Evolve HESI EXAM A+ GRADE ASSURED COMPLETE SOLUTIONS AND VERIFIED ANSWERS

HESI EXAM ms




Exam Solution
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Congenital Heart Disease HESI Case Study 2026 A+ GR ms ms ms ms ms ms ms ms




ADE ASSURED COMPLETE SOLUTIONS AND VERIFIED A
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NSWERS (5E19C) ms




QUESTION 1 ms




Which clinical manifestations would the nurse expect to assess in an infant diagnosed
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with ventricular septal defect (VSD)?
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ANSWER

Tachypnea and grunting with intercostal and subcostal retractions.
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QUESTION 2 ms




The nurse understands that a child is experiencing heart failure when which symptom
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s are found?
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ANSWER

Cool extremities Peripheral edema Nasal Flaring
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QUESTION 3 ms




Heart failure (HF) in a pediatric client is most often manifested by which symptoms?
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ANSWER

Frequent feedings with irritability and poor suckling.
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QUESTION 4 ms




The pediatric cardiologist schedules a cardiac catheterization for the next day. The nu
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rse prepares the family and the client for the procedure by answering questions that t
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he family is asking. What should the nurse include when teaching the client's parents
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about post-procedure care?
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, ANSWER

Explain that they will need to hold the clients in the prone position after the procedure.
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QUESTION 5 ms




As the nurse obtains informed consent for the client's cardiac catheterization, The clie
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nt says, "I am still not exactly sure why the doctor has to do the test." Which action s
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hould the nurse implement?ms ms ms




ANSWER

Notify the cardiologist and do not allow the parent to sign the permit.
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QUESTION 6 ms




When preparing the client's nursing care plan, the nurse identifies the priority nursin
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g diagnosis as "decreased cardiac output." Which nursing intervention must be include
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d in the client's plan of care related to this diagnosis?
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ANSWER

Assess the infant's peripheral pulses and capillary refill.
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QUESTION 7 ms




Which response is most important for the nurse to educate the parents about feeding?
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ANSWER

"Your son will be able to suck more easily and will not be so tired from feeding."
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QUESTION 8 ms




As part of the assessment, the CLC recommends that the nurse evaluate the effort nee
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ded to both breastfeed using a supplemental feeding device and bottle feed using the
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nipple with the enlarged hole. Which measurement will be most useful to evaluate the
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client's response to each feeding technique?
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ANSWER

SaO2 changes during feeding.
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QUESTION 9 ms




Which intervention should the nurse implement prior to administering the first dose
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of digoxin (Lanoxin) to the client?
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