Fundamentals of Nursing Evolve HESI Real
Exams
Fundamentals of Nursing Evolve HESI Real
Exams 2 Questions Bank Review Latest |
Evolve Hesi Fundamentals Best Exam Prep
Test Bank- a Review of 340 Latest Correctly
Answered Questions with Rationales (New!)
The mother of a 2-month-old reports that she often lets the baby cry in the middle of the
night instead of going to pick up or sooth the infant. What information should the nurse
provide the mother?
P a g e 1 | 254
,Fundamentals of Nursing Evolve HESI Real
Exams
a. Picking up the infant in the middle of the night fosters dependency on the mother.
b. A sense of trust is developed in an infant when others respond to the infant's cry.
c. An infant is learning to manipulate others when the infant is picked up unnecessarily.
d. A 2-month-old who does not sleep through the night should be evaluated further. –
Correct Answer :b. A sense of trust is developed in an infant when others respond to the
infant's cry.
According to Erikson, a crucial element in the developmental stage of the infant is "Trust
versus mistrust", which is nurtured when the mother or the primary caregiver is responsive
and consistent in responding to the infant's needs and cries.
The parents of a child with autism ask the nurse if they could help them to better understand
the disorder. Which information best describes autism spectrum disorder?
a. Obsession with moving objects.
b. Repetitive patterns of behavior.
c. A neurobehavioral disorder diagnosed after assessment in two areas: social communication
and interaction and restricted, repetitive behavior.
d. Stereotypic movements and speech patterns. –
Correct Answer :c. A neurobehavioral disorder diagnosed after assessment in two areas:
social communication and interaction and restricted, repetitive behavior.
Autism spectrum disorder is a neurodevelopmental disorder of unknown origin. Diagnosis is
based on two behavioral domains: difficulties in social communication and social interaction
and unusually restricted, repetitive behavior, interest, or activities.
P a g e 2 | 254
,Fundamentals of Nursing Evolve HESI Real
Exams
The low birthweight (LBW) infant requires a neutral thermal environment. Which action
should the nurse implement?
a. Use wool blankets for covers.
b. Avoid using disposable diapers.
c. Maintain a temperature-controlled, high-humidity atmosphere.
d. Continue cool oxygenation via a hood. –
Correct Answer :c. Maintain a temperature-controlled, high-humidity atmosphere.
A temperature-controlled neutral thermal environment with high humidity provides adequate
warmth so the LBW infant can maintain a normal core temperature with minimum oxygen
consumption and caloric expenditure. LBW infants are especially vulnerable to temperature
instability since they are usually premature and neurologically have difficulty maintaining their
temperature. Their skin has not matured enough to provide adequate protection from heat
and water loss. A high-humidity atmosphere in an incubator contributes to body homeostasis
by reducing evaporative heat loss and insensible water loss. The three primary methods for
maintaining a neutral thermal environment are the use of an incubator, a radiant warmer, and
an open bassinet with cotton blankets. Microenvironments for humidification can include
items such as food-grade plastic bags or plastic wrap, humidified reservoirs for incubators,
and humidified plastic heat shields covered with plastic wrap.
When assessing the breath sounds of an 18-month-old child who is crying, what action should
the nurse take?
a. Ask the parent to quiet the child so breath sounds can be auscultated.
b. Auscultate and document breath sounds, noting that the child was crying at the time.
c. Document that the assessment was not available because the child was crying.
P a g e 3 | 254
, Fundamentals of Nursing Evolve HESI Real
Exams
d. Allow the child to initially play with the stethoscope, and distract the child during
auscultation. –
Correct Answer :d. Allow the child to initially play with the stethoscope, and distract the child
during auscultation.
Engaging the child with an interesting activity, such as playing with the stethoscope before its
use, often distracts the child long enough to stop crying so that breath sounds can be
auscultated accurately.
The nurse is examining a neonate at age 10 minutes. Which site should the nurse expect to
see nonpathologic cyanosis?
a. Feet and hands.
b. Bridge of nose.
c. Circumoral area.
d. Mucous membranes. –
Correct Answer :a. Feet and hands.
Acrocyanosis, nonpathologic cyanosis of the hands and feet, is an expectant finding in a
newborn.
Which is a priority nursing problem for a child in the subacute stage of Kawasaki disease (KD)?
a. Alterations in skin integrity.
b. High risk for altered tissue perfusion, cardiopulmonary.
c. Risk for imbalanced body temperature, hyperthermia.
