RN HESI Pediatrics Proctored Exam 2

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Sample questions from RN HESI Pediatrics Proctored Exam 2

This material has 90 questions with answers and rationales. Here are the first 5.

1. 1.At a health visit, the parent of a 2-month-old infant asks how to support development. Which recommendation is most appropriate?

   • A.Offer supervised tummy time while the infant is awake
   • B.Introduce solid foods to encourage oral-motor development
   • C.Place the infant prone for sleep to strengthen the neck
   • D.Use a pillow to support the infant in a sitting position

   Rationale: Supervised tummy time while awake helps develop head and upper-body control. Prone sleep and pillows increase the risk of sleep-related injury, and solid foods are not developmentally appropriate for most 2-month-old infants. Follow safe-sleep guidance by placing the infant supine on a firm, flat surface for sleep.

2. 2.The nurse is teaching the caregivers of a 7-month-old about expected developmental skills. Which observations are generally expected at this age? Select all that apply.

   • A.Sits briefly without support
   • B.Transfers an object from one hand to the other
   • C.Walks independently across a room
   • D.Uses a neat pincer grasp
   • E.Babbles consonant sounds

   Rationale: Hand-to-hand transfer, brief unsupported sitting, and consonant babbling are commonly emerging skills around 7 months. A neat pincer grasp usually develops later, and independent walking is not expected at this age. Development varies, so skills should be interpreted with the child's overall pattern and screening results.

3. 3.A parent asks when to begin toilet training a healthy 2-year-old. Which response by the nurse is most appropriate?

   • A.Wait until the child can stay dry overnight
   • B.Require the child to sit on the toilet at set times until successful
   • C.Begin now because all children are ready by age 2
   • D.Look for signs of readiness, such as communicating the need to void

   Rationale: Toilet training is most successful when the child shows readiness, such as awareness of elimination, ability to communicate, and interest in using the toilet. Chronologic age alone does not determine readiness, and nighttime dryness may occur much later. Pressure or forced sitting can create conflict and delay progress.

4. 4.A 15-month-old points to a cup and says, "Ba," while looking at the caregiver. How should the nurse interpret this behavior?

   • A.It indicates a delay because words must be fully articulated
   • B.It is an example of expressive language and purposeful communication
   • C.It is an example of receptive language only
   • D.It is an example of echolalia

   Answer and rationale are in the full material.

5. 5.A 9-month-old cries when the parent leaves the room and reaches for the parent when the parent returns. Which interpretation is most accurate?

   • A.The parent should leave without returning to prevent reinforcement
   • B.The infant has developed an insecure attachment disorder
   • C.The infant is showing expected separation and stranger anxiety
   • D.The behavior indicates delayed social development

   Answer and rationale are in the full material.