HESI EXIT EXAM V2 - 2022
1. The nurse is caring for a pre-adolescent client in skeletal Dunlop traction.
Which nursing 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) Adj...
hesi exit exam v2 2022 1 the nurse is caring for a pre adolescent client in skeletal dunlop traction which nursing intervention is appropriate for this child a make certain the child is maintain
1. 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 comfort
D) Release the traction for 15-20 minutes every 6 hours PRN.
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 widely
B) Growth pattern appears to have slowed
C) Recumbent and standing height are different
D) Short term weight changes are uneven
3. The parents of a 2 year-old child report that he has been holding his breath
wheneverhe has temper tantrums. What is the best action by the nurse?
A) Teach the parents how to perform cardiopulmonary resuscitation
B) Recommend that the parents give in when he holds his breath to prevent anoxia
C) Advise the parents to ignore breath holding because breathing will begin as a
reflex
D) Instruct the parents on how to reason with the child about possible harmful effects
4. The nurse is assessing a client in the emergency room. Which statement suggests
thatthe problem is acute angina?
A) "My pain is deep in my chest behind my sternum."
,B) "When I sit up the pain gets worse."
C) "As I take a deep breath the pain gets worse."
D) "The pain is right here in my stomach area."
.
5. 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
recent memory?
A) "Name the year." "What season is this?" (pause for answer after each question)
B) "Subtract 7 from 100 and then subtract 7 from that." (pause for answer)
"Nowcontinue to subtract 7 from the new number."
C) "I am going to say the names of three things and I want you to repeat them
after me:blue, ball, pen."
D) "What is this on my wrist?" (point to your watch) Then ask, "What is the
purpose ofit?"
6. In planning care for a 6 month-old infant, what must the nurse provide to assist
in thedevelopment of trust?
A) Food
B) Warmth
C) C) Security
D) Comfort
7. A nurse has just received a medication order which is not legible. Which
statement bestreflects 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 it
,correctly?"
C) "I am having difficulty reading your handwriting. It would save me time if you
wouldbe more careful."
D) "Please print in the future so I do not have to spend extra time attempting to read
yourwriting."
8. What is the most important consideration when teaching parents how to reduce
risks inthe home?
A) Age and knowledge level of the parents
B) Proximity to emergency services
C) Number of children in the
home
D) D) Age of children in the home
9. A 35 year-old client with sickle cell crisis is talking on the telephone but stops as
thenurse enters the room to request something for pain. The nurse should
A) Administer a placebo
B) Encourage increased fluid intake
C) C) Administer the prescribed
analgesia
D) Recommend relaxation exercises for pain control
10. While caring for a toddler with croup, which initial sign of croup requires the
nurse'simmediate attention?
A) Respiratory rate of 42
B) Lethargy for the past hour
C) Apical pulse of 54
D) Coughing up copious secretions
, 11. A 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) Lethargy
B) Heat intolerance
C) Diarrhea
D) Skin eruptions
12. The 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 of epilepsy. 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."
C) "Since this was the first convulsion, it may not happen again."
D) "Long term treatment will prevent future seizures."
13. Alcohol and drug abuse impairs judgment and increases risk taking behavior.
Whatnursing diagnosis best applies?
A) Risk for injury
B) Risk for knowledge deficit
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller keenstar. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $14.49. You're not tied to anything after your purchase.
