2022 HESI Child Care Exit Exam Version 2 With Answers (159 Solved Questions)

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HESI EXIT Exam V2 Latest2022The nurse is caring for a pre-adolescent client in skeletal Dunlop traction. Whichnursing intervention is appropriate for this child?Make certain the child is maintained in correct body alignment.Be sure the traction weights touch the end of the bed.Adjust the head and foot of the bed for the child's comfortRelease the traction for 15-20 minutes every 6 hours PRN.The nurse is assessing a healthy child at the 2 year check up. Which of the followingshould the nurse report immediately to the health care provider?Height and weight percentiles vary widelyGrowth pattern appears to have slowedRecumbent and standing height are differentShort term weight changes are unevenThe parents of a 2 year-old child report that he has been holding his breath wheneverhehas temper tantrums. What is the best action by the nurse?Teach the parents how to perform cardiopulmonary resuscitationRecommend that the parents give in when he holds his breath to prevent anoxia Advisethe parents to ignore breath holding because breathing will begin as a reflexInstructthe parents on how to reason with the child about possible harmful effectsThe nurse is assessing a client in the emergency room. Which statement suggests thatthe problem is acute angina?"My pain is deep in my chest behind my sternum.""When I sit up the pain gets worse.""As I take a deep breath the pain gets worse.""The pain is right here in my stomach area.".The nurse is assessing the mental status of a client admitted with possible organic braindisorder. Which of these questions will best assess the function of the client's recentlOMoARcPSD|13445102

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memory?"Name the year." "What season is this?" (pause for answer after each question)"Subtract 7 from 100 and then subtract 7 from that." (pause for answer) "Nowcontinue to subtract 7 from the new number.""I am going to say the names of three things and I want you to repeat them after me:blue, ball, pen.""What is this on my wrist?" (point to your watch) Then ask, "What is the purpose ofit?"In planning care for a 6 month-old infant, what must the nurse provide to assist in thedevelopment of trust?FoodWarmth C)SecurityD) ComfortA nurse has just received a medication order which is not legible. Which statementbest reflects assertive communication?A) "I cannot give this medication as it is written. I have no idea of what you mean."B)"Would you please clarify what you have written so I am sure I am reading itcorrectly?""I am having difficulty reading your handwriting. It would save me time if you would bemore careful.""Please print in the future so I do not have to spend extra time attempting to read yourwriting."What is the most important consideration when teaching parents how to reduce risks inthe home?Age and knowledge level of the parentsProximity to emergency servicesNumber of children in the home D)Age of children in the homelOMoARcPSD|13445102

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A 35 year-old client with sickle cell crisis is talking on the telephone but stops asthenurseenterstheroomtorequestsomethingforpain.ThenurseshouldAdminister a placeboEncourage increased fluid intake C)Administer the prescribed analgesiaD) Recommend relaxation exercises for pain controlWhile caring for a toddler with croup, which initial sign of croup requires thenurse's immediate attention?Respiratory rate of 42Lethargy for the past hourApical pulse of 54Coughing up copious secretionsA client is admitted with low T3 and T4 levels and an elevated TSH level. On initialassessment, the nurse would anticipate which of the following assessment findings?A)LethargyHeat intoleranceDiarrheaSkin eruptionsThe emergency room nurse admits a child who experienced a seizure at school. Thefather comments that this is the first occurrence, and denies any family history ofepilepsy. What is the best response by the nurse?A) "Do not worry. Epilepsy can be treated with medications." B)"The seizure may or may not mean your child has epilepsy.""Since this was the first convulsion, it may not happen again.""Long term treatment will prevent future seizures."Alcohol and drug abuse impairs judgment and increases risk taking behavior. Whatnursing diagnosis best applies?Risk for injuryRisk for knowledge deficitlOMoARcPSD|13445102

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Altered thought processDisturbance in self-esteemThe nurse is caring for a 10 month-old infant who is has oxygen via mask. It isimportant for the nurse to maintain patency of which of theseareas?MouthNasalpassagesBackof throatBronchialsThe nurse is providing instructions for a client with pneumonia. What is the mostimportant information to convey to the client?"Take at least 2 weeks off from work.""You will need another chest x-ray in 6 weeks.""Take your temperature every day.""Complete all of the antibiotic even if your findings decrease."When counseling a 6 year old who is experiencing enuresis, what must the nurseunderstand about the pathophysiological basis of this disorder?Has no clear etiologyMay be associated with sleep phobiaHas a definite genetic linkIs a sign of willful misbehaviorThe nurse is discussing negativism with the parents of a 30 month-old child. Howshould the nurse tell the parents to best respond to this behavior?Reprimand the child and give a 15 minute "time out"Maintain a permissive attitude for this behaviorUse patience and a sense of humor to deal with this behaviorAssert authority over the child through limit settingThe nurse is talking by telephone with a parent of a 4 year-old child who haschickenpox. Which of the following demonstrates appropriate teaching by thenurse?Chewable aspirin is the preferred analgesiclOMoARcPSD|13445102

