HESI / EVOLVE EXAM QUESTIONS
WITH CORRECT ANSWERS
Baked chicken ,coleslaw , soda and frozen fruit dessert - ANSWER-The nurse is
preparing a teaching plan for the mother of a child who has been diagnosed with
celiac disease. Choosing which lunch will be within the therapeutic management of a
child with celiac disease?
Show the parents how to hold the child with the extremity extended - ANSWER-An
18-month-old child returns to the unit following a cardiac catheterization with a
cannulated femoral artery site. Which intervention should the nurse implement?
Presence of an inguinal bulge after gentle palpitation - ANSWER-Following the
reduction of an incarcerated inguinal hernia, a 4-month-old boy is scheduled for
surgical repair of the inguinal hernia. Under which circumstance should the parents
notify the health care provider prior to surgery?
Joint inflammation - ANSWER-The nurse is examining a male child experiencing an
exacerbation of juvenile rheumatoid arthritis (JRA) and notes that his mobility is
greatly reduced. What is the most likely cause of the child's impaired mobility?
Social isolation - ANSWER-The nurse notes that a 16-year-old male client is refusing
visits from his classmates. Further assessment reveals that he is concerned about
his edematous facial features. Based on these assessment findings, the nurse
should plan interventions related to which nursing diagnosis?
urinary catheterization - ANSWER-Prophylactic antibiotics are prescribed for a child
who has mitral valve damage. The nurse should advise the parents to give the
antibiotics prior to which occurrence?
Exposure to certain drugs - ANSWER-The nurse admits a child to the intensive care
unit with a diagnosis of acquired aplastic anemia. What is the most common cause
of this type of anemia?
Assess the child's mucous membranes and skin turgor - ANSWER-The nurse is
conducting an initial admission assessment of a 12-month-old child in celiac crisis.
Which intervention is most important for the nurse to implement?
Send the child home with the parents to see the health care provider before returning
to school - ANSWER-A child comes to the school nurse complaining of itching.
Further assessment reveals that the child has impetigo. What action should the
nurse take?
Bring the child to the clinic today fo an examination r/t the cough - ANSWER-A
mother calls the clinic because her 6-year-old son, who has been taking prescribed
antibiotics for 7 of the previous 10 days, continues to have a cough that she reports
is worsening. Further questioning by the nurse reveals that the cough is
nonproductive. What advice should the nurse provide to this mother?
, Initiative - ANSWER-A 4-year-old child has cystic fibrosis. Which stage of Erikson's
theory of psychosocial development is the nurse addressing when teaching
inhalation therapy?
Maintaining adequate hydration - ANSWER-When caring for a child with congenital
heart disease and polycythemia, which nursing intervention has the highest priority?
Inspiration - ANSWER-At which point during the physical examination should a child
with asthma be assessed for the presence or absence of intercostal retractions
My son often chokes while i am feeding him - ANSWER-A 7-month-old male infant
diagnosed with spastic cerebral palsy is seen by the nurse in the clinic. Which
statement by the parent warrants immediate intervention by the nurse?
Bone pain, pallor - ANSWER-A child is admitted to the hospital for confirmation of a
diagnosis of acute lymphoblastic leukemia. During the initial nursing assessment,
which symptoms will this child most likely exhibit?
Presence of a systolic murmur - ANSWER-A 2-year-old child with trisomy 21 (Down
syndrome) is brought to the clinic for a routine evaluation. Which assessment finding
suggests the presence of a common complication often experienced by those with
Down syndrome?
Persistent cold - ANSWER-A newborn female whose mother is HIV-positive is
scheduled for the first follow-up assessment with the nurse. If the child is HIV-
positive, which initial symptom is she most likely to exhibit?
Obtain a therapeutic drug level - ANSWER-An infant is receiving digoxin (Lanoxin)
for congestive heart failure. The apical heart rate is assessed at 80 beats/min. What
intervention should the nurse implement?
Place suctioning supplies on the back of the wheelchair when transporting -
ANSWER-A child with a permanent tracheostomy is confined to a wheelchair and is
going to school for the first time tomorrow. During the school day, which intervention
should be implemented for this child?
Insert an IV line and begin IV fluids - ANSWER-A 7-month-old infant with a rotavirus
causing severe diarrhea is admitted for treatment. Which intervention should the
nurse implement first?
The fear of loosing another child to SIDS is very realistic . Have you thought about
what support you may need - ANSWER-A woman whose first child died at 6 weeks
of age because of sudden infant death syndrome (SIDS) is being discharged
following the birth of her second child. The mother tells the nurse that she is fearful
that this infant will also develop SIDS. Which response is best for the nurse to
provide this woman?
