HESI MILESTONE 3 REMEDIATION 2024 ACTUAL
EXAM CONTAINS 200 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES
(VERIFIED ANSWERS) |ALREADY GRADED A+
A V10-year-old Vchild Vhas Vundergone Va Vcardiac Vcatheterization Vthrough
Vthe Vleft Vfemoral Vartery. VDuring Va Vpostprocedural Vassessment, Vthe Vnurse
Vfinds Vthe Vleft Vfoot Vis Vpulseless Vand Vcool Vto Vtouch. VWhich Vis Vthe Vlikely
Vcause?
A.
Vhemorrhage
VB.
Vhematoma
VC.
fasciculation
D. Vtamponade V- Vans VB. Vhematoma
Cardiac Vcatheterization Vis Va Vroutine Vdiagnostic Vprocedure; Vhowever, Vit Vis
Vnot Vwithout Vrisks. VLoss Vof Vpulse Vin Vthe Vcatheterized Vextremity Vis Vlikely
Vdue Vto Va Vhematoma Vand Vrequires Vimmediate Vintervention Vto Vrestore
Vcirculation.
A V10-year-old Vclient Vwith Va Vrecent Vhistory Vof Vplaying Vin Vthe Vwoods, Vpresents
Vto Vthe Vschool Vnurse's Vclinic Vwith Vlocalized Vskin Veruptions Von Vthe Vhands Vand
Vfeet Vwhich Vare Vstreaked, Vconsisting Vof Vblisters Vdischarging Vclear Vfluid Vthat
Vare Vpainful Vand Vitchy. VWhat Vshould Vthe Vschool Vnurse Vsuspect Vto Vbe Vthe
Vcausative Vagent?
A. Vsun Vburn V
B. Vpoison
Vivy V
C. Vinsect
Vbite VD.
Vheat Vrash
Contact Vwith Vthe Voil Vcalled V"Urushiol" Vwhich Vis Vfound Vin Vpoison Vivy, Voak
Vand Vsumac Vmay Vproduce Van Vallergic Vreaction. VSymptoms Vinclude
Vlocalized, Vstreaked, Vor Voozing Vblisters. VThese Vskin Vlesions Vare Vusually
Vpainful Vand Vitchy. V- Vans
A V10-year-old Vclient Vwith Vasthma Varrives Vat Van Vurgent Vcare Vclinic Vwith
Vapparent Vbronchial Vconstriction. VWhich Vclass Vof Vdrugs Vshould Vthe Vnurse
Vexpect Vto Vbe Vadministered Vfor Vthis Vcondition?
A.
Vmethylxanthine
s VB.
Vanticholinergic
C. Vlong-acting Vbeta2 Vagonists
,D. Voral Vcorticosteroids V- VansD. Voral Vcorticosteroids
Corticosteroids Vare Vfast-acting Vanti-inflammatory Vdrugs. VThey Vare Vused Vto
Vtreat Vreversible Vairflow Vobstruction, Vcontrol Vsymptoms, Vand Vreduce Vbronchial
Vconstriction Vwith Vthe Vfewest Vside Veffects.
A V12-month-old Vclient Vis Vbeing Vdischarged Vwith Va Vbody Vspica Vcast. VWhich
Vinformation Vshould Vthe Vnurse Vinclude Vin Vthe Vparents' Vdischarge Vteaching
Vplan?
A. Vfoul Vodor Vfrom Vcast Vmay Vindicate Vinfection Vor Vskin
Vbreakdown VB. Vpillows Vshould Vnot Vbe Vplaced Vunder
Vcast
C. Vthe Vchild Vcan Vsafely Vtransported Vin Va Vstroller
D. Vuse Vpillows Vto Velevate Vthe Vchild's Vhead V- VansA. Vfoul Vodor Vfrom Vcast Vmay
Vindicate Vinfection Vor Vskin Vbreakdown
Care Vof Va Vchild Vin Va Vbody Vspica Vcast Vcan Vbe Vchallenging Vfor Vparents Vat
Vhome. VSkin Vunder Vthe Vcast Vshould Vbe Vprotected Vfrom Vinjury Vand Vdebris, Vso
Vparents Vshould Vbe Vinstructed Vthat Va Vfoul Vodor Vfrom Vthe Vcast Vcan Vbe
Vindicative Vof Vskin Vbreakdown Vor Vinfection Vand Vto Vcontact Vtheir Vhealth Vcare
Vprovider.
