HESI Saunders Review Exam Questions And 100%
Correct Answers Latest 2025
A nurse is teaching the mother of a child with diarrhea about signs and
symptoms that require a call to the physician. Which of the following
statements by the mother indicates a need for further instruction?
A) "I'll call the doctor if she gets dizzy and acts sick."
B) "I'll call the doctor if she has severe stomach cramps."
C) "I'll call the doctor if her temperature is 102° or higher."
D) "I'll call the physician if she goes longer than 6 hours without
urinating." Answer Answer: C
Rationale: The mother should call the physician if a fever over 100° F,
especially one lasting longer than 72 hours, develops. She should not wait
until the temperature climbs to 102° F. The remaining statements are all
correct because the findings suggest possible dehydration and hypovolemia.
In addition, severe abdominal cramps could indicate an acute problem.
A nurse is going to administer a vitamin K injection to a newborn. To which of
the following sites will the nurse administer the medication?
1) area of greater trochanter
2) area of the femoral vein
3) lateral aspect of the middle third of the vastus lateralis
4) patellar area - Answer Answer: 3
Rationale: The site of choice for vitamin K injection in the newborn is the
lateral aspect of the middle third of the vastus lateralis muscle - the middle
third of the infant's thigh. It is the site of choice because it does not contain
major blood vessels and nerves and is big enough to take up the
medication. Option 1 is the area of the greater trochanter.
Option 2 reflects the area of the femoral vein. Option 4 indicates the area of the
patella.
A nurse utilizing a medical history for an infant diagnosed with
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, gastroesophageal reflux would anticipate noting the presence of:
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, A) Refusal to suck Incorrect
B) Frequent diarrhea
C) Recurrent otitis media
D) Inability to pass stools - Answer Answer: C
Rationale: GER is the retrograde movement of gastric contents into the
esophagus. The three types of GER include physiologic, functional, and
pathologic. Vomiting or spitting up after feeding, hiccupping, and recurrent
otitis media related to pooling of secretions in the nasopharynx during sleep
are common to all three types of GER. Fussiness and refusal to suck,
diarrhea, and inability to pass stools are not related to GER.
Caring for a child admitted to the hospital with Kawasaki disease, the nurse
should monitor the child most closely for signs of:
A) Anemia
B) Renal failure
C) Thrombus formation
D) Gastrointestinal disturbances - Answer Answer: C
Rationale: Kawasaki disease, also called mucocutaneous lymph node
syndrome, is an acute febrile exanthematous illness of children with a
generalized vasculitis of unknown origin. A generalized immune response
involves the smooth muscle cells of the vascular walls. These vascular
changes, in concert with the increase in platelets that occurs as a part of the
disease, may result in thrombus formation, myocardial infarction, and
death in some children. Anemia, renal failure, and gastrointestinal
disturbances are not specifically associated with this disorder.
A nurse is providing dietary instructions to the mother of a child diagnosed with
iron-deficiency anemia. The nurse should inform the mother that the following
food is highest in iron:
A) Milk
B) Cheese
C) Orange juice
D) Cream of Wheat - Answer Answer: D
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, Rationale: Iron-rich foods include liver, dried beans, Cream of Wheat, iron-
fortified cereal, apricots and prunes (and other dried fruits), egg yolks, and
dark-green leafy
To get this or any other Exam contact ()
Correct Answers Latest 2025
A nurse is teaching the mother of a child with diarrhea about signs and
symptoms that require a call to the physician. Which of the following
statements by the mother indicates a need for further instruction?
A) "I'll call the doctor if she gets dizzy and acts sick."
B) "I'll call the doctor if she has severe stomach cramps."
C) "I'll call the doctor if her temperature is 102° or higher."
D) "I'll call the physician if she goes longer than 6 hours without
urinating." Answer Answer: C
Rationale: The mother should call the physician if a fever over 100° F,
especially one lasting longer than 72 hours, develops. She should not wait
until the temperature climbs to 102° F. The remaining statements are all
correct because the findings suggest possible dehydration and hypovolemia.
In addition, severe abdominal cramps could indicate an acute problem.
A nurse is going to administer a vitamin K injection to a newborn. To which of
the following sites will the nurse administer the medication?
1) area of greater trochanter
2) area of the femoral vein
3) lateral aspect of the middle third of the vastus lateralis
4) patellar area - Answer Answer: 3
Rationale: The site of choice for vitamin K injection in the newborn is the
lateral aspect of the middle third of the vastus lateralis muscle - the middle
third of the infant's thigh. It is the site of choice because it does not contain
major blood vessels and nerves and is big enough to take up the
medication. Option 1 is the area of the greater trochanter.
Option 2 reflects the area of the femoral vein. Option 4 indicates the area of the
patella.
A nurse utilizing a medical history for an infant diagnosed with
To get this or any other Exam contact ()
, gastroesophageal reflux would anticipate noting the presence of:
To get this or any other Exam contact ()
, A) Refusal to suck Incorrect
B) Frequent diarrhea
C) Recurrent otitis media
D) Inability to pass stools - Answer Answer: C
Rationale: GER is the retrograde movement of gastric contents into the
esophagus. The three types of GER include physiologic, functional, and
pathologic. Vomiting or spitting up after feeding, hiccupping, and recurrent
otitis media related to pooling of secretions in the nasopharynx during sleep
are common to all three types of GER. Fussiness and refusal to suck,
diarrhea, and inability to pass stools are not related to GER.
Caring for a child admitted to the hospital with Kawasaki disease, the nurse
should monitor the child most closely for signs of:
A) Anemia
B) Renal failure
C) Thrombus formation
D) Gastrointestinal disturbances - Answer Answer: C
Rationale: Kawasaki disease, also called mucocutaneous lymph node
syndrome, is an acute febrile exanthematous illness of children with a
generalized vasculitis of unknown origin. A generalized immune response
involves the smooth muscle cells of the vascular walls. These vascular
changes, in concert with the increase in platelets that occurs as a part of the
disease, may result in thrombus formation, myocardial infarction, and
death in some children. Anemia, renal failure, and gastrointestinal
disturbances are not specifically associated with this disorder.
A nurse is providing dietary instructions to the mother of a child diagnosed with
iron-deficiency anemia. The nurse should inform the mother that the following
food is highest in iron:
A) Milk
B) Cheese
C) Orange juice
D) Cream of Wheat - Answer Answer: D
To get this or any other Exam contact ()
, Rationale: Iron-rich foods include liver, dried beans, Cream of Wheat, iron-
fortified cereal, apricots and prunes (and other dried fruits), egg yolks, and
dark-green leafy
To get this or any other Exam contact ()
