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HESI MILESTONE 3 REMEDIATION 2024 ACTUAL 200 EXAM QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES| VERIFIED |ALREADY GRADED A+

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HESI MILESTONE 3 REMEDIATION 2024 ACTUAL 200 EXAM QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES| VERIFIED |ALREADY GRADED A+

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HESI MILESTONE 3 REMEDIATION 2024 ACTUAL 200 EXAM QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES| VERIFIED |ALREADY GRADED A+

A v10-year-old vchild vhas vundergone va vcardiac vcatheterization vthrough vthe vleft
vfemoral vartery. vDuring va vpost vprocedural vassessment, vthe vnurse vfinds vthe vleft
vfoot vis vpulseless vand vcool vto vtouch. vWhich vis vthe vlikely vcause?
A. vhemorrhage
B. vhematoma
C. vfasciculation
D. vtamponade v- vansB. vhematoma
Cardiac vcatheterization vis va vroutine vdiagnostic vprocedure; vhowever, vit vis vnot
vwithout vrisks. vLoss vof vpulse vin vthe vcatheterized vextremity vis vlikely vdue vto va
vhematoma vand vrequires vimmediate vintervention vto vrestore vcirculation.


A v10-year-old vclient vwith va vrecent vhistory vof vplaying vin vthe vwoods, vpresents vto
vthe vschool vnurse's vclinic vwith vlocalized vskin veruptions von vthe vhands vand vfeet
vwhich vare vstreaked, vconsisting vof vblisters vdischarging vclear vfluid vthat vare vpainful
vand vitchy. vWhat vshould vthe vschool vnurse vsuspect vto vbe vthe vcausative vagent?
A. vsun vburn
B. vpoison vivy
C. vinsect vbite
D. vheat vrash
Contact vwith vthe voil vcalled v"Urushiol" vwhich vis vfound vin vpoison vivy, voak vand
vsumac vmay vproduce van vallergic vreaction. vSymptoms vinclude vlocalized, vstreaked,
vor voozing vblisters. vThese vskin vlesions vare vusually vpainful vand vitchy. v- vans


A v10-year-old vclient vwith vasthma varrives vat van vurgent vcare vclinic vwith vapparent
vbronchial vconstriction. vWhich vclass vof vdrugs vshould vthe vnurse vexpect vto vbe
vadministered vfor vthis vcondition?
A. vmethylxanthines
B. vanticholinergic
C. vlong-acting vbeta2 vagonists
D. voral vcorticosteroids v- vansD. voral vcorticosteroids
Corticosteroids vare vfast-acting vanti-inflammatory vdrugs. vThey vare vused vto vtreat
vreversible vairflow vobstruction, vcontrol vsymptoms, vand vreduce vbronchial
vconstriction vwith vthe vfewest vside veffects.


A v12-month-old vclient vis vbeing vdischarged vwith va vbody vspica vcast. vWhich
vinformation vshould vthe vnurse vinclude vin vthe vparents' vdischarge vteaching vplan?
A. vfoul vodor vfrom vcast vmay vindicate vinfection vor vskin vbreakdown
B. vpillows vshould vnot vbe vplaced vunder vcast
C. vthe vchild vcan vsafely vtransported vin va vstroller
D. vuse vpillows vto velevate vthe vchild's vhead v- vansA. vfoul vodor vfrom vcast vmay
vindicate vinfection vor vskin vbreakdown
Care vof va vchild vin va vbody vspica vcast vcan vbe vchallenging vfor vparents vat vhome.
vSkin vunder vthe vcast vshould vbe vprotected vfrom vinjury vand vdebris, vso vparents
vshould vbe vinstructed vthat va vfoul vodor vfrom vthe vcast vcan vbe vindicative vof vskin
vbreakdown vor vinfection vand vto vcontact vtheir vhealth vcare vprovider.

,HESI MILESTONE 3 REMEDIATION 2024 ACTUAL 200 EXAM QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES| VERIFIED |ALREADY GRADED A+

A v12-year-old vathlete vreports vsevere vankle vpain vand van vaudible v"popping" vsound
vin vthe vankle vafter va vfall vat vsoccer vpractice. vThe vnurse vupon vinspection vobserves
vmoderate vswelling, vbruising, vand vjoint vinstability. vInitial vradiographs vof vthe vankle
vappear vnormal. vWhich vtype vof vinjury vshould vthe vnurse vsuspect?
A. vstrain
B. vsprain
C. vfracture
D. vdislocation v- vansB. vSprain v
The vankle vis va vcommon vsite vfor vsprain vinjuries. vAnkle vsprains vcan vrange vfrom
vmild v(grade v1) vto vsevere v(grade v3), vwith vcomplete vtearing vof va vligament vin vthe
vmost vsevere vsprains. vA v"popping" vsound vis vlikely van vindication vof va vpartial vor
vcomplete vligament vtear; vjoint vinstability vmay vbe vdetected vat vthe vend-ranges vof
vpassive vmotion.


