HESI / Evolve Latest Update
- ANSWER-During the summer many children are more physically active. What changes in the
management of the child with diabetes are expected as a result of more exercise?
16 month old who drank 2 oz of Tylenol elixir - ANSWER-A nurse who is working in the Poison Control
Center receives several telephone calls from parents whose children have ingested possible poisons. The
nurse should recommend inducing vomiting for which child?
600 calories per day - ANSWER-A three-month old boy weighing 10 lbs 15 oz has an axillary temperature
of 98.9° F. The nurse determines the daily caloric need for this child is approximately
A 6 month old with failure to thrive has closed anterior fontanel - ANSWER-As part of the physical
assessment of children, the nurse observes and palpates the fontanels. Which child's fontanel finding
should be reported to the healthcare provider?
A trial of HCG,human chorionic gonadotrophic hormone - ANSWER-Surgery is being delayed for an
infant with undescended testes. In collaboration with the healthcare provider and the family, which
prescription should the nurse anticipate?
administer mineral oil daily
Eliminate dairy products
Initiate consistent toileting routine - ANSWER-Which intervention(s) should the nurse include in the
teaching plan for the mother of a 6-year-old who is experiencing encopresis secondary to a fecal
impaction? (Select all that apply.)
Administer tetanus toxoid booster - ANSWER-A 16-year-old is brought to the Emergency Center with a
crushed leg after falling off a horse. The adolescent's last tetanus toxoid booster was received eight
years ago.
All the immunizations with the flu vaccine given at separate site from any other injection - ANSWER-A 6-
month-old boy and his mother are at the healthcare provider's office for a well-baby check-up and
routine immunizations. The healthcare provider recommends to the mother that the child receive an
influenza vaccine. What medications should the nurse plan to administer today?
Allow the child to assume a knee chest position with the head slightly elevated - ANSWER-The nurse
should teach the parents of a child with a cyanotic heart defect to perform which action when a
hypercyanotic spell occurs?
Allow the toddler to choose a colored band aid an injection
Give brief but simple explanations to the child before procedures - ANSWER-Which nursing
intervention(s) is (are) therapeutic when caring for a hospitalized toddler? (Select all that apply.)
Apical heart rate of 60 - ANSWER-A 6-month-old infant with congestive heart failure (CHF) is receiving
digoxin elixir. Which observation by the nurse warrants immediate intervention?
, HESI / Evolve Latest Update
Apply pressure and ice for bleeding while elevating and resting the extremity - ANSWER-A 2-year-old
child recently diagnosed with hemophilia A is discharged home. What information should the nurse
include in a teaching plan about home care?
Are you experiencing any type of nervousness - ANSWER-The nurse is assessing a 13-year-old girl with
suspected hyperthyroidism. Which question is most important for the nurse to ask her during the
admission interview?
Arrange for an internet connection in the clients room for email communication - ANSWER-A
hospitalized 16-year-old male refuses all visits from his classmates because he is concerned about his
distorted appearance. To increase the client's social interaction, what intervention is best for the nurse
to initiate?
Ask the child if he /she has had a cold runny nose or any ear pain lately - ANSWER-During routine
screening at a school clinic, an otoscope examination of a child's ear reveals a tympanic membrane that
is pearly gray, slightly bulging, and not movable. What action should the nurse take next?
Assess the child's mucous membranes and skin turgor - ANSWER-The nurse is conducting an initial
admission assessment of a 12-month-old child in celiac crisis. Which intervention is most important for
the nurse to implement?
Assess the child's resp status - ANSWER-A child is rescued from a burning house and brought to the
emergency room with partial-thickness burns on the face and chest. Which action should the nurse
implemented first?
b (Altered comfort, pruritus rt vesicular skin eruptions - ANSWER-Which nursing diagnosis has the
highest priority when planning care for an infant with eczema?
B. Play follow the leader - ANSWER-The nurse is planning care for school-aged children at a community
care center. Which activity is best for the children?
Baked chicken ,coleslaw , soda and frozen fruit dessert - ANSWER-The nurse is preparing a teaching plan
for the mother of a child who has been diagnosed with celiac disease. Choosing which lunch will be
within the therapeutic management of a child with celiac disease?
Bone pain, pallor - ANSWER-A child is admitted to the hospital for confirmation of a diagnosis of acute
lymphoblastic leukemia. During the initial nursing assessment, which symptoms will this child most likely
exhibit?
breech presentation - ANSWER-A 3-week-old infant is referred to an orthopedic clinic because the
pediatrician heard a click when flexing the child's right hip during a routine physical examination. The
orthopedic physician suspects that the child might have developmental dysplasia of the hip (DDH). The
parents ask the nurse to identify risk factors commonly associated with DDH. Which response is
accurate?
Bring the child to the clinic today fo an examination r/t the cough - ANSWER-A mother calls the clinic
because her 6-year-old son, who has been taking prescribed antibiotics for 7 of the previous 10 days,
- ANSWER-During the summer many children are more physically active. What changes in the
management of the child with diabetes are expected as a result of more exercise?
