HESI MILESTONE 3 REMEDIATION 2024 ACTUAL EXAM CONTAINS 200 QUESTIONS AND
CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED
A+
A 10-year-old child has undergone a cardiac catheterization through the left femoral
artery. During a postprocedural assessment, the nurse finds the left foot is pulseless
and cool to touch. Which is the likely cause?
A. hemorrhage
B. hematoma
C. fasciculation
D. otamponade o- oand. ohematoma
Cardiac ocatheterization ois oa oroutine odiagnostic oprocedure; ohowever, oit ois onot
owithout orisks. oLoss oof opulse oin othe ocatheterized oextremity ois olikely odue oto oa
ohematoma oand orequires oimmediate ointervention oto orestore ocirculation.
A o10-year-old oclient owith oa orecent ohistory oof oplaying oin othe owoods opresents oto
othe oschool onurse's oclinic owith olocalized oskin oeruptions oon othe ohands oand ofeet
owhich oare ostreaked, oconsisting oof oblisters odischarging oclear ofluid othat oare opainful
oand oitchy. oWhat oshould othe oschool onurse osuspect oto obe othe ocausative oagent?
A. osunburn
oB. opoison
oivy oC.
oinsect obite
oD. oheat
orash
Contact owith othe ooil ocalled o"Urushiol" owhich ois ofound oin opoison oivy, ooak oand
osumac omay oproduce oan oallergic oreaction. oSymptoms oinclude olocalized, ostreaked,
oor ooozing oblisters. oThese oskin olesions oare ousually opainful oand oitchy. o- oans
A o10-year-old oclient owith oasthma oarrives oat oan ourgent ocare oclinic owith oapparent
obronchial oconstriction. oWhich oclass oof odrugs oshould othe onurse oexpect oto obe
oadministered ofor othis ocondition?
A.
omethylxanthines
oB. oanticholinergic
C. olong-acting obeta2 oagonists
D. ooral ocorticosteroids o- oansD. ooral ocorticosteroids
Corticosteroids oare ofast-acting oanti-inflammatory odrugs. oThey oare oused oto otreat
oreversible oairflow oobstruction, ocontrol osymptoms, oand oreduce obronchial oconstriction
owith othe ofewest oside oeffects.
A o12-month-old oclient ois obeing odischarged owith oa obody ospica ocast. oWhich
oinformation oshould othe onurse oinclude oin othe oparents' odischarge oteaching oplan?
A. ofoul oodor ofrom ocast omay oindicate oinfection oor oskin
obreakdown oB. opillows oshould onot obe oplaced ounder ocast
C. othe ochild ocan osafely otransported oin oa ostroller
D. ouse opillows oto oelevate othe ochild's ohead o- oansA. ofoul oodor ofrom ocast omay
oindicate oinfection oor oskin obreakdown
Care oof oa ochild oin oa obody ospica ocast ocan obe ochallenging ofor oparents oat ohome.
oSkin ounder othe ocast oshould obe oprotected ofrom oinjury oand odebris, oso oparents
oshould obe oinstructed othat oa ofoul oodor ofrom othe ocast ocan obe oindicative oof oskin
obreakdown oor oinfection oand oto ocontact otheir ohealth ocare oprovider.
,HESI MILESTONE 3 REMEDIATION 2024 ACTUAL EXAM CONTAINS 200 QUESTIONS AND
CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED
A+
A o12-year-old oathlete oreports osevere oankle opain oand oan oaudible o"popping"
osound oin othe oankle oafter oa ofall oat osoccer opractice. oThe onurse oupon oinspection
oobserves omoderate oswelling, obruising, oand ojoint oinstability. oInitial oradiographs oof
othe oankle oappear onormal. oWhich otype oof oinjury oshould othe onurse osuspect?
