Pediatrics RN HESI NGN Test Bank

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Sample questions from Pediatrics RN HESI NGN Test Bank

This material has 150 questions with answers and rationales. Here are the first 5.

1. 1.During a 2-month well-child visit, a parent reports that the infant sleeps in a car seat because the infant seems more comfortable there. Which instruction is most important to include?

   • A.Place the infant on the side with a rolled blanket to prevent turning.
   • B.Place the infant supine in a separate, firm, flat sleep space for every sleep.
   • C.Allow the infant to sleep in the car seat if the straps are secured.
   • D.Use a soft pillow to keep the infant's head in a midline position.

   Rationale: A supine position on a firm, flat surface in a separate sleep space reduces the risk of sleep-related infant death. Side positioning, pillows, and rolled blankets are unsafe because they can increase the risk of airway obstruction or entrapment. A car seat is appropriate for travel, but it is not a routine sleep surface; transfer the infant to a safe sleep space when practical.

2. 2.At an 18-month well-child visit, a toddler uses gestures but has no spoken words and does not point to share interest. Which action by the nurse is best?

   • A.Suggest limiting interactions with siblings so the toddler will speak more.
   • B.Reassure the parent that expressive language commonly begins after age 2.
   • C.Schedule a routine screening at the next annual visit.
   • D.Recommend a developmental evaluation and referral for early intervention.

   Rationale: No spoken words and absent pointing to share interest at 18 months are concerning findings that warrant prompt developmental evaluation and early-intervention referral. Reassurance or waiting until the next annual visit could delay helpful services. Reducing sibling interaction does not address the developmental concerns and may limit opportunities for communication.

3. 3.Refer to the client's chart. Which actions should the nurse take to address the infant's growth pattern? Select all that apply.

   • A.Tell the parent to add cereal to every bottle to increase caloric intake.
   • B.Plot the serial weight, length, and head circumference on the appropriate growth chart.
   • C.Obtain a detailed feeding history, including feeding duration and preparation of formula.
   • D.Observe a feeding and assess the infant's suck, swallow, and feeding endurance.
   • E.Wait until the next routine visit because the infant's length is still increasing.

   Rationale: The chart shows weight falling from the 35th percentile at 2 months to below the 5th percentile at 6 months, while length remains near the 25th percentile, so the nurse should verify and plot measurements and assess intake and feeding ability. Adding cereal to bottles without an individualized evaluation is not an appropriate first intervention and can create safety concerns. Waiting is not appropriate because the downward weight trajectory requires timely assessment despite continued linear growth.

4. 4.In the pediatric unit, a hospitalized 4-year-old cries when the parent leaves and refuses an unfamiliar procedure. Which approach is most likely to support the child's developmental needs?

   • A.Provide a simple explanation immediately before the procedure and offer a limited choice.
   • B.Explain the procedure in detail several days in advance to allow time for preparation.
   • C.Use abstract explanations about long-term health consequences.
   • D.Ask the parent to leave so the child will focus on the staff.

   Answer and rationale are in the full material.

5. 5.At a school health visit, an 8-year-old with newly diagnosed type 1 diabetes asks to practice checking blood glucose. Which response best supports development while maintaining safety?

   • A.Direct all teaching to the caregiver because school-age children cannot learn self-care routines.
   • B.Require the child to manage all glucose checks independently to build confidence.
   • C.Allow the child to practice with supervision and have the caregiver verify results and treatment decisions.
   • D.Tell the child that diabetes care is an adult responsibility until adolescence.

   Answer and rationale are in the full material.