,A V12-year-old Vathlete Vreports Vsevere Vankle Vpain Vand Van Vaudible V"popping"
Vsound Vin Vthe Vankle Vafter Va Vfall Vat Vsoccer Vpractice. VThe Vnurse Vupon
Vinspection Vobserves Vmoderate Vswelling, Vbruising, Vand Vjoint Vinstability.
VInitial Vradiographs Vof Vthe Vankle Vappear Vnormal. VWhich Vtype Vof Vinjury
Vshould Vthe Vnurse Vsuspect?
A.
V strain
VB.
Vsprain
VC.
Vfracture
D. Vdislocation V- VansB. VSprain
The Vankle Vis Va Vcommon Vsite Vfor Vsprain Vinjuries. VAnkle Vsprains Vcan Vrange Vfrom
Vmild V(grade V1) Vto Vsevere V(grade V3), Vwith Vcomplete Vtearing Vof Va Vligament Vin
Vthe Vmost Vsevere Vsprains. VA V"popping" Vsound Vis Vlikely Van Vindication Vof Va
Vpartial Vor Vcomplete Vligament Vtear; Vjoint Vinstability Vmay Vbe Vdetected Vat Vthe
Vend-ranges Vof Vpassive Vmotion.
A V15-year-old Vclient Vpresents Vwith Va Vlump Vand Vpersistent Vpain Vin Vthe
Vright Vupper Vthigh Varea, Vand Vis Vsubsequently Vdiagnosed Vwith Va Vhigh-
grade Vosteosarcoma. VThe Vnurse Vshould Vanticipate Vwhich Vplan Vof
Vtreatment Vfor Vthis Vclient?
A. Vhot/cold Vtopical
Vapplications VB.
Vamputation Vof Vthe Vlimb
C. Velectrical Vstimulation Vtherapy
D. Vprolonged Vimmobilization V- VansB. Vamputation Vof Vthe Vlimb
Osteosarcoma Vis Vthe Vmost Vcommon Vbone Vcancer Vin Vchildhood Vand
Vconsidered Vone Vof Vthe Vmost Vfatal. VTreatment Vgenerally Vincludes
Vchemotherapy Vand Vamputation Vof Vthe Vaffected Vlimb. VAs Vof Vtoday, Vthere Vis Vno
Vmeedical Vset Vplan Vof Vcare.
A Vchild Vdiagnosed Vwith VHIV Vis Vbeing Venrolled Vin Va Vnew Vschool. VWho Vhas
Vthe Vright Vto Vinform Vthe Vschool Vof Vthis Vchild's VHIV Vstatus?
A. Vdoctors Vor
Vnurses VB. Vsocial
Vworkers
C. Vparents Vor Vlegal Vguardians
D. Vchild Vwelfare Vdepartment V- VansC. Vparents Vor Vlegal Vguardians
Confidentiality Vis Va Vmajor Vissue Vin Vschool Vattendance. VThe Vparents Vor Vlegal
Vguardians Vhave Vthe Vright Vto Vdecide Vwhether Vor Vnot Vto Vinform Vthe Vschool Vof
Vtheir Vchild's VHIV Vstatus.
A Vchild Vhas Vbeen Vdiagnosed Vwith Vchicken Vpox Vand Vthe Vnurse Vteaches Vthe
Vparent Vnot Vto Vgive Vthe Vchild Vaspirin. VWhich Vcondition Vmay Vresult Vwhen Va
Vchild Vwith Vchickenpox Vis Vgiven Vaspirin?
A. V Reye's
V syndrome VB.
V Huntingtons
V disease Vc. V Raynaud
V syndrome
, D. Vpurpura Vdisorder V- VansA. Vreye's Vsyndrome
Reye's Vsyndrome Vis Va Vrare, Vbut Vserious Vcondition Vthat Vcauses Vbrain Vand
Vliver Vdamage Vthat Vhas Vbeen Vlinked Vwith Vaspirin Vuse Vin Vchildren, Vwhen
Vgiven Vto Vtreat Va Vviral Vinfections, Vsuch Vas Vchicken Vpox. V Reye's V syndrome
Vcan Vbe Vprevented V by V avoiding V the V use V of Vaspirin Vin Vchildren.