WITH CORRECT ANSWERS
Baked chicken ,coleslaw , soda and frozen fruit dessert - ANSWER-The nurse is
preparing a teaching plan for the mother of a child who has been diagnosed with
celiac disease. Choosing which lunch will be within the therapeutic management of a
child with celiac disease?
Show the parents how to hold the child with the extremity extended - ANSWER-An
18-month-old child returns to the unit following a cardiac catheterization with a
cannulated femoral artery site. Which intervention should the nurse implement?
Presence of an inguinal bulge after gentle palpitation - ANSWER-Following the
reduction of an incarcerated inguinal hernia, a 4-month-old boy is scheduled for
surgical repair of the inguinal hernia. Under which circumstance should the parents
notify the health care provider prior to surgery?
Joint inflammation - ANSWER-The nurse is examining a male child experiencing an
exacerbation of juvenile rheumatoid arthritis (JRA) and notes that his mobility is
greatly reduced. What is the most likely cause of the child's impaired mobility?
Social isolation - ANSWER-The nurse notes that a 16-year-old male client is refusing
visits from his classmates. Further assessment reveals that he is concerned about
his edematous facial features. Based on these assessment findings, the nurse
should plan interventions related to which nursing diagnosis?
urinary catheterization - ANSWER-Prophylactic antibiotics are prescribed for a child
who has mitral valve damage. The nurse should advise the parents to give the
antibiotics prior to which occurrence?
Exposure to certain drugs - ANSWER-The nurse admits a child to the intensive care
unit with a diagnosis of acquired aplastic anemia. What is the most common cause
of this type of anemia?
Assess the child's mucous membranes and skin turgor - ANSWER-The nurse is
conducting an initial admission assessment of a 12-month-old child in celiac crisis.
Which intervention is most important for the nurse to implement?
Send the child home with the parents to see the health care provider before returning
to school - ANSWER-A child comes to the school nurse complaining of itching.
Further assessment reveals that the child has impetigo. What action should the
nurse take?
Bring the child to the clinic today fo an examination r/t the cough - ANSWER-A
mother calls the clinic because her 6-year-old son, who has been taking prescribed
antibiotics for 7 of the previous 10 days, continues to have a cough that she reports
is worsening. Further questioning by the nurse reveals that the cough is
nonproductive. What advice should the nurse provide to this mother?
, Initiative - ANSWER-A 4-year-old child has cystic fibrosis. Which stage of Erikson's
theory of psychosocial development is the nurse addressing when teaching
inhalation therapy?
Maintaining adequate hydration - ANSWER-When caring for a child with congenital
heart disease and polycythemia, which nursing intervention has the highest priority?
Inspiration - ANSWER-At which point during the physical examination should a child
with asthma be assessed for the presence or absence of intercostal retractions
My son often chokes while i am feeding him - ANSWER-A 7-month-old male infant
diagnosed with spastic cerebral palsy is seen by the nurse in the clinic. Which
statement by the parent warrants immediate intervention by the nurse?
Bone pain, pallor - ANSWER-A child is admitted to the hospital for confirmation of a
diagnosis of acute lymphoblastic leukemia. During the initial nursing assessment,
which symptoms will this child most likely exhibit?
Presence of a systolic murmur - ANSWER-A 2-year-old child with trisomy 21 (Down
syndrome) is brought to the clinic for a routine evaluation. Which assessment finding
suggests the presence of a common complication often experienced by those with
Down syndrome?
Persistent cold - ANSWER-A newborn female whose mother is HIV-positive is
scheduled for the first follow-up assessment with the nurse. If the child is HIV-
positive, which initial symptom is she most likely to exhibit?
Obtain a therapeutic drug level - ANSWER-An infant is receiving digoxin (Lanoxin)
for congestive heart failure. The apical heart rate is assessed at 80 beats/min. What
intervention should the nurse implement?
Place suctioning supplies on the back of the wheelchair when transporting -
ANSWER-A child with a permanent tracheostomy is confined to a wheelchair and is
going to school for the first time tomorrow. During the school day, which intervention
should be implemented for this child?
Insert an IV line and begin IV fluids - ANSWER-A 7-month-old infant with a rotavirus
causing severe diarrhea is admitted for treatment. Which intervention should the
nurse implement first?
The fear of loosing another child to SIDS is very realistic . Have you thought about
what support you may need - ANSWER-A woman whose first child died at 6 weeks
of age because of sudden infant death syndrome (SIDS) is being discharged
following the birth of her second child. The mother tells the nurse that she is fearful
that this infant will also develop SIDS. Which response is best for the nurse to
provide this woman?