A. ostrain
oB. osprain
oC.
ofracture
D. odislocation o- oansB. oSprain
The oankle ois oa ocommon osite ofor osprain oinjuries. oAnkle osprains ocan orange ofrom omild
o(grade o1) oto osevere o(grade o3), owith ocomplete otearing oof oa oligament oin othe omost
osevere osprains. oA o"popping" osound ois olikely oan oindication oof oa opartial oor ocomplete
oligament otear; ojoint oinstability omay obe odetected oat othe oend-ranges oof opassive
omotion.
A o15-year-old oclient opresents owith oa olump oand opersistent opain oin othe oright
oupper othigh oarea, oand ois osubsequently odiagnosed owith oa ohigh-grade
oosteosarcoma. oThe onurse oshould oanticipate owhich oplan oof otreatment ofor othis
oclient?
A. ohot/cold otopical
oapplications oB. oamputation
oof othe olimb
C. oelectrical ostimulation otherapy
D. oprolonged oimmobilization o- oansB. oamputation oof othe olimb
Osteosarcoma ois othe omost ocommon obone ocancer oin ochildhood oand oconsidered oone
oof othe omost ofatal. oTreatment ogenerally oincludes ochemotherapy oand oamputation oof
othe oaffected olimb. oAs oof otoday, othere ois ono omeedical oset oplan oof ocare.
A ochild odiagnosed owith oHIV ois obeing oenrolled oin oa onew oschool. oWho ohas othe
oright oto oinform othe oschool oof othis ochild's oHIV ostatus?
A. odoctors oor
onurses oB. osocial
oworkers
C. oparents oor olegal oguardians
D. ochild owelfare odepartment o- oansC. oparents oor olegal oguardians
Confidentiality ois oa omajor oissue oin oschool oattendance. oThe oparents oor olegal
oguardians ohave othe oright oto odecide owhether oor onot oto oinform othe oschool oof
otheir ochild's oHIV ostatus.
A ochild ohas obeen odiagnosed owith ochicken opox oand othe onurse oteaches othe oparent
onot oto ogive othe ochild oaspirin. oWhich ocondition omay oresult owhen oa ochild owith
ochickenpox ois ogiven oaspirin?
A. oReye's osyndrome
oB. oHuntingtons
odisease oc. oRaynaud
osyndrome
D. opurpura odisorder o- oansA. oreye's osyndrome
Reye's osyndrome ois oa orare, obut oserious ocondition othat ocauses obrain oand oliver
odamage othat ohas obeen olinked owith oaspirin ouse oin ochildren, owhen ogiven oto otreat
oa oviral oinfections, osuch oas ochicken opox. oReye's osyndrome ocan obe oprevented oby
,HESI MILESTONE 3 REMEDIATION 2024 ACTUAL EXAM CONTAINS 200 QUESTIONS AND
CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED
A+
oavoiding othe ouse oof oaspirin oin ochildren.
, HESI MILESTONE 3 REMEDIATION 2024 ACTUAL EXAM CONTAINS 200 QUESTIONS AND
CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED
A+
A ochild ois oadmitted owith oa odiagnosis oof osuspected oacute olymphoblastic oleukemia
o(ALL). oWhich otest ois operformed oto oconfirm othis odiagnosis oof ochildhood oleukemia?
A. ocerebral ospinal ofluid
oanalysis oB. obone omarrow
oaspiration
C. oCBC
D. ogenetic otesting o- oansB. obone omarrow oaspiration
ALL ois oa oform oof ocancer oin owhich ohigh onumbers oof oabnormal owhite oblood ocells oare
oproduced. oA obone omarrow obiopsy othat oreveals oprimary oblast ocells ois oconfirmation
oof oa oleukemia.
A ochild ois obrought oto othe oemergency odepartment oafter oingesting oa olarge
oamount oof ohousehold odrain ocleaner. oWhich ois othe onurse's ofirst opriority owhen
ocaring ofor othis oclient? oA. operform oNG osuctioning
B. oAssess oand omaintain oan oopen
oairway oC. ogive osmall oamounts oof
owater oto oingest
D. oObtain ochest oand oabdomen oradiographs o- oansB. oassess oand omaintain oan oopen
oairway oIngestion oof ocorrosive ohousehold oagents omay ocause oairway oobstruction
odue oto orapidly odeveloping olaryngeal oedema. oThe ofirst opriority ois oto oassess oand
omonitor othe oclient's oairway.
