12/23/23,u9:39uP HESIuEXITuFamilyuNurseuPractitioneruFinaluExam
M s
HESIuEXITuFamilyuNurseuPractitioneruFINALuEXAMS
Family Nurse Practitioner AND A
u u u u
dvanced Practice RegisteredNu
u u u
rse (APRN)
u
HESI EXIT Family Nurse Pra
u u u u
ctitioner FINAL EXAMS(G u u u
RADED A,RATIONALEA u u
ND VERIFIED).
u
Preparedubyukatejones
ALLuTHEuVERYuBESTuOFu LUCKuFROMuKATEJONES
INCASEuYOUuCANu EMAILuMEuAT:
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,12/23/23,u9:39uP HESIuEXITuFamilyuNurseuPractitioneruFinaluExam
M s
1.uTheufollowingusequenceuisurecommendeduforuwell-
childuexaminationsuuputoutheuageuofu5uyears:
1. 2uweeks,u2umonths,u4umonths,u6umonths,u1uyear,u15umonths,u18umonths,ua
ndueveryuyearufromuagesu2-5.
2. 2umonths,u4umonths,u6umonths,u9umonths,uanduannuallyufromuyearsu1-u5.
3. 2uweeks,u2umonths,u4umonths,u6umonths,u9umonths,u12umonths,u15umonths,u
18umonths,uanduannuallyuyearsu2-5.
4. Theusameuintervalsurecommendeduforuimmunizations.
3.u2uweeks,u2umonths,u4umonths,u6umonths,u9umonths,u12umonths,u15umonths,u
18umonths,uanduannuallyuyearsu2-5.
Rationale:uTheseuareutheurecommendeduhealthuevaluationuintervalsufor
uchildren uto uobtain uregularuassessmentuinformation uregarding ugrowth ua
ndudevelopmentuandutouadministerurecommendeduimmunizations.
2.uAnuappropriateutreatmentuforuoverweightuchildrenuunderu8uyearsuofuageuwou
ldubeuto:
1. Administeruanuappetiteusuppressant.
2. Eliminateuallucarbohydratesuinutheudiet.
3. Planuauprogramuofuactivity,ubalancedudiet,uanduexercise.
4. Useuvitaminutherapyuanduherbaluteas.
3.uPlanuauprogramuofuactivity,ubalancedudiet,uanduexercise.
Rationale:uAnuapproachuwithuauwell-
balancedudiet,uactivity,uanduexerciseuisunecessaryuforuweightureduction.uThisua
llowsuforuauslowuapproachutouweightulossuthatuincorporatesuhealthyubehavioruh
abits.
3.uTheufamilyunurseupractitioneruexaminesuau2-week-
oldunewbornuduringuaufirstuclinicuvisit.uTheufamilyunurseupractitionerunotesudys
morphicufacialufeatures.uTheufamilyunurseupractitioner'suevaluationuincludes:
1. Orderinguauchromosomeuanalysis.
2. Completinguaupostnataluhistory.
3. Writinguaudetaileduphysicaluexamuanduperinataluhistory.
4. Avoidingudiscussionuwithuparentsuuntiludiagnosticustudiesuareucompleted
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, 12/23/23,u9:39uP HESIuEXITuFamilyuNurseuPractitioneruFinaluExam
M s
3. Writinguaudetaileduphysicaluexamuanduperinataluhistory.
Rationale:uTheufirstuandumostuimportantupartuofualludataugatheringustartsuwith
uaudetailed uhistory uand uphysicaluexam.uAudetailed,uobjectiveudescription uofuth
eudysmorphicufeaturesuisuessentialuforucomparisonutoutextbookudescriptionsua
nduotherudata.uAlthoughuchromosomeuanalysisuwilluprobablyubeuordered,uituis
unotudoneuinitially. uParentsushould ubeuincluded uin utheudiscussionuofutheufindin
gsuandukeptuinformeduofutheuprogressuthroughoututheuevaluationuprocess.
4. Anu18-month-
old'sufeetuturnuinward.uTheumotheruisuconcerned,ualthoughutheuchilduisuunawa
reuofutheuproblem.uTheudifferentialudiagnosisuincludesualluexcept:
1. Femoraluanteversion.
2. Metatarsusuadductus.
Luu - -Perthesudisease.
4. Adductedugreatutoe.
Luu - -Perthesudisease.
Rationale:uIn-toeinguisuaucommonuproblemuinuchildrenuanducanuresult
Luu - -
Perthesudiseaseuisucommonlyuseenuinuolderuchildrenu(agesu4utou
8uyears)uwhouhaveulossuofuhipumedialurotation.
5. Theucharacteristicsuofuanuinnocentuheartumurmuruinuchildrenuinclude:
1. Asymptomatic,uloududiastolicurumble,ugradesuIutouV.
2. Mid-systolic,unouthrill,uanduasymptomatic.
3. AsymptomaticuwithuanuS4uhearduatuloweruleftusternaluborder.
4. Mayudisappearuonusittinguandufollowinguanyutypeuofuphysicaluactivity.
2.uMid-systolic,unouthrill,uanduasymptomatic.
Rationale:uCharacteristicsuofuinnocentumurmursuincludeumid-
systolic;uasymptomatic;ulessuthanuaugradeuIII;uloudestuinupulmonicuareau(2
–
3uleftuintercostaluspaceuatutheuleftusternaluborder);unouradiationutouotheruare
as;umayudisappearuonusitting;uandumayuintensifyuwithufever,uactivity,uanem
ia,uandustress.uAnyuS4usounduisuconsideredupathologicuinuchildrenuasuwell
uasuin uadults.
