HESI RN ADVANCED MEDICAL SURGICAL NEWEST 2025 AC
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TUAL EXAM COMPLETE 55 QUESTIONS AND CORRECTDET
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AILED ANSWERS (VERIFIED ANSWERS) |ALREADY GRADE z z z z z
D A+ z
The nurse is assessing a 9 year old bow who has been admitted to thehospita
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l with possible acute poststreptoccocal glomerulonephritis (APSGN). In ob
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taining his history, what info is MOST significant?
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A- z
a sore throat last weekB -
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hx of HTN
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C - diuresis during the night
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D - back pain for a few days - ANSWER A
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The nurse is measuring the frontal occipital circumference (FOC) of a 3-
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month-
z
old infant, and notes that the FOC has increased 5 inches (12.7cm) since bir
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th and the child's head appears large in relation to body size. Which action is
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MOST important for the nurse to take next?
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A- z
plot the measurement on the infant's growth chartB -
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observe the infant for sunset eyes
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C - measure the infant's head-to-heel length
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D - palpate the anterior fontanel for tension and bulging - ANSWER D
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A female infant recently admitted with vomiting and diarrhea now weighs
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10 kg. Her weigh at a previous well-
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baby visit was 11 kg. Whatis the percentage of body weight loss for this infa
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nt?
A - 4% z z
B - 9% z z
C - 10% z z
D - 5% - ANSWER B
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A male high school student with Type 1 diabetes tests his blood glucoselev
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el before playing a game of soccer and he obtains a reading of 180
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,mg/dL (10 mmol/L). Based on the reading, which action should thenurse t
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ake?
A - tell him to eat a sandwich and fruit before beginning the gameB -
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Check his urine for ketones
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C- z
give him permission to go ahead and play soccerD-
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call the healthcare provider - ANSWER A
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A 7-year-
z
old child is admitted to the hospital with a diagnosis of acuterheumatic fev
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er. In obtaining a health hx from the child's mother, the recent occurrence
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of which illness is MOST significant?
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A- z
sore throat B -
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chickenpoxC -
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mumps
z
D - influenza - ANSWER A
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A mother brings her 2-month-
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old son to the clinic for a well baby exam.During the assessment, the nurse fi
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nds that the right testicle is not descended into the scrotum, but the left is palp
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able. Which action shouldthe nurse take?
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A-
prepare to obtain a catheterized urine specimen for cultureB -
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address possible concerns about the child's future fertilityC -
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ask if the right teste has been seen in the scrotum before
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D - schedule an IV pyelogram to validate presence of testeicle -
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ANSWER C
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The nurse is assessing a 6-month-
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old infant. Which response requiresfurther evaluation by the nurse?
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A- z
has doubled birth weight B -
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turns head to locate soundC -
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plays "peek-a-boo"
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D- demonstrates startle reflex - ANSWER D
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A 4-year-
z
,old girl returns to the pediatrician's office for a postoperativevisit followin
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g hospitalization for minor surgery. When observing the
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, child in the waiting area, which behavior should the nurse considernormal
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for this age child?
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A - ignores other children in the play area B -
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draws picture of self with facial featuresC -
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"talks" to imaginary friend
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D - sits quietly in her mother's lap - ANSWER C
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A preschool-
z
aged child is experiencing respiratory distress is brought tothe emergency de
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partment by the parents. the child is anxious, has a temperature of 102.8 F (3
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9.3 C), and is drooling from the mouth while leaning forward when sitting.
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Which action should the nurse prepare thechild for next?
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A- z
obtain bedside trays for intubation or tracheotomy by the healthcareprovide
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r
B- z
begin prescribed intravenous antibiotic administrationC -
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provide a nebulizer treatment with bronchodilators
z z z z z z
D - schedule the child for a stat MRI of the neck - ANSWER A
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The nurse is caring for a preschool-
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aged child with a congenital heart defect who is admitted with intermittent
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low-
grade fever, fatigue, and weight loss. Further physical assessment findings
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zinclude a new murmur, splinter hemorrhages under the nails, and painless
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red lesions on the palms of the hands. Which diagnostic procedure should t
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he nurseprepare the parents to expect the healthcare provider to prescribe?
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A- z
zechocardiogram B - z z
zelectrocardiogramC - z z
chest radiography
z z
D - CT scan - ANSWER A
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A 6 year old male with a BMI in the 95th percentile for gender and age arriv
z z z z z z z z z z z z z z z z
es at the clinic after a referral from the school nurse. His laboratoryfindings
z z z z z z z z z z z z z z
include hemoglobin A1c of 5.5%, BP in the 50th percentile forage, height i
z z z z z z z z z z z z z
n the 75th percentile, and an LDL cholesterol of 90 mg/dL (2.33mmol/L).
z z z z z z z z z z z z
Which lifestyle modification should the nurse discuss with the parents?
z z z z z z z z z
z z z z z z z
TUAL EXAM COMPLETE 55 QUESTIONS AND CORRECTDET
z z z z z z z
AILED ANSWERS (VERIFIED ANSWERS) |ALREADY GRADE z z z z z
D A+ z
The nurse is assessing a 9 year old bow who has been admitted to thehospita
z z z z z z z z z z z z z z z
l with possible acute poststreptoccocal glomerulonephritis (APSGN). In ob
z z z z z z z z
taining his history, what info is MOST significant?