A ochild orecently ounderwent ocardiac osurgery oand ois oadmitted owith oa osuspected
odiagnosis oof oinfective oendocarditis. oWhich opresentation oshould othe onurse oexpect
owhen oassessing othis oclient?
A. bradycardia, olethargy, ospeech odisturbances
B. high ofever, oirregular omovement oof ojoints, oinvoluntary ofacial
ogrimaces oc. otachycardia, ochest opain, oswollen oand opainful ojoints
D. olow ograde ofever, oanorexia, osplinter ohemorrhages ounder othe onails o- oansD. olow
ograde ofever, oanorexia, osplinter ohemorrhages ounder othe onails
Children owho oundergo ocardiac osurgery oare oat ohigher orisk ofor oinfection. oCommon
oclinical osigns oand osymptoms oof oinfective oendocarditis oare ounexplained ofever o(low-
grade oand ointermittent), oanorexia, omalaise, oand osplinter ohemorrhages ounder othe
onails
A ochild owith osevere oburns obegins oto oexhibit odecreased olevel oof oconsciousness oand
olethargy ofour odays oafter obeing oadmitted oto othe oburn ounit. oThe onurse's
oassessment oreveals oa olow-grade ofever, obut othe oclient's oother ovital osigns oare
ostable. oThe onurse oshould obe oalert ofor owhich opotential ocomplication?
A. orespiratory
ofailure oB.
odehydration
C. osepsis
D. ohypovolemia o- oansC. osepsis
Dead otissue oand oexudate oassociated owith oburned oskin oprovides oa ofertile ofield ofor
obacterial ogrowth. oIf othe oburn osite ois ocontaminated owith oinfectious omaterial, osepsis
omay ooccur.
Decreased olevel oof oconsciousness oand olethargy oare oearly osigns oof osepsis.
CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED
A+
A 10-year-old child has undergone a cardiac catheterization through the left femoral
artery. During a postprocedural assessment, the nurse finds the left foot is pulseless
and cool to touch. Which is the likely cause?
A. hemorrhage
B. hematoma
C. fasciculation
D. otamponade o- oand. ohematoma
Cardiac ocatheterization ois oa oroutine odiagnostic oprocedure; ohowever, oit ois onot
owithout orisks. oLoss oof opulse oin othe ocatheterized oextremity ois olikely odue oto oa
ohematoma oand orequires oimmediate ointervention oto orestore ocirculation.
A o10-year-old oclient owith oa orecent ohistory oof oplaying oin othe owoods opresents oto
othe oschool onurse's oclinic owith olocalized oskin oeruptions oon othe ohands oand ofeet
owhich oare ostreaked, oconsisting oof oblisters odischarging oclear ofluid othat oare opainful
oand oitchy. oWhat oshould othe oschool onurse osuspect oto obe othe ocausative oagent?
A. osunburn
oB. opoison
oivy oC.
oinsect obite
oD. oheat
orash
Contact owith othe ooil ocalled o"Urushiol" owhich ois ofound oin opoison oivy, ooak oand
osumac omay oproduce oan oallergic oreaction. oSymptoms oinclude olocalized, ostreaked,
oor ooozing oblisters. oThese oskin olesions oare ousually opainful oand oitchy. o- oans
A o10-year-old oclient owith oasthma oarrives oat oan ourgent ocare oclinic owith oapparent
obronchial oconstriction. oWhich oclass oof odrugs oshould othe onurse oexpect oto obe
oadministered ofor othis ocondition?
A.
omethylxanthines
oB. oanticholinergic
C. olong-acting obeta2 oagonists
D. ooral ocorticosteroids o- oansD. ooral ocorticosteroids
Corticosteroids oare ofast-acting oanti-inflammatory odrugs. oThey oare oused oto otreat
oreversible oairflow oobstruction, ocontrol osymptoms, oand oreduce obronchial oconstriction
owith othe ofewest oside oeffects.
