NUR 4827 GROWTH AND DEVELOPMENT HESI Q & AS DOWNLOAD TO SCORE A

1.A child is frightened and refuses to use the toilet after watching a television commercial that shows the toilet

bowl turning into a monster and swallowing the person using it. Which behavior does the child exhibit?

Animism

2. The diabetic parent of a school-age child receives home care education for diabetes. The parent needs to take

multiple medications. Which instruction does the nurse give for the child’s safety?

Store medications away from the child’s reach

3. The parents inform the nurse that their child often engages in ‘doctor play’ with other kids, with an aim to

learn more about the sexual organs. The parents have often expressed their disapproval to the child, but it has no

effect on the child’s behavior. What does the nurse suggest to the parents?

“Tell the child to talk about any questions related to sexuality.

4. The parent of a school-age child tells the nurse, “Sometimes my child is fatigued in the morning.” Upon

assessment, the nurse finds that the blood and urine reports of the child are normal. What could be the possible

cause of the child’s fatigue?

The child often stays up late

5. The parents of a school-age child tell the nurse, “We evade any questions about sex that our child asks us. It

is very embarrassing to discuss such things with our child.” What does the nurse inform the parents?

The child may speak with peers and get inaccurate information.

6. A school-age child is mostly at home after school and gets engrossed in video games. Once a week, the child

engages in swimming activity. The child’s family also often orders fast food from restaurants. What does the

nurse need to inform the parents about the child?

The child is at risk for childhood obesity

7. The nurse observes an infant using his thumb and index finger to hold an object. What does the nurse infer

from this?

The infant is showing crude pincer grasp reflex

8. The nurse instructs parents to avoid placing their infant in a prone position while sleeping. Which risk does

the nurse seek to prevent with this instruction?

Sudden infant death syndrome

9. The mother of a 2-year-old girl expresses concern that her daughter's growth rate has slowed. What should

the nurse explain to the mother about the growth of toddlers?

"This growth pattern is typical at this age."

10. Which fine motor skill will be seen in a 10-month-old infant?

Picking up finger foods

11. A child watches an older sibling playing with a ball, but makes no effort to participate in the play. What

social character of play is the child exhibiting?

Onlooker play

12. An 8-year-old child is being prepared for surgery the next day. How should the nurse present preoperative

instructions to this child?

By focusing on simple anatomical diagrams

13. When assessing a neonate and mother after a vaginal delivery, the nurse finds that the neonate’s blood group

is B positive and mother’s is AB negative. The nurse also finds that the mother is negative to Coombs’ test.

What is the appropriate intervention in this situation?

Administer RhoGAM intramuscularly to the mother within 72 hours of delivery.

14. The parents of a preschooler are worried, as the child is often seen talking to imaginary friends. The parents

admit that they often scold the child for such behavior. What does the nurse inform the parents?

The behavior is normal at this age and it will help counter loneliness.

15. The nurse is instructing the parents of a 6-month-old infant about sleeping patterns and the best sleeping

positions for their child. Which instruction regarding sleep position is most important?

“Place the infant in a supine position for sleep.”

16. After completing the physical examination of a 6-month-old infant, the nurse compares the infant’s height,

weight, and head circumference with the previous findings. What does the nurse infer from these findings?

The infant is developing normally

17. The nurse is assessing a newborn whose parents are Asian. The nurse finds that the child has irregular, deepblue pigmentation on the gluteal regions. What does the nurse interpret from these findings?

The child has mongolian spots

18. The nurse observes that there is plaque on the child’s teeth. There are also signs of simple gum

inflammation. Which condition does the nurse suspect in the child?

Gingivitis

19. According to Erikson’s theory of psychosocial development, which attribute plays an important role in the

development of a healthy personality from birth to 1 year of age?

Trust versus mistrust

20. The parents of a preschooler tell the nurse that they try to inculcate good eating habits by asking the child to

be at the table until the “plate is clean.” What condition is the child at risk for?

Poor eating habits

21. Upon interacting with the parent of an 8-month-old infant, the nurse anticipates that the infant is at risk of

childhood obesity. Which statement from the parent supports the nurse’s assumption?

"I often give my child potato chips."

22. The nurse is educating the mother of an 8-year-old female about the sequences of maturational changes.

Which response by the mother indicates effective learning?

Appearance of breast buds is an initial indication of puberty.

23. A child who has persistent inattentive behavior is prescribed methylphenidate hydrochloride. Which

behavior indicates that the child needs further treatment?

The child experiences difficulty keeping school supplies organized.

24. A community health nurse makes a home visit to a disabled 13-year-old client who has a 6-month-old infant

sister. The infant lies quietly in her crib and rarely smiles or vocalizes; it appears that the infant barely has her

basic needs met. What is the nurse's most appropriate intervention?

Determine if there is anyone who can help with chores and the infant's care

25. Which formula is most preferable for a child who has lactose intolerance?

Soy-based formula

26. While assessing the development of an 8-month-old infant, the nurse finds that the infant is interested in

playing with food, water, and sand. Which type of content play interests the child?

Sense-pleasure

27. The nurse is assessing the development of a child and observes family photographs of the child. The nurse

finds that the child participates in play as seen in the image. Which type of play interaction does the child

participate in as depicted in the image?

Parallel play

28. The nurse is explaining to the mother of two teenage children why her daughter’s height is comparatively

less than her son’s height. What is the reason for lower overall height in girls compared to boys?

Closure of epiphyses due to estrogen secretion

29. The nurse is teaching a group of adolescents about the calendar method of contraception. Which statement

made by an adolescent indicates effective learning?

This type of contraception requires a regular menstrual cycle."

30. The parents of a child often try to persuade their preschooler to touch their pet dog because they want to

reduce the child’s fear of dogs. Instead, the child’s fears and anxiety increase. What does the nurse suggest the

parents do to help overcome their child’s fear?

“Let the child watch other children playing with dogs

31. During a follow-up visit, the mother of a 10-month-old infant says, "My child lifts one foot to take a step,

stands by holding the furniture, but does not attempt to stand alone without support, and walks while holding

onto a hand." What is the accurate nursing response in this situation?

"Your child should be able to stand alone in another 2 months.

32. The nurse is assessing head growth in a 7-month-old infant. The nurse observes that the rate of the growth

has been 0.5 cm since the 6-month check-up. What does the nurse tell the parents about the child’s

development?

The child’s head growth is normal.”

33. When assessing the reflexes of a 4-month-old infant, the nurse observes that the infant is extending an arm

to the side while the head is turned. Which reflex does the nurse observe?

Tonic neck reflex

34. Which finding indicates that a newborn has vernix caseosa

Cheese-like substance on the skin

35. The mother of an infant with Down syndrome asks the nurse what causes the disorder. Before responding,

the nurse recalls that the genetic factor of Down syndrome results from:

Extra chromosomal materia

36. The site of choice for administration of an intramuscular (IM) medication to an infant is

Vastus laterali

37. Which instruction does the nurse give to the parents to help their child get accustomed to a new babysitter?

Stay close and allow the child to observe the babysitter.”

38. The nurse observes that a school-age child does not have proper oral hygiene and, therefore, is at an

increased risk for oral problems. The parents tell the nurse that the child brushes teeth independently. What does

the nurse suggest to the parents?

Help the child with brushing and flossing.”

39. A 6-month-old infant is admitted to the pediatric unit with a diagnosis of failure to thrive. The birthweight

was 7 lb. Judging from growth and development charts, how many pounds does the nurse conclude that the

infant should weigh?

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