Nsg 222 HESI final Questions With Complete
Solutions
A 4-year-old child is reluctant to take deep breaths
after abdominal surgery. The
most effective measure to encourage deep
breathing is to:
a. have the child pretend he is the big, bad wolf
blowing the little pig's house down
b. give the child colorful latex balloons to blow up
c. tell the child to exhale forcefully through the
peak flow meter
d. administer chest percussion in several postural
drainage positions
A
A 4-year-old child who was recently hospitalized is
brought to the clinic by his
mother for a follow-up visit. The mother tells the
nurse that the child has begun to
wet the bed ever since the child was brought home
from the hospital. The mother is
concerned and asks the nurse what to do. The
appropriate nursing response is
,which of the following?
a. you need to discipline the child
b. this is a normal occurrence following
hospitalization
c. we will need to discuss this behavior with the
physician
d. the child probably has developed a urinary tract
infection
B
A client with gastroesophageal reflux disease
(GERD) has just received a breakfast
tray. The nurse setting up the tray for the client
notices that which of the following
foods is the only one that will increase the lower
esophageal sphincter (LES)
pressure and thus lessen the client's symptoms?
a. fresh scrambled eggs
b. nonfat milk
c. whole wheat toast with butter
d. coffee
B
,A nurse instructs a mother on measures to take to
reduce the incidence of
gastroesophageal reflux (GER) in a child. Which
statement by the mother indicates a
need for further teaching?
a. I will give my child small feedings often
throughout the day
b. I will buy bottle nipples that have smaller holes
for my child
c. I will add a small amount of cereal to my child's
formula
d. I will give my child a pacifier and maintain an
upright position after meals
B
"A nurse gathers assessment data from a client
admitted to the hospital with
gastrointestinal reflux disease (GERD) who is
scheduled for a Nissen fundoplication.
Based on an understanding of this disease, the
nurse determines that the client may
be at risk for which complication?"
, a. diarrhea
b. belching
c. aspiration
d. abdominal pain
C
A mother tells the nurse that her child does not
want anything to do with toilet
training and yells "NO!" consistently when she tries
to toilet train. The child is 2
years old. According to Erikson, the nurse
interprets that the child is experiencing
which psychosocial crisis?"
a. autonomy vs shame and doubt
b. initiative vs guilt
c. industry vs inferiority
d. trust vs mistrust
A
Solutions
A 4-year-old child is reluctant to take deep breaths
after abdominal surgery. The
most effective measure to encourage deep
breathing is to:
a. have the child pretend he is the big, bad wolf
blowing the little pig's house down
b. give the child colorful latex balloons to blow up
c. tell the child to exhale forcefully through the
peak flow meter
d. administer chest percussion in several postural
drainage positions
A
A 4-year-old child who was recently hospitalized is
brought to the clinic by his
mother for a follow-up visit. The mother tells the
nurse that the child has begun to
wet the bed ever since the child was brought home
from the hospital. The mother is
concerned and asks the nurse what to do. The
appropriate nursing response is
,which of the following?
a. you need to discipline the child
b. this is a normal occurrence following
hospitalization
c. we will need to discuss this behavior with the
physician
d. the child probably has developed a urinary tract
infection
B
A client with gastroesophageal reflux disease
(GERD) has just received a breakfast
tray. The nurse setting up the tray for the client
notices that which of the following
foods is the only one that will increase the lower
esophageal sphincter (LES)
pressure and thus lessen the client's symptoms?
a. fresh scrambled eggs
b. nonfat milk
c. whole wheat toast with butter
d. coffee
B
,A nurse instructs a mother on measures to take to
reduce the incidence of
gastroesophageal reflux (GER) in a child. Which
statement by the mother indicates a
need for further teaching?
a. I will give my child small feedings often
throughout the day
b. I will buy bottle nipples that have smaller holes
for my child
c. I will add a small amount of cereal to my child's
formula
d. I will give my child a pacifier and maintain an
upright position after meals
B
"A nurse gathers assessment data from a client
admitted to the hospital with
gastrointestinal reflux disease (GERD) who is
scheduled for a Nissen fundoplication.
Based on an understanding of this disease, the
nurse determines that the client may
be at risk for which complication?"
, a. diarrhea
b. belching
c. aspiration
d. abdominal pain
C
A mother tells the nurse that her child does not
want anything to do with toilet
training and yells "NO!" consistently when she tries
to toilet train. The child is 2
years old. According to Erikson, the nurse
interprets that the child is experiencing
which psychosocial crisis?"
a. autonomy vs shame and doubt
b. initiative vs guilt
c. industry vs inferiority
d. trust vs mistrust
A
