HESI RN EXIT 2025/2026, HESI EXIT V1_ V6,
QUESTIONS AND CORRECT VERIFIED
ANSWERS, GRADED A+, HESI EXIT EXAM
V1-7
HESIA2RNA2EXITA2EXAMA22022/2023
1.A2InA2planningA2careA2forA2aA26A2month-
oldA2infant,A2whatA2mustA2theA2nurseA2provideA2toA2assistA2inA2theA2developmentA2ofA2trust
?A2-A2Ans--C)A2Security
HESIA2RNA2EXITA2EXAMA22022/2023
1.A2InA2planningA2careA2forA2aA26A2month-
oldA2infant,A2whatA2mustA2theA2nurseA2provideA2toA2assistA2inA2theA2developmentA2ofA2trust
?A2-A2Ans--C)A2Security
2.A2AA2nurseA2hasA2justA2receivedA2aA2medicationA2orderA2whichA2isA2notA2legible.A2WhichA
2statementA2bestA2reflectsA2assertiveA2communication?A2-A2Ans--
B)A2"WouldA2youA2pleaseA2clarifyA2whatA2youA2haveA2writtenA2soA2IA2amA2sureA2IA2amA2rea
dingA2itA2correctly?"
2.A2AA2nurseA2hasA2justA2receivedA2aA2medicationA2orderA2whichA2isA2notA2legible.A2WhichA
2statementA2bestA2reflectsA2assertiveA2communication?A2-A2Ans--
B)A2"WouldA2youA2pleaseA2clarifyA2whatA2youA2haveA2writtenA2soA2IA2amA2sureA2IA2amA2rea
dingA2itA2correctly?"
3.A2WhatA2isA2theA2mostA2importantA2considerationA2whenA2teachingA2parentsA2howA2toA2r
educeA2risksA2inA2theA2home?A2-A2Ans--D)A2AgeA2ofA2childrenA2inA2theA2home
3.A2WhatA2isA2theA2mostA2importantA2considerationA2whenA2teachingA2parentsA2howA2toA2r
educeA2risksA2inA2theA2home?A2-A2Ans--D)A2AgeA2ofA2childrenA2inA2theA2home
4.A2AA235A2year-
oldA2clientA2withA2sickleA2cellA2crisisA2isA2talkingA2onA2theA2telephoneA2butA2stopsA2asA2theA
2nurseA2entersA2theA2roomA2toA2requestA2somethingA2forA2pain.A2TheA2nurseA2shouldA2-
A2Ans--C)A2AdministerA2theA2prescribedA2analgesia
4.A2AA235A2year-
oldA2clientA2withA2sickleA2cellA2crisisA2isA2talkingA2onA2theA2telephoneA2butA2stopsA2asA2theA
2nurseA2entersA2theA2roomA2toA2requestA2somethingA2forA2pain.A2TheA2nurseA2shouldA2-
A2Ans--C)A2AdministerA2theA2prescribedA2analgesia
5.A2WhileA2caringA2forA2aA2toddlerA2withA2croup,A2whichA2initialA2signA2ofA2croupA2requiresA2
theA2nurse'sA2immediateA2attention?A2-A2Ans--A)A2RespiratoryA2rateA2ofA242
,5.A2WhileA2caringA2forA2aA2toddlerA2withA2croup,A2whichA2initialA2signA2ofA2croupA2requiresA2
theA2nurse'sA2immediateA2attention?A2-A2Ans--A)A2RespiratoryA2rateA2ofA242
6.A2AA2clientA2isA2admittedA2withA2lowA2T3A2andA2T4A2levelsA2andA2anA2elevatedA2TSHA2lev
el.A2OnA2initialA2assessment,A2theA2nurseA2wouldA2anticipateA2whichA2ofA2theA2followingA2a
ssessmentA2findings?A2-A2Ans--A)A2Lethargy
6.A2AA2clientA2isA2admittedA2withA2lowA2T3A2andA2T4A2levelsA2andA2anA2elevatedA2TSHA2lev
el.A2OnA2initialA2assessment,A2theA2nurseA2wouldA2anticipateA2whichA2ofA2theA2followingA2a
ssessmentA2findings?A2-A2Ans--A)A2Lethargy
7.A2TheA2emergencyA2roomA2nurseA2admitsA2aA2childA2whoA2experiencedA2aA2seizureA2atA
2school.A2TheA2fatherA2commentsA2thatA2thisA2isA2theA2firstA2occurrence,A2andA2deniesA2an
yA2familyA2historyA2ofA2epilepsy.A2WhatA2isA2theA2bestA2responseA2byA2theA2nurse?A2-
A2Ans--B)A2"TheA2seizureA2mayA2orA2mayA2notA2meanA2yourA2childA2hasA2epilepsy."