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Topical cortisone ointment relieves itchingPapules, vesicles, and crusts will be present at one timeTheillness is only contagious prior to lesion eruptionThe nurse is assigned to a client who has heart failure. During the morningrounds the nurse sees the client develop sudden anxiety, diaphoresis anddyspnea. The nurse auscultates, crackles bilaterally.Which nursing intervention should be performed first?Take the client's vital signsPlace the client in a sitting position with legs danglingContact the health care providerAdminister the PRN anti-anxiety agentThe nurse is caring for a toddler with atopic dermatitis. The nurse should instructthe parents toDress the child warmly to avoid chillingKeep the child away from other children for the duration of the rashCleanthe affected areas with tepid water and detergentWrap the child's hand in mittens or socks to prevent scratchingA recovering alcoholic asked the nurse, "Will it be ok for me to just drink at specialfamily gatherings?" Which initial response by the nurse would be best?"A recovering person has to be very careful not to lose control, therefore, confine yourdrinkingjust at family gatherings.""At your next AA meeting discuss the possibility of limited drinking with yoursponsor.""A recovering person needs to get in touch with their feelings. Do you want a drink?" D) "Arecovering person cannot return to drinking without starting the addiction process over."In taking the history of a pregnant woman, which of the following would thenurse recognize as the primary contraindication for breast feeding?Age 40 yearsLactose intolerancelOMoARcPSD|13445102

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Family history of breast cancerD) Uses cocaine on weekendsA client is receiving nitroprusside IV for the treatment of acute heart failure withpulmonary edema. What diagnostic lab value should the nurse monitor in relationto this medication?PotassiumArterial blood gassesBlood urea nitrogen D)ThiocyanateA victim of domestic violence tells the batterer she needs a little time away.How would the nurse expect that the batterer might respond?With acceptance and views the victim’s comment as an indication that their marriage isintroubleWith fear of rejection causing increased rage toward the victimWith a new commitment to seek counseling to assist with their marital problemsWith relief, and welcomes the separation as a means to have some personal timeA postpartum mother is unwilling to allow the father to participate in the newborn'scare,although he is interested in doing so. She states, "I am afraid the baby will be confusedabout who the mother is. Baby raising is for mothers, not fathers." The nurse's initialintervention should be what focus?Discuss with the mother sharing parenting responsibilitiesSet time aside to get the mother to express her feelings and concernsArrangefor the parents to attend infant care classesTalk with the father and help him accept the wife's decisionA client with emphysema visits the clinic. While teaching about proper nutrition, thenurse should emphasize that the clientA) Eat foods high in sodium increases sputum liquefaction B)Useoxygen during meals improves gas exchangePerform exercise after respiratory therapy enhances appetiteCleanse the mouth of dried secretions reduces risk of infectionlOMoARcPSD|13445102

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Which of these parents’ comment for a newborn would most likely reveal an initialfinding of a suspected pyloric stenosis?I noticed a little lump a little above the belly button.The baby seems hungry all the time.Mild vomiting that progressed to vomiting shooting across the room.Irritationand spitting up immediately after feedings.The nurse is assessing a child for clinical manifestations of iron deficiency anemia.Which factor would the nurse recognize as cause for the findings?A) Decreased cardiac outputB) Tissue hypoxiaCerebral edemaReduced oxygen saturationThe nurse would expect the cystic fibrosis client to receive supplemental pancreaticenzymes along with a dietHigh in carbohydrates and proteinsLow in carbohydrates and proteinsHigh in carbohydrates, low in proteinsLow in carbohydrates, high in proteinsIn evaluating the growth of a 12 month-old child, which of these findings would thenurse expect to be present in the infant?Increased 10% in height2 deciduous teethTripled the birth weightHead > chest circumferenceA Hispanic client in the postpartum period refuses the hospital food because itis "cold." The best initial action by the nurse is toHave the unlicensed assistive personnel (UAP) reheat the food if the client wisheslOMoARcPSD|13445102

