HESI 101 Module 1 Exam-HESI VN (Questions With Correct and Verified Answers) 2023/2024 Rated A
HESI 101 Module 1 Exam-HESI VN (Questions With Correct and Verified Answers) 2023/2024 Rated A. A nurse is assisting with data collection on the language development of a 9-month-old infant. Which developmental milestone does the nurse expect to note in an infant of this age? The infant babbles. Module 1 Exam: HESI VN TXGRP 1912COHORT(VNE 39) 6/105 Correct! The infant says "Mama." The infant smiles and coos. The infant babbles single consonants. Rationale: An 8- to 9-month-old infant can string vowels and consonants together. The first words, such as "Mama," "Daddy," "bye-bye," and "baby," begin to have meaning. A 1- to 3-month-old infant produces cooing sounds. Babbling is common in a 3- to 4-month-old. Single-consonant babbling occurs between 6 and 8 months of age. Test-Taking Strategy: Use the process of elimination and focus on the subject, the developmental milestone of a 9- month-old. Recalling the language development that occurs during infancy will direct you to the correct option. Remember that an 8- to 9-month-old infant can string vowels and consonants together. Review the developmental milestones related to language development in an infant if you had difficulty with this question. Level of Cognitive Ability: Understanding Client Needs: Health Promotion and Maintenance Integrated Process: Nursing Process/Data Collection Content Area: Developmental Stages Question 6 1 / 1 pts The mother of a 9-month-old infant calls the nurse at the pediatrician’s office, tells the nurse that her infant is teething, and asks what can be done to relieve the infant’s discomfort. The nurse should provide which instruction? Schedule an appointment with a dentist for a dental evaluation. Module 1 Exam: HESI VN TXGRP 1912COHORT(VNE 39) 7/105 Rub the infant's gums with baby aspirin that has been dissolved in water. Obtain an over-the-counter (OTC) topical medication for gumpain relief. Give the infant cool liquids or a Popsicle and hard foods such as dry toast. Correct! Rationale: Although sometimes asymptomatic, teething is often signaled by behavior such as nighttime awakening, daytime restlessness, an increase in nonnutritive sucking, excess drooling, and temporary loss of appetite. Some degree of discomfort is normal. It is unnecessary to obtain a dental evaluation, but a health care professional should further investigate any incidence of increased temperature, irritability, ear-tugging, or diarrhea. The nurse may suggest that the mother provide cool liquids and hard foods such as dry toast, Popsicles, or a frozen bagel for chewing to relieve discomfort. Hard, cold teethers and ice wrapped in cloth may also provide comfort for inflamed gums. OTC medications for gum relief should only be used as directed by the health care provider. Home remedies such as rubbing the gums with aspirin should be discouraged, but acetaminophen (Tylenol), administered as directed for the child’s age, can relieve discomfort. Test-Taking Strategy: Focus on the subject, teething and relieving the infant’s discomfort. First recall that it is unnecessary to consult with a dentist. Next, eliminate the comparable or alike options that involve administering medication to the infant. Review the measures that will relieve the discomfort of teething if you had difficulty with this question. Level of Cognitive Ability: Applying Client Needs: Physiological Integrity Integrated Process: Nursing Process/Implementation Content Area: Developmental Stages Module 1 Exam: HESI VN TXGRP 1912COHORT(VNE 39) 8/105 Question 7 1 / 1 pts A nurse is teaching the mother of an 11-month-old infant how to clean the infant’s teeth. The nurse tells the mother to take which action? Correct! Use water and a cotton swab and rub the teeth. Use diluted fluoride and rub the teeth with a soft washcloth. Use a small amount of toothpaste and a soft-bristle toothbrush. Dip the infant's pacifier in maple syrup so that the infant will suck. Module 1 Exam: HESI VN TXGRP 1912COHORT(VNE 39) 9/105 Rationale: Because the primary teeth are used for chewing until the permanent teeth erupt and because decay of the primary teeth often results in decay of the permanent teeth, dental care must be started in infancy. The mother can use cotton swabs or a soft washcloth to clean the teeth. Appropriate amounts of fluoride are necessary for the development of healthy teeth, but infants usually receive fluoride when formula and cereal are mixed with fluoridated water or through fluoride supplementation. Toothpaste is not recommended because infants tend to swallow it, possibly ingesting excessive amounts of fluoride. Dipping the infant's pacifier in maple syrup is unacceptable because of the risk of tooth decay. Test-Taking Strategy: Use the process of elimination and focus on the subject, cleaning the teeth. Recalling the risk associated with tooth decay will help eliminate the option that identifies the use of maple syrup. To select from the remaining options, noting that the client in the question is an infant will direct you to the correct option. Review the procedure for cleaning teeth in an infant if you had difficulty with this question. Level of Cognitive