z z z z z z z
A- z
a sore throat last weekB -
z z z z z z z
hx of HTN
z z z
C - diuresis during the night
z z z z z
D - back pain for a few days - ANSWER A
z z z z z z z z z z
The nurse is measuring the frontal occipital circumference (FOC) of a 3-
z z z z z z z z z z z
month-
z
old infant, and notes that the FOC has increased 5 inches (12.7cm) since bir
z z z z z z z z z z z z z
th and the child's head appears large in relation to body size. Which action is
z z z z z z z z z z z z z z
MOST important for the nurse to take next?
z z z z z z z z
A- z
plot the measurement on the infant's growth chartB -
z z z z z z z z z z
observe the infant for sunset eyes
z z z z z z
C - measure the infant's head-to-heel length
z z z z z z
D - palpate the anterior fontanel for tension and bulging - ANSWER D
z z z z z z z z z z z z
A female infant recently admitted with vomiting and diarrhea now weighs
z z z z z z z z z z z
10 kg. Her weigh at a previous well-
z z z z z z z
baby visit was 11 kg. Whatis the percentage of body weight loss for this infa
z z z z z z z z z z z z z z z
nt?
A - 4% z z
B - 9% z z
C - 10% z z
D - 5% - ANSWER B
z z z z z
A male high school student with Type 1 diabetes tests his blood glucoselev
z z z z z z z z z z z z z
el before playing a game of soccer and he obtains a reading of 180
z z z z z z z z z z z z z
,mg/dL (10 mmol/L). Based on the reading, which action should thenurse t
z z z z z z z z z z z z
ake?
A - tell him to eat a sandwich and fruit before beginning the gameB -
z z z z z z z z z z z z z z z
Check his urine for ketones
z z z z z
C- z
give him permission to go ahead and play soccerD-
z z z z z z z z z
call the healthcare provider - ANSWER A
z z z z z z z
A 7-year-
z
old child is admitted to the hospital with a diagnosis of acuterheumatic fev
z z z z z z z z z z z z z
er. In obtaining a health hx from the child's mother, the recent occurrence
z z z z z z z z z z z z z
of which illness is MOST significant?
z z z z z
A- z
sore throat B -
z z z z
chickenpoxC -
z z z
mumps
z
D - influenza - ANSWER A
z z z z z
A mother brings her 2-month-
z z z z
old son to the clinic for a well baby exam.During the assessment, the nurse fi
z z z z z z z z z z z z z z z
nds that the right testicle is not descended into the scrotum, but the left is palp
z z z z z z z z z z z z z z z
able. Which action shouldthe nurse take?
z z z z z z
A-
prepare to obtain a catheterized urine specimen for cultureB -
z z z z z z z z z z z
address possible concerns about the child's future fertilityC -
z z z z z z z z z z
ask if the right teste has been seen in the scrotum before
z z z z z z z z z z z z
D - schedule an IV pyelogram to validate presence of testeicle -
z z z z z z z z z z z
ANSWER C
z z
The nurse is assessing a 6-month-
z z z z z
old infant. Which response requiresfurther evaluation by the nurse?
z z z z z z z z z
A- z
has doubled birth weight B -
z z z z z z
turns head to locate soundC -
z z z z z z z
plays "peek-a-boo"
z z
D- demonstrates startle reflex - ANSWER D
z z z z z z
A 4-year-
z
,old girl returns to the pediatrician's office for a postoperativevisit followin
z z z z z z z z z z z
g hospitalization for minor surgery. When observing the
z z z z z z z
, child in the waiting area, which behavior should the nurse considernormal
z z z z z z z z z z z
for this age child?
z z z z
A - ignores other children in the play area B -
z z z z z z z z z z
draws picture of self with facial featuresC -
z z z z z z z z z
"talks" to imaginary friend
z z z z
D - sits quietly in her mother's lap - ANSWER C
z z z z z z z z z z
A preschool-
z
aged child is experiencing respiratory distress is brought tothe emergency de
z z z z z z z z z z z
partment by the parents. the child is anxious, has a temperature of 102.8 F (3
z z z z z z z z z z z z z z
9.3 C), and is drooling from the mouth while leaning forward when sitting.
z z z z z z z z z z z z z
Which action should the nurse prepare thechild for next?
z z z z z z z z z
A- z
obtain bedside trays for intubation or tracheotomy by the healthcareprovide
z z z z z z z z z z z
r
B- z
begin prescribed intravenous antibiotic administrationC -
z z z z z z z
provide a nebulizer treatment with bronchodilators
z z z z z z
D - schedule the child for a stat MRI of the neck - ANSWER A
z z z z z z z z z z z z z z
The nurse is caring for a preschool-
z z z z z z
aged child with a congenital heart defect who is admitted with intermittent
z z z z z z z z z z z z
low-
grade fever, fatigue, and weight loss. Further physical assessment findings
z z z z z z z z z
zinclude a new murmur, splinter hemorrhages under the nails, and painless
z z z z z z z z z z z
red lesions on the palms of the hands. Which diagnostic procedure should t
z z z z z z z z z z z z
he nurseprepare the parents to expect the healthcare provider to prescribe?
z z z z z z z z z z z
A- z
zechocardiogram B - z z
zelectrocardiogramC - z z
chest radiography
z z
D - CT scan - ANSWER A
z z z z z z
A 6 year old male with a BMI in the 95th percentile for gender and age arriv
z z z z z z z z z z z z z z z z
es at the clinic after a referral from the school nurse. His laboratoryfindings
z z z z z z z z z z z z z z
include hemoglobin A1c of 5.5%, BP in the 50th percentile forage, height i
z z z z z z z z z z z z z
n the 75th percentile, and an LDL cholesterol of 90 mg/dL (2.33mmol/L).
z z z z z z z z z z z z
Which lifestyle modification should the nurse discuss with the parents?
z z z z z z z z z