7.A2TheA2emergencyA2roomA2nurseA2admitsA2aA2childA2whoA2experiencedA2aA2seizureA2atA
2school.A2TheA2fatherA2commentsA2thatA2thisA2isA2theA2firstA2occurrence,A2andA2deniesA2an
yA2familyA2historyA2ofA2epilepsy.A2WhatA2isA2theA2bestA2responseA2byA2theA2nurse?A2-
A2Ans--B)A2"TheA2seizureA2mayA2orA2mayA2notA2meanA2yourA2childA2hasA2epilepsy."
8.A2AlcoholA2andA2drugA2abuseA2impairsA2judgmentA2andA2increasesA2riskA2takingA2behavi
or.A2WhatA2nursingA2diagnosisA2bestA2applies?A2-A2Ans--A)A2RiskA2forA2injury
8.A2AlcoholA2andA2drugA2abuseA2impairsA2judgmentA2andA2increasesA2riskA2takingA2behavi
or.A2WhatA2nursingA2diagnosisA2bestA2applies?A2-A2Ans--A)A2RiskA2forA2injury
9.A2WhichA2theseA2findingsA2wouldA2theA2nurseA2moreA2closelyA2associateA2withA2anemiaA
2inA2aA210A2month-oldA2infant?A2-A2Ans--B)A2PaleA2mucosaA2ofA2theA2eyelidsA2andA2lips
9.A2WhichA2theseA2findingsA2wouldA2theA2nurseA2moreA2closelyA2associateA2withA2anemiaA
2inA2aA210A2month-oldA2infant?A2-A2Ans--B)A2PaleA2mucosaA2ofA2theA2eyelidsA2andA2lips
10.A2TheA2nurseA2isA2caringA2forA2aA2clientA2inA2hypertensiveA2crisisA2inA2anA2intensiveA2ca
reA2unit.A2TheA2priorityA2assessmentA2inA2theA2firstA2hourA2ofA2careA2isA2-A2Ans--
D)A2PupilA2responses
10.A2TheA2nurseA2isA2caringA2forA2aA2clientA2inA2hypertensiveA2crisisA2inA2anA2intensiveA2ca
reA2unit.A2TheA2priorityA2assessmentA2inA2theA2firstA2hourA2ofA2careA2isA2-A2Ans--
D)A2PupilA2responses
11.A2WhichA2ofA2theseA2clientsA2whoA2areA2allA2inA2theA2terminalA2stageA2ofA2cancerA2isA2le
astA2appropriateA2toA2suggestA2theA2useA2ofA2patientA2controlledA2analgesiaA2(PCA)A2withA
2aA2pump?A2-A2Ans--D)A2AA2preschoolerA2withA2intermittentA2episodesA2ofA2alertness
,11.A2WhichA2ofA2theseA2clientsA2whoA2areA2allA2inA2theA2terminalA2stageA2ofA2cancerA2isA2le
astA2appropriateA2toA2suggestA2theA2useA2ofA2patientA2controlledA2analgesiaA2(PCA)A2withA
2aA2pump?A2-A2Ans--D)A2AA2preschoolerA2withA2intermittentA2episodesA2ofA2alertness
12.A2TheA2nurseA2isA2aboutA2toA2assessA2aA26A2month-
oldA2childA2withA2nonorganicA2failure-toA2thrive
(NOFTT).A2UponA2enteringA2theA2room,A2theA2nurseA2wouldA2expectA2theA2babyA2toA2beA2-
A2Ans--D)A2Pale,A2thinA2armsA2andA2legs,A2uninterestedA2inA2surroundings
12.A2TheA2nurseA2isA2aboutA2toA2assessA2aA26A2month-
oldA2childA2withA2nonorganicA2failure-toA2thrive
(NOFTT).A2UponA2enteringA2theA2room,A2theA2nurseA2wouldA2expectA2theA2babyA2toA2beA2-
A2Ans--D)A2Pale,A2thinA2armsA2andA2legs,A2uninterestedA2inA2surroundings
13.A2AsA2theA2nurseA2isA2speakingA2withA2aA2groupA2ofA2teensA2whichA2ofA2theseA2sideA2eff