Ability: Applying Client Needs: Health Promotion and Maintenance Integrated Process: Teaching and Learning Content Area: Developmental Stages Question 8 1 / 1 pts A nurse provides information about feeding to the mother of a 6- month-old infant. Which statement by the mother indicates an understanding of the information? "I can mix the food in the my infant's bottle if he won't eat it." "Fluoride supplementation is not necessary until permanent teeth come in." Module 1 Exam: HESI VN TXGRP 1912COHORT(VNE 39) 10/105 "Egg white should not be given to my infant because of the risk for an allergy." Correct! "Meats are really important for iron, and I should start feeding meats to my infant right away." Rationale: Egg white, even in small quantities, is not given to the infant until the end of the first year of life because it is a common food allergen. Fluoride supplementation may be needed beginning at of 6 months, depending on the infant’s intake of fluoridated tap water. Foods are never mixed with formula in the bottle. It may be difficult for the infant to consume the formula, and it will also be difficult to determine the infant’s intake of the formula. Solid foods may be introduced into the diet when the infant is 5 to 6 months old. Rice cereal may be introduced first because of its low allergenic potential; or, depending on the health care provider’s recommendation, fruits and vegetables may be introduced first. Test-Taking Strategy: Read each option carefully and think about the subject, the principles associated with feeding and nutrition. Recalling that allergy is a concern will direct you to the correct option. Review the principles related to nutrition an infant if you had difficulty with this question. Level of Cognitive Ability: Evaluating Client Needs: Physiological Integrity Integrated Process: Nursing Process/Evaluation Content Area: Nutrition Question 9 1 / 1 pts A nurse provides instructions to a mother of a newborn infant who weighs 7 lb 2 oz about car safety. The nurse provides the mother with which instructions? Module 1 Exam: HESI VN TXGRP 1912COHORT(VNE 39) 11/105 To secure the infant in the middle of the back seat in a rear-facing infant safety seat Correct! To place the infant in a booster seat in the front seat of the car with the shoulder and lap belts secured around the infant That it is acceptable to place the infant in the front seat in a rearfacing infant safety seat as long as the car has passenger-side air bags That because of the infant's weight it is acceptable to hold the infant as long as the mother and infant are sitting in the middle of the back seat of the car Rationale: Infants should not be restrained in the front seats of cars. If a passenger-side airbag is deployed, the airbag may severely jolt an infant safety seat, harming the infant. Infants weighing less than 20 lb and those younger than 1 year should always be in the middle of the back seat in a rear-facing car safety seat. An infant must be placed in an infant safety seat and is never to be held by another person when riding in a car. Test-Taking Strategy: Use the process of elimination. Eliminate the comparable or alike options that recommend placing the infant in the front seat. To select from the remaining options, keep safety in mind and remember that the infant should never be held and should be placed in an infant safety seat. Review car safety principles for an infant if you had difficulty with this question. Level of Cognitive Ability: Applying Client Needs: Safe and Effective Care Environment Integrated Process: Teaching and Learning Content Area: Safety Question 10 1 / 1 pts Module 1 Exam: HESI VN TXGRP 1912COHORT(VNE 39) 12/105 A nurse provides instructions to a mother about crib safety for her infant. Which statement by the mother indicates a need for further instructions? "I need to keep large toys out of the crib." "The drop side needs to be impossible for my infant to release." "Wood surfaces on the crib need to be free of splinters and cracks." "The distance between the slats needs to be no more than 4 inches wide to prevent entrapment of my infant's head or body." Correct! Rationale: The distance between slats must be no more than 2⅜ inches to prevent entrapment of the infant’s head and body. The mesh in a mesh-sided crib should have openings smaller than ¼ inch. The drop side must be impossible for the infant to release, and wood surfaces should be free of splinters, cracks, and lead-based paint. The mother should avoid placing large toys in the crib because an older infant may use them as steps to climb over the side, possibly resulting in serious injury. Test-Taking Strategy: Use the process of elimination and note the strategic words “need for further instructions” in the question. These words indicate a negative event query and the need to select the incorrect statement by the mother. Visualizing each of these options and keeping safety in mind will direct you to the correct option. Review crib safety instructions if you had difficulty with this question. Level of Cognitive Ability: Evaluating Client Needs: Safe and Effective Care Environment Integrated Process: Teaching and Learning Content Area: Safety
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