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Exam of 39 pages for the course Nursing at Nursing (_66dc_cccc12)

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Institution
Nursing
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Nursing

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July 14, 2025
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2024/2025
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HESI MILESTONE 3 REMEDIATION 2024 ACTUAL EXAM CONTAINS 200 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADEDA+

AK10-year-
oldKchildKhasKundergoneKaKcardiacKcatheterizationKthroughKtheKleftKfemoralKartery.KDuri
ngKaKpostproceduralKassessment,KtheKnurseKfindsKtheKleftKfootKisKpulselessKandKcoolKtoKt
ouch.KWhichKisKtheKlikelyKcause?
A.KhemorrhageK
B.KhematomaKC
.Kfasciculation
D.KtamponadeK-Kand.Khematoma
CardiacKcatheterizationKisKaKroutineKdiagnosticKprocedure;Khowever,KitKisKnotKwithoutKrisk
s.KLossKofKpulseKinKtheKcatheterizedKextremityKisKlikelyKdueKtoKaKhematomaKandKrequiresKi
mmediateKinterventionKtoKrestoreKcirculation.

AK10-year-
oldKclientKwithKaKrecentKhistoryKofKplayingKinKtheKwoodsKpresentsKtoKtheKschoolKnurse'sKclini
cKwithKlocalizedKskinKeruptionsKonKtheKhandsKandKfeetKwhichKareKstreaked,KconsistingKofKbli
stersKdischargingKclearKfluidKthatKareKpainfulKandKitchy.KWhatKshouldKtheKschoolKnurseKsusp
ectKtoKbeKtheKcausativeKagent?
A.KsunburnKB
.KpoisonKivyKC
.KinsectKbiteK
D.KheatKrash
ContactKwithKtheKoilKcalledK"Urushiol"KwhichKisKfoundKinKpoisonKivy,KoakKandKsumacKmayKp
roduceKanKallergicKreaction.KSymptomsKincludeKlocalized,Kstreaked,KorKoozingKblisters.KTh
eseKskinKlesionsKareKusuallyKpainfulKandKitchy.K-Kans

AK10-year-
oldKclientKwithKasthmaKarrivesKatKanKurgentKcareKclinicKwithKapparentKbronchialKconstriction.K
WhichKclassKofKdrugsKshouldKtheKnurseKexpectKtoKbeKadministeredKforKthisKcondition?
A.Kmethylxanthines
KB.Kanticholinergic

C.Klong-actingKbeta2Kagonists
D.KoralKcorticosteroidsK-KansD.KoralKcorticosteroids
CorticosteroidsKareKfast-actingKanti-
inflammatoryKdrugs.KTheyKareKusedKtoKtreatKreversibleKairflowKobstruction,KcontrolKsymptom
s,KandKreduceKbronchialKconstrictionKwithKtheKfewestKsideKeffects.

AK12-month-
oldKclientKisKbeingKdischargedKwithKaKbodyKspicaKcast.KWhichKinformationKshouldKtheKnurseKin
cludeKinKtheKparents'KdischargeKteachingKplan?
A.KfoulKodorKfromKcastKmayKindicateKinfectionKorKskinKbreakdownK
B.KpillowsKshouldKnotKbeKplacedKunderKcast
C.KtheKchildKcanKsafelyKtransportedKinKaKstroller
D.KuseKpillowsKtoKelevateKtheKchild'sKheadK-
KansA.KfoulKodorKfromKcastKmayKindicateKinfectionKorKskinKbreakdown

CareKofKaKchildKinKaKbodyKspicaKcastKcanKbeKchallengingKforKparentsKatKhome.KSkinKunderKthe
KcastKshouldKbeKprotectedKfromKinjuryKandKdebris,KsoKparentsKshouldKbeKinstructedKthatKaKfo

ulKodorKfromKtheKcastKcanKbeKindicativeKofKskinKbreakdownKorKinfectionKandKtoKcontactKtheirK
healthKcareKprovider.

,HESI MILESTONE 3 REMEDIATION 2024 ACTUAL EXAM CONTAINS 200 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADEDA+

AK12-year-
oldKathleteKreportsKsevereKankleKpainKandKanKaudibleK"popping"KsoundKinKtheKankleKafterK
aKfallKatKsoccerKpractice.KTheKnurseKuponKinspectionKobservesKmoderateKswelling,Kbruisin
g,KandKjointKinstability.KInitialKradiographsKofKtheKankleKappearKnormal.KWhichKtypeKofKinj
uryKshouldKtheKnurseKsuspect?
A.KstrainKB
.KsprainKC.K
fracture
D.KdislocationK-KansB.KSprain
TheKankleKisKaKcommonKsiteKforKsprainKinjuries.KAnkleKsprainsKcanKrangeKfromKmildK(gradeK1)K
toKsevereK(gradeK3),KwithKcompleteKtearingKofKaKligamentKinKtheKmostKsevereKsprains.KAK"pop
ping"KsoundKisKlikelyKanKindicationKofKaKpartialKorKcompleteKligamentKtear;KjointKinstabilityKma
yKbeKdetectedKatKtheKend-rangesKofKpassiveKmotion.

