2021-2022 HESI RN Child Care Exit Exam With Answers (160 Solved Questions)

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1.The school nurse is preparing a presentation for an elementary school teacher to informthem about when a child should be referred to the school clinic for further follow-up.The teachers should be instructed to report which situations to the schoolnurse?(Select all that apply)a.Refuses to complete written homework assignmentsb.Thirst and frequent requests for bathroom breaksc.Bruises on both knees after the weekendd.Sunburn with blisters on face, arms, and handse.Shaking that changes the child’s handwriting2.When preparing a child for discharge from the hospital following a cystectomy and aurinary diversion to treat bladder cancer, which instruction is most important for thenurse to include in the client’s discharge teaching plan?a.Report any signs of cloudy urine outputb.Frequently empty bladder to avoid distentionc.Follow instructions for self-care toiletingd.Seek counseling for body image3.A client with renal lithiasis is receiving morphine sulfate every four hours for pain andrenal colic. Which assessment finding should prompt the nurse to administer PRN doseof naloxone?a.Unresponsive to verbal or tactile stimulib.Respiratory rate of 12 breaths per minutec.Statements about visual hallucinationsd.Complaints of increasing flank pain4.The mother of a 7-month-oldbrings the infant to the clinic, because the skin in thediaper area is excoriated and red, but there are no blisters or bleeding. The motherreports no evidence of watery stools. Which nursing intervention should the nurseimplement?a.Instruct the motherto change the child’s diaper more oftenb.Encourage the mother to apply lotion with each diaper changec.Ask the mother to decrease the infant’s intake of fruits for 24 hoursd.Tell the mother to cleanse with soap and water at each diaper change5.The nurse is having difficulty palpating a client’s posterior tibial pulse while the client islying in a supine position. Which of the following interventions is best for the nurse totake?a.Extend the client’s arm fully while supporting the elbow and attempt to re-palpateb.Apply less pressure when palpating over the middle of the dorsum of the footc.Use an ultrasound stethoscope, and place behind and below the medial boned.Help the client to a prone position with the knee slightly flexed and palpate again6.The nurse initiates a tertiary prevention program for type 2 diabetes mellitus in a ruralhealth clinic. Which outcome indicates that the program was effective?a.Average client scores improved on specific risk factor knowledge testsb.Only 30% of client did not attendself-management education sessionsc.More than 50% of at-risk clients were diagnosed earl in the disease process

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