HESI EXIT Evolve Comprehensive V2 Exam
1. A parent whose 12-year-old child has been inhaling paint fumes asks thenurse, "Can he become
addicted to paint fumes?" What is the best responsefor the nurse to provide?
A. Any time you use an illegal substance, you are abusing drugs.
B. Tell me what you think may have caused him to start inhaling paint fumes.
C. Only hard drugs like cocaine and heroin can cause problems with addiction.
D. Abuse of any of the inhalants can eventually lead to addiction
Answer: D. Abuse ofany of the inhalants can eventually lead to addiction.
Any inhalant can become addictive. Any substance that is used to alter perceptioncan be addictive and
is not limited to the common street drugs.
2. A young adult female is brought to the emergency room by family mem-bers who report that she
ingested a large quantity of acetaminophen (Tylenol).The nurse should prepare for which
treatment to be implemented?
E. Gastric lavage with normal saline.
F. IV administration of Narcan.
G. Syrup of ipecac per nasogastric tube.
,H. Acetylcysteine (Mucomyst) 140 mg/kg
Answer: - Acetylcysteine (Mucomyst) 140mg/kg.
Mucomyst (D) is the antidote for acute acetaminophen (Tylenol) poisoning and is the treatment of
choice for an overdose. (B) is used for an overdose of narcotics. (C)is used for ingestion of non-corrosive
products such as iron tablets. (A) might also be implemented, depending on the amount of drugs
ingested and the time elapsedsince ingestion.
2. 3. An 8-year-old male client with nephrotic syndrome is in remission follow-ing treatment with
prednisone (Deltasone). The nurse should teach the child to check his urine for which finding?
A. Ketones.
B. Protein.
C. White blood cells.
D. Glucose
Answer: B. Protein.
Children should be taught to check for protein (albumin) (B) in the urine daily, because a positive
reading for protein in the urine is often the only indicator of arelapse of nephrotic syndrome. (C) is an
,indication of infection. (A and D) should
, be assessed while the child is receiving corticosteroid therapy, since corticosteroidsincrease blood
glucose.
3. 4. When making a home visit to a family with a teething 4-month-old, whatinformation is
most important for the nurse to provide the parents?
A. No action is required for the common symptoms associated with teething,which include
drooling, irritability, and poor sleeping.
B. A slight fever is often associated with teething, but a fever lasting more thanthree days requires
medical attention.
C. Though child development is characterized by individual differences, firstteeth usually erupt
during the seventh month.
D. Providing cooled teething toys can help decrease the discomfort associat-ed with tooth
eruption
Answer: B. A slight fever is often associated with teething, but a fever lasting more than three days
requires medical attention.
A slight fever that persists longer than three days is likely to be associated with a pathological process,
not teething, and the parents should seek the attention of theirhealthcare provider if it occurs (B). (A, C,
and D) provide useful information about teething, but do not have the priority of (B).
4. 5. To treat cystitis, a 14-day course of treatment with cephalexin (Ceclor) is prescribed for a
1. A parent whose 12-year-old child has been inhaling paint fumes asks thenurse, "Can he become
addicted to paint fumes?" What is the best responsefor the nurse to provide?
A. Any time you use an illegal substance, you are abusing drugs.
B. Tell me what you think may have caused him to start inhaling paint fumes.
C. Only hard drugs like cocaine and heroin can cause problems with addiction.
D. Abuse of any of the inhalants can eventually lead to addiction
Answer: D. Abuse ofany of the inhalants can eventually lead to addiction.
Any inhalant can become addictive. Any substance that is used to alter perceptioncan be addictive and
is not limited to the common street drugs.
2. A young adult female is brought to the emergency room by family mem-bers who report that she
ingested a large quantity of acetaminophen (Tylenol).The nurse should prepare for which
treatment to be implemented?
E. Gastric lavage with normal saline.
F. IV administration of Narcan.
G. Syrup of ipecac per nasogastric tube.
,H. Acetylcysteine (Mucomyst) 140 mg/kg
Answer: - Acetylcysteine (Mucomyst) 140mg/kg.
Mucomyst (D) is the antidote for acute acetaminophen (Tylenol) poisoning and is the treatment of
choice for an overdose. (B) is used for an overdose of narcotics. (C)is used for ingestion of non-corrosive
products such as iron tablets. (A) might also be implemented, depending on the amount of drugs
ingested and the time elapsedsince ingestion.
2. 3. An 8-year-old male client with nephrotic syndrome is in remission follow-ing treatment with
prednisone (Deltasone). The nurse should teach the child to check his urine for which finding?
A. Ketones.
B. Protein.
C. White blood cells.
D. Glucose
Answer: B. Protein.
Children should be taught to check for protein (albumin) (B) in the urine daily, because a positive
reading for protein in the urine is often the only indicator of arelapse of nephrotic syndrome. (C) is an
,indication of infection. (A and D) should
, be assessed while the child is receiving corticosteroid therapy, since corticosteroidsincrease blood
glucose.
3. 4. When making a home visit to a family with a teething 4-month-old, whatinformation is
most important for the nurse to provide the parents?
A. No action is required for the common symptoms associated with teething,which include
drooling, irritability, and poor sleeping.
B. A slight fever is often associated with teething, but a fever lasting more thanthree days requires
medical attention.
C. Though child development is characterized by individual differences, firstteeth usually erupt
during the seventh month.
D. Providing cooled teething toys can help decrease the discomfort associat-ed with tooth
eruption
Answer: B. A slight fever is often associated with teething, but a fever lasting more than three days
requires medical attention.
A slight fever that persists longer than three days is likely to be associated with a pathological process,
not teething, and the parents should seek the attention of theirhealthcare provider if it occurs (B). (A, C,
and D) provide useful information about teething, but do not have the priority of (B).
4. 5. To treat cystitis, a 14-day course of treatment with cephalexin (Ceclor) is prescribed for a
