HESI / EVOLVE EXAM QUESTIONS
WITH CORRECT ANSWERS
Tell the parent to take the child to the ER - ANSWER-A father of a 5-year-old boy
calls the nurse to report that his son, who has had an upper respiratory infection, is
complaining of a headache, and his temperature has increased to 103° F, taken
rectally. Which intervention has the highest priority?
My husband and daughter are both lactose intolerant - ANSWER-The nurse is taking
the family history of a 2-year-old child with atopic dermatitis (eczema). Which
statement by the mother is most important in formulating a plan of care for this child?
Tell me what you know about birth control - ANSWER-The nurse is assessing a male
adolescent client's knowledge of contraception. The teen states, "I have all the info I
need." What is the best response by the nurse?
Communicate the results to the oncoming nurse and document - ANSWER-A nurse
is preparing to end the shift and receives a lab report stating that a child with asthma
has a theophylline level of 15 mcg/dL. Which action should the nurse take?
I will give her a baby ASA q 4 hr prn for fever - ANSWER-Following the
administration of immunizations to a 6-month-old girl, the nurse provides the family
with home care instructions. Which statement by the mother indicates that further
teaching is needed?
Exhibits a sudden and unexplained wt gain - ANSWER-The nurse is teaching the
parents of a 2-year-old child with a congenital heart defect about signs and
symptoms of congestive heart failure. Which information about the child is most
important for the parents to report to the health care provider?
Place the child in strict isolation to prevent an outbreak on the unit - ANSWER-A
child breaks out with varicella infection (chickenpox) while hospitalized for a minor
surgical procedure. Which intervention should the nurse implement first?
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?
Show the parents how to hold the child with the extremity extended - ANSWER-An
18-month-old child returns to the unit following a cardiac catheterization with a
cannulated femoral artery site. Which intervention should the nurse implement?
Presence of an inguinal bulge after gentle palpitation - ANSWER-Following the
reduction of an incarcerated inguinal hernia, a 4-month-old boy is scheduled for
surgical repair of the inguinal hernia. Under which circumstance should the parents
notify the health care provider prior to surgery?
, Joint inflammation - ANSWER-The nurse is examining a male child experiencing an
exacerbation of juvenile rheumatoid arthritis (JRA) and notes that his mobility is
greatly reduced. What is the most likely cause of the child's impaired mobility?
Social isolation - ANSWER-The nurse notes that a 16-year-old male client is refusing
visits from his classmates. Further assessment reveals that he is concerned about
his edematous facial features. Based on these assessment findings, the nurse
should plan interventions related to which nursing diagnosis?
urinary catheterization - ANSWER-Prophylactic antibiotics are prescribed for a child
who has mitral valve damage. The nurse should advise the parents to give the
antibiotics prior to which occurrence?
Exposure to certain drugs - ANSWER-The nurse admits a child to the intensive care
unit with a diagnosis of acquired aplastic anemia. What is the most common cause
of this type of anemia?
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?
Send the child home with the parents to see the health care provider before returning
to school - ANSWER-A child comes to the school nurse complaining of itching.
Further assessment reveals that the child has impetigo. What action should the
nurse take?
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, continues to have a cough that she reports
is worsening. Further questioning by the nurse reveals that the cough is
nonproductive. What advice should the nurse provide to this mother?
Initiative - ANSWER-A 4-year-old child has cystic fibrosis. Which stage of Erikson's
theory of psychosocial development is the nurse addressing when teaching
inhalation therapy?
Maintaining adequate hydration - ANSWER-When caring for a child with congenital
heart disease and polycythemia, which nursing intervention has the highest priority?
Inspiration - ANSWER-At which point during the physical examination should a child
with asthma be assessed for the presence or absence of intercostal retractions
My son often chokes while i am feeding him - ANSWER-A 7-month-old male infant
diagnosed with spastic cerebral palsy is seen by the nurse in the clinic. Which
statement by the parent warrants immediate intervention by the nurse?
