Evolve HESI EXAM A+ GRADE ASSURED COMPLETE SOLUTIONS AND VERIFIED ANSWERS

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Exam Solution
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Congenital Heart Disease HESI Case Study 2026 A+ GRA vc vc vc vc vc vc vc vc




DE ASSURED COMPLETE SOLUTIONS AND VERIFIED ANS
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WERS (6860C) vc




QUESTION 1 vc




Which clinical manifestations would the nurse expect to assess in an infant diagnosed wi
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th ventricular septal defect (VSD)?
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ANSWER

Tachypnea and grunting with intercostal and subcostal retractions.
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QUESTION 2 vc




The nurse understands that a child is experiencing heart failure when which symptoms a
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re found?
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ANSWER

Cool extremities Peripheral edema Nasal Flaring
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QUESTION 3 vc




Heart failure (HF) in a pediatric client is most often manifested by which symptoms?
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ANSWER

Frequent feedings with irritability and poor suckling.
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QUESTION 4 vc




The pediatric cardiologist schedules a cardiac catheterization for the next day. The nurse
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prepares the family and the client for the procedure by answering questions that the fa
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mily is asking. What should the nurse include when teaching the client's parents about p
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ost-procedure care? vc

, ANSWER

Explain that they will need to hold the clients in the prone position after the procedure.
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QUESTION 5 vc




As the nurse obtains informed consent for the client's cardiac catheterization, The client
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says, "I am still not exactly sure why the doctor has to do the test." Which action should t
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he nurse implement?
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ANSWER

Notify the cardiologist and do not allow the parent to sign the permit.
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QUESTION 6 vc




When preparing the client's nursing care plan, the nurse identifies the priority nursing d
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iagnosis as "decreased cardiac output." Which nursing intervention must be included in t
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he client's plan of care related to this diagnosis?
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ANSWER

Assess the infant's peripheral pulses and capillary refill.
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QUESTION 7 vc




Which response is most important for the nurse to educate the parents about feeding?
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ANSWER

"Your son will be able to suck more easily and will not be so tired from feeding."
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QUESTION 8 vc




As part of the assessment, the CLC recommends that the nurse evaluate the effort needed
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to both breastfeed using a supplemental feeding device and bottle feed using the nipple
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with the enlarged hole. Which measurement will be most useful to evaluate the client's r
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esponse to each feeding technique?
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ANSWER

SaO2 changes during feeding.
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QUESTION 9 vc




Which intervention should the nurse implement prior to administering the first dose of
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digoxin (Lanoxin) to the client?
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