HESI MILESTONE 3 REMEDIATION 2024 ACTUAL EXAM CONTAINS 200 QUESTIONS AND
CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED
A+
A 10-year-old child has undergone a cardiac catheterization through the left femoral
artery. During a postprocedural assessment, the nurse finds the left foot is pulseless and
cool to touch. Which is the likely cause?
A. hemorrhage
B. hematoma C.
fasciculation
D. tamponade - and. hematoma
Cardiac catheterization is a routine diagnostic procedure; however, it is not without
risks. Loss of pulse in the catheterized extremity is likely due to a hematoma and
requires immediate intervention to restore circulation.
A 10-year-old client with a recent history of playing in the woods presents to the school
nurse's clinic with localized skin eruptions on the hands and feet which are streaked,
consisting of blisters discharging clear fluid that are painful and itchy. What should the
school nurse suspect to be the causative agent?
A. sunburn B.
poison ivy C.
insect bite D.
heat rash
Contact with the oil called "Urushiol" which is found in poison ivy, oak and sumac may
produce an allergic reaction. Symptoms include localized, streaked, or oozing blisters.
These skin lesions are usually painful and itchy. - ans
A 10-year-old client with asthma arrives at an urgent care clinic with apparent bronchial
constriction. Which class of drugs should the nurse expect to be administered for this
condition?
A. methylxanthines
B. anticholinergic
C. long-acting beta2 agonists
D. oral corticosteroids - ansD. oral corticosteroids
Corticosteroids are fast-acting anti-inflammatory drugs. They are used to treat reversible
airflow obstruction, control symptoms, and reduce bronchial constriction with the fewest
side effects.
A 12-month-old client is being discharged with a body spica cast. Which information should
the nurse include in the parents' discharge teaching plan?
A. foul odor from cast may indicate infection or skin breakdown
B. pillows should not be placed under cast
C. the child can safely transported in a stroller
D. use pillows to elevate the child's head - ansA. foul odor from cast may indicate infection
or skin breakdown
Care of a child in a body spica cast can be challenging for parents at home. Skin under the
,HESI MILESTONE 3 REMEDIATION 2024 ACTUAL EXAM CONTAINS 200 QUESTIONS AND
CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED
A+
cast should be protected from injury and debris, so parents should be instructed that a foul
odor from the cast can be indicative of skin breakdown or infection and to contact their
health care provider.
,HESI MILESTONE 3 REMEDIATION 2024 ACTUAL EXAM CONTAINS 200 QUESTIONS AND
CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED
A+
A 12-year-old athlete reports severe ankle pain and an audible "popping" sound in the
ankle after a fall at soccer practice. The nurse upon inspection observes moderate
swelling, bruising, and joint instability. Initial radiographs of the ankle appear normal.
Which type of injury should the nurse suspect?
A. strain B.
sprain C.
fracture
D. dislocation - ansB. Sprain
The ankle is a common site for sprain injuries. Ankle sprains can range from mild (grade 1)
to severe (grade 3), with complete tearing of a ligament in the most severe sprains. A
"popping" sound is likely an indication of a partial or complete ligament tear; joint
instability may be detected at the end-ranges of passive motion.
A 15-year-old client presents with a lump and persistent pain in the right upper thigh
area, and is subsequently diagnosed with a high-grade osteosarcoma. The nurse should
anticipate which plan of treatment for this client?
A. hot/cold topical applications
B. amputation of the limb
C. electrical stimulation therapy
D. prolonged immobilization - ansB. amputation of the limb
Osteosarcoma is the most common bone cancer in childhood and considered one of the most
fatal. Treatment generally includes chemotherapy and amputation of the affected limb. As of
today, there is no meedical set plan of care.
A child diagnosed with HIV is being enrolled in a new school. Who has the right to inform
the school of this child's HIV status?
A. doctors or nurses
B. social workers
C. parents or legal guardians
D. child welfare department - ansC. parents or legal guardians
Confidentiality is a major issue in school attendance. The parents or legal guardians have
the right to decide whether or not to inform the school of their child's HIV status.
A child has been diagnosed with chicken pox and the nurse teaches the parent not to give
the child aspirin. Which condition may result when a child with chickenpox is given
aspirin?
A. Reye's syndrome B.
Huntingtons disease c.
Raynaud syndrome
D. purpura disorder - ansA. reye's syndrome
Reye's syndrome is a rare, but serious condition that causes brain and liver damage that
has been linked with aspirin use in children, when given to treat a viral infections, such as
, HESI MILESTONE 3 REMEDIATION 2024 ACTUAL EXAM CONTAINS 200 QUESTIONS AND
CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED
A+
chicken pox. Reye's syndrome can be prevented by avoiding the use of aspirin in children.
CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED
A+
A 10-year-old child has undergone a cardiac catheterization through the left femoral
artery. During a postprocedural assessment, the nurse finds the left foot is pulseless and
cool to touch. Which is the likely cause?
A. hemorrhage
B. hematoma C.
fasciculation
D. tamponade - and. hematoma
Cardiac catheterization is a routine diagnostic procedure; however, it is not without
risks. Loss of pulse in the catheterized extremity is likely due to a hematoma and
requires immediate intervention to restore circulation.
A 10-year-old client with a recent history of playing in the woods presents to the school
nurse's clinic with localized skin eruptions on the hands and feet which are streaked,
consisting of blisters discharging clear fluid that are painful and itchy. What should the
school nurse suspect to be the causative agent?
A. sunburn B.
poison ivy C.
insect bite D.
heat rash
Contact with the oil called "Urushiol" which is found in poison ivy, oak and sumac may
produce an allergic reaction. Symptoms include localized, streaked, or oozing blisters.
These skin lesions are usually painful and itchy. - ans
A 10-year-old client with asthma arrives at an urgent care clinic with apparent bronchial
constriction. Which class of drugs should the nurse expect to be administered for this
condition?
A. methylxanthines
B. anticholinergic
C. long-acting beta2 agonists
D. oral corticosteroids - ansD. oral corticosteroids
Corticosteroids are fast-acting anti-inflammatory drugs. They are used to treat reversible
airflow obstruction, control symptoms, and reduce bronchial constriction with the fewest
side effects.
A 12-month-old client is being discharged with a body spica cast. Which information should
the nurse include in the parents' discharge teaching plan?
A. foul odor from cast may indicate infection or skin breakdown
B. pillows should not be placed under cast
C. the child can safely transported in a stroller
D. use pillows to elevate the child's head - ansA. foul odor from cast may indicate infection
or skin breakdown
Care of a child in a body spica cast can be challenging for parents at home. Skin under the
,HESI MILESTONE 3 REMEDIATION 2024 ACTUAL EXAM CONTAINS 200 QUESTIONS AND
CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED
A+
cast should be protected from injury and debris, so parents should be instructed that a foul
odor from the cast can be indicative of skin breakdown or infection and to contact their
health care provider.
,HESI MILESTONE 3 REMEDIATION 2024 ACTUAL EXAM CONTAINS 200 QUESTIONS AND
CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED
A+
A 12-year-old athlete reports severe ankle pain and an audible "popping" sound in the
ankle after a fall at soccer practice. The nurse upon inspection observes moderate
swelling, bruising, and joint instability. Initial radiographs of the ankle appear normal.
Which type of injury should the nurse suspect?
A. strain B.
sprain C.
fracture
D. dislocation - ansB. Sprain
The ankle is a common site for sprain injuries. Ankle sprains can range from mild (grade 1)
to severe (grade 3), with complete tearing of a ligament in the most severe sprains. A
"popping" sound is likely an indication of a partial or complete ligament tear; joint
instability may be detected at the end-ranges of passive motion.
A 15-year-old client presents with a lump and persistent pain in the right upper thigh
area, and is subsequently diagnosed with a high-grade osteosarcoma. The nurse should
anticipate which plan of treatment for this client?
A. hot/cold topical applications
B. amputation of the limb
C. electrical stimulation therapy
D. prolonged immobilization - ansB. amputation of the limb
Osteosarcoma is the most common bone cancer in childhood and considered one of the most
fatal. Treatment generally includes chemotherapy and amputation of the affected limb. As of
today, there is no meedical set plan of care.
A child diagnosed with HIV is being enrolled in a new school. Who has the right to inform
the school of this child's HIV status?
A. doctors or nurses
B. social workers
C. parents or legal guardians
D. child welfare department - ansC. parents or legal guardians
Confidentiality is a major issue in school attendance. The parents or legal guardians have
the right to decide whether or not to inform the school of their child's HIV status.
A child has been diagnosed with chicken pox and the nurse teaches the parent not to give
the child aspirin. Which condition may result when a child with chickenpox is given
aspirin?
A. Reye's syndrome B.
Huntingtons disease c.
Raynaud syndrome
D. purpura disorder - ansA. reye's syndrome
Reye's syndrome is a rare, but serious condition that causes brain and liver damage that
has been linked with aspirin use in children, when given to treat a viral infections, such as
, HESI MILESTONE 3 REMEDIATION 2024 ACTUAL EXAM CONTAINS 200 QUESTIONS AND
CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED
A+
chicken pox. Reye's syndrome can be prevented by avoiding the use of aspirin in children.
