nsg 222 HESI final EXAM WITH |\ |\ |\ |\ |\ |\
CORRECT ANSWERS |\
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
|\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS |\
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
|\ |\ |\ |\ |\ |\ |\ |\
