MED SURG HESI V2 EXAM
HESI MED - SURG V2 PN HESI, OB HESI,
Pediatrics HESI PN, Maternity NCLEX PN
PREDICTOR FINAL EXAM 1 REAL
EXAM COMPLETE VERIFIED
QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED RATIONALES)
|ALREADY GRADED A+
A child is prescribed radiographs of the hand and wrist. The child's parent asks the practical
nurse (PN) the purpose of this procedure. What finding should the PN explain is provided by the
diagnostic study?
a) skeletal age
b) linear growth
c) external proportions
A+ TEST BANK 1
, MED SURG HESI V2 EXAM
d) neurologic maturation –
Correct Answer :Answer: A
Rationale:
Skeletal age (A) can be determined with radiologic examinations that analysis carpal bones
maturity and degree of ossification, which is most useful for determining skeletal age before 6
years of age. (B, C, and D) do not describe the correct rationale for this procedure.
A mother asks the practical nurse (PN), "When will I know if my daughter has entered puberty?"
Which finding should the PN tell the mother to observe for with the onset of puberty?
a) mood swings
b) growth of pubic hair
c) heterosexual interest
d) menarche –
Correct Answer :Answer: B
Rationale:
The onset of puberty in girls is observed with the development of secondary sex characteristics,
such as breast development and the growth of pubic hair (B). (A,C, and D) are not consistently
found with pubescence.
The PN is checking the musculoskeletal system of a one month old infant during a well child visit.
Which finding should the PN report to the healthcare provider?
a) one leg is shorter than the other.
A+ TEST BANK 2
, MED SURG HESI V2 EXAM
b) 2 skin folds on the back of each thigh
c) broadening & flattening of the buttocks
d) hypotonicity of the leg muscles –
Correct Answer :Answer: A
Rationale:
Developmental hip dysplasia, subluxation or discoloration, either partial or complete, is a
common orthopedic deformity where the head of the femur is partly or completely displaced as
a result of a shallow hip socket (acetabulum). Hip dysplasia causes the leg on the affected side to
appear shorter (A) than the leg on the unaffected side. (D) is a sign of a neurologic problem, not
hip dysplasia. The skin folds of the thigh are deeper and often asymmetrical, not (B), and the
best indicator of hip dysplasia is femur shortening. (C) is not a sign of hip dysplasia.
Which physiological difference is present in a 3 month old infant that affects oral drug
absorption rates?
a) variable pancreatic enzyme activity
b) more acidic gastric secretions
c) more rapid peristaltic activity
d) an accelerated gastric emptying rate –
Correct Answer :Answer: A
Rationale:
Pancreatic enzyme activity (A) is variable in infants for the first 3 months of life as the Gi system
matures. The gastric secretions of infants are less acidic than those of older children or adults,
not (B). Intestinal motility and gastric emptying rate tend to be slower in infants, not (C and D).
A+ TEST BANK 3
, MED SURG HESI V2 EXAM
The practical nurse (PN) is preparing to administer an intramuscular immunization to a 6 month
old infant. What site should the PN select?
a) dorsogluteal
b) ventrogluteal
c) deltoid
d) vastus lateralis –
Correct Answer :Answer: D
Rationale:
The vastus lateralis (D) has minimal nerves or blood vessels and is the best site for intramuscular
(IM) injections in children younger than 3 years of age. The deltoid muscle (C) is a small muscle
mass that accommodates small volumes, less than 0.5 mL, and is not recommended for IM use in
young children. The gluteal muscles (A and B) are used as an injection site in children whose
musculature develops after walking.
The mother of a young child with Type 1 diabetes mellitus (DM) who needs insulin injections at
home tells the practical nurse (PN) that she is afraid she does not know what to do properly.
