Hesi exit rn v4 updated questions and answers

• The nurse is caring for a pre-adolescent client in skeletal Dunloptraction. Which nursing intervention is appropriate for this child? A) Make certain the child is maintained in correct body alignment. • Be sure the traction weights touch the end of the bed. • Adjust the head and foot of the bed for the child's comfort • Release the traction for 15-20 minutes every 6 hours PRN. The correct answer is A: Make certain the child is maintained in correct body alignment. • The nurse is assessing a healthy child at the 2 year check up. Which ofthe following should the nurse report immediately to the health care provider?A) Height and weight percentiles vary widely • Growth pattern appears to have slowed • Recumbent and standing height are different • Short term weight changes are uneven The correct answer is A: Height and weight percentiles vary widely • The parents of a 2 year-old child report that he has been holding his breath whenever he has temper tantrums. What is the best action by thenurse? • Teach the parents how to perform cardiopulmonary resuscitation • Recommend that the parents give in when he holds his breath to preventanoxia • Advise the parents to ignore breath holding because breathing will begin asa reflex • Instruct the parents on how to reason with the child about possibleharmful effects The correct answer is C: Advise the parents to ignore breath holding because breathing will begin as a reflex • The nurse is assessing a client in the emergency room. Which statement suggests that the problem is acute angina? • "My pain is deep in my chest behind my sternum." • "When I sit up the pain gets worse." • "As I take a deep breath the pain gets worse." • "The pain is right here in my stomach area." The correct answer is A: "My pain is deep in my chest behind my sternum."