Hesi 2020 PN

Hesi 2020 PN 1. RN is caring for a 3-y/o child who is 2 hours postop from a cardiac catheterization via the right femoral artery. Which assessment finding is an indication of arterial obstruction? • BP trend is downward & pulse is rapid & irregular. • Right foot is cool to touch & appears pale & blanched. • Pulse distal to femoral artery is weaker on left foot than right. • Pressure dressing at right femoral area is moist & oozing blood. 2. Following a motor vehicle collision, a 3-y/o girl has a spica cast applied. Which toy is best for RN for this 3 y/o child? • Duck that squeaks. • Fashion doll & clothes. • Set of cloth & hand puppets. • Hand held video game. 3. An infant with tetralogy of Fallot becomes acutely cyanotic and hyperpneic. Which action should RN implement first? • Administer morphine sulphate. • Start IV fluids. • Place the infant in a knee-chest position. • Provide 100% oxygen by face mask. 4. Child admitted with diabetic ketoacidosis is demonstrating Kussmaul respirations. RN determines that the increased respiratory rate is a compensatory mechanism for which acid base alteration? • Metabolic alkalosis. • Respiratory acidosis. • Respiratory alkalosis. • Metabolic acidosis. 5. 7 years old is admitted to hospital with persistent vomiting & a nasogastric tube attached to low intermittent suction is applied. Which finding is most important for RN to report to Dr? • Gastric output of 100 mL in the last 8 hours. • Shift intake of 640 mL IV fluids plus 30 mL PO ice chips. • Serum potassium of 3.0 mg/dL. • Serum pH of 7.45. 6. RN is evaluating diet teaching for Pt who has nontropical sprue (celiac disease). Choosing which food indicates effective teaching? • Creamed corn. • Pancakes. • Rye crackers. • Cooked oatmeal. 7. During a well-baby check, RN hides a block under baby’s blanket & baby looks for block. Which normal growth & development milestone is baby developing? • Separation anxiety. • Associative play. • Object prehension. • Object permanence. 8. The RN is measuring the frontal occipital circumference (FOC) of a 3-months old infant, & notes that the FOC has increased 5 inches since birth & the child’s head appears large in relation to body size. Which action is most important for RN to take next? • Measure the infant’s head-to-toe length. • Palpate the anterior fontanel for tension & bulging. • Observe the infant for sunken eyes. • Plot the measurement on the infant’s growth chart. 9. The RN is preparing 10 year old with accelerated forehead for suturing. Both parents & 12 y/o sibling are at the child’s bedside. Which instruction best supports family? • While waiting for Dr, only one visitor may stay with the child. • All of you should leave while Dr sutures the child’s forehead. • It is best if sibling goes to waiting room until suturing is completed. • Please decide who will stay when Dr begins suturing.