P a g e 4 | 254
Exams
Fundamentals of Nursing Evolve HESI Real
Exams 2 Questions Bank Review Latest |
Evolve Hesi Fundamentals Best Exam Prep
Test Bank- a Review of 340 Latest Correctly
Answered Questions with Rationales (New!)
The mother of a 2-month-old reports that she often lets the baby cry in the middle of the
night instead of going to pick up or sooth the infant. What information should the nurse
provide the mother?
P a g e 1 | 254
,Fundamentals of Nursing Evolve HESI Real
Exams
a. Picking up the infant in the middle of the night fosters dependency on the mother.
b. A sense of trust is developed in an infant when others respond to the infant's cry.
c. An infant is learning to manipulate others when the infant is picked up unnecessarily.
d. A 2-month-old who does not sleep through the night should be evaluated further. –
Correct Answer :b. A sense of trust is developed in an infant when others respond to the
infant's cry.
According to Erikson, a crucial element in the developmental stage of the infant is "Trust
versus mistrust", which is nurtured when the mother or the primary caregiver is responsive
and consistent in responding to the infant's needs and cries.
The parents of a child with autism ask the nurse if they could help them to better understand
the disorder. Which information best describes autism spectrum disorder?
a. Obsession with moving objects.
b. Repetitive patterns of behavior.
c. A neurobehavioral disorder diagnosed after assessment in two areas: social communication
and interaction and restricted, repetitive behavior.
d. Stereotypic movements and speech patterns. –
Correct Answer :c. A neurobehavioral disorder diagnosed after assessment in two areas:
social communication and interaction and restricted, repetitive behavior.
Autism spectrum disorder is a neurodevelopmental disorder of unknown origin. Diagnosis is
based on two behavioral domains: difficulties in social communication and social interaction
and unusually restricted, repetitive behavior, interest, or activities.
P a g e 2 | 254
,Fundamentals of Nursing Evolve HESI Real
Exams
The low birthweight (LBW) infant requires a neutral thermal environment. Which action
should the nurse implement?
a. Use wool blankets for covers.
b. Avoid using disposable diapers.
c. Maintain a temperature-controlled, high-humidity atmosphere.
d. Continue cool oxygenation via a hood. –
Correct Answer :c. Maintain a temperature-controlled, high-humidity atmosphere.
A temperature-controlled neutral thermal environment with high humidity provides adequate
warmth so the LBW infant can maintain a normal core temperature with minimum oxygen
consumption and caloric expenditure. LBW infants are especially vulnerable to temperature
instability since they are usually premature and neurologically have difficulty maintaining their
temperature. Their skin has not matured enough to provide adequate protection from heat
and water loss. A high-humidity atmosphere in an incubator contributes to body homeostasis
by reducing evaporative heat loss and insensible water loss. The three primary methods for
maintaining a neutral thermal environment are the use of an incubator, a radiant warmer, and
an open bassinet with cotton blankets. Microenvironments for humidification can include
items such as food-grade plastic bags or plastic wrap, humidified reservoirs for incubators,
and humidified plastic heat shields covered with plastic wrap.
When assessing the breath sounds of an 18-month-old child who is crying, what action should
the nurse take?
a. Ask the parent to quiet the child so breath sounds can be auscultated.
b. Auscultate and document breath sounds, noting that the child was crying at the time.
c. Document that the assessment was not available because the child was crying.
P a g e 3 | 254
, Fundamentals of Nursing Evolve HESI Real
Exams
d. Allow the child to initially play with the stethoscope, and distract the child during
auscultation. –
Correct Answer :d. Allow the child to initially play with the stethoscope, and distract the child
during auscultation.
Engaging the child with an interesting activity, such as playing with the stethoscope before its
use, often distracts the child long enough to stop crying so that breath sounds can be
auscultated accurately.
The nurse is examining a neonate at age 10 minutes. Which site should the nurse expect to
see nonpathologic cyanosis?
a. Feet and hands.
b. Bridge of nose.
c. Circumoral area.
d. Mucous membranes. –
Correct Answer :a. Feet and hands.
Acrocyanosis, nonpathologic cyanosis of the hands and feet, is an expectant finding in a
newborn.
Which is a priority nursing problem for a child in the subacute stage of Kawasaki disease (KD)?
a. Alterations in skin integrity.
b. High risk for altered tissue perfusion, cardiopulmonary.
c. Risk for imbalanced body temperature, hyperthermia.
P a g e 4 | 254
