DETAILED ANSWERS WITH RATIONALES| VERIFIED |ALREADY GRADED A+
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TESTBANK FOR HESI MILESTONE 3
REMEDIATION 2024 ACTUAL 200 EXAM
QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES | VERIFIED
|ALREADY GRADED A+
A 10-year-old child has undergone a cardiac catheterization
through the left femoral artery. During a post procedural
assessment, the nurse finds the left foot is pulseless and cool to
touch. Which is the likely cause?
A. hemorrhage
B. hematoma
C. fasciculation
D. tamponade - ansB. hematoma
Cardiac catheterization is a routine diagnostic procedure;
however, it is not without risks. Loss of pulse in the
catheterized extremity is likely due to a hematoma and requires
immediate intervention to restore circulation.
A 10-year-old client with a recent history of playing in the
woods, presents to the school nurse's clinic with localized skin
eruptions on the hands and feet which are streaked, consisting
,HESI MILESTONE 3 REMEDIATION 2024 ACTUAL 200 EXAM QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES| VERIFIED |ALREADY GRADED A+
of blisters discharging clear fluid that are painful and itchy.
What should the school nurse suspect to be the causative
agent?
A. sun burn
B. poison ivy
C. insect bite
D. heat rash
Contact with the oil called "Urushiol" which is found in poison
ivy, oak and sumac may produce an allergic reaction. Symptoms
include localized, streaked, or oozing blisters. These skin lesions
are usually painful and itchy. - ans
A 10-year-old client with asthma arrives at an urgent care clinic
with apparent bronchial constriction. Which class of drugs
should the nurse expect to be administered for this condition?
A. methylxanthines
B. anticholinergic
C. long-acting beta2 agonists
D. oral corticosteroids - ansD. oral corticosteroids
Corticosteroids are fast-acting anti-inflammatory drugs. They
are used to treat reversible airflow obstruction, control
symptoms, and reduce bronchial constriction with the fewest
side effects.
,HESI MILESTONE 3 REMEDIATION 2024 ACTUAL 200 EXAM QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES| VERIFIED |ALREADY GRADED A+
A 12-month-old client is being discharged with a body spica
cast. Which information should the nurse include in the
parents' discharge teaching plan?
A. foul odor from cast may indicate infection or skin breakdown
B. pillows should not be placed under cast
C. the child can safely transported in a stroller
D. use pillows to elevate the child's head - ansA. foul odor from
cast may indicate infection or skin breakdown
Care of a child in a body spica cast can be challenging for
parents at home. Skin under the cast should be protected from
injury and debris, so parents should be instructed that a foul
odor from the cast can be indicative of skin breakdown or
infection and to contact their health care provider.
A 12-year-old athlete reports severe ankle pain and an audible
"popping" sound in the ankle after a fall at soccer practice. The
nurse upon inspection observes moderate swelling, bruising,
and joint instability. Initial radiographs of the ankle appear
normal. Which type of injury should the nurse suspect?
A. strain
B. sprain
C. fracture
D. dislocation - ansB. Sprain
The ankle is a common site for sprain injuries. Ankle sprains can
range from mild (grade 1) to severe (grade 3), with complete
, HESI MILESTONE 3 REMEDIATION 2024 ACTUAL 200 EXAM QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES| VERIFIED |ALREADY GRADED A+
tearing of a ligament in the most severe sprains. A "popping"
sound is likely an indication of a partial or complete ligament
tear; joint instability may be detected at the end-ranges of
passive motion.
A 15-year-old client presents with a lump and persistent pain in
the right upper thigh area, and is subsequently diagnosed with
a high-grade osteosarcoma. The nurse should anticipate which
plan of treatment for this client?
A. hot/cold topical applications
B. amputation of the limb
C. electrical stimulation therapy
D. prolonged immobilization - ansB. amputation of the limb
Osteosarcoma is the most common bone cancer in childhood
and considered one of the most fatal. Treatment generally
includes chemotherapy and amputation of the affected limb. As
of today, there is no meedical set plan of care.
A child diagnosed with HIV is being enrolled in a new school.
Who has the right to inform the school of this child's HIV
status?
A. doctors or nurses
B. social workers
C. parents or legal guardians
D. child welfare department - ansC. parents or legal guardians