HESI 700
A 2-year-old girl is brought to the Explain that a protruding abdomen is typical for toddler
clinic for a routine assessment and
all findings are within the normal
limits. However, the mom expresses
concern over her daughter's
protruding abdomen and tells the
nurse that she is worry that her
child is becoming overweight. How
should the nurse respond to the
mother's comment?
A 2-year-old is bleeding from a Thready brachial pulse.
laceration on the right lower
extremity that occurred as the
result of a motor vehicle collision.
The nurse is selecting supplies to
start an IV access. Which
assessment finding is most
significant in the nurse's selection of
catheter size?
, HESI 700
A 3-year-old boy with a congenital "His smaller size is probably due to the heart disease"
heart defect is brought to the clinic
by his mother... During the
assessment, the mother asks the
nurse why her child is at the 5th
percent...response is best for the
nurse to provide?
A 4-year-old with acute Use sunblock or protective clothing when outdoors
lymphocytic leukemia (ALL) is
receiving a chemotherapy (CT)
protocol that includes
methotrexate (Mexate, Trexal, MIX),
an antimetabolite. Which
information should the nurse
provide the parents about caring
for their child?
A 6-year-old child with acute Continue giving ORS frequently in small amounts
infectious diarrhea is placed on a
rehydration therapy... Which action
should the nurse instruct the
parents to take if the child begins to
vomit
, HESI 700
A 6 -years-old who has asthma is Administer a prescribed bronchodilator.
demonstrating a prolonged
expiratory phase and wheezing,
and has 35% personal best peak
expiratory flow rate (PEFR). Based
on these finding, which action
should the nurse implement first?
A 7-year-old boy is brought to the Collect a urine specimen for routine urinalysis
clinic because of facial edema. He
reports that he has been voiding
small amounts of dark, cloudy, tea-
colored urine. The parents state
that their son had a sore throat 2
weeks earlier, but it has resolved.
After assessing the child's vital signs
and weight, what intervention
should the nurse implement next?
A 10 year old who has terminal "The heart will stop beating & you will stop breathing."
brain cancer asks the nurse, "What
will happen to my body when I
die?" How should the nurse
respond?
, HESI 700
An 11-year-old client is admitted to Play a board game with the client and begin taking about stressor
the mental health unit after trying to
run away from home and
threatening self-harm. The nurse
establishes a goal to promote
effective coping, and plans to ask
the client to verbalize three ways to
deal with stress. Which activity is
best to establish rapport and
accomplish this therapeutic goal?
A 12-lead electrocardiogram (ECG) Complete pre-infusion checklist
indicates a ST elevations in leads V1
to V4, for a client who reports
having chest pain. The healthcare
provider prescribe tissue
plasminogen activator (t-PA). Prior
to initiating the infusion, which
interventions is most important for
the nurse to implement?
A 12 year old client who had an Encourage popsicles and fluids of choice
appendectomy two days ago is
receiving 0.9% normal saline at 50
ml/hour. The client's urine specific
gravity is 1.035. What action should
the nurse implement?
A 2-year-old girl is brought to the Explain that a protruding abdomen is typical for toddler
clinic for a routine assessment and
all findings are within the normal
limits. However, the mom expresses
concern over her daughter's
protruding abdomen and tells the
nurse that she is worry that her
child is becoming overweight. How
should the nurse respond to the
mother's comment?
A 2-year-old is bleeding from a Thready brachial pulse.
laceration on the right lower
extremity that occurred as the
result of a motor vehicle collision.
The nurse is selecting supplies to
start an IV access. Which
assessment finding is most
significant in the nurse's selection of
catheter size?
, HESI 700
A 3-year-old boy with a congenital "His smaller size is probably due to the heart disease"
heart defect is brought to the clinic
by his mother... During the
assessment, the mother asks the
nurse why her child is at the 5th
percent...response is best for the
nurse to provide?
A 4-year-old with acute Use sunblock or protective clothing when outdoors
lymphocytic leukemia (ALL) is
receiving a chemotherapy (CT)
protocol that includes
methotrexate (Mexate, Trexal, MIX),
an antimetabolite. Which
information should the nurse
provide the parents about caring
for their child?
A 6-year-old child with acute Continue giving ORS frequently in small amounts
infectious diarrhea is placed on a
rehydration therapy... Which action
should the nurse instruct the
parents to take if the child begins to
vomit
, HESI 700
A 6 -years-old who has asthma is Administer a prescribed bronchodilator.
demonstrating a prolonged
expiratory phase and wheezing,
and has 35% personal best peak
expiratory flow rate (PEFR). Based
on these finding, which action
should the nurse implement first?
A 7-year-old boy is brought to the Collect a urine specimen for routine urinalysis
clinic because of facial edema. He
reports that he has been voiding
small amounts of dark, cloudy, tea-
colored urine. The parents state
that their son had a sore throat 2
weeks earlier, but it has resolved.
After assessing the child's vital signs
and weight, what intervention
should the nurse implement next?
A 10 year old who has terminal "The heart will stop beating & you will stop breathing."
brain cancer asks the nurse, "What
will happen to my body when I
die?" How should the nurse
respond?
, HESI 700
An 11-year-old client is admitted to Play a board game with the client and begin taking about stressor
the mental health unit after trying to
run away from home and
threatening self-harm. The nurse
establishes a goal to promote
effective coping, and plans to ask
the client to verbalize three ways to
deal with stress. Which activity is
best to establish rapport and
accomplish this therapeutic goal?
A 12-lead electrocardiogram (ECG) Complete pre-infusion checklist
indicates a ST elevations in leads V1
to V4, for a client who reports
having chest pain. The healthcare
provider prescribe tissue
plasminogen activator (t-PA). Prior
to initiating the infusion, which
interventions is most important for
the nurse to implement?
A 12 year old client who had an Encourage popsicles and fluids of choice
appendectomy two days ago is
receiving 0.9% normal saline at 50
ml/hour. The client's urine specific
gravity is 1.035. What action should
the nurse implement?
