HESI / EVOLVE EXAM QUESTIONS
WITH CORRECT ANSWERS
Teach him about the effects of alcohol on diabetes and how to prevent problems
associated with intake - ANSWER-A 17-year-old boy with diabetes mellitus tells the
school nurse that he has recently started drinking alcohol with his friends on
weekends. The most appropriate action by the nurse is to:
The colon has an aganglionic segment - ANSWER-Which statement best describes
Hirschsprung disease?
Prevent abdominal distention - ANSWER-A child has a nasogastric tube (NG) after
surgery for acute appendicitis. The purpose of the tube is to:
Vitamin supplements - ANSWER-Therapeutic management of the child with an
inflammatory bowel disease (IBD) includes a diet that has which components?
Liver transplantation may be needed eventually - ANSWER-Which should the nurse
consider when providing support to a family whose infant has just been diagnosed
with biliary atresia?
Excessive amount of frothy saliva in the mouth - ANSWER-The nurse assesses a
neonate immediately after birth and suspects a tracheoesophageal fistula. Which
should be present?
notify the physician - ANSWER-The nurse is caring for a child with probable
intussusception. The child had diarrhea before admission, but while waiting for
administration of air pressure to reduce the intussusception, the child passes a
normal brown stool. The most appropriate nursing action is to:
low-gluten diet - ANSWER-The most appropriate diet for a child with celiac disease
is:
Remove the brace 1 hour each day for bathing only - ANSWER-The nurse is
teaching an adolescent girl with scoliosis about a Milwaukee brace that her health
care provider has prescribed. Which instruction should the nurse provide to this
client?
Steatorrhea, foul smelling stools ,delayed growth, pulmonary congestion - ANSWER-
Which assessment finding(s) should the nurse expect when caring for a child with
cystic fibrosis? (Select all that apply.)
Allow the toddler to choose a colored band aid an injection
Give brief but simple explanations to the child before procedures - ANSWER-Which
nursing intervention(s) is (are) therapeutic when caring for a hospitalized toddler?
(Select all that apply.)
, Removing restraints one at a time - ANSWER-A 6-month-old male infant is admitted
to the postanesthesia care unit with elbow restraints in place. He has an
endotracheal tube and is ventilator-dependent but will be extubated soon following
recovery from anesthesia. Which nursing intervention should be included in this
child's plan of care?
Display possessiveness with toys - ANSWER-The nurse expects a 2-year-old child
to exhibit which behavior?
Observe for Projectile vomiting - ANSWER-Which preoperative nursing intervention
should be included in the plan of care for an infant with pyloric stenosis?
Store all toxic agents and medicines in locked cabinets - ANSWER-The nurse is
preparing a health teaching program for parents of toddlers and preschoolers and
plans to include information about the prevention of accidental poisonings. It is most
important for the nurse to include which instruction?
Tell the parent to take the child to the ER - ANSWER-A father of a 5-year-old boy
calls the nurse to report that his son, who has had an upper respiratory infection, is
complaining of a headache, and his temperature has increased to 103° F, taken
rectally. Which intervention has the highest priority?
My husband and daughter are both lactose intolerant - ANSWER-The nurse is taking
the family history of a 2-year-old child with atopic dermatitis (eczema). Which
statement by the mother is most important in formulating a plan of care for this child?
Tell me what you know about birth control - ANSWER-The nurse is assessing a male
adolescent client's knowledge of contraception. The teen states, "I have all the info I
need." What is the best response by the nurse?
Communicate the results to the oncoming nurse and document - ANSWER-A nurse
is preparing to end the shift and receives a lab report stating that a child with asthma
has a theophylline level of 15 mcg/dL. Which action should the nurse take?
I will give her a baby ASA q 4 hr prn for fever - ANSWER-Following the
administration of immunizations to a 6-month-old girl, the nurse provides the family
with home care instructions. Which statement by the mother indicates that further
teaching is needed?
Exhibits a sudden and unexplained wt gain - ANSWER-The nurse is teaching the
parents of a 2-year-old child with a congenital heart defect about signs and
symptoms of congestive heart failure. Which information about the child is most
important for the parents to report to the health care provider?
Place the child in strict isolation to prevent an outbreak on the unit - ANSWER-A
child breaks out with varicella infection (chickenpox) while hospitalized for a minor
surgical procedure. Which intervention should the nurse implement first?
