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EVOLVE HESI EXAM|| HESI FUNDAMENTALS
EVOLVE EXAM ALL QUESTIONS AND 100%
CORRECT ANSWERS ALREADY GRADED A+||
LATEST AND COMPLETE UPDATE 2024-2025 WITH
VERIFIED SOLUTIONS|| ASSURED PASS!!!!
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?
Minimize interactive play with other children to lessen chances for injury.
Give low-dose children's chewable aspirin in orange flavor for joint discomfort.
Use a firm and dry toothbrush to clean teeth at least twice per day.
Apply pressure and ice for bleeding while elevating and resting the extremity-
ANSWER: Apply pressure and ice for bleeding while elevating and resting the
extremity.
Hemophilia, a blood disorder, causes joint bleeding which is treated with rest, ice,
compression, and elevation (RICE) (D). (A, B, and C) are inaccurate.
A 2-year-old child with Down syndrome is brought to the clinic for his regular
physical examination. The nurse knows which problem is frequently associated
with Down syndrome?
Congenital heart disease.
Fragile X chromosome.
Trisomy 13.
Pyloric stenosis- ANSWER: Congenital heart disease.
Congenital heart disease (A) is the most common associated defect in children with
Down syndrome. (C) might have seemed possible since Down syndrome is a
trisomal chromosomal abnormality of chromosome 21. (B) is a sex-linked
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abnormality also causing mental retardation. (D) is not associated with Down
syndrome.
A 2-year-old child with gastro-esophageal reflux has developed a fear of eating.
What instruction should the nurse include in the parents' teaching plan?
Invite other children home to share meals.
Accept that he will eat when he is hungry.
Reward the child with a nap after eating.
Consistently follow a set mealtime routine- ANSWER: Consistently follow a set
mealtime routine.
A 2-year-old child is comforted by consistency (D). (A) is contraindicated because
two- year-olds may participate in parallel activities with other children but are too
young to feel comfort and support by the presence of other children when anxious
or afraid. (B) may or may not be true and does not address the child's fears. The
child with reflux should remain upright at least two hours after eating (C) to reduce
symptoms.
A 3-month-old infant develops oral thrush. Which pharmacologic agent should the
nurse plan to administer for treatment of this disorder?
Nystatin (Mycostatin).
Nitrofurantoin (Macrodantin).
Norfloxacin (Noroxin).
Neomycin sulfate (Mycifradin)- ANSWER: Nystatin (Mycostatin).
Nystatin (Mycostatin) (A) is an antifungal drug that is effective in treating thrush,
an oral fungal infection. (B, C, and D) are not indicated for the treatment of oral
thrush.
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A 3-week-old newborn is brought to the clinic for follow-up after a home birth.
The mother reports that her child bottle feeds for 5 minutes only and then falls
asleep. The nurse auscultates a loud murmur characteristic of a ventricular septal
defect (VSD), and finds the newborn is acyanotic with a respiratory rate of 64
breaths per minute. What instruction should the nurse provide the mother to ensure
the infant is receiving adequate intake? (Select all that apply.)
A. Monitor the the infant's weight and number of wet diapers per day.
B. Increase the infant's intake per feeding by 1 to 2 ounces per week.
C. Mix the dose of prophylactic antibiotic in a full bottle of formula.
D. Allow the infant to rest and refeed on demand or every 2 hours.
E. Use a softer nipple or increase the size of the nipple opening- ANSWER: A.
Monitor the the infant's weight and number of wet diapers per day.
B. Increase the infant's intake per feeding by 1 to 2 ounces per week.
D. Allow the infant to rest and refeed on demand or every 2 hours.
E. Use a softer nipple or increase the size of the nipple opening.
Antibiotic prophylaxis is recommended for infants with VSDs, but should not be
mixed in a bottle of formula (C) because it is difficult to ensure that the total dose
is consumed.
They should be monitored for weight gain and at least 6 wet diapers per day (A). A
one- month old infant should ingest 2 to 4 ounces of formula per feeding and
progress to about 30 ounces per day by 4-months of age (B)
A 3-year-old boy is brought to the emergency room because he swallowed an
entire bottle of children's vitamin pills. Which intervention should the nurse
implement first?
Insert N/G tube for gastric lavage.
Determine the child's pulse and respirations.
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Assess the child's level of consciousness.
Administer an IV D5/0.25 NS as prescribed- ANSWER: Determine the child's
pulse and respirations.
The most important principle in dealing with a poisoning is to treat the child first,
not the poison. Initiate immediate life support measures with assessment of vital
signs (B), in particular, respirations. Inserting an airway or initiating mechanical
ventilation may be necessary. Assessment and identification of the poison should
occur prior to (A). (C and D) should occur after assessing the airway.
A 3-year-old client with sickle cell anemia is admitted to the Emergency
Department with abdominal pain. The nurse palpates an enlarged liver, an x-ray
reveals an enlarged spleen, and a CBC reveals anemia. These findings indicate
which type of crisis?
Aplastic.
Sequestration.
Hyperhemolytic.
Vaso-occlusive- ANSWER: Sequestration.
The findings support a sequestration crisis (B), where blood pools in the spleen,
and is characterized by abdominal pain and anemia. (A and C) crises produce
anemia but no abdominal pain or splenic enlargement. (D) crisis may produce
abdominal pain, but no splenic enlargement or exacerbation of anemia.
A 4-year-old boy was admitted to the emergency room with a fractured right ulna
and a short arm cast is applied. When preparing the parents to take the child home,
which discharge instruction has the highest priority?
Call the healthcare provider immediately if his nail beds appear blue.