ectsA2ofA2chemotherapyA2forA2cancerA2wouldA2theA2nurseA2expectA2thisA2groupA2toA2beA2m
oreA2interestedA2inA2duringA2theA2discussion?A2-A2Ans--D)A2HairA2loss
13.A2AsA2theA2nurseA2isA2speakingA2withA2aA2groupA2ofA2teensA2whichA2ofA2theseA2sideA2eff
ectsA2ofA2chemotherapyA2forA2cancerA2wouldA2theA2nurseA2expectA2thisA2groupA2toA2beA2m
oreA2interestedA2inA2duringA2theA2discussion?A2-A2Ans--D)A2HairA2loss
14.A2WhileA2caringA2forA2aA2clientA2whoA2wasA2admittedA2withA2myocardialA2infarctionA2(MI
)A22A2daysA2ago,A2theA2nurseA2notesA2today'sA2temperatureA2isA2101.1A2degreesA2Fahrenh
eitA2(38.5A2degrees
Celsius).A2TheA2appropriateA2nursingA2interventionA2isA2toA2-A2Ans--
B)A2AdministerA2acetaminophenA2asA2orderedA2asA2thisA2isA2normalA2atA2thisA2time
14.A2WhileA2caringA2forA2aA2clientA2whoA2wasA2admittedA2withA2myocardialA2infarctionA2(MI
)A22A2daysA2ago,A2theA2nurseA2notesA2today'sA2temperatureA2isA2101.1A2degreesA2Fahrenh
eitA2(38.5A2degrees
Celsius).A2TheA2appropriateA2nursingA2interventionA2isA2toA2-A2Ans--
B)A2AdministerA2acetaminophenA2asA2orderedA2asA2thisA2isA2normalA2atA2thisA2time
15.A2AA2clientA2isA2admittedA2forA2firstA2andA2secondA2degreeA2burnsA2onA2theA2face,A2nec
k,A2anteriorA2chestA2andA2hands.A2TheA2nurse'sA2priorityA2shouldA2beA2-A2Ans--
B)A2AssessA2forA2dyspneaA2orA2stridor
15.A2AA2clientA2isA2admittedA2forA2firstA2andA2secondA2degreeA2burnsA2onA2theA2face,A2nec
k,A2anteriorA2chestA2andA2hands.A2TheA2nurse'sA2priorityA2shouldA2beA2-A2Ans--
B)A2AssessA2forA2dyspneaA2orA2stridor
16.A2WhichA2ofA2theseA2clientsA2whoA2callA2theA2communityA2healthA2clinicA2wouldA2theA2n
urseA2askA2toA2comeA2inA2thatA2dayA2toA2beA2seenA2byA2theA2healthA2careA2provider?A2-
A2Ans--
, D)A2IA2wentA2toA2theA2bathroomA2andA2myA2urineA2lookedA2veryA2redA2andA2itA2didn'tA2hurtA
2whenA2IA2went.
16.A2WhichA2ofA2theseA2clientsA2whoA2callA2theA2communityA2healthA2clinicA2wouldA2theA2n
urseA2askA2toA2comeA2inA2thatA2dayA2toA2beA2seenA2byA2theA2healthA2careA2provider?A2-
A2Ans--
D)A2IA2wentA2toA2theA2bathroomA2andA2myA2urineA2lookedA2veryA2redA2andA2itA2didn'tA2hurtA
2whenA2IA2went.
17.A2WhichA2ofA2theseA2parents'A2commentA2forA2aA2newbornA2wouldA2mostA2likelyA2reveal
A2anA2initialA2findingA2ofA2aA2suspectedA2pyloricA2stenosis?A2-A2Ans--
C)A2MildA2vomitingA2thatA2progressedA2toA2vomitingA2shootingA2acrossA2theA2room.
17.A2WhichA2ofA2theseA2parents'A2commentA2forA2aA2newbornA2wouldA2mostA2likelyA2reveal
A2anA2initialA2findingA2ofA2aA2suspectedA2pyloricA2stenosis?A2-A2Ans--
C)A2MildA2vomitingA2thatA2progressedA2toA2vomitingA2shootingA2acrossA2theA2room.
