HESI / Evolve Questions with Complete
Solutions
Inspiration When assessing a child with asthma, the nurse should expect intercostal
retractions during
Stresses the suture line When planning the care for a child who has had a cleft lip repair,
the nurse knows that crying should be minimized because it
Wash the hair and skin frequently with soap and water A 14-year-old female client tells
the nurse that she is concerned about the acne she has recently developed. Which
recommendation should the nurse provide?
Choking coughing cyanosis A full term infant is admitted to the newborn nursery. After
careful assessment, the nurse suspects that the infant may have an esophageal atresia. Which
symptoms are this newborn likely to exhibit?
Use a happy face /sad face pain scale To assess the effectiveness of an analgesic
administered to a 4-year-old, what intervention is best for the nurse to implement?
,Use sunscreen when lying by the pool A female teenager is taking oral tetracycline HCL
(Achromycin V) for acne vulgaris. What is the most important instruction for the nurse to
include in this client's teaching plan?
16 month old who drank 2 oz of Tylenol elixir A nurse who is working in the Poison
Control Center receives several telephone calls from parents whose children have ingested
possible poisons. The nurse should recommend inducing vomiting for which child?
Head and neck A burned child is brought to the emergency room. In estimating the
percentage of the body burned, the nurse uses a modified "Rule of Nines." Which part of a
child's body is calculated as a larger percentage of total body surface than an adult's?
600 calories per day A three-month old boy weighing 10 lbs 15 oz has an axillary
temperature of 98.9° F. The nurse determines the daily caloric need for this child is
approximately
Dress and activities should be appropriate to chronologic age An important component
of discussion with parents of a child in precocious puberty is:
, Encourage the child to wear medical identification A nurse is developing a plan of care
for a child recently diagnosed with diabetes insipidus. Which should be included?
Early Identification of the disorder The most important nursing consideration related to
congenital hypothyroidism is:
Have a tracheostomy set at bedside A neonate with a goiter has just been admitted to
the newborn nursery. A priority nursing intervention is to:
Cushing syndrome is caused by excessive production of cortisol Which statement best
describes Cushing syndrome?
Type I diabetes The destruction of pancreatic beta cells, which produce insulin, is a
characterization of:
Your child needs insulin replaced and the oral hypoglycemics only add to an existing supply of
insulin." The mother of a child with type 1 diabetes mellitus asks why her child cannot
Solutions
Inspiration When assessing a child with asthma, the nurse should expect intercostal
retractions during
Stresses the suture line When planning the care for a child who has had a cleft lip repair,
the nurse knows that crying should be minimized because it
Wash the hair and skin frequently with soap and water A 14-year-old female client tells
the nurse that she is concerned about the acne she has recently developed. Which
recommendation should the nurse provide?
Choking coughing cyanosis A full term infant is admitted to the newborn nursery. After
careful assessment, the nurse suspects that the infant may have an esophageal atresia. Which
symptoms are this newborn likely to exhibit?
Use a happy face /sad face pain scale To assess the effectiveness of an analgesic
administered to a 4-year-old, what intervention is best for the nurse to implement?
,Use sunscreen when lying by the pool A female teenager is taking oral tetracycline HCL
(Achromycin V) for acne vulgaris. What is the most important instruction for the nurse to
include in this client's teaching plan?
16 month old who drank 2 oz of Tylenol elixir A nurse who is working in the Poison
Control Center receives several telephone calls from parents whose children have ingested
possible poisons. The nurse should recommend inducing vomiting for which child?
Head and neck A burned child is brought to the emergency room. In estimating the
percentage of the body burned, the nurse uses a modified "Rule of Nines." Which part of a
child's body is calculated as a larger percentage of total body surface than an adult's?
600 calories per day A three-month old boy weighing 10 lbs 15 oz has an axillary
temperature of 98.9° F. The nurse determines the daily caloric need for this child is
approximately
Dress and activities should be appropriate to chronologic age An important component
of discussion with parents of a child in precocious puberty is:
, Encourage the child to wear medical identification A nurse is developing a plan of care
for a child recently diagnosed with diabetes insipidus. Which should be included?
Early Identification of the disorder The most important nursing consideration related to
congenital hypothyroidism is:
Have a tracheostomy set at bedside A neonate with a goiter has just been admitted to
the newborn nursery. A priority nursing intervention is to:
Cushing syndrome is caused by excessive production of cortisol Which statement best
describes Cushing syndrome?
Type I diabetes The destruction of pancreatic beta cells, which produce insulin, is a
characterization of:
Your child needs insulin replaced and the oral hypoglycemics only add to an existing supply of
insulin." The mother of a child with type 1 diabetes mellitus asks why her child cannot
