which of

the following reflexes should the infant exhibit?

• Moro
• Plantar grasp
• Stepping

• Tonic neck

7a

• T he Moro reflex is exhibited by infants from birth to the age

of 4 months.

B. CORRECT: The plantar grasp is exhibited by infants from

birth to the age of 8 months.

• T he stepping reflex is exhibited by infants from birth to the

age of 4 weeks.

• T he tonic neck reflex is exhibited by infants from birth to the

age of 3 to 4 months.7b

• 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.)

• Clenching teeth together tightly
• Recognizing sour tastes on the back of the tongue
• Identifying smells through each nostril
• Detecting facial touches with eyes closed E. Looking

down and in with the eyes 8a

• CORRECT: Clenching teeth together tightly is an appropriate reaction by the adolescent when

checking the trigeminal cranial nerve. B. Recognizing sour tastes on the back of the tongue is an appropriate reaction by the adolescent when checking the glossopharyngeal cranial nerve.

• I dentifying smells through each nostril is an appropriate reaction by the adolescent when

checking the olfactory cranial nerve.

• CORRECT: Detecting facial touches with eyes closed is an appropriate reaction by the

adolescent when checking the trigeminal cranial nerve. E. L ooking down and in with the eyes is an appropriate reaction by the adolescent when checking the trochlear cranial nerve

8b Chapter Health Promotions of Infants (2 Days to 1 Year)

• A nurse is assessing a 12-month-old infant during a well-

child visit. Which of the following findings should the nurse report to the provider?

• Closed anterior fontanel
• Eruption of six teeth
• Birth weight doubled
• Birth length increased by 50%

9a

• By the age of 12 to 18 months, the infant's anterior fontanel should

close.