AK15-year-
oldKclientKpresentsKwithKaKlumpKandKpersistentKpainKinKtheKrightKupperKthighKarea,KandKi
sKsubsequentlyKdiagnosedKwithKaKhigh-
gradeKosteosarcoma.KTheKnurseKshouldKanticipateKwhichKplanKofKtreatmentKforKthisKclie
nt?
A.Khot/coldKtopicalKapplications
KB.KamputationKofKtheKlimb

C.KelectricalKstimulationKtherapy
D.KprolongedKimmobilizationK-KansB.KamputationKofKtheKlimb
OsteosarcomaKisKtheKmostKcommonKboneKcancerKinKchildhoodKandKconsideredKoneKofKtheKm
ostKfatal.KTreatmentKgenerallyKincludesKchemotherapyKandKamputationKofKtheKaffectedKlimb.
KAsKofKtoday,KthereKisKnoKmeedicalKsetKplanKofKcare.




AKchildKdiagnosedKwithKHIVKisKbeingKenrolledKinKaKnewKschool.KWhoKhasKtheKrightKtoKinfor
mKtheKschoolKofKthisKchild'sKHIVKstatus?
A.KdoctorsKorKnursesK
B.KsocialKworkers
C.KparentsKorKlegalKguardians
D.KchildKwelfareKdepartmentK-KansC.KparentsKorKlegalKguardians
ConfidentialityKisKaKmajorKissueKinKschoolKattendance.KTheKparentsKorKlegalKguardiansKhave
KtheKrightKtoKdecideKwhetherKorKnotKtoKinformKtheKschoolKofKtheirKchild'sKHIVKstatus.




AKchildKhasKbeenKdiagnosedKwithKchickenKpoxKandKtheKnurseKteachesKtheKparentKnotKtoKgiv
eKtheKchildKaspirin.KWhichKconditionKmayKresultKwhenKaKchildKwithKchickenpoxKisKgivenKaspi
rin?
A.KReye'sKsyndromeKB.K
HuntingtonsKdiseaseKc.K
RaynaudKsyndrome
D.KpurpuraKdisorderK-KansA.Kreye'sKsyndrome
Reye'sKsyndromeKisKaKrare,KbutKseriousKconditionKthatKcausesKbrainKandKliverKdamageKthatK
hasKbeenKlinkedKwithKaspirinKuseKinKchildren,KwhenKgivenKtoKtreatKaKviralKinfections,KsuchKa
sKchickenKpox.KReye'sKsyndromeKcanKbeKpreventedKbyKavoidingKtheKuseKofKaspirinKinKchildr
en.

,HESI MILESTONE 3 REMEDIATION 2024 ACTUAL EXAM CONTAINS 200 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADEDA+

AKchildKisKadmittedKwithKaKdiagnosisKofKsuspectedKacuteKlymphoblasticKleukemiaK(ALL).KWhic
hKtestKisKperformedKtoKconfirmKthisKdiagnosisKofKchildhoodKleukemia?
A.KcerebralKspinalKfluidKanalysisK
B.KboneKmarrowKaspiration
C.KCBC
D.KgeneticKtestingK-KansB.KboneKmarrowKaspiration
ALLKisKaKformKofKcancerKinKwhichKhighKnumbersKofKabnormalKwhiteKbloodKcellsKareKproduced.K
AKboneKmarrowKbiopsyKthatKrevealsKprimaryKblastKcellsKisKconfirmationKofKaKleukemia.

AKchildKisKbroughtKtoKtheKemergencyKdepartmentKafterKingestingKaKlargeKamountKofKhous
eholdKdrainKcleaner.KWhichKisKtheKnurse'sKfirstKpriorityKwhenKcaringKforKthisKclient?KA.Kperf
ormKNGKsuctioning
B.KAssessKandKmaintainKanKopenKairwayKC
.KgiveKsmallKamountsKofKwaterKtoKingest
D.KObtainKchestKandKabdomenKradiographsK-
KansB.KassessKandKmaintainKanKopenKairwayKIngestionKofKcorrosiveKhouseholdKagentsKmayK

causeKairwayKobstructionKdueKtoKrapidlyKdevelopingKlaryngealKedema.KTheKfirstKpriorityKisKt
oKassessKandKmonitorKtheKclient'sKairway.

AKchildKrecentlyKunderwentKcardiacKsurgeryKandKisKadmittedKwithKaKsuspectedKdiagnosisKo
fKinfectiveKendocarditis.KWhichKpresentationKshouldKtheKnurseKexpectKwhenKassessingKthi
sKclient?
A. bradycardia,Klethargy,KspeechKdisturbances
B. highKfever,KirregularKmovementKofKjoints,KinvoluntaryKfacialKgrimacesKc.Ktac
hycardia,KchestKpain,KswollenKandKpainfulKjoints
D.KlowKgradeKfever,Kanorexia,KsplinterKhemorrhagesKunderKtheKnailsK-
KansD.KlowKgradeKfever,Kanorexia,KsplinterKhemorrhagesKunderKtheKnails