A v15-year-old vclient vpresents vwith va vlump vand vpersistent vpain vin vthe vright vupper
vthigh varea, vand vis vsubsequently vdiagnosed vwith va vhigh-grade vosteosarcoma. vThe
vnurse vshould vanticipate vwhich vplan vof vtreatment vfor vthis vclient?
A. vhot/cold vtopical vapplications
B. vamputation vof vthe vlimb
C. velectrical vstimulation vtherapy
D. vprolonged vimmobilization v- vansB. vamputation vof vthe vlimb
Osteosarcoma vis vthe vmost vcommon vbone vcancer vin vchildhood vand vconsidered
vone vof vthe vmost vfatal. vTreatment vgenerally vincludes vchemotherapy vand
vamputation vof vthe vaffected vlimb. vAs vof vtoday, vthere vis vno vmeedical vset vplan vof
vcare.


A vchild vdiagnosed vwith vHIV vis vbeing venrolled vin va vnew vschool. vWho vhas vthe
vright vto vinform vthe vschool vof vthis vchild's vHIV vstatus?
A. vdoctors vor vnurses
B. vsocial vworkers
C. vparents vor vlegal vguardians
D. vchild vwelfare vdepartment v- vansC. vparents vor vlegal vguardians
Confidentiality vis va vmajor vissue vin vschool vattendance. vThe vparents vor vlegal
vguardians vhave vthe vright vto vdecide vwhether vor vnot vto vinform vthe vschool vof vtheir
vchild's vHIV vstatus.


A vchild vhas vbeen vdiagnosed vwith vchicken vpox vand vthe vnurse vteaches vthe vparent
vnot vto vgive vthe vchild vaspirin. vWhich vcondition vmay vresult vwhen va vchild vwith
vchickenpox vis vgiven vaspirin?
A. vReye's vsyndrome
B. vHuntingtons vdisease
c. vRaynaud vsyndrome
D. vpurpura vdisorder v- vansA. vreye's vsyndrome
Reye's vsyndrome vis va vrare, vbut vserious vcondition vthat vcauses vbrain vand vliver
vdamage vthat vhas vbeen vlinked vwith vaspirin vuse vin vchildren, vwhen vgiven vto vtreat

,HESI MILESTONE 3 REMEDIATION 2024 ACTUAL 200 EXAM QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES| VERIFIED |ALREADY GRADED A+

va vviral vinfections, vsuch vas vchicken vpox. vReye's vsyndrome vcan vbe vprevented vby
vavoiding vthe vuse vof vaspirin vin vchildren.


A vchild vis vadmitted vwith va vdiagnosis vof vsuspected vacute vlymphoblastic vleukemia
v(ALL). vWhich vtest vis vperformed vto vconfirm vthis vdiagnosis vof vchildhood vleukemia?
A. vcerebral vspinal vfluid vanalysis
B. vbone vmarrow vaspiration
C. vCBC
D. vgenetic vtesting v- vansB. vbone vmarrow vaspiration
ALL vis va vform vof vcancer vin vwhich vhigh vnumbers vof vabnormal vwhite vblood vcells
vare vproduced. vA vbone vmarrow vbiopsy vthat vreveals vprimary vblast vcells vis
vconfirmation vof va vleukemia.


A vchild vis vbrought vto vthe vemergency vdepartment vafter vingesting va vlarge vamount
vof vhousehold vdrain vcleaner. vWhich vis vthe vnurse's vfirst vpriority vwhen vcaring vfor
vthis vclient?
A. vperform vNG vsuctioning
B. vAssess vand vmaintain van vopen vairway
C. vgive vsmall vamounts vof vwater vto vingest
D. vObtain vchest vand vabdomen vradiographs v- vansB. vassess vand vmaintain van
vopen vairway
Ingestion vof vcorrosive vhousehold vagents vmay vcause vairway vobstruction vdue vto
vrapidly vdeveloping vlaryngeal vedema. vThe vfirst vpriority vis vto vassess vand vmonitor
vthe vclient's vairway.


