HESI RN ADVANCED MEDICAL SURGICAL NEWEST 2025
ACTUAL EXAM COMPLETE 55 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY
GRADED A+
The nurse is assessing a 9 year old bow who has been admitted to the
hospital with possible acute poststreptoccocal glomerulonephritis
(APSGN). In obtaining his history, what info is MOST significant?
A - a sore throat last week
B - hx of HTN
C - diuresis during the night
D - back pain for a few days - ANSWER A
The nurse is measuring the frontal occipital circumference (FOC) of a 3-
month-old infant, and notes that the FOC has increased 5 inches
(12.7cm) since birth and the child's head appears large in relation to
body size. Which action is MOST important for the nurse to take next?
A - plot the measurement on the infant's growth chart
B - observe the infant for sunset eyes
C - measure the infant's head-to-heel length
D - palpate the anterior fontanel for tension and bulging - ANSWER D
A female infant recently admitted with vomiting and diarrhea now
weighs 10 kg. Her weigh at a previous well-baby visit was 11 kg. What
is the percentage of body weight loss for this infant?
A - 4%
B - 9%
C - 10%
D - 5% - ANSWER B
A male high school student with Type 1 diabetes tests his blood glucose
level before playing a game of soccer and he obtains a reading of 180
,mg/dL (10 mmol/L). Based on the reading, which action should the
nurse take?
A - tell him to eat a sandwich and fruit before beginning the game
B - Check his urine for ketones
C -give him permission to go ahead and play soccer
D- call the healthcare provider - ANSWER A
A 7-year-old child is admitted to the hospital with a diagnosis of acute
rheumatic fever. In obtaining a health hx from the child's mother, the
recent occurrence of which illness is MOST significant?
A - sore throat
B - chickenpox
C - mumps
D - influenza - ANSWER A
A mother brings her 2-month-old son to the clinic for a well baby exam.
During the assessment, the nurse finds that the right testicle is not
descended into the scrotum, but the left is palpable. Which action should
the nurse take?
A- prepare to obtain a catheterized urine specimen for culture
B - address possible concerns about the child's future fertility
C - ask if the right teste has been seen in the scrotum before
D - schedule an IV pyelogram to validate presence of testeicle -
ANSWER C
The nurse is assessing a 6-month-old infant. Which response requires
further evaluation by the nurse?
A - has doubled birth weight
B - turns head to locate sound
C - plays "peek-a-boo"
D- demonstrates startle reflex - ANSWER D
A 4-year-old girl returns to the pediatrician's office for a postoperative
visit following hospitalization for minor surgery. When observing the
,child in the waiting area, which behavior should the nurse consider
normal for this age child?
A - ignores other children in the play area
B - draws picture of self with facial features
C - "talks" to imaginary friend
D - sits quietly in her mother's lap - ANSWER C
A preschool-aged child is experiencing respiratory distress is brought to
the emergency department by the parents. the child is anxious, has a
temperature of 102.8 F (39.3 C), and is drooling from the mouth while
leaning forward when sitting. Which action should the nurse prepare the
child for next?
A - obtain bedside trays for intubation or tracheotomy by the healthcare
provider
B - begin prescribed intravenous antibiotic administration
C - provide a nebulizer treatment with bronchodilators
D - schedule the child for a stat MRI of the neck - ANSWER A
The nurse is caring for a preschool-aged child with a congenital heart
defect who is admitted with intermittent low-grade fever, fatigue, and
weight loss. Further physical assessment findings include a new
murmur, splinter hemorrhages under the nails, and painless red lesions
on the palms of the hands. Which diagnostic procedure should the nurse
prepare the parents to expect the healthcare provider to prescribe?
A - echocardiogram
B - electrocardiogram
C - chest radiography
D - CT scan - ANSWER A
A 6 year old male with a BMI in the 95th percentile for gender and age
arrives at the clinic after a referral from the school nurse. His laboratory
findings include hemoglobin A1c of 5.5%, BP in the 50th percentile for
age, height in the 75th percentile, and an LDL cholesterol of 90 mg/dL
(2.33mmol/L). Which lifestyle modification should the nurse discuss
with the parents?
, A - recommend increasing daily fruits and vegetable and daily exercise
B - return in one month for another evaluation of serum lipids and blood
pressure
C - instruct the parents to weigh the child weekly and measure his BP
daily
D - see a healthcare provider to further assess for diabetes and
hypertension - ANSWER A
When administering indomethacin to a premature infant who has a
patent ductus arteriosus, the nurse should anticipate which outcome?
A - decreased urinary output
B - decreased cardiac murmur
C - increased number of red blood cells
D - increased respiratory effort - ANSWER B
A 2 year old boy who had hypospadias repair yesterday goes to the
hospital playroom with his mother. Which activity should the nurse
recommend?
A - peddling a tricycle in the hall
B - riding a rocking horse
C - using a large-piece puzzle
D - playing catch ball with others - ANSWER C
A male child is being prepared for a CT scan when he begins to have a
tonic clonic seizure. His mother is hysterical and is trying to hold the
child down. What actions should the nurse take? SATA
A - administer an anticonvulsant medication
B - place pillows inside the side rails
C - ask the mother to release the child
D - close blinds so the room is darkened
E - monitor the child's airway and tongue - ANSWER B, C, E
A child diagnosed with Kawasaki disease is brought to the clinic. The
mother reports that her child is irritable, refuses to eat, and has skin
ACTUAL EXAM COMPLETE 55 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY
GRADED A+
The nurse is assessing a 9 year old bow who has been admitted to the
hospital with possible acute poststreptoccocal glomerulonephritis
(APSGN). In obtaining his history, what info is MOST significant?