18.A2TheA2nurseA2isA2assessingA2aA2childA2forA2clinicalA2manifestationsA2ofA2ironA2deficien
cyA2anemia.A2WhichA2factorA2wouldA2theA2nurseA2recognizeA2asA2causeA2forA2theA2findings
?A2-A2Ans--B)A2TissueA2hypoxia
18.A2TheA2nurseA2isA2assessingA2aA2childA2forA2clinicalA2manifestationsA2ofA2ironA2deficien
cyA2anemia.A2WhichA2factorA2wouldA2theA2nurseA2recognizeA2asA2causeA2forA2theA2findings
?A2-A2Ans--B)A2TissueA2hypoxia
19.A2TheA2nurseA2wouldA2expectA2theA2cysticA2fibrosisA2clientA2toA2receiveA2supplementalA
2pancreaticA2enzymesA2alongA2withA2aA2dietA2-A2Ans--
A)A2HighA2inA2carbohydratesA2andA2proteins
19.A2TheA2nurseA2wouldA2expectA2theA2cysticA2fibrosisA2clientA2toA2receiveA2supplementalA
2pancreaticA2enzymesA2alongA2withA2aA2dietA2-A2Ans--
A)A2HighA2inA2carbohydratesA2andA2proteins
20.A2InA2evaluatingA2theA2growthA2ofA2aA212A2month-
oldA2child,A2whichA2ofA2theseA2findingsA2wouldA2theA2nurseA2expectA2toA2beA2presentA2inA2t
heA2infant?A2-A2Ans--C)A2TripledA2theA2birthA2weight
20.A2InA2evaluatingA2theA2growthA2ofA2aA212A2month-
oldA2child,A2whichA2ofA2theseA2findingsA2wouldA2theA2nurseA2expectA2toA2beA2presentA2inA2t
heA2infant?A2-A2Ans--C)A2TripledA2theA2birthA2weight
21.A2AA2HispanicA2clientA2inA2theA2postpartumA2periodA2refusesA2theA2hospitalA2foodA2beca
useA2itA2isA2"cold."A2TheA2bestA2initialA2actionA2byA2theA2nurseA2isA2toA2-A2Ans--
B)A2AskA2theA2clientA2whatA2foodsA2areA2acceptableA2orA2bad
QUESTIONS AND CORRECT VERIFIED
ANSWERS, GRADED A+, HESI EXIT EXAM
V1-7
HESIA2RNA2EXITA2EXAMA22022/2023
1.A2InA2planningA2careA2forA2aA26A2month-
oldA2infant,A2whatA2mustA2theA2nurseA2provideA2toA2assistA2inA2theA2developmentA2ofA2trust
?A2-A2Ans--C)A2Security
HESIA2RNA2EXITA2EXAMA22022/2023
1.A2InA2planningA2careA2forA2aA26A2month-
oldA2infant,A2whatA2mustA2theA2nurseA2provideA2toA2assistA2inA2theA2developmentA2ofA2trust
?A2-A2Ans--C)A2Security
2.A2AA2nurseA2hasA2justA2receivedA2aA2medicationA2orderA2whichA2isA2notA2legible.A2WhichA
2statementA2bestA2reflectsA2assertiveA2communication?A2-A2Ans--
B)A2"WouldA2youA2pleaseA2clarifyA2whatA2youA2haveA2writtenA2soA2IA2amA2sureA2IA2amA2rea
dingA2itA2correctly?"
2.A2AA2nurseA2hasA2justA2receivedA2aA2medicationA2orderA2whichA2isA2notA2legible.A2WhichA
2statementA2bestA2reflectsA2assertiveA2communication?A2-A2Ans--
B)A2"WouldA2youA2pleaseA2clarifyA2whatA2youA2haveA2writtenA2soA2IA2amA2sureA2IA2amA2rea
dingA2itA2correctly?"