ChildrenKwhoKundergoKcardiacKsurgeryKareKatKhigherKriskKforKinfection.KCommonKclinicalKsign
sKandKsymptomsKofKinfectiveKendocarditisKareKunexplainedKfeverK(low-
gradeKandKintermittent),Kanorexia,Kmalaise,KandKsplinterKhemorrhagesKunderKtheKnails

AKchildKwithKsevereKburnsKbeginsKtoKexhibitKdecreasedKlevelKofKconsciousnessKandKlethargyK
fourKdaysKafterKbeingKadmittedKtoKtheKburnKunit.KTheKnurse'sKassessmentKrevealsKaKlow-
gradeKfever,KbutKtheKclient'sKotherKvitalKsignsKareKstable.KTheKnurseKshouldKbeKalertKforKwhic
hKpotentialKcomplication?
A.KrespiratoryKfailure
KB.Kdehydration

C.Ksepsis
D.KhypovolemiaK-KansC.Ksepsis
DeadKtissueKandKexudateKassociatedKwithKburnedKskinKprovidesKaKfertileKfieldKforKbacterialKgr
owth.KIfKtheKburnKsiteKisKcontaminatedKwithKinfectiousKmaterial,KsepsisKmayKoccur.
DecreasedKlevelKofKconsciousnessKandKlethargyKareKearlyKsignsKofKsepsis.

AKfive-year-
oldKclientKwhoKhadKbeenKprescribedKamoxicillin,KpresentsKtoKtheKclinicKwithKurticaria.KWhichK
medicationKisKrecommendedKforKinitialKtreatmentKofKthisKcondition?

, HESI MILESTONE 3 REMEDIATION 2024 ACTUAL EXAM CONTAINS 200 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADEDA+

A. epinephrine
B. diphenhydramineK
C.Kibuprofen
D.KdoxepinK-KansB.Kdiphenhydramine
MedicationsKareKaKcommonKcauseKofKanaphylaxisKinKchildren.KAcuteKurticaria,KalsoKknownKasK
hives,KisKaKskinKreactionKcommonKsideKeffectKassociatedKwithKamoxicillin.KFirst-
lineKtreatmentKconsistsKadministrationKofKanKantihistamines,KsuchKasKdiphenhydramineKorall
y,KfollowedKbyKhydrocortisoneKtopicallyKdependentKuponKtheKseverityKofKtheKurticaria.

AKmotherKbringsKinKaKthree-year-
oldKchildKwhoKhasKrespiratoryKrateKofK36KbreathesKperKminute;KheartKrateKofK160KbeatsKp
erKminute;KweakenKandKthreadyKpulse;KandKpaleKandKsweatyKskin.KTheKnurseKsuspectsKt
heKchildKisKgoingKintoKshockKwhichKactionKshouldKtheKnurseKperformKfirst?
A.KobtainKABG'sKB
.KobtainKvitalsKC.K
administerKO2
D.KEstablishKIVKaccessK-KansC.KAdministerKoxygen
WhenKprovidingKcareKtoKaKchildKinKshock,KtheKnurse'sKpriorityKisKtoKensureKadequateKoxygen
ation.KTheKnurseKshouldKadministerKoxygenKorKprovideKassistanceKinKestablishingKanKairway
.KTheKbestKwayKtoKrememberKtheKorderKofKpriorityKofKcareKtoKbeKgivenKisKtheK"ABCs";Kairway,
KbleedingKandKcirculation




AKnurseKhasKobtainedKaKweightKofK17.6KpoundsK(8Kkg)KforKaK15-month-
oldKchild.KTheKchild'sKidealKbodyKweightKisK26.4KpoundsK(12Kkg).KHowKshouldKbeKtheKnurseKi
nterpretKthisKbodyKweight?
A.KnormalKvariation
KB.KmildKwasting

C.KmoderateKwasting
D.KsevereKwastingK-KansD.KsevereKwasting
ThisKchildKhasKaKbodyKweightK66%KlessKthanKtheKidealKbodyKweightKforKthisKageK(15Kmonths).
KAKbodyKweightKlessKthanK70%KofKtheKidealKbodyKweightKisKdefinedKasKsevereKwasting.




AKnurseKisKassessingKaKthreeKyearKoldKdiagnosedKwithKpsoriasis.KWhichKisKaKcommonKtreatme
ntKforKmostKformsKofKpsoriasis?
A.KexfoliationK
B.Kcyrotherapy
C.KoralKantibiotics
D.KphototherapyK-KansD.Kphototherapy
AllKtypesKofKpsoriasisKcommonlyKrespondKtoKtopicalKcreamsKandKphototherapyK(ultravioletKlig
htKexposure)KwhenKadministeredK3KtoK5KtimesKaKweek.

AKpediatricKclientKisKadmittedKwithKsepsisKandKaKhigh-
gradeKfeverKfollowingKanKepisodeKofKgastritis.KTheKnurse'sKassessmentKrevealsKcoolKskin;Kn
ormalKpulseKandKbloodKpressure;KdecreasedKurinaryKoutput;KandKaKdiminishedKmentalKstate
.KWhichKtermKdescribesKthisKstageKofKsepticKshock?
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