A o12-month-old oclient ois obeing odischarged owith oa obody ospica ocast. oWhich
oinformation oshould othe onurse oinclude oin othe oparents' odischarge oteaching oplan?
A. ofoul oodor ofrom ocast omay oindicate oinfection oor oskin
obreakdown oB. opillows oshould onot obe oplaced ounder ocast
C. othe ochild ocan osafely otransported oin oa ostroller
D. ouse opillows oto oelevate othe ochild's ohead o- oansA. ofoul oodor ofrom ocast omay
oindicate oinfection oor oskin obreakdown
Care oof oa ochild oin oa obody ospica ocast ocan obe ochallenging ofor oparents oat ohome.
oSkin ounder othe ocast oshould obe oprotected ofrom oinjury oand odebris, oso oparents
oshould obe oinstructed othat oa ofoul oodor ofrom othe ocast ocan obe oindicative oof oskin
obreakdown oor oinfection oand oto ocontact otheir ohealth ocare oprovider.
,HESI MILESTONE 3 REMEDIATION 2024 ACTUAL EXAM CONTAINS 200 QUESTIONS AND
CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED
A+
A o12-year-old oathlete oreports osevere oankle opain oand oan oaudible o"popping"
osound oin othe oankle oafter oa ofall oat osoccer opractice. oThe onurse oupon oinspection
oobserves omoderate oswelling, obruising, oand ojoint oinstability. oInitial oradiographs oof
othe oankle oappear onormal. oWhich otype oof oinjury oshould othe onurse osuspect?
A. ostrain
oB. osprain
oC.
ofracture
D. odislocation o- oansB. oSprain
The oankle ois oa ocommon osite ofor osprain oinjuries. oAnkle osprains ocan orange ofrom omild
o(grade o1) oto osevere o(grade o3), owith ocomplete otearing oof oa oligament oin othe omost
osevere osprains. oA o"popping" osound ois olikely oan oindication oof oa opartial oor ocomplete
oligament otear; ojoint oinstability omay obe odetected oat othe oend-ranges oof opassive
omotion.
A o15-year-old oclient opresents owith oa olump oand opersistent opain oin othe oright
oupper othigh oarea, oand ois osubsequently odiagnosed owith oa ohigh-grade
oosteosarcoma. oThe onurse oshould oanticipate owhich oplan oof otreatment ofor othis
oclient?
A. ohot/cold otopical
oapplications oB. oamputation
oof othe olimb
C. oelectrical ostimulation otherapy
D. oprolonged oimmobilization o- oansB. oamputation oof othe olimb
Osteosarcoma ois othe omost ocommon obone ocancer oin ochildhood oand oconsidered oone
oof othe omost ofatal. oTreatment ogenerally oincludes ochemotherapy oand oamputation oof
othe oaffected olimb. oAs oof otoday, othere ois ono omeedical oset oplan oof ocare.
A ochild odiagnosed owith oHIV ois obeing oenrolled oin oa onew oschool. oWho ohas othe
oright oto oinform othe oschool oof othis ochild's oHIV ostatus?
A. odoctors oor
onurses oB. osocial
oworkers
C. oparents oor olegal oguardians
D. ochild owelfare odepartment o- oansC. oparents oor olegal oguardians
Confidentiality ois oa omajor oissue oin oschool oattendance. oThe oparents oor olegal
oguardians ohave othe oright oto odecide owhether oor onot oto oinform othe oschool oof
otheir ochild's oHIV ostatus.
A ochild ohas obeen odiagnosed owith ochicken opox oand othe onurse oteaches othe oparent
onot oto ogive othe ochild oaspirin. oWhich ocondition omay oresult owhen oa ochild owith
ochickenpox ois ogiven oaspirin?