3.A2WhatA2isA2theA2mostA2importantA2considerationA2whenA2teachingA2parentsA2howA2toA2r
educeA2risksA2inA2theA2home?A2-A2Ans--D)A2AgeA2ofA2childrenA2inA2theA2home
3.A2WhatA2isA2theA2mostA2importantA2considerationA2whenA2teachingA2parentsA2howA2toA2r
educeA2risksA2inA2theA2home?A2-A2Ans--D)A2AgeA2ofA2childrenA2inA2theA2home
4.A2AA235A2year-
oldA2clientA2withA2sickleA2cellA2crisisA2isA2talkingA2onA2theA2telephoneA2butA2stopsA2asA2theA
2nurseA2entersA2theA2roomA2toA2requestA2somethingA2forA2pain.A2TheA2nurseA2shouldA2-
A2Ans--C)A2AdministerA2theA2prescribedA2analgesia
4.A2AA235A2year-
oldA2clientA2withA2sickleA2cellA2crisisA2isA2talkingA2onA2theA2telephoneA2butA2stopsA2asA2theA
2nurseA2entersA2theA2roomA2toA2requestA2somethingA2forA2pain.A2TheA2nurseA2shouldA2-
A2Ans--C)A2AdministerA2theA2prescribedA2analgesia
5.A2WhileA2caringA2forA2aA2toddlerA2withA2croup,A2whichA2initialA2signA2ofA2croupA2requiresA2
theA2nurse'sA2immediateA2attention?A2-A2Ans--A)A2RespiratoryA2rateA2ofA242
,5.A2WhileA2caringA2forA2aA2toddlerA2withA2croup,A2whichA2initialA2signA2ofA2croupA2requiresA2
theA2nurse'sA2immediateA2attention?A2-A2Ans--A)A2RespiratoryA2rateA2ofA242
6.A2AA2clientA2isA2admittedA2withA2lowA2T3A2andA2T4A2levelsA2andA2anA2elevatedA2TSHA2lev
el.A2OnA2initialA2assessment,A2theA2nurseA2wouldA2anticipateA2whichA2ofA2theA2followingA2a
ssessmentA2findings?A2-A2Ans--A)A2Lethargy
6.A2AA2clientA2isA2admittedA2withA2lowA2T3A2andA2T4A2levelsA2andA2anA2elevatedA2TSHA2lev
el.A2OnA2initialA2assessment,A2theA2nurseA2wouldA2anticipateA2whichA2ofA2theA2followingA2a
ssessmentA2findings?A2-A2Ans--A)A2Lethargy
7.A2TheA2emergencyA2roomA2nurseA2admitsA2aA2childA2whoA2experiencedA2aA2seizureA2atA
2school.A2TheA2fatherA2commentsA2thatA2thisA2isA2theA2firstA2occurrence,A2andA2deniesA2an
yA2familyA2historyA2ofA2epilepsy.A2WhatA2isA2theA2bestA2responseA2byA2theA2nurse?A2-
A2Ans--B)A2"TheA2seizureA2mayA2orA2mayA2notA2meanA2yourA2childA2hasA2epilepsy."
7.A2TheA2emergencyA2roomA2nurseA2admitsA2aA2childA2whoA2experiencedA2aA2seizureA2atA
2school.A2TheA2fatherA2commentsA2thatA2thisA2isA2theA2firstA2occurrence,A2andA2deniesA2an
yA2familyA2historyA2ofA2epilepsy.A2WhatA2isA2theA2bestA2responseA2byA2theA2nurse?A2-
A2Ans--B)A2"TheA2seizureA2mayA2orA2mayA2notA2meanA2yourA2childA2hasA2epilepsy."
