2023 HESI EXIT V2 graded a latest updated 2023

2023 HESI EXIT V2 graded a latest updated 2023 1. The nurse is teaching parents about diet for a 4 month-old infantwith gastroenteritis and mild dehydration. In addition to oral rehydration fluids, the dietshould include A) Formula or breast milk B) Broth and tea C) Rice cereal and apple juice D) Gelatin and ginger ale The correct answer is A: Formula or breast milk 2. The nurse instructs the client taking dexamethasone (Decadron) totake it with food or milk. What is the physiological basis for this instruction? A) Retards pepsin production B) Stimulates hydrochloric acid production C) Slows stomach emptying time D) Decreases production of hydrochloric acid The correct answer is B: Stimulates hydrochloric acid production 3. The nurse is planning care for a 3 month-old infant immediately postoperative following placement of a ventriculoperitoneal shunt for hydrocephalus. The nurse needsto A) Assess for abdominal distention B) Maintain infant in an upright position C) Begin formula feedings when infant is alert D) Pump the shunt to assess for proper function The correct answer is A: Assess for abdominal distention 4. The mother of a 2 year-old hospitalized child asks the nurse's adviceabout the child's screaming every time the mother gets ready to leave the hospitalroom. What is the best response by the nurse? A) "I think you or your partner needs to stay with the child while in the hospital." B) "Oh, that behavior will stop in a few days." C) "Keep in mind that for the age this is a normal response to being in the hospital." D) "You might want to "sneak out" of the room once the child falls asleep."The correct answer is C: "Keep in mind that for the age this is a normal response to being in the hospital." 5. When caring for a client receiving warfarin sodium (Coumadin),which lab test would the nurse monitor to determine therapeutic reponse to the drug? A) Bleeding time B) Coagulation time C) Prothrombin time D) Partial thromboplastin time The correct answer is C: Prothrombin time 6. The nurse is caring for a 4 year-old 2 hours after tonsillectomy and adenoidectomy. Which of the following assessments must be reported immediately? A) Vomiting of dark emesis B) Complaints of throat pain C) Apical heart rate of 110 D) Increased restlessness The correct answer is D: Increased restlessness 7. The nurse admits a 7 year-old to the emergency room after a leginjury. The x-rays show a femur fracture near the epiphysis. The parents ask what will bethe outcome of this injury. The appropriate response by the nurse should be which of these statements? A) "The injury is expected to heal quickly because of thin periosteum." B) "In some instances the result is a retarded bone growth." C) "Bone growth is stimulated in the affected leg." D) "This type of injury shows more rapid union than that of younger children." The correct answer is B: "In some instances the result is a retarded bonegrowth." 8. A client receiving chlorpromazine HCL (Thorazine) is in psychiatrichome care. During a home visit the nurse observes the client smacking her lipsalternately with grinding her teeth. The nurse recognizes this assessment finding as what? A) Dystonia B) Akathesia C) Brady dysknesia D) Tardive dyskinesia The correct answer is D: Tardive dyskinesia 9. During the check up of a 2 month-old infant at a well baby clinic, themother expresses concern to the nurse because a flat pink birthmark on thebaby's forehead and eyelid has not gone away. What is an appropriate response by the nurse? A) "Mongolian spots are a normal finding in dark-skinned children." B) "Port wine stains are often associated with other malformations." C) "Telangiectatic nevi are normal and will disappear as the baby grows." D) "The child is too young for consideration of surgical removal of these atthis time."