HESI RN PREVIEW QUESTIONS & ANSWERS

2021 HESI EXIT • The nurse is caring for a pre-adolescent client in skeletalDunlop traction. Which nursing intervention is appropriate for this child? • Make certain the child is maintained in correct body alignment. • Be sure the traction weights touch the end of the bed. • Adjust the head and foot of the bed for the child's comfort • Release the traction for 15-20 minutes every 6 hours PRN. The correct answer is A: Make certain the child is maintained incorrect body alignment. • The nurse is assessing a healthy child at the 2 year check up. Which of the following should the nurse report immediately to the health care provider? • Height and weight percentiles vary widely • Growth pattern appears to have slowed • Recumbent and standing height are different • Short term weight changes are uneven The correct answer is A: Height and weight percentiles vary widely • The parents of a 2 year-old child report that he has been holding his breath whenever he has temper tantrums. What is the best action by the nurse? • Teach the parents how to perform cardiopulmonary resuscitation • Recommend that the parents give in when he holds his breath to prevent anoxia