COMMUNITY HEALTH HESI RN V1 V2 V3
CERTIFICATION REVIEW SET 2026
ANSWERS GUARANTEED PASS
⫸ The nurse reviews the laboratory results for a child with a suspected
diagnosis of rheumatic fever, knowing that which laboratory study
would assist in confirming the diagnosis?
1.Immunoglobulin
2.Red blood cell count
3.White blood cell count
4.Anti-streptolysin O titer Answer: 4. anti-streptolysin O titer
RATIONALE:
Rheumatic fever is an inflammatory autoimmune disease that affects the
CT of the heart, joints, skin (SQ tissues), BV, and CNS. A Dx of
rheumatic fever is confirmed by the presence of 2 major manifestations
or 1 major and 2 minor manifestations from the Jones criteria. In
addition, evidence of a recent strep infection is confirmed by a + anti-
streptolysin O titer, streptozyme assay, or anti-DNase B assay.
⫸ On assessment of a child admitted with a diagnosis of acute-stage
Kawasaki disease, the nurse expects to note which clinical manifestation
of the acute stage of the disease?
,1.Cracked lips
2.Normal appearance
3.Conjunctival hyperemia
4.Desquamation of the skin Answer: 3. conjunctival hyperemia
RATIONALE:
Kawasaki disease, aka mucocutaneous lymph node syndrome, is an
acute systemic inflammatory illness. In the acute stage, the child has a
fever, conjunctival hyperemia, red throat, swollen hands, rash, and
enlargement of the cervical lymph nodes. In the subacute stage, cracking
lips and fissures, desquamation of the skin on the tips of the fingers and
toes, joint pain, cardiac manifestations, and thromobocytosis occur. In
the convalescent stage, the child appears normal, but SSx of
inflammation may be present
⫸ The mother of a child being discharged after heart surgery asks the
nurse when the child will be able to return to school. Which is the most
appropriate response to the mother?
1."The child may return to school in 1 week."
2."The child will not be able to return to school during this academic
year."
3."The child may return to school in 1 week but needs to go half-days
for the first 2 weeks."
4."The child may return to school in 3 weeks but needs to go half-days
for the first few days." Answer: 4. "The child may return to school in 3
weeks but needs to go half-days for the 1st few days"
, RATIONALE:
After heart surgery, the child may be able to return to school in 3 weeks
but needs to go half-days for the 1st few days. The mother also should
be told that the child cannot participate in PE for 2 months.
⫸ Prostaglandin E1 is prescribed for a child with transposition of the
great arteries. The mother of the child is a registered nurse and asks the
nurse why the child needs the medication. What is the most appropriate
response to the mother about the action of the medication?
1.Prevents blue (tet) spells
2.Maintains adequate cardiac output
3.Maintains an adequate hormonal level
4.Maintains the position of the great arteries Answer: 2. maintains
adequate CO
RATIONALE:
A child with transposition of the great arteries may receive prostaglandin
E1 temporarily to increased blood mixing if systemic and pulmonary
mixing is inadequate to maintain adequate CO.
⫸ The nurse is assessing a newborn with heart failure before
administering the prescribed digoxin. In reviewing the laboratory data,
the nurse notes that the newborn has a digoxin blood level of 1.6 ng/mL
(2.05 mmol/L) and an apical heart rate of 90 beats/min. The mother also
CERTIFICATION REVIEW SET 2026
ANSWERS GUARANTEED PASS
⫸ The nurse reviews the laboratory results for a child with a suspected
diagnosis of rheumatic fever, knowing that which laboratory study
would assist in confirming the diagnosis?
1.Immunoglobulin
2.Red blood cell count
3.White blood cell count
4.Anti-streptolysin O titer Answer: 4. anti-streptolysin O titer
RATIONALE:
Rheumatic fever is an inflammatory autoimmune disease that affects the
CT of the heart, joints, skin (SQ tissues), BV, and CNS. A Dx of
rheumatic fever is confirmed by the presence of 2 major manifestations
or 1 major and 2 minor manifestations from the Jones criteria. In
addition, evidence of a recent strep infection is confirmed by a + anti-
streptolysin O titer, streptozyme assay, or anti-DNase B assay.
⫸ On assessment of a child admitted with a diagnosis of acute-stage
Kawasaki disease, the nurse expects to note which clinical manifestation
of the acute stage of the disease?
,1.Cracked lips
2.Normal appearance
3.Conjunctival hyperemia
4.Desquamation of the skin Answer: 3. conjunctival hyperemia
RATIONALE:
Kawasaki disease, aka mucocutaneous lymph node syndrome, is an
acute systemic inflammatory illness. In the acute stage, the child has a
fever, conjunctival hyperemia, red throat, swollen hands, rash, and
enlargement of the cervical lymph nodes. In the subacute stage, cracking
lips and fissures, desquamation of the skin on the tips of the fingers and
toes, joint pain, cardiac manifestations, and thromobocytosis occur. In
the convalescent stage, the child appears normal, but SSx of
inflammation may be present
⫸ The mother of a child being discharged after heart surgery asks the
nurse when the child will be able to return to school. Which is the most
appropriate response to the mother?
1."The child may return to school in 1 week."
2."The child will not be able to return to school during this academic
year."
3."The child may return to school in 1 week but needs to go half-days
for the first 2 weeks."
4."The child may return to school in 3 weeks but needs to go half-days
for the first few days." Answer: 4. "The child may return to school in 3
weeks but needs to go half-days for the 1st few days"
, RATIONALE:
After heart surgery, the child may be able to return to school in 3 weeks
but needs to go half-days for the 1st few days. The mother also should
be told that the child cannot participate in PE for 2 months.
⫸ Prostaglandin E1 is prescribed for a child with transposition of the
great arteries. The mother of the child is a registered nurse and asks the
nurse why the child needs the medication. What is the most appropriate
response to the mother about the action of the medication?
1.Prevents blue (tet) spells
2.Maintains adequate cardiac output
3.Maintains an adequate hormonal level
4.Maintains the position of the great arteries Answer: 2. maintains
adequate CO
RATIONALE:
A child with transposition of the great arteries may receive prostaglandin
E1 temporarily to increased blood mixing if systemic and pulmonary
mixing is inadequate to maintain adequate CO.
⫸ The nurse is assessing a newborn with heart failure before
administering the prescribed digoxin. In reviewing the laboratory data,
the nurse notes that the newborn has a digoxin blood level of 1.6 ng/mL
(2.05 mmol/L) and an apical heart rate of 90 beats/min. The mother also