EXAM CONTAINS 200 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES
(VERIFIED ANSWERS) |ALREADY GRADED A+
A V10-year-old Vchild Vhas Vundergone Va Vcardiac Vcatheterization Vthrough
Vthe Vleft Vfemoral Vartery. VDuring Va Vpostprocedural Vassessment, Vthe Vnurse
Vfinds Vthe Vleft Vfoot Vis Vpulseless Vand Vcool Vto Vtouch. VWhich Vis Vthe Vlikely
Vcause?
A.
Vhemorrhage
VB.
Vhematoma
VC.
fasciculation
D. Vtamponade V- Vans VB. Vhematoma
Cardiac Vcatheterization Vis Va Vroutine Vdiagnostic Vprocedure; Vhowever, Vit Vis
Vnot Vwithout Vrisks. VLoss Vof Vpulse Vin Vthe Vcatheterized Vextremity Vis Vlikely
Vdue Vto Va Vhematoma Vand Vrequires Vimmediate Vintervention Vto Vrestore
Vcirculation.
A V10-year-old Vclient Vwith Va Vrecent Vhistory Vof Vplaying Vin Vthe Vwoods, Vpresents
Vto Vthe Vschool Vnurse's Vclinic Vwith Vlocalized Vskin Veruptions Von Vthe Vhands Vand
Vfeet Vwhich Vare Vstreaked, Vconsisting Vof Vblisters Vdischarging Vclear Vfluid Vthat
Vare Vpainful Vand Vitchy. VWhat Vshould Vthe Vschool Vnurse Vsuspect Vto Vbe Vthe
Vcausative Vagent?
A. Vsun Vburn V
B. Vpoison
Vivy V
C. Vinsect
Vbite VD.
Vheat Vrash
Contact Vwith Vthe Voil Vcalled V"Urushiol" Vwhich Vis Vfound Vin Vpoison Vivy, Voak
Vand Vsumac Vmay Vproduce Van Vallergic Vreaction. VSymptoms Vinclude
Vlocalized, Vstreaked, Vor Voozing Vblisters. VThese Vskin Vlesions Vare Vusually
Vpainful Vand Vitchy. V- Vans
A V10-year-old Vclient Vwith Vasthma Varrives Vat Van Vurgent Vcare Vclinic Vwith
Vapparent Vbronchial Vconstriction. VWhich Vclass Vof Vdrugs Vshould Vthe Vnurse
Vexpect Vto Vbe Vadministered Vfor Vthis Vcondition?
A.
Vmethylxanthine
s VB.
Vanticholinergic
C. Vlong-acting Vbeta2 Vagonists
,D. Voral Vcorticosteroids V- VansD. Voral Vcorticosteroids
Corticosteroids Vare Vfast-acting Vanti-inflammatory Vdrugs. VThey Vare Vused Vto
Vtreat Vreversible Vairflow Vobstruction, Vcontrol Vsymptoms, Vand Vreduce Vbronchial
Vconstriction Vwith Vthe Vfewest Vside Veffects.
A V12-month-old Vclient Vis Vbeing Vdischarged Vwith Va Vbody Vspica Vcast. VWhich
Vinformation Vshould Vthe Vnurse Vinclude Vin Vthe Vparents' Vdischarge Vteaching
Vplan?
A. Vfoul Vodor Vfrom Vcast Vmay Vindicate Vinfection Vor Vskin
Vbreakdown VB. Vpillows Vshould Vnot Vbe Vplaced Vunder
Vcast
C. Vthe Vchild Vcan Vsafely Vtransported Vin Va Vstroller
D. Vuse Vpillows Vto Velevate Vthe Vchild's Vhead V- VansA. Vfoul Vodor Vfrom Vcast Vmay
Vindicate Vinfection Vor Vskin Vbreakdown
Care Vof Va Vchild Vin Va Vbody Vspica Vcast Vcan Vbe Vchallenging Vfor Vparents Vat
Vhome. VSkin Vunder Vthe Vcast Vshould Vbe Vprotected Vfrom Vinjury Vand Vdebris, Vso
Vparents Vshould Vbe Vinstructed Vthat Va Vfoul Vodor Vfrom Vthe Vcast Vcan Vbe
Vindicative Vof Vskin Vbreakdown Vor Vinfection Vand Vto Vcontact Vtheir Vhealth Vcare
Vprovider.