16 month old who drank 2 oz of Tylenol elixir - ANSWER-A nurse who is working in the Poison Control
Center receives several telephone calls from parents whose children have ingested possible poisons. The
nurse should recommend inducing vomiting for which child?
600 calories per day - ANSWER-A three-month old boy weighing 10 lbs 15 oz has an axillary temperature
of 98.9° F. The nurse determines the daily caloric need for this child is approximately
A 6 month old with failure to thrive has closed anterior fontanel - ANSWER-As part of the physical
assessment of children, the nurse observes and palpates the fontanels. Which child's fontanel finding
should be reported to the healthcare provider?
A trial of HCG,human chorionic gonadotrophic hormone - ANSWER-Surgery is being delayed for an
infant with undescended testes. In collaboration with the healthcare provider and the family, which
prescription should the nurse anticipate?
administer mineral oil daily
Eliminate dairy products
Initiate consistent toileting routine - ANSWER-Which intervention(s) should the nurse include in the
teaching plan for the mother of a 6-year-old who is experiencing encopresis secondary to a fecal
impaction? (Select all that apply.)
Administer tetanus toxoid booster - ANSWER-A 16-year-old is brought to the Emergency Center with a
crushed leg after falling off a horse. The adolescent's last tetanus toxoid booster was received eight
years ago.
All the immunizations with the flu vaccine given at separate site from any other injection - ANSWER-A 6-
month-old boy and his mother are at the healthcare provider's office for a well-baby check-up and
routine immunizations. The healthcare provider recommends to the mother that the child receive an
influenza vaccine. What medications should the nurse plan to administer today?
Allow the child to assume a knee chest position with the head slightly elevated - ANSWER-The nurse
should teach the parents of a child with a cyanotic heart defect to perform which action when a
hypercyanotic spell occurs?
Allow the toddler to choose a colored band aid an injection
Give brief but simple explanations to the child before procedures - ANSWER-Which nursing
intervention(s) is (are) therapeutic when caring for a hospitalized toddler? (Select all that apply.)
Apical heart rate of 60 - ANSWER-A 6-month-old infant with congestive heart failure (CHF) is receiving
digoxin elixir. Which observation by the nurse warrants immediate intervention?
, HESI / Evolve Latest Update
Apply pressure and ice for bleeding while elevating and resting the extremity - ANSWER-A 2-year-old
child recently diagnosed with hemophilia A is discharged home. What information should the nurse
include in a teaching plan about home care?
Are you experiencing any type of nervousness - ANSWER-The nurse is assessing a 13-year-old girl with
suspected hyperthyroidism. Which question is most important for the nurse to ask her during the
admission interview?
Arrange for an internet connection in the clients room for email communication - ANSWER-A
hospitalized 16-year-old male refuses all visits from his classmates because he is concerned about his
distorted appearance. To increase the client's social interaction, what intervention is best for the nurse
to initiate?
Ask the child if he /she has had a cold runny nose or any ear pain lately - ANSWER-During routine
screening at a school clinic, an otoscope examination of a child's ear reveals a tympanic membrane that
is pearly gray, slightly bulging, and not movable. What action should the nurse take next?
Assess the child's mucous membranes and skin turgor - ANSWER-The nurse is conducting an initial
admission assessment of a 12-month-old child in celiac crisis. Which intervention is most important for
the nurse to implement?
Assess the child's resp status - ANSWER-A child is rescued from a burning house and brought to the
emergency room with partial-thickness burns on the face and chest. Which action should the nurse
implemented first?
b (Altered comfort, pruritus rt vesicular skin eruptions - ANSWER-Which nursing diagnosis has the
highest priority when planning care for an infant with eczema?
B. Play follow the leader - ANSWER-The nurse is planning care for school-aged children at a community
care center. Which activity is best for the children?
Baked chicken ,coleslaw , soda and frozen fruit dessert - ANSWER-The nurse is preparing a teaching plan
for the mother of a child who has been diagnosed with celiac disease. Choosing which lunch will be
within the therapeutic management of a child with celiac disease?
Bone pain, pallor - ANSWER-A child is admitted to the hospital for confirmation of a diagnosis of acute
lymphoblastic leukemia. During the initial nursing assessment, which symptoms will this child most likely
exhibit?
breech presentation - ANSWER-A 3-week-old infant is referred to an orthopedic clinic because the
pediatrician heard a click when flexing the child's right hip during a routine physical examination. The
orthopedic physician suspects that the child might have developmental dysplasia of the hip (DDH). The
parents ask the nurse to identify risk factors commonly associated with DDH. Which response is
accurate?
Bring the child to the clinic today fo an examination r/t the cough - ANSWER-A mother calls the clinic
because her 6-year-old son, who has been taking prescribed antibiotics for 7 of the previous 10 days,