8.A2AlcoholA2andA2drugA2abuseA2impairsA2judgmentA2andA2increasesA2riskA2takingA2behavi
or.A2WhatA2nursingA2diagnosisA2bestA2applies?A2-A2Ans--A)A2RiskA2forA2injury
8.A2AlcoholA2andA2drugA2abuseA2impairsA2judgmentA2andA2increasesA2riskA2takingA2behavi
or.A2WhatA2nursingA2diagnosisA2bestA2applies?A2-A2Ans--A)A2RiskA2forA2injury
9.A2WhichA2theseA2findingsA2wouldA2theA2nurseA2moreA2closelyA2associateA2withA2anemiaA
2inA2aA210A2month-oldA2infant?A2-A2Ans--B)A2PaleA2mucosaA2ofA2theA2eyelidsA2andA2lips
9.A2WhichA2theseA2findingsA2wouldA2theA2nurseA2moreA2closelyA2associateA2withA2anemiaA
2inA2aA210A2month-oldA2infant?A2-A2Ans--B)A2PaleA2mucosaA2ofA2theA2eyelidsA2andA2lips
10.A2TheA2nurseA2isA2caringA2forA2aA2clientA2inA2hypertensiveA2crisisA2inA2anA2intensiveA2ca
reA2unit.A2TheA2priorityA2assessmentA2inA2theA2firstA2hourA2ofA2careA2isA2-A2Ans--
D)A2PupilA2responses
10.A2TheA2nurseA2isA2caringA2forA2aA2clientA2inA2hypertensiveA2crisisA2inA2anA2intensiveA2ca
reA2unit.A2TheA2priorityA2assessmentA2inA2theA2firstA2hourA2ofA2careA2isA2-A2Ans--
D)A2PupilA2responses
11.A2WhichA2ofA2theseA2clientsA2whoA2areA2allA2inA2theA2terminalA2stageA2ofA2cancerA2isA2le
astA2appropriateA2toA2suggestA2theA2useA2ofA2patientA2controlledA2analgesiaA2(PCA)A2withA
2aA2pump?A2-A2Ans--D)A2AA2preschoolerA2withA2intermittentA2episodesA2ofA2alertness
,11.A2WhichA2ofA2theseA2clientsA2whoA2areA2allA2inA2theA2terminalA2stageA2ofA2cancerA2isA2le
astA2appropriateA2toA2suggestA2theA2useA2ofA2patientA2controlledA2analgesiaA2(PCA)A2withA
2aA2pump?A2-A2Ans--D)A2AA2preschoolerA2withA2intermittentA2episodesA2ofA2alertness
12.A2TheA2nurseA2isA2aboutA2toA2assessA2aA26A2month-
oldA2childA2withA2nonorganicA2failure-toA2thrive
(NOFTT).A2UponA2enteringA2theA2room,A2theA2nurseA2wouldA2expectA2theA2babyA2toA2beA2-
A2Ans--D)A2Pale,A2thinA2armsA2andA2legs,A2uninterestedA2inA2surroundings
12.A2TheA2nurseA2isA2aboutA2toA2assessA2aA26A2month-
oldA2childA2withA2nonorganicA2failure-toA2thrive
(NOFTT).A2UponA2enteringA2theA2room,A2theA2nurseA2wouldA2expectA2theA2babyA2toA2beA2-
A2Ans--D)A2Pale,A2thinA2armsA2andA2legs,A2uninterestedA2inA2surroundings
13.A2AsA2theA2nurseA2isA2speakingA2withA2aA2groupA2ofA2teensA2whichA2ofA2theseA2sideA2eff
ectsA2ofA2chemotherapyA2forA2cancerA2wouldA2theA2nurseA2expectA2thisA2groupA2toA2beA2m
oreA2interestedA2inA2duringA2theA2discussion?A2-A2Ans--D)A2HairA2loss
13.A2AsA2theA2nurseA2isA2speakingA2withA2aA2groupA2ofA2teensA2whichA2ofA2theseA2sideA2eff
ectsA2ofA2chemotherapyA2forA2cancerA2wouldA2theA2nurseA2expectA2thisA2groupA2toA2beA2m
oreA2interestedA2inA2duringA2theA2discussion?A2-A2Ans--D)A2HairA2loss
14.A2WhileA2caringA2forA2aA2clientA2whoA2wasA2admittedA2withA2myocardialA2infarctionA2(MI
)A22A2daysA2ago,A2theA2nurseA2notesA2today'sA2temperatureA2isA2101.1A2degreesA2Fahrenh
eitA2(38.5A2degrees
Celsius).A2TheA2appropriateA2nursingA2interventionA2isA2toA2-A2Ans--
B)A2AdministerA2acetaminophenA2asA2orderedA2asA2thisA2isA2normalA2atA2thisA2time
14.A2WhileA2caringA2forA2aA2clientA2whoA2wasA2admittedA2withA2myocardialA2infarctionA2(MI
)A22A2daysA2ago,A2theA2nurseA2notesA2today'sA2temperatureA2isA2101.1A2degreesA2Fahrenh
eitA2(38.5A2degrees
Celsius).A2TheA2appropriateA2nursingA2interventionA2isA2toA2-A2Ans--
B)A2AdministerA2acetaminophenA2asA2orderedA2asA2thisA2isA2normalA2atA2thisA2time
15.A2AA2clientA2isA2admittedA2forA2firstA2andA2secondA2degreeA2burnsA2onA2theA2face,A2nec
k,A2anteriorA2chestA2andA2hands.A2TheA2nurse'sA2priorityA2shouldA2beA2-A2Ans--
B)A2AssessA2forA2dyspneaA2orA2stridor
15.A2AA2clientA2isA2admittedA2forA2firstA2andA2secondA2degreeA2burnsA2onA2theA2face,A2nec
k,A2anteriorA2chestA2andA2hands.A2TheA2nurse'sA2priorityA2shouldA2beA2-A2Ans--
B)A2AssessA2forA2dyspneaA2orA2stridor
16.A2WhichA2ofA2theseA2clientsA2whoA2callA2theA2communityA2healthA2clinicA2wouldA2theA2n
urseA2askA2toA2comeA2inA2thatA2dayA2toA2beA2seenA2byA2theA2healthA2careA2provider?A2-
A2Ans--
, D)A2IA2wentA2toA2theA2bathroomA2andA2myA2urineA2lookedA2veryA2redA2andA2itA2didn'tA2hurtA
2whenA2IA2went.