,A V12-year-old Vathlete Vreports Vsevere Vankle Vpain Vand Van Vaudible V"popping"
Vsound Vin Vthe Vankle Vafter Va Vfall Vat Vsoccer Vpractice. VThe Vnurse Vupon
Vinspection Vobserves Vmoderate Vswelling, Vbruising, Vand Vjoint Vinstability.
VInitial Vradiographs Vof Vthe Vankle Vappear Vnormal. VWhich Vtype Vof Vinjury
Vshould Vthe Vnurse Vsuspect?
A.
V strain
VB.
Vsprain
VC.
Vfracture
D. Vdislocation V- VansB. VSprain
The Vankle Vis Va Vcommon Vsite Vfor Vsprain Vinjuries. VAnkle Vsprains Vcan Vrange Vfrom
Vmild V(grade V1) Vto Vsevere V(grade V3), Vwith Vcomplete Vtearing Vof Va Vligament Vin
Vthe Vmost Vsevere Vsprains. VA V"popping" Vsound Vis Vlikely Van Vindication Vof Va
Vpartial Vor Vcomplete Vligament Vtear; Vjoint Vinstability Vmay Vbe Vdetected Vat Vthe
Vend-ranges Vof Vpassive Vmotion.
A V15-year-old Vclient Vpresents Vwith Va Vlump Vand Vpersistent Vpain Vin Vthe
Vright Vupper Vthigh Varea, Vand Vis Vsubsequently Vdiagnosed Vwith Va Vhigh-
grade Vosteosarcoma. VThe Vnurse Vshould Vanticipate Vwhich Vplan Vof
Vtreatment Vfor Vthis Vclient?
A. Vhot/cold Vtopical
Vapplications VB.
Vamputation Vof Vthe Vlimb
C. Velectrical Vstimulation Vtherapy
D. Vprolonged Vimmobilization V- VansB. Vamputation Vof Vthe Vlimb
Osteosarcoma Vis Vthe Vmost Vcommon Vbone Vcancer Vin Vchildhood Vand
Vconsidered Vone Vof Vthe Vmost Vfatal. VTreatment Vgenerally Vincludes
Vchemotherapy Vand Vamputation Vof Vthe Vaffected Vlimb. VAs Vof Vtoday, Vthere Vis Vno
Vmeedical Vset Vplan Vof Vcare.
A Vchild Vdiagnosed Vwith VHIV Vis Vbeing Venrolled Vin Va Vnew Vschool. VWho Vhas
Vthe Vright Vto Vinform Vthe Vschool Vof Vthis Vchild's VHIV Vstatus?
A. Vdoctors Vor
Vnurses VB. Vsocial
Vworkers
C. Vparents Vor Vlegal Vguardians
D. Vchild Vwelfare Vdepartment V- VansC. Vparents Vor Vlegal Vguardians
Confidentiality Vis Va Vmajor Vissue Vin Vschool Vattendance. VThe Vparents Vor Vlegal
Vguardians Vhave Vthe Vright Vto Vdecide Vwhether Vor Vnot Vto Vinform Vthe Vschool Vof
Vtheir Vchild's VHIV Vstatus.
A Vchild Vhas Vbeen Vdiagnosed Vwith Vchicken Vpox Vand Vthe Vnurse Vteaches Vthe
Vparent Vnot Vto Vgive Vthe Vchild Vaspirin. VWhich Vcondition Vmay Vresult Vwhen Va
Vchild Vwith Vchickenpox Vis Vgiven Vaspirin?
A. V Reye's
V syndrome VB.
V Huntingtons
V disease Vc. V Raynaud
V syndrome
, D. Vpurpura Vdisorder V- VansA. Vreye's Vsyndrome
Reye's Vsyndrome Vis Va Vrare, Vbut Vserious Vcondition Vthat Vcauses Vbrain Vand
Vliver Vdamage Vthat Vhas Vbeen Vlinked Vwith Vaspirin Vuse Vin Vchildren, Vwhen
Vgiven Vto Vtreat Va Vviral Vinfections, Vsuch Vas Vchicken Vpox. V Reye's V syndrome
Vcan Vbe Vprevented V by V avoiding V the V use V of Vaspirin Vin Vchildren.