A. oReye's osyndrome
oB. oHuntingtons
odisease oc. oRaynaud
osyndrome
D. opurpura odisorder o- oansA. oreye's osyndrome
Reye's osyndrome ois oa orare, obut oserious ocondition othat ocauses obrain oand oliver
odamage othat ohas obeen olinked owith oaspirin ouse oin ochildren, owhen ogiven oto otreat
oa oviral oinfections, osuch oas ochicken opox. oReye's osyndrome ocan obe oprevented oby
,HESI MILESTONE 3 REMEDIATION 2024 ACTUAL EXAM CONTAINS 200 QUESTIONS AND
CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED
A+
oavoiding othe ouse oof oaspirin oin ochildren.
, HESI MILESTONE 3 REMEDIATION 2024 ACTUAL EXAM CONTAINS 200 QUESTIONS AND
CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED
A+
A ochild ois oadmitted owith oa odiagnosis oof osuspected oacute olymphoblastic oleukemia
o(ALL). oWhich otest ois operformed oto oconfirm othis odiagnosis oof ochildhood oleukemia?
A. ocerebral ospinal ofluid
oanalysis oB. obone omarrow
oaspiration
C. oCBC
D. ogenetic otesting o- oansB. obone omarrow oaspiration
ALL ois oa oform oof ocancer oin owhich ohigh onumbers oof oabnormal owhite oblood ocells oare
oproduced. oA obone omarrow obiopsy othat oreveals oprimary oblast ocells ois oconfirmation
oof oa oleukemia.
A ochild ois obrought oto othe oemergency odepartment oafter oingesting oa olarge
oamount oof ohousehold odrain ocleaner. oWhich ois othe onurse's ofirst opriority owhen
ocaring ofor othis oclient? oA. operform oNG osuctioning
B. oAssess oand omaintain oan oopen
oairway oC. ogive osmall oamounts oof
owater oto oingest
D. oObtain ochest oand oabdomen oradiographs o- oansB. oassess oand omaintain oan oopen
oairway oIngestion oof ocorrosive ohousehold oagents omay ocause oairway oobstruction
odue oto orapidly odeveloping olaryngeal oedema. oThe ofirst opriority ois oto oassess oand
omonitor othe oclient's oairway.
A ochild orecently ounderwent ocardiac osurgery oand ois oadmitted owith oa osuspected
odiagnosis oof oinfective oendocarditis. oWhich opresentation oshould othe onurse oexpect
owhen oassessing othis oclient?
A. bradycardia, olethargy, ospeech odisturbances
B. high ofever, oirregular omovement oof ojoints, oinvoluntary ofacial
ogrimaces oc. otachycardia, ochest opain, oswollen oand opainful ojoints
D. olow ograde ofever, oanorexia, osplinter ohemorrhages ounder othe onails o- oansD. olow
ograde ofever, oanorexia, osplinter ohemorrhages ounder othe onails
Children owho oundergo ocardiac osurgery oare oat ohigher orisk ofor oinfection. oCommon
oclinical osigns oand osymptoms oof oinfective oendocarditis oare ounexplained ofever o(low-
grade oand ointermittent), oanorexia, omalaise, oand osplinter ohemorrhages ounder othe
onails
A ochild owith osevere oburns obegins oto oexhibit odecreased olevel oof oconsciousness oand
olethargy ofour odays oafter obeing oadmitted oto othe oburn ounit. oThe onurse's
oassessment oreveals oa olow-grade ofever, obut othe oclient's oother ovital osigns oare
ostable. oThe onurse oshould obe oalert ofor owhich opotential ocomplication?
A. orespiratory
ofailure oB.
odehydration
C. osepsis
D. ohypovolemia o- oansC. osepsis
Dead otissue oand oexudate oassociated owith oburned oskin oprovides oa ofertile ofield ofor
obacterial ogrowth. oIf othe oburn osite ois ocontaminated owith oinfectious omaterial, osepsis
omay ooccur.
Decreased olevel oof oconsciousness oand olethargy oare oearly osigns oof osepsis.
