ADHD - HESI Case Study Questions

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ADHD - HESI Case Study Questions and Answers | Latest Version | 2025/2026 | Correct & Verified

A parent of a child with ADHD asks about medication administration. Which response by the nurse is correct?

• “Give the dose right before bedtime.”
• “Skip doses on weekends without approval.”

✔✔C. “Administer the medication early in the morning.”

• “Increase the dose if your child is still active.”

Which action should the nurse take first when teaching parents about ADHD management?

• Explain how to set up reward systems

✔✔B. Review safe administration of prescribed medication

• Discuss long-term academic planning
• Refer to a dietitian for weight management

A teacher is concerned about a student with ADHD disrupting class. What is the best recommendation? 1 / 4

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• Seat the child near the door for frequent exits

✔✔B. Provide structured routines and clear expectations

• Allow the child to avoid all assignments
• Place the child in time-out for long periods

Which nursing intervention best supports medication adherence in an adolescent with ADHD?

• Tell the teen to self-adjust the dosage when needed

✔✔B. Encourage the use of a daily pill organizer and reminders

• Suggest taking the medication only when at school
• Advise the parent to hide the medication

Which parental statement shows a need for further teaching?

• “I will monitor my child’s growth and weight.”
• “I will give the medication after a healthy breakfast.”

✔✔C. “I will stop the medication once symptoms improve.”

• “I will keep consistent rules at home.”

Which side effect of stimulant medication should the nurse prioritize? 2 / 4

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• Mild headaches
• Occasional irritability

✔✔C. Chest pain or palpitations

• Temporary loss of appetite

When planning care for a child with ADHD, which goal is most realistic?

• The child will sit still for 6 hours daily.

✔✔B. The child will demonstrate improved focus with structured breaks.

• The child will never interrupt again.
• The child will complete all tasks independently at once.

Which classroom strategy is most beneficial for a child with ADHD?

• Provide long, complex instructions.

✔✔B. Break tasks into smaller steps.

• Assign the child to noisy group work.
• Use punishment for minor mistakes.
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A nurse observes a parent disciplining a child with ADHD. Which action shows effective discipline?

• Yelling loudly when the child interrupts

✔✔B. Using time-out consistently for unsafe behavior

• Ignoring all misbehavior
• Removing all rewards permanently

Which dietary strategy helps manage side effects of ADHD medication?

• Skipping meals to reduce hyperactivity
• Limiting protein intake

✔✔C. Providing high-calorie snacks later in the day

• Avoiding fluids with medication

Which nurse statement best explains ADHD treatment goals?

• “The goal is to cure ADHD completely.”
• “Your child will stop needing help in school.”

✔✔C. “The goal is to improve attention and reduce impulsivity.”

• “Medication alone is enough.”
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