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Ask the client what foods are acceptable or badEncourage her to eat for healing and strengthSchedule the dietitian to meet with the client as soon as possibleThe father of an 8 month-old infant asks the nurse if his infant's vocalizations arenormal for his age. Which of the following would the nurse expect at this age?CooingImitation of soundsThroaty soundsLaughterThe nurse should recognize that physical dependence is accompanied by whatfindings when alcohol consumption is first reduced or ended?A) Seizures B)WithdrawalCravingMarked toleranceImmediately following an acute battering incident in a violent relationship, thebatterer may respond to the partner’s injuries bySeeking medical help for the victim's injuriesMinimizing the episode and underestimating the victim’s injuriesContacting a close friend and asking for helpBeing very remorseful and assisting the victim with medical careThe nurse is planning to give a 3 year-old child oral digoxin. Which of the following isthe best approach by the nurse?"Do you want to take this pretty redmedicine?" "You will feel better if you takeyour medicine.""This is your medicine, and you must take it all right now.""Would you like to take your medicine from a spoon or a cup?"lOMoARcPSD|13445102

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In planning care for a child diagnosed with minimal change nephrotic syndrome, thenurse should understand the relationship between edema formation andA) Increased retention of albumin in the vascular system B)Decreased colloidal osmotic pressure in the capillaries Fluidshift from interstitial spaces into the vascular spaceReduced tubular reabsorption of sodium and waterAn eighteen month-old has been brought to the emergency room with irritability,lethargy over 2 days, dry skin and increased pulse. Based upon the evaluation ofthese initial findings, the nurse would assess the child for additional findingsofA) Septicemia B)DehydrationHypokalemiaHypercalcemiaA client who has been drinking for five years states that he drinks when he gets upsetabout "things" such as being unemployed or feeling like life is not leading anywhere. Thenurse understands that the client is using alcohol as a way to dealwithRecreational and social needsFeelings of anger C)Life’s stressorsD) Issues of guilt and disappointmentThe nurse is monitoring the contractions of a woman in labor. A contraction is recordedasbeginning at 10:00 A.M. and ending at 10:01 A.M. Another begins at 10:15A.M. What is the frequency of thecontractions? 14 minutes10 minutes C)15 minutesD) Nine minutesThe nurse is performing an assessment on a child with severe airway obstruction.Which finding would the nurse anticipate finding?Retractions in the intercostal tissues of the thoraxlOMoARcPSD|13445102

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Chest pain aggravated by respiratory movementCyanosis and mottling of the skinRapid, shallow respirationsDuring the evaluation phase for a client, the nurse should focus onA) All finding of physical and psychosocial stressors of the client and in the family B)The client's status, progress toward goal achievement, and ongoing re-evaluationSetting short and long-term goals to insure continuity of care from hospital to homeSelect interventions that are measurable and achievable within selected timeframesTheschoolnursesuspectsthatathirdgradechildmighthaveAttentionDeficitHyperactivity Disorder. Prior to referring the child for further evaluation, the nurseshouldObserve the child's behavior on at least 2 occasionsConsult with the teacher about how to control impulsivityCompile a history of behavior patterns and developmental accomplishmentsCompare the child's behavior with classic signs and symptomsWhich of the actions suggested to the RN by the PN during a planning conference for a 10month-old infant admitted 2 hours ago with bacterial meningitis would be acceptable to addto the plan of care?Measure head circumferencePlace in airborne isolationProvide passive range of motionProvide an over-the-crib protective topA client is admitted with a diagnosis of hepatitis B. In reviewing the initiallaboratory results, the nurse would expect to find elevation in which of the followingvalues? Blood urea nitrogenAcid phosphatase C)BilirubinlOMoARcPSD|13445102

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D) Sedimentation rateThe nurse is discussing nutritional requirements with the parents of an 18 month-old child. Which of these statements about milk consumption is correct?May drink as much milk as desiredCan have milk mixed with other foods Willbenefit from fat-free cow's milk Should belimited to 3-4 cups of milk dailyThe nurse is talking with a client. The client abruptly says to the nurse, "The moon is full.Astronauts walk on the moon. Walking is a good health habit." The client’s behavior mostlikely indicatesNeologismsDissociationFlight of ideasWord saladA mother asks about expected motor skills for a 3 year-old child. Which of thefollowing would the nurse emphasize as normal at this age?Jumping ropeTying shoelaces C)Riding a tricycleD) Playing hopscotchA home health nurse is caring for a client with a pressure sore that is red, with serousdrainage, is 2 inches in diameter with loss of subcutaneous tissue. The appropriatedressing for this wound isA transparent film dressingWet dressing with debridement granulesWet to dry with hydrogen peroxide D)Moist saline dressinglOMoARcPSD|13445102

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