HESI RN CASE STUDY Diabetes
Type I.
, HESI RN CASE STUDY
Diabetes Type I.
Meet the Client: Anya, Mikhailov, Olga and Boris Mikhailov come to an outpatient clinic with their five-
year-old daughter, Anya. The receptionist gathers information during the initial history. Olga and Boris
were born in Russia and they have lived in the country for 8 years. They are both employed full time and
speak English well. Anya was born in this county and she is fluent in Russian and English. Olga states
that Anya is basically healthy. She experienced a viral illness a couple of months ago, but she quickly
recovered. Anya is at the clinic for her 5-year-old check-up for kindergarten.
Important to Know
1. Your first answer is the one that counts towards your score, but you’ll be prompted to try again if you
get the wrong answer. When you get the right answer, you’ll go to the next section.
2. If you choose to re-take a Case Study, you will no longer be able to see your previous score.
Health Promotion and Maintenance
According to Erickson, in what stage of development is Anya?
Industry versus inferiority.
This is the stage for 6 to 12-year-olds.
Trust versus Mistrust.
This is the stage for infants younger than 1 year old.
Autonomy versus shame and doubt.
This is the stage for 1 to 3-year-olds.
Initiative versus Guilt.
This is the stage for 3 to 6-year-olds.
Which immunizations would the nurse anticipate administering to Anya?
Hepatitis B, DtaP, Hib and PCV.
These are administered at 2 months of age.
IPV, Hib, MMR and Hepatitis B.
These are administered between 12 and 18 months of age.
DtaP, varicella, Heptatitis B and IPV.
These are administered around 15 months of age.
IPV, MMR, Varicella and DtaP.
This is appropriate between 4 and 6 years of age.
The nurse practitioner (NP) conducts a physical exam that includes obtaining Anya’s height and weight.
The NP also screens Anya’s vision and hearing. Lab work includes a complete blood count (CBC) and a
urinalysis.
Which assessment findings are of concern to the nurse?
Select all that apply
Tympanic membranes that are pearly gray with a translucent appearance.
This is a normal finding.
Vision results of 20/50.
Results of 20/40 or worse should be evaluated.
Type I.
, HESI RN CASE STUDY
Diabetes Type I.
Meet the Client: Anya, Mikhailov, Olga and Boris Mikhailov come to an outpatient clinic with their five-
year-old daughter, Anya. The receptionist gathers information during the initial history. Olga and Boris
were born in Russia and they have lived in the country for 8 years. They are both employed full time and
speak English well. Anya was born in this county and she is fluent in Russian and English. Olga states
that Anya is basically healthy. She experienced a viral illness a couple of months ago, but she quickly
recovered. Anya is at the clinic for her 5-year-old check-up for kindergarten.
Important to Know
1. Your first answer is the one that counts towards your score, but you’ll be prompted to try again if you
get the wrong answer. When you get the right answer, you’ll go to the next section.
2. If you choose to re-take a Case Study, you will no longer be able to see your previous score.
Health Promotion and Maintenance
According to Erickson, in what stage of development is Anya?
Industry versus inferiority.
This is the stage for 6 to 12-year-olds.
Trust versus Mistrust.
This is the stage for infants younger than 1 year old.
Autonomy versus shame and doubt.
This is the stage for 1 to 3-year-olds.
Initiative versus Guilt.
This is the stage for 3 to 6-year-olds.
Which immunizations would the nurse anticipate administering to Anya?
Hepatitis B, DtaP, Hib and PCV.
These are administered at 2 months of age.
IPV, Hib, MMR and Hepatitis B.
These are administered between 12 and 18 months of age.
DtaP, varicella, Heptatitis B and IPV.
These are administered around 15 months of age.
IPV, MMR, Varicella and DtaP.
This is appropriate between 4 and 6 years of age.
The nurse practitioner (NP) conducts a physical exam that includes obtaining Anya’s height and weight.
The NP also screens Anya’s vision and hearing. Lab work includes a complete blood count (CBC) and a
urinalysis.
Which assessment findings are of concern to the nurse?
Select all that apply
Tympanic membranes that are pearly gray with a translucent appearance.
This is a normal finding.
Vision results of 20/50.
Results of 20/40 or worse should be evaluated.
