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NSG 222 HESI STUDY EXAMS GUIDED QUESTIONS
AND ANSWERS SURE A+
✔✔Poor skin turgor, absence of tears, dry mucous membranes, weight loss, depressed
fontanel, and decreased urinary output. - ✔✔Signs and symptoms of dehydration in an
infant

✔✔Loss of bicarbonate/decreased pH, loss of sodium (hyponatremia), loss of
potassium (hypokalemia), elevated hematocrit (Hct), and elevated blood urea nitrogen
(BUN). - ✔✔Laboratory findings in a dehydrated child

✔✔Using the Lund-Browder chart, which takes into account the changing proportions of
the child's body. - ✔✔Assessment of burns in a child

✔✔Monitoring urine output. - ✔✔Evaluating fluid replacement adequacy in children

✔✔Lock all cabinets and safely store all toxic household items in locked cabinets. -
✔✔Child-proofing a house

✔✔Assessment of the child's respiratory, cardiac, and neurological status. - ✔✔First
intervention for a child who ingested poison

, ✔✔Anemia, acute cramping, abdominal pain, vomiting, constipation, anorexia,
headache, lethargy, hyperactivity, aggression, impulsiveness, decreased interest in
play, irritability, and short attention span. - ✔✔Early signs of lead poisoning

✔✔Expiratory wheezing, rales, tight cough, and signs of altered blood gases. -
✔✔Physical assessment findings for a child with asthma

✔✔Pancreatic enzyme replacement, fat-soluble vitamins, moderate to low
carbohydrates, high protein, and moderate to high fat diet. - ✔✔Nutritional support for a
child with cystic fibrosis

✔✔Because the disease is autosomal recessive in its genetic pattern. - ✔✔Importance
of genetic counseling for cystic fibrosis

✔✔The child is at risk for dehydration and acid-base imbalances. - ✔✔Importance of IV
fluids for a child with increased respiratory rate

✔✔Hemorrhage, indicated by frequent swallowing, vomiting fresh blood, and clearing
throat. - ✔✔Common postoperative complication following tonsillectomy

✔✔A right-to-left shunt bypasses the lungs and delivers unoxygenated blood to the
systemic circulation causing cyanosis. - ✔✔Right-to-left shunt

✔✔A left-to-right shunt moves oxygenated blood back through the pulmonary
circulation. - ✔✔Left-to-right shunt

✔✔The four defects associated with tetralogy of Fallot are VSD, overriding aorta,
pulmonary stenosis, and right ventricular hypertrophy. - ✔✔Tetralogy of Fallot defects

✔✔Common signs include poor feeding, poor weight gain, respiratory distress,
infections, edema, and cyanosis. - ✔✔Signs of cardiac problems in infants

✔✔Interventions include giving small, frequent feedings or gavage feedings, planning
frequent rest periods, maintaining a neutral thermal environment, and organizing
activities to disturb the child only as indicated. - ✔✔Nursing interventions to reduce
heart workload

✔✔The knee-chest position or squatting. - ✔✔Best position for tet spell relief

✔✔Common signs include diarrhea, fatigue, weakness, nausea/vomiting; the nurse
should check for bradycardia prior to Dig administration. - ✔✔Signs of digoxin toxicity

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