Nsg 222 HESI final
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
A 2-year-old child is admitted to the hospital with
juvenile rheumatoid arthritis
(JRA). During the focused assessment, the nurse
makes it a priority to note the
presence of which of the following?"
a. increased irritability and the child's insistence to
be carried out
b. complaints of joint stiffness
c. history of daily temperature elevations
d. description of how difficult it is to move around
after periods of inactivity
,A
A mother of a toddler who is hospitalized with mild
dehydration must leave her
child to go to work. Which behavior would the
nurse expect to observe in the
toddler immediately after the mother's departure?
a. silently curled in bed with a blanket
b. loudly crying and kicking both legs
c. playing quietly with a favorite toy
d. sucking thumb and rocking back and forth
B
"A newborn infant is diagnosed with hypospadias,
and the mother asks the nurse
about the disorder. The nurse bases the response
on which of the following?"
a. it is a congenital anomaly in which the actual
opening of the urethra meatus is
below the normal placement on the glans penis
b. it occurs when one or both testes fail to descend
through the inguinal canal into
the scrotal sac
c. it is a congenital anomaly in which the actual
opening of the urethral meatus is
dorsal to the urethral opening
d. it is a congential anomaly characterized by the
,extrusion of the urinary bladder to
the outside of the body
A
A home care nurse is providing instructions to a
child with cystic fibrosis about how
to perform the "huff" maneuver; the child asks the
nurse about the purpose of this
type of breathing. The nurse makes which
response to the child?
a. "this type of breathing is used to mobilize
secretions so that they can be easily
coughed out"
b. "this type of breathing prolongs inspiration time"
c. "this type of breathing moves air out of the lower
lungs"
d. "this type of breathing moves air through the
lungs"
A
A home care nurse is instructing the mother of a
child with cystic fibrosis (CF) about
the appropriate dietary measures. The nurse tells
the mother that the child needs to consume a:
a. low calorie, low fat diet
b. high calorie, high protein diet
, c. low calorie, low protein diet
d. high calorie, restricted fat
B
Breathing exercises and postural drainage is
prescribed for a child with cystic fibrosis. A nurse
implements these procedures by telling the child
to:
a. perform the postural drainage, then the
breathing exercises
b. perform the breathing exercises, then the
postural drainage
c. schedule the procedures so they are 4 hours
apart
d. perform postural drainage in the morning and
breathing exercises in the evening
A
A nurse is reviewing the results of a sweat test
performed on a child with cystic
fibrosis (CF). The nurse would expect to note which
finding?
a. a sweat sodium concentration less than 40
mEq/L
b. a sweat potassium concentration less than 40
mEq/L
c. a sweat potassium concentration greater than
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
A 2-year-old child is admitted to the hospital with
juvenile rheumatoid arthritis
(JRA). During the focused assessment, the nurse
makes it a priority to note the
presence of which of the following?"
a. increased irritability and the child's insistence to
be carried out
b. complaints of joint stiffness
c. history of daily temperature elevations
d. description of how difficult it is to move around
after periods of inactivity
,A
A mother of a toddler who is hospitalized with mild
dehydration must leave her
child to go to work. Which behavior would the
nurse expect to observe in the
toddler immediately after the mother's departure?
a. silently curled in bed with a blanket
b. loudly crying and kicking both legs
c. playing quietly with a favorite toy
d. sucking thumb and rocking back and forth
B
"A newborn infant is diagnosed with hypospadias,
and the mother asks the nurse
about the disorder. The nurse bases the response
on which of the following?"
a. it is a congenital anomaly in which the actual
opening of the urethra meatus is
below the normal placement on the glans penis
b. it occurs when one or both testes fail to descend
through the inguinal canal into
the scrotal sac
c. it is a congenital anomaly in which the actual
opening of the urethral meatus is
dorsal to the urethral opening
d. it is a congential anomaly characterized by the
,extrusion of the urinary bladder to
the outside of the body
A
A home care nurse is providing instructions to a
child with cystic fibrosis about how
to perform the "huff" maneuver; the child asks the
nurse about the purpose of this
type of breathing. The nurse makes which
response to the child?
a. "this type of breathing is used to mobilize
secretions so that they can be easily
coughed out"
b. "this type of breathing prolongs inspiration time"
c. "this type of breathing moves air out of the lower
lungs"
d. "this type of breathing moves air through the
lungs"
A
A home care nurse is instructing the mother of a
child with cystic fibrosis (CF) about
the appropriate dietary measures. The nurse tells
the mother that the child needs to consume a:
a. low calorie, low fat diet
b. high calorie, high protein diet
, c. low calorie, low protein diet
d. high calorie, restricted fat
B
Breathing exercises and postural drainage is
prescribed for a child with cystic fibrosis. A nurse
implements these procedures by telling the child
to:
a. perform the postural drainage, then the
breathing exercises
b. perform the breathing exercises, then the
postural drainage
c. schedule the procedures so they are 4 hours
apart
d. perform postural drainage in the morning and
breathing exercises in the evening
A
A nurse is reviewing the results of a sweat test
performed on a child with cystic
fibrosis (CF). The nurse would expect to note which
finding?
a. a sweat sodium concentration less than 40
mEq/L
b. a sweat potassium concentration less than 40
mEq/L
c. a sweat potassium concentration greater than
