HESI EXIT V4 160 Questions and Answers1.The nurse is caring for a pre-adolescent client in skeletal Dunlop traction. Whichnursing intervention is appropriate for this child?A)Make certain the child is maintained in correct body alignment.B)Be sure the traction weights touch the end of the bed.C)Adjust the head and foot of the bed for the child's comfortD)Release the traction for 15-20 minutes every 6 hours PRN.The correct answer is A: Make certain the child is maintained in correct body alignment.2.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?A)Height and weight percentiles vary widelyB)Growth pattern appears to have slowedC)Recumbent and standing height are differentD)Short term weight changes are unevenThe correct answer is A: Height and weight percentiles vary widely3.The parents of a 2 year-old child report that he has been holding his breath whenever hehas temper tantrums. What is the best action by the nurse?A)Teach the parents how to perform cardiopulmonary resuscitationB)Recommend that the parents give in when he holds his breath to prevent anoxiaC)Advise the parents to ignore breath holding because breathing will begin as a reflexD)Instruct the parents on how to reason with the child about possible harmful effects Thecorrect answer is C: Advise the parents to ignore breath holding because breathing willbegin as a reflexPreview Mode
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