A - a sore throat last week
B - hx of HTN
C - diuresis during the night
D - back pain for a few days - ANSWER A
The nurse is measuring the frontal occipital circumference (FOC) of a 3-
month-old infant, and notes that the FOC has increased 5 inches
(12.7cm) since birth and the child's head appears large in relation to
body size. Which action is MOST important for the nurse to take next?
A - plot the measurement on the infant's growth chart
B - observe the infant for sunset eyes
C - measure the infant's head-to-heel length
D - palpate the anterior fontanel for tension and bulging - ANSWER D
A female infant recently admitted with vomiting and diarrhea now
weighs 10 kg. Her weigh at a previous well-baby visit was 11 kg. What
is the percentage of body weight loss for this infant?
A - 4%
B - 9%
C - 10%
D - 5% - ANSWER B
A male high school student with Type 1 diabetes tests his blood glucose
level before playing a game of soccer and he obtains a reading of 180
,mg/dL (10 mmol/L). Based on the reading, which action should the
nurse take?
A - tell him to eat a sandwich and fruit before beginning the game
B - Check his urine for ketones
C -give him permission to go ahead and play soccer
D- call the healthcare provider - ANSWER A
A 7-year-old child is admitted to the hospital with a diagnosis of acute
rheumatic fever. In obtaining a health hx from the child's mother, the
recent occurrence of which illness is MOST significant?
A - sore throat
B - chickenpox
C - mumps
D - influenza - ANSWER A
A mother brings her 2-month-old son to the clinic for a well baby exam.
During the assessment, the nurse finds that the right testicle is not
descended into the scrotum, but the left is palpable. Which action should
the nurse take?
A- prepare to obtain a catheterized urine specimen for culture
B - address possible concerns about the child's future fertility
C - ask if the right teste has been seen in the scrotum before
D - schedule an IV pyelogram to validate presence of testeicle -
ANSWER C
The nurse is assessing a 6-month-old infant. Which response requires
further evaluation by the nurse?
A - has doubled birth weight
B - turns head to locate sound
C - plays "peek-a-boo"
D- demonstrates startle reflex - ANSWER D
A 4-year-old girl returns to the pediatrician's office for a postoperative
visit following hospitalization for minor surgery. When observing the
,child in the waiting area, which behavior should the nurse consider
normal for this age child?
A - ignores other children in the play area
B - draws picture of self with facial features
C - "talks" to imaginary friend
D - sits quietly in her mother's lap - ANSWER C
A preschool-aged child is experiencing respiratory distress is brought to
the emergency department by the parents. the child is anxious, has a
temperature of 102.8 F (39.3 C), and is drooling from the mouth while
leaning forward when sitting. Which action should the nurse prepare the
child for next?
A - obtain bedside trays for intubation or tracheotomy by the healthcare
provider
B - begin prescribed intravenous antibiotic administration
C - provide a nebulizer treatment with bronchodilators
D - schedule the child for a stat MRI of the neck - ANSWER A
The nurse is caring for a preschool-aged child with a congenital heart
defect who is admitted with intermittent low-grade fever, fatigue, and
weight loss. Further physical assessment findings include a new
murmur, splinter hemorrhages under the nails, and painless red lesions
on the palms of the hands. Which diagnostic procedure should the nurse
prepare the parents to expect the healthcare provider to prescribe?
A - echocardiogram
B - electrocardiogram
C - chest radiography
D - CT scan - ANSWER A
A 6 year old male with a BMI in the 95th percentile for gender and age
arrives at the clinic after a referral from the school nurse. His laboratory
findings include hemoglobin A1c of 5.5%, BP in the 50th percentile for
age, height in the 75th percentile, and an LDL cholesterol of 90 mg/dL
(2.33mmol/L). Which lifestyle modification should the nurse discuss
with the parents?
, A - recommend increasing daily fruits and vegetable and daily exercise
B - return in one month for another evaluation of serum lipids and blood
pressure
C - instruct the parents to weigh the child weekly and measure his BP
daily
D - see a healthcare provider to further assess for diabetes and
hypertension - ANSWER A
When administering indomethacin to a premature infant who has a
patent ductus arteriosus, the nurse should anticipate which outcome?
A - decreased urinary output
B - decreased cardiac murmur
C - increased number of red blood cells
D - increased respiratory effort - ANSWER B
A 2 year old boy who had hypospadias repair yesterday goes to the
hospital playroom with his mother. Which activity should the nurse
recommend?
A - peddling a tricycle in the hall
B - riding a rocking horse
C - using a large-piece puzzle
D - playing catch ball with others - ANSWER C
A male child is being prepared for a CT scan when he begins to have a
tonic clonic seizure. His mother is hysterical and is trying to hold the
child down. What actions should the nurse take? SATA
A - administer an anticonvulsant medication
B - place pillows inside the side rails
C - ask the mother to release the child
D - close blinds so the room is darkened
E - monitor the child's airway and tongue - ANSWER B, C, E
A child diagnosed with Kawasaki disease is brought to the clinic. The
mother reports that her child is irritable, refuses to eat, and has skin