A vchild vrecently vunderwent vcardiac vsurgery vand vis vadmitted vwith va vsuspected
vdiagnosis vof vinfective vendocarditis. vWhich vpresentation vshould vthe vnurse vexpect
vwhen vassessing vthis vclient?
A. vbradycardia, vlethargy, vspeech vdisturbances
B. vhigh vfever, virregular vmovement vof vjoints, vinvoluntary vfacial vgrimaces
c. vtachycardia, vchest vpain, vswollen vand vpainful vjoints
D. vlow vgrade vfever, vanorexia, vsplinter vhemorrhages vunder vthe vnails v- vansD. vlow
vgrade vfever, vanorexia, vsplinter vhemorrhages vunder vthe vnails
Children vwho vundergo vcardiac vsurgery vare vat vhigher vrisk vfor vinfection. vCommon
vclinical vsigns vand vsymptoms vof vinfective vendocarditis vare vunexplained vfever v(low-
grade vand vintermittent), vanorexia, vmalaise, vand vsplinter vhemorrhages vunder vthe
vnails


A vchild vwith vsevere vburns vbegins vto vexhibit vdecreased vlevel vof vconsciousness
vand vlethargy vfour vdays vafter vbeing vadmitted vto vthe vburn vunit. vThe vnurse's
vassessment vreveals va vlow-grade vfever, vbut vthe vclient's vother vvital vsigns vare
vstable. vThe vnurse vshould vbe valert vfor vwhich vpotential vcomplication?
A. vrespiratory vfailure
B. vdehydration
C. vsepsis
D. vhypovolemia v- vansC. vsepsis

, HESI MILESTONE 3 REMEDIATION 2024 ACTUAL 200 EXAM QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES| VERIFIED |ALREADY GRADED A+

Dead vtissue vand vexudate vassociated vwith vburned vskin vprovides va vfertile vfield vfor
vbacterial vgrowth. vIf vthe vburn vsite vis vcontaminated vwith vinfectious vmaterial, vsepsis
vmay voccur. vDecreased vlevel vof vconsciousness vand vlethargy vare vearly vsigns vof
vsepsis.


A vfive-year-old vclient vwho vhad vbeen vprescribed vamoxicillin, vpresents vto vthe vclinic
vwith vurticaria. vWhich vmedication vis vrecommended vfor vinitial vtreatment vof vthis
vcondition?
A. vepinephrine
B. vdiphenhydramine
C. vibuprofen
D. vdoxepin v- vansB. vdiphenhydramine
Medications vare va vcommon vcause vof vanaphylaxis vin vchildren. vAcute vurticaria,
valso vknown vas vhives, vis va vskin vreaction vcommon vside veffect vassociated vwith
vamoxicillin. vFirst-line vtreatment vconsists vadministration vof van vantihistamines, vsuch
vas vdiphenhydramine vorally, vfollowed vby vhydrocortisone vtopically vdependent vupon
vthe vseverity vof vthe vurticaria.


A vmother vbrings vin va vthree-year-old vchild vwho vhas vrespiratory vrate vof v36
vbreathes vper vminute; vheart vrate vof v160 vbeats vper vminute; vweaken vand vthready
vpulse; vand vpale vand vsweaty vskin. vThe vnurse vsuspects vthe vchild vis vgoing vinto
vshock vwhich vaction vshould vthe vnurse vperform vfirst?
A. vobtain vABG's v
B. vobtain vvitals
C. vadminister vO2
D. vEstablish vIV vaccess v- vansC. vAdminister voxygen
When vproviding vcare vto va vchild vin vshock, vthe vnurse's vpriority vis vto vensure
vadequate voxygenation. vThe vnurse vshould vadminister voxygen vor vprovide
vassistance vin vestablishing van vairway. vThe vbest vway vto vremember vthe vorder vof
vpriority vof vcare vto vbe vgiven vis vthe v"ABCs"; vairway, vbleeding vand vcirculation


A vnurse vhas vobtained va vweight vof v17.6 vpounds v(8 vkg) vfor va v15-month-old vchild.
vThe vchild's videal vbody vweight vis v26.4 vpounds v(12 vkg). vHow vshould vbe vthe
vnurse vinterpret vthis vbody vweight?
A. vnormal vvariation
B. vmild vwasting
C. vmoderate vwasting
D. vsevere vwasting v- vansD. vsevere vwasting
This vchild vhas va vbody vweight v66% vless vthan vthe videal vbody vweight vfor vthis vage
v(15 vmonths). vA vbody vweight vless vthan v70% vof vthe videal vbody vweight vis vdefined
vas vsevere vwasting.


A vnurse vis vassessing va vthree vyear vold vdiagnosed vwith vpsoriasis. vWhich vis va
vcommon vtreatment vfor vmost vforms vof vpsoriasis?
A. vexfoliation v
B. vcyrotherapy

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