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?
WITH CORRECT ANSWERS
Tell the parent to take the child to the ER - ANSWER-A father of a 5-year-old boy
calls the nurse to report that his son, who has had an upper respiratory infection, is
complaining of a headache, and his temperature has increased to 103° F, taken
rectally. Which intervention has the highest priority?
My husband and daughter are both lactose intolerant - ANSWER-The nurse is taking
the family history of a 2-year-old child with atopic dermatitis (eczema). Which
statement by the mother is most important in formulating a plan of care for this child?
Tell me what you know about birth control - ANSWER-The nurse is assessing a male
adolescent client's knowledge of contraception. The teen states, "I have all the info I
need." What is the best response by the nurse?
Communicate the results to the oncoming nurse and document - ANSWER-A nurse
is preparing to end the shift and receives a lab report stating that a child with asthma
has a theophylline level of 15 mcg/dL. Which action should the nurse take?
I will give her a baby ASA q 4 hr prn for fever - ANSWER-Following the
administration of immunizations to a 6-month-old girl, the nurse provides the family
with home care instructions. Which statement by the mother indicates that further
teaching is needed?
Exhibits a sudden and unexplained wt gain - ANSWER-The nurse is teaching the
parents of a 2-year-old child with a congenital heart defect about signs and
symptoms of congestive heart failure. Which information about the child is most
important for the parents to report to the health care provider?
Place the child in strict isolation to prevent an outbreak on the unit - ANSWER-A
child breaks out with varicella infection (chickenpox) while hospitalized for a minor
surgical procedure. Which intervention should the nurse implement first?
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?
Show the parents how to hold the child with the extremity extended - ANSWER-An
18-month-old child returns to the unit following a cardiac catheterization with a
cannulated femoral artery site. Which intervention should the nurse implement?
Presence of an inguinal bulge after gentle palpitation - ANSWER-Following the
reduction of an incarcerated inguinal hernia, a 4-month-old boy is scheduled for
surgical repair of the inguinal hernia. Under which circumstance should the parents
notify the health care provider prior to surgery?
, Joint inflammation - ANSWER-The nurse is examining a male child experiencing an
exacerbation of juvenile rheumatoid arthritis (JRA) and notes that his mobility is
greatly reduced. What is the most likely cause of the child's impaired mobility?
Social isolation - ANSWER-The nurse notes that a 16-year-old male client is refusing
visits from his classmates. Further assessment reveals that he is concerned about
his edematous facial features. Based on these assessment findings, the nurse
should plan interventions related to which nursing diagnosis?
urinary catheterization - ANSWER-Prophylactic antibiotics are prescribed for a child
who has mitral valve damage. The nurse should advise the parents to give the
antibiotics prior to which occurrence?
Exposure to certain drugs - ANSWER-The nurse admits a child to the intensive care
unit with a diagnosis of acquired aplastic anemia. What is the most common cause
of this type of anemia?
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?
Send the child home with the parents to see the health care provider before returning
to school - ANSWER-A child comes to the school nurse complaining of itching.
Further assessment reveals that the child has impetigo. What action should the
nurse take?
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, continues to have a cough that she reports
is worsening. Further questioning by the nurse reveals that the cough is
nonproductive. What advice should the nurse provide to this mother?
Initiative - ANSWER-A 4-year-old child has cystic fibrosis. Which stage of Erikson's
theory of psychosocial development is the nurse addressing when teaching
inhalation therapy?
Maintaining adequate hydration - ANSWER-When caring for a child with congenital
heart disease and polycythemia, which nursing intervention has the highest priority?
Inspiration - ANSWER-At which point during the physical examination should a child
with asthma be assessed for the presence or absence of intercostal retractions
My son often chokes while i am feeding him - ANSWER-A 7-month-old male infant
diagnosed with spastic cerebral palsy is seen by the nurse in the clinic. Which
statement by the parent warrants immediate intervention by the nurse?
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?