Baked chicken ,coleslaw , soda and frozen fruit dessert - ANSWER-The nurse is
preparing a teaching plan for the mother of a child who has been diagnosed with
WITH CORRECT ANSWERS
Teach him about the effects of alcohol on diabetes and how to prevent problems
associated with intake - ANSWER-A 17-year-old boy with diabetes mellitus tells the
school nurse that he has recently started drinking alcohol with his friends on
weekends. The most appropriate action by the nurse is to:
The colon has an aganglionic segment - ANSWER-Which statement best describes
Hirschsprung disease?
Prevent abdominal distention - ANSWER-A child has a nasogastric tube (NG) after
surgery for acute appendicitis. The purpose of the tube is to:
Vitamin supplements - ANSWER-Therapeutic management of the child with an
inflammatory bowel disease (IBD) includes a diet that has which components?
Liver transplantation may be needed eventually - ANSWER-Which should the nurse
consider when providing support to a family whose infant has just been diagnosed
with biliary atresia?
Excessive amount of frothy saliva in the mouth - ANSWER-The nurse assesses a
neonate immediately after birth and suspects a tracheoesophageal fistula. Which
should be present?
notify the physician - ANSWER-The nurse is caring for a child with probable
intussusception. The child had diarrhea before admission, but while waiting for
administration of air pressure to reduce the intussusception, the child passes a
normal brown stool. The most appropriate nursing action is to:
low-gluten diet - ANSWER-The most appropriate diet for a child with celiac disease
is:
Remove the brace 1 hour each day for bathing only - ANSWER-The nurse is
teaching an adolescent girl with scoliosis about a Milwaukee brace that her health
care provider has prescribed. Which instruction should the nurse provide to this
client?
Steatorrhea, foul smelling stools ,delayed growth, pulmonary congestion - ANSWER-
Which assessment finding(s) should the nurse expect when caring for a child with
cystic fibrosis? (Select all that apply.)
Allow the toddler to choose a colored band aid an injection
Give brief but simple explanations to the child before procedures - ANSWER-Which
nursing intervention(s) is (are) therapeutic when caring for a hospitalized toddler?
(Select all that apply.)
, Removing restraints one at a time - ANSWER-A 6-month-old male infant is admitted
to the postanesthesia care unit with elbow restraints in place. He has an
endotracheal tube and is ventilator-dependent but will be extubated soon following
recovery from anesthesia. Which nursing intervention should be included in this
child's plan of care?
Display possessiveness with toys - ANSWER-The nurse expects a 2-year-old child
to exhibit which behavior?
Observe for Projectile vomiting - ANSWER-Which preoperative nursing intervention
should be included in the plan of care for an infant with pyloric stenosis?
Store all toxic agents and medicines in locked cabinets - ANSWER-The nurse is
preparing a health teaching program for parents of toddlers and preschoolers and
plans to include information about the prevention of accidental poisonings. It is most
important for the nurse to include which instruction?
Tell the parent to take the child to the ER - ANSWER-A father of a 5-year-old boy
calls the nurse to report that his son, who has had an upper respiratory infection, is
complaining of a headache, and his temperature has increased to 103° F, taken
rectally. Which intervention has the highest priority?
My husband and daughter are both lactose intolerant - ANSWER-The nurse is taking
the family history of a 2-year-old child with atopic dermatitis (eczema). Which
statement by the mother is most important in formulating a plan of care for this child?
Tell me what you know about birth control - ANSWER-The nurse is assessing a male
adolescent client's knowledge of contraception. The teen states, "I have all the info I
need." What is the best response by the nurse?
Communicate the results to the oncoming nurse and document - ANSWER-A nurse
is preparing to end the shift and receives a lab report stating that a child with asthma
has a theophylline level of 15 mcg/dL. Which action should the nurse take?
I will give her a baby ASA q 4 hr prn for fever - ANSWER-Following the
administration of immunizations to a 6-month-old girl, the nurse provides the family
with home care instructions. Which statement by the mother indicates that further
teaching is needed?
Exhibits a sudden and unexplained wt gain - ANSWER-The nurse is teaching the
parents of a 2-year-old child with a congenital heart defect about signs and
symptoms of congestive heart failure. Which information about the child is most
important for the parents to report to the health care provider?
Place the child in strict isolation to prevent an outbreak on the unit - ANSWER-A
child breaks out with varicella infection (chickenpox) while hospitalized for a minor
surgical procedure. Which intervention should the nurse implement first?
Baked chicken ,coleslaw , soda and frozen fruit dessert - ANSWER-The nurse is
preparing a teaching plan for the mother of a child who has been diagnosed with