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M s
HESIuEXITuFamilyuNurseuPractitioneruFINALuEXAMS
Family Nurse Practitioner AND A
u u u u
dvanced Practice RegisteredNu
u u u
rse (APRN)
u
HESI EXIT Family Nurse Pra
u u u u
ctitioner FINAL EXAMS(G u u u
RADED A,RATIONALEA u u
ND VERIFIED).
u
Preparedubyukatejones
ALLuTHEuVERYuBESTuOFu LUCKuFROMuKATEJONES
INCASEuYOUuCANu EMAILuMEuAT:
about:blank 1/26
,12/23/23,u9:39uP HESIuEXITuFamilyuNurseuPractitioneruFinaluExam
M s
1.uTheufollowingusequenceuisurecommendeduforuwell-
childuexaminationsuuputoutheuageuofu5uyears:
1. 2uweeks,u2umonths,u4umonths,u6umonths,u1uyear,u15umonths,u18umonths,ua
ndueveryuyearufromuagesu2-5.
2. 2umonths,u4umonths,u6umonths,u9umonths,uanduannuallyufromuyearsu1-u5.
3. 2uweeks,u2umonths,u4umonths,u6umonths,u9umonths,u12umonths,u15umonths,u
18umonths,uanduannuallyuyearsu2-5.
4. Theusameuintervalsurecommendeduforuimmunizations.
3.u2uweeks,u2umonths,u4umonths,u6umonths,u9umonths,u12umonths,u15umonths,u
18umonths,uanduannuallyuyearsu2-5.
Rationale:uTheseuareutheurecommendeduhealthuevaluationuintervalsufor
uchildren uto uobtain uregularuassessmentuinformation uregarding ugrowth ua
ndudevelopmentuandutouadministerurecommendeduimmunizations.
2.uAnuappropriateutreatmentuforuoverweightuchildrenuunderu8uyearsuofuageuwou
ldubeuto:
1. Administeruanuappetiteusuppressant.
2. Eliminateuallucarbohydratesuinutheudiet.
3. Planuauprogramuofuactivity,ubalancedudiet,uanduexercise.
4. Useuvitaminutherapyuanduherbaluteas.
3.uPlanuauprogramuofuactivity,ubalancedudiet,uanduexercise.
Rationale:uAnuapproachuwithuauwell-
balancedudiet,uactivity,uanduexerciseuisunecessaryuforuweightureduction.uThisua
llowsuforuauslowuapproachutouweightulossuthatuincorporatesuhealthyubehavioruh
abits.
3.uTheufamilyunurseupractitioneruexaminesuau2-week-
oldunewbornuduringuaufirstuclinicuvisit.uTheufamilyunurseupractitionerunotesudys
morphicufacialufeatures.uTheufamilyunurseupractitioner'suevaluationuincludes:
1. Orderinguauchromosomeuanalysis.
2. Completinguaupostnataluhistory.
3. Writinguaudetaileduphysicaluexamuanduperinataluhistory.
4. Avoidingudiscussionuwithuparentsuuntiludiagnosticustudiesuareucompleted
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, 12/23/23,u9:39uP HESIuEXITuFamilyuNurseuPractitioneruFinaluExam
M s
3. Writinguaudetaileduphysicaluexamuanduperinataluhistory.
Rationale:uTheufirstuandumostuimportantupartuofualludataugatheringustartsuwith
uaudetailed uhistory uand uphysicaluexam.uAudetailed,uobjectiveudescription uofuth
eudysmorphicufeaturesuisuessentialuforucomparisonutoutextbookudescriptionsua
nduotherudata.uAlthoughuchromosomeuanalysisuwilluprobablyubeuordered,uituis
unotudoneuinitially. uParentsushould ubeuincluded uin utheudiscussionuofutheufindin
gsuandukeptuinformeduofutheuprogressuthroughoututheuevaluationuprocess.
4. Anu18-month-
old'sufeetuturnuinward.uTheumotheruisuconcerned,ualthoughutheuchilduisuunawa
reuofutheuproblem.uTheudifferentialudiagnosisuincludesualluexcept:
1. Femoraluanteversion.
2. Metatarsusuadductus.
Luu - -Perthesudisease.
4. Adductedugreatutoe.
Luu - -Perthesudisease.
Rationale:uIn-toeinguisuaucommonuproblemuinuchildrenuanducanuresult
Luu - -
Perthesudiseaseuisucommonlyuseenuinuolderuchildrenu(agesu4utou
8uyears)uwhouhaveulossuofuhipumedialurotation.
5. Theucharacteristicsuofuanuinnocentuheartumurmuruinuchildrenuinclude:
1. Asymptomatic,uloududiastolicurumble,ugradesuIutouV.
2. Mid-systolic,unouthrill,uanduasymptomatic.
3. AsymptomaticuwithuanuS4uhearduatuloweruleftusternaluborder.
4. Mayudisappearuonusittinguandufollowinguanyutypeuofuphysicaluactivity.
2.uMid-systolic,unouthrill,uanduasymptomatic.
Rationale:uCharacteristicsuofuinnocentumurmursuincludeumid-
systolic;uasymptomatic;ulessuthanuaugradeuIII;uloudestuinupulmonicuareau(2
–
3uleftuintercostaluspaceuatutheuleftusternaluborder);unouradiationutouotheruare
as;umayudisappearuonusitting;uandumayuintensifyuwithufever,uactivity,uanem
ia,uandustress.uAnyuS4usounduisuconsideredupathologicuinuchildrenuasuwell
uasuin uadults.
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