16.A2WhichA2ofA2theseA2clientsA2whoA2callA2theA2communityA2healthA2clinicA2wouldA2theA2n
urseA2askA2toA2comeA2inA2thatA2dayA2toA2beA2seenA2byA2theA2healthA2careA2provider?A2-
A2Ans--
D)A2IA2wentA2toA2theA2bathroomA2andA2myA2urineA2lookedA2veryA2redA2andA2itA2didn'tA2hurtA
2whenA2IA2went.
17.A2WhichA2ofA2theseA2parents'A2commentA2forA2aA2newbornA2wouldA2mostA2likelyA2reveal
A2anA2initialA2findingA2ofA2aA2suspectedA2pyloricA2stenosis?A2-A2Ans--
C)A2MildA2vomitingA2thatA2progressedA2toA2vomitingA2shootingA2acrossA2theA2room.
17.A2WhichA2ofA2theseA2parents'A2commentA2forA2aA2newbornA2wouldA2mostA2likelyA2reveal
A2anA2initialA2findingA2ofA2aA2suspectedA2pyloricA2stenosis?A2-A2Ans--
C)A2MildA2vomitingA2thatA2progressedA2toA2vomitingA2shootingA2acrossA2theA2room.
18.A2TheA2nurseA2isA2assessingA2aA2childA2forA2clinicalA2manifestationsA2ofA2ironA2deficien
cyA2anemia.A2WhichA2factorA2wouldA2theA2nurseA2recognizeA2asA2causeA2forA2theA2findings
?A2-A2Ans--B)A2TissueA2hypoxia
18.A2TheA2nurseA2isA2assessingA2aA2childA2forA2clinicalA2manifestationsA2ofA2ironA2deficien
cyA2anemia.A2WhichA2factorA2wouldA2theA2nurseA2recognizeA2asA2causeA2forA2theA2findings
?A2-A2Ans--B)A2TissueA2hypoxia
19.A2TheA2nurseA2wouldA2expectA2theA2cysticA2fibrosisA2clientA2toA2receiveA2supplementalA
2pancreaticA2enzymesA2alongA2withA2aA2dietA2-A2Ans--
A)A2HighA2inA2carbohydratesA2andA2proteins
19.A2TheA2nurseA2wouldA2expectA2theA2cysticA2fibrosisA2clientA2toA2receiveA2supplementalA
2pancreaticA2enzymesA2alongA2withA2aA2dietA2-A2Ans--
A)A2HighA2inA2carbohydratesA2andA2proteins
20.A2InA2evaluatingA2theA2growthA2ofA2aA212A2month-
oldA2child,A2whichA2ofA2theseA2findingsA2wouldA2theA2nurseA2expectA2toA2beA2presentA2inA2t
heA2infant?A2-A2Ans--C)A2TripledA2theA2birthA2weight
20.A2InA2evaluatingA2theA2growthA2ofA2aA212A2month-
oldA2child,A2whichA2ofA2theseA2findingsA2wouldA2theA2nurseA2expectA2toA2beA2presentA2inA2t
heA2infant?A2-A2Ans--C)A2TripledA2theA2birthA2weight
21.A2AA2HispanicA2clientA2inA2theA2postpartumA2periodA2refusesA2theA2hospitalA2foodA2beca
useA2itA2isA2"cold."A2TheA2bestA2initialA2actionA2byA2theA2nurseA2isA2toA2-A2Ans--
B)A2AskA2theA2clientA2whatA2foodsA2areA2acceptableA2orA2bad