Which action is most important for the PN implement to decrease the mother's apprehension?
a) have the mother verbalize the importance of follow up care
b) help the mother devise a schedule for rotating the injections
c) observe the mother while she administers an insulin injection
d) review the side effects of insulin with the mother –
Correct Answer :Answer: C
Rationale:
A+ TEST BANK 4
HESI MED - SURG V2 PN HESI, OB HESI,
Pediatrics HESI PN, Maternity NCLEX PN
PREDICTOR FINAL EXAM 1 REAL
EXAM COMPLETE VERIFIED
QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED RATIONALES)
|ALREADY GRADED A+
A child is prescribed radiographs of the hand and wrist. The child's parent asks the practical
nurse (PN) the purpose of this procedure. What finding should the PN explain is provided by the
diagnostic study?
a) skeletal age
b) linear growth
c) external proportions
A+ TEST BANK 1
, MED SURG HESI V2 EXAM
d) neurologic maturation –
Correct Answer :Answer: A
Rationale:
Skeletal age (A) can be determined with radiologic examinations that analysis carpal bones
maturity and degree of ossification, which is most useful for determining skeletal age before 6
years of age. (B, C, and D) do not describe the correct rationale for this procedure.
A mother asks the practical nurse (PN), "When will I know if my daughter has entered puberty?"
Which finding should the PN tell the mother to observe for with the onset of puberty?
a) mood swings
b) growth of pubic hair
c) heterosexual interest
d) menarche –
Correct Answer :Answer: B
Rationale:
The onset of puberty in girls is observed with the development of secondary sex characteristics,
such as breast development and the growth of pubic hair (B). (A,C, and D) are not consistently
found with pubescence.
The PN is checking the musculoskeletal system of a one month old infant during a well child visit.
Which finding should the PN report to the healthcare provider?
a) one leg is shorter than the other.
A+ TEST BANK 2
, MED SURG HESI V2 EXAM
b) 2 skin folds on the back of each thigh
c) broadening & flattening of the buttocks
d) hypotonicity of the leg muscles –
Correct Answer :Answer: A
Rationale:
Developmental hip dysplasia, subluxation or discoloration, either partial or complete, is a
common orthopedic deformity where the head of the femur is partly or completely displaced as
a result of a shallow hip socket (acetabulum). Hip dysplasia causes the leg on the affected side to
appear shorter (A) than the leg on the unaffected side. (D) is a sign of a neurologic problem, not
hip dysplasia. The skin folds of the thigh are deeper and often asymmetrical, not (B), and the
best indicator of hip dysplasia is femur shortening. (C) is not a sign of hip dysplasia.
Which physiological difference is present in a 3 month old infant that affects oral drug
absorption rates?
a) variable pancreatic enzyme activity
b) more acidic gastric secretions
c) more rapid peristaltic activity
d) an accelerated gastric emptying rate –
Correct Answer :Answer: A
Rationale:
Pancreatic enzyme activity (A) is variable in infants for the first 3 months of life as the Gi system
matures. The gastric secretions of infants are less acidic than those of older children or adults,
not (B). Intestinal motility and gastric emptying rate tend to be slower in infants, not (C and D).
A+ TEST BANK 3
, MED SURG HESI V2 EXAM
The practical nurse (PN) is preparing to administer an intramuscular immunization to a 6 month
old infant. What site should the PN select?
a) dorsogluteal
b) ventrogluteal
c) deltoid
d) vastus lateralis –
Correct Answer :Answer: D
Rationale:
The vastus lateralis (D) has minimal nerves or blood vessels and is the best site for intramuscular
(IM) injections in children younger than 3 years of age. The deltoid muscle (C) is a small muscle
mass that accommodates small volumes, less than 0.5 mL, and is not recommended for IM use in
young children. The gluteal muscles (A and B) are used as an injection site in children whose
musculature develops after walking.
The mother of a young child with Type 1 diabetes mellitus (DM) who needs insulin injections at
home tells the practical nurse (PN) that she is afraid she does not know what to do properly.
Which action is most important for the PN implement to decrease the mother's apprehension?
a) have the mother verbalize the importance of follow up care
b) help the mother devise a schedule for rotating the injections
c) observe the mother while she administers an insulin injection
d) review the side effects of insulin with the mother –
Correct Answer :Answer: C
Rationale:
A+ TEST BANK 4
