%48CORRECT48ANSWERS/A+48GRADE
HESI48RN48COMPASS48EXIT48EXAM48V148NGN48202348LATE
ST48UPDATED48QUESTION48&48100%48CORRECT48ANSWE
RS/A+48GRADE
1. The48nurse48is48caring48for48a48pre-
adolescent48client48in48skeletal48Dunlop48traction.48Which48nursing48intervention48i
s48appropriate48for48this48child?
A) Make48certain48 the48 child48 is48 maintained48 in48 correct48 body48 alignment.
B) Be48sure48the48traction48weights48 touch48the48 end48 of48the48bed.
C) Adjust48the48head48 and48foot48 of48the48bed48 for48the48child's48 comfort
D) Release48the48traction48 for48 15-2048 minutes48 every48648 hours48 PRN.
The48correct48 answer48 is48A:48 Make48 certain48 the48child48 is48 maintained48in48 correct48 body48 a
lignment.
2. The48nurse48is48assessing48a48healthy48child48at48the48248year48check48up.48Which48of
48the48following48should48the48nurse48report48immediately48to48the48health48care48provi
der?
A) Height48 and48 weight48 percentiles48 vary48widely
B) Growth48 pattern48 appears48to48 have48 slowed
C) Recumbent48 and48 standing48 height48 are48 different
D) Short48term48 weight48 changes48 are48 uneven
The48correct48 answer48 is48A:48 Height48 and48 weight48 percentiles48 vary48widely
3. The48parents48of48a48248year-
old48child48report48that48he48has48been48holding48his48breath48wheneverhe48has48temper48t
antrums.48What48is48the48best48action48by48the48nurse?
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%48CORRECT48ANSWERS/A+48GRADE
A) Teach48the48 parents48 how48 to48 perform48 cardiopulmonary48 resuscitation
B) Recommend48 that48 the48parents48 give48 in48 when48 he48 holds48 his48 breath48to48prevent48 anox
ia
C) Advise48the48 parents48 to48ignore48 breath48 holding48 because48 breathing48will48 begin48 as48 a48
reflex
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%48CORRECT48ANSWERS/A+48GRADE
D) Instruct48the48parents48on48how48to48reason48with48the48child48about48possible48harmful
48effects48The48correct48answer48is48C:48Advise48the48parents48to48ignore48breath48holding
48because48breathingwill48begin48as48a48reflex
4. The48nurse48is48assessing48a48client48in48the48emergency48room.48Which48statement48sug
gests48thatthe48problem48is48acute48angina?
A) "My48pain48 is48 deep48 in48 my48chest48 behind48 my48sternum."
B) "When48 I48sit48 up48 the48pain48 gets48worse."
C) "As48 I48take48a48deep48 breath48 the48pain48gets48 worse."
D) "The48pain48 is48 right48 here48 in48 my48stomach48 area."
The48correct48 answer48 is48A:48 "My48pain48 is48 deep48in48 my48chest48 behind48my48sternum."
.
5. The48nurse48is48assessing48the48mental48status48of48a48client48admitted48with48possible48
organic48brain48disorder.48Which48of48these48questions48will48best48assess48the48function4
8of48the48client's48recent
memory?
A) "Name48the48 year."48"What48 season48is48this?"48(pause48for48answer48after48each48 question)
B) "Subtract48748from4810048and48then48subtract48748from48that."48(pause48for48an
swer)48"Now48continue48to48subtract48748from48the48new48number."
C) "I48am48going48to48say48the48names48of48three48things48and48I48want48you48to48repeat
48them48after48me:48blue,48ball,48pen."
D) "What48is48this48on48my48wrist?"48(point48to48your48watch)48Then48ask,48"What48is48the48
purpose48ofit?"48The48correct48answer48is48C:48"I48am48going48to48say48the48names48of48three4
8things48and48I48want48you48torepeat48them48after48me:48blue,48ball,48pen."
6. In48planning48care48for48a48648month-
old48infant,48what48must48the48nurse48provide48to48assist48in48the48development48of48trus
Test48Ban Page483
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, HESI48RN48COMPASS48EXIT48EXAM48V148NGN48202348LATEST48UPDATE48QUESTION48&48100
%48CORRECT48ANSWERS/A+48GRADE
t?
A) Food
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