EVOLVE HESI EXAM|| HESI FUNDAMENTALS
EVOLVE EXAM ALL QUESTIONS AND 100%
CORRECT ANSWERS ALREADY GRADED A+||
LATEST AND COMPLETE UPDATE 2024-2025 WITH
VERIFIED SOLUTIONS|| ASSURED PASS!!!!
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?
Minimize interactive play with other children to lessen chances for injury.
Give low-dose children's chewable aspirin in orange flavor for joint discomfort.
Use a firm and dry toothbrush to clean teeth at least twice per day.
Apply pressure and ice for bleeding while elevating and resting the extremity-
ANSWER: Apply pressure and ice for bleeding while elevating and resting the
extremity.
Hemophilia, a blood disorder, causes joint bleeding which is treated with rest, ice,
compression, and elevation (RICE) (D). (A, B, and C) are inaccurate.
A 2-year-old child with Down syndrome is brought to the clinic for his regular
physical examination. The nurse knows which problem is frequently associated
with Down syndrome?
Congenital heart disease.
Fragile X chromosome.
Trisomy 13.
Pyloric stenosis- ANSWER: Congenital heart disease.
Congenital heart disease (A) is the most common associated defect in children with
Down syndrome. (C) might have seemed possible since Down syndrome is a
trisomal chromosomal abnormality of chromosome 21. (B) is a sex-linked
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abnormality also causing mental retardation. (D) is not associated with Down
syndrome.
A 2-year-old child with gastro-esophageal reflux has developed a fear of eating.
What instruction should the nurse include in the parents' teaching plan?
Invite other children home to share meals.
Accept that he will eat when he is hungry.
Reward the child with a nap after eating.
Consistently follow a set mealtime routine- ANSWER: Consistently follow a set
mealtime routine.
A 2-year-old child is comforted by consistency (D). (A) is contraindicated because
two- year-olds may participate in parallel activities with other children but are too
young to feel comfort and support by the presence of other children when anxious
or afraid. (B) may or may not be true and does not address the child's fears. The
child with reflux should remain upright at least two hours after eating (C) to reduce
symptoms.
A 3-month-old infant develops oral thrush. Which pharmacologic agent should the
nurse plan to administer for treatment of this disorder?
Nystatin (Mycostatin).
Nitrofurantoin (Macrodantin).
Norfloxacin (Noroxin).
Neomycin sulfate (Mycifradin)- ANSWER: Nystatin (Mycostatin).
Nystatin (Mycostatin) (A) is an antifungal drug that is effective in treating thrush,
an oral fungal infection. (B, C, and D) are not indicated for the treatment of oral
thrush.
,3|Pag e
A 3-week-old newborn is brought to the clinic for follow-up after a home birth.
The mother reports that her child bottle feeds for 5 minutes only and then falls
asleep. The nurse auscultates a loud murmur characteristic of a ventricular septal
defect (VSD), and finds the newborn is acyanotic with a respiratory rate of 64
breaths per minute. What instruction should the nurse provide the mother to ensure
the infant is receiving adequate intake? (Select all that apply.)
A. Monitor the the infant's weight and number of wet diapers per day.
B. Increase the infant's intake per feeding by 1 to 2 ounces per week.
C. Mix the dose of prophylactic antibiotic in a full bottle of formula.
D. Allow the infant to rest and refeed on demand or every 2 hours.
E. Use a softer nipple or increase the size of the nipple opening- ANSWER: A.
Monitor the the infant's weight and number of wet diapers per day.
B. Increase the infant's intake per feeding by 1 to 2 ounces per week.
D. Allow the infant to rest and refeed on demand or every 2 hours.
E. Use a softer nipple or increase the size of the nipple opening.
Antibiotic prophylaxis is recommended for infants with VSDs, but should not be
mixed in a bottle of formula (C) because it is difficult to ensure that the total dose
is consumed.
They should be monitored for weight gain and at least 6 wet diapers per day (A). A
one- month old infant should ingest 2 to 4 ounces of formula per feeding and
progress to about 30 ounces per day by 4-months of age (B)
A 3-year-old boy is brought to the emergency room because he swallowed an
entire bottle of children's vitamin pills. Which intervention should the nurse
implement first?
Insert N/G tube for gastric lavage.
Determine the child's pulse and respirations.
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Assess the child's level of consciousness.
Administer an IV D5/0.25 NS as prescribed- ANSWER: Determine the child's
pulse and respirations.
The most important principle in dealing with a poisoning is to treat the child first,
not the poison. Initiate immediate life support measures with assessment of vital
signs (B), in particular, respirations. Inserting an airway or initiating mechanical
ventilation may be necessary. Assessment and identification of the poison should
occur prior to (A). (C and D) should occur after assessing the airway.
A 3-year-old client with sickle cell anemia is admitted to the Emergency
Department with abdominal pain. The nurse palpates an enlarged liver, an x-ray
reveals an enlarged spleen, and a CBC reveals anemia. These findings indicate
which type of crisis?
Aplastic.
Sequestration.
Hyperhemolytic.
Vaso-occlusive- ANSWER: Sequestration.
The findings support a sequestration crisis (B), where blood pools in the spleen,
and is characterized by abdominal pain and anemia. (A and C) crises produce
anemia but no abdominal pain or splenic enlargement. (D) crisis may produce
abdominal pain, but no splenic enlargement or exacerbation of anemia.
A 4-year-old boy was admitted to the emergency room with a fractured right ulna
and a short arm cast is applied. When preparing the parents to take the child home,
which discharge instruction has the highest priority?
Call the healthcare provider immediately if his nail beds appear blue.
