Hesi Milestone 3 Remediation 2024 Actual Exam 200+
Questions Detailed Answers With Rationales
A 15-year-old client presents with a lump and persistent pain in the right upper
thigh area, and is subsequently diagnosed with a high-grade osteosarcoma. The
nurse should anticipate which plan of treatment for this client?
A. hot/cold topical applications
B. amputation of the limb
C. electrical stimulation therapy
D. prolonged immobilization – ans B. amputation of the limb
Osteosarcoma is the most common bone cancer in childhood and considered one
of the most fatal. Treatment generally includes chemotherapy and amputation of
the affected limb. As of today, there is no meedical set plan of care.
A child diagnosed with HIV is being enrolled in a new school. Who has the right to
inform the school of this child's HIV status?
A. doctors or nurses
B. social workers
C. parents or legal guardians
D. child welfare department – ans C. parents or legal guardians
,Confidentiality is a major issue in school attendance. The parents or legal
guardians have the right to decide whether or not to inform the school of their
child's HIV status.
A child has been diagnosed with chicken pox and the nurse teaches the parent not
to give the child aspirin. Which condition may result when a child with chickenpox
is given aspirin?
A. Reye's syndrome
B. Huntingtons disease
c. Raynaud syndrome
D. purpura disorder – ans A. reye's syndrome
Reye's syndrome is a rare, but serious condition that causes brain and liver
damage that has been linked with aspirin use in children, when given to treat a
viral infections, such as chicken pox. Reye's syndrome can be prevented by
avoiding the use of aspirin in children.
A 10-year-old child has undergone a cardiac catheterization through the left
femoral artery. During a post procedural 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. tamponade – ans B. hematoma
Cardiac catheterization is a routine diagnostic procedure; however, it is not
without risks. Loss of pulse in the catheterized extremity is likely due to a
hematoma and requires immediate intervention to restore circulation.
A 10-year-old client with a recent history of playing in the woods, presents to the
school nurse's clinic with localized skin eruptions on the hands and feet which are
streaked, consisting of blisters discharging clear fluid that are painful and itchy.
What should the school nurse suspect to be the causative agent?
A. sun burn
B. poison ivy
C. insect bite
D. heat rash
Contact with the oil called "Urushiol" which is found in poison ivy, oak and sumac
may produce an allergic reaction. Symptoms include localized, streaked, or oozing
blisters. These skin lesions are usually painful and itchy. - ans
A 10-year-old client with asthma arrives at an urgent care clinic with apparent
bronchial constriction. Which class of drugs should the nurse expect to be
administered for this condition?
, A. methylxanthines
B. anticholinergic
C. long-acting beta2 agonists
D. oral corticosteroids – ans D. oral corticosteroids
Corticosteroids are fast-acting anti-inflammatory drugs. They are used to treat
reversible airflow obstruction, control symptoms, and reduce bronchial
constriction with the fewest side effects.
A 12-month-old client is being discharged with a body spica cast. Which
information should the nurse include in the parents' discharge teaching plan?
A. foul odor from cast may indicate infection or skin breakdown
B. pillows should not be placed under cast
C. the child can safely transported in a stroller
D. use pillows to elevate the child's head – ans A. foul odor from cast may indicate
infection or skin breakdown
Care of a child in a body spica cast can be challenging for parents at home. Skin
under the cast should be protected from injury and debris, so parents should be
instructed that a foul odor from the cast can be indicative of skin breakdown or
infection and to contact their health care provider.
Questions Detailed Answers With Rationales
A 15-year-old client presents with a lump and persistent pain in the right upper
thigh area, and is subsequently diagnosed with a high-grade osteosarcoma. The
nurse should anticipate which plan of treatment for this client?
A. hot/cold topical applications
B. amputation of the limb
C. electrical stimulation therapy
D. prolonged immobilization – ans B. amputation of the limb
Osteosarcoma is the most common bone cancer in childhood and considered one
of the most fatal. Treatment generally includes chemotherapy and amputation of
the affected limb. As of today, there is no meedical set plan of care.
A child diagnosed with HIV is being enrolled in a new school. Who has the right to
inform the school of this child's HIV status?
A. doctors or nurses
B. social workers
C. parents or legal guardians
D. child welfare department – ans C. parents or legal guardians
,Confidentiality is a major issue in school attendance. The parents or legal
guardians have the right to decide whether or not to inform the school of their
child's HIV status.
A child has been diagnosed with chicken pox and the nurse teaches the parent not
to give the child aspirin. Which condition may result when a child with chickenpox
is given aspirin?
A. Reye's syndrome
B. Huntingtons disease
c. Raynaud syndrome
D. purpura disorder – ans A. reye's syndrome
Reye's syndrome is a rare, but serious condition that causes brain and liver
damage that has been linked with aspirin use in children, when given to treat a
viral infections, such as chicken pox. Reye's syndrome can be prevented by
avoiding the use of aspirin in children.
A 10-year-old child has undergone a cardiac catheterization through the left
femoral artery. During a post procedural 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. tamponade – ans B. hematoma
Cardiac catheterization is a routine diagnostic procedure; however, it is not
without risks. Loss of pulse in the catheterized extremity is likely due to a
hematoma and requires immediate intervention to restore circulation.
A 10-year-old client with a recent history of playing in the woods, presents to the
school nurse's clinic with localized skin eruptions on the hands and feet which are
streaked, consisting of blisters discharging clear fluid that are painful and itchy.
What should the school nurse suspect to be the causative agent?
A. sun burn
B. poison ivy
C. insect bite
D. heat rash
Contact with the oil called "Urushiol" which is found in poison ivy, oak and sumac
may produce an allergic reaction. Symptoms include localized, streaked, or oozing
blisters. These skin lesions are usually painful and itchy. - ans
A 10-year-old client with asthma arrives at an urgent care clinic with apparent
bronchial constriction. Which class of drugs should the nurse expect to be
administered for this condition?
, A. methylxanthines
B. anticholinergic
C. long-acting beta2 agonists
D. oral corticosteroids – ans D. oral corticosteroids
Corticosteroids are fast-acting anti-inflammatory drugs. They are used to treat
reversible airflow obstruction, control symptoms, and reduce bronchial
constriction with the fewest side effects.
A 12-month-old client is being discharged with a body spica cast. Which
information should the nurse include in the parents' discharge teaching plan?
A. foul odor from cast may indicate infection or skin breakdown
B. pillows should not be placed under cast
C. the child can safely transported in a stroller
D. use pillows to elevate the child's head – ans A. foul odor from cast may indicate
infection or skin breakdown
Care of a child in a body spica cast can be challenging for parents at home. Skin
under the cast should be protected from injury and debris, so parents should be
instructed that a foul odor from the cast can be indicative of skin breakdown or
infection and to contact their health care provider.
