Nightingale Final Exit Hesi Exam 2025 Questions With
Complete Solutions
84/Y/O The nurse used the Modified Caregiver Strain Index
(MCSI) and determined that the daughter is under significant
stress caused by the assumption of her mother's care. The nurse
is planning to have a discussion with the daughter on decreasing
the stress she is experiencing as a caregiver.
Select the 3 statements that the nurse should include when
discussing caregiver stress with the client's daughter.
A. Involve your mother in the decision-making process.
B. It is okay not to love or like your mother when you are caring
for her.
C. Moving your mother into a care facility will show her that
you do not love her.
D. Avoid discussion of negative situations that may occur in the
future.
E. Saying "no" to things involving the care of your mother is a
selfish action.
F. Take time for yourself and the other relationships that you
care about Correct Answers A,B,E
,A mother brings her 4-month-old son to the clinic with a quarter
taped over his umbilicus, and tells the nurse the quarter is
supposed to fix her child's hernia. Which explanation should the
nurse provide?
A. An abdominal binder can be worn daily to reduce the
protrusion.
B. This hernia is a normal variation that resolves without
treatment.
C. The quarter should be secured with an elastic bandage wrap.
D. Restrictive clothing will be adequate to help the hernia go
away. Correct Answers B. This hernia is a normal variation
that resolves without treatment.
This hernia is a normal variation that resolves without treatment
is a correct explanation for the nurse to provide, as this refers to
an umbilical hernia, which is a common and harmless condition
in infants that usually disappears by age 2. Therefore, this is the
correct choice.
A mother calls the nurse to report that at 0900 she administered
an oral dose of digoxin to her 4-month-old infant, but at 0920
the baby vomited the medicine. Which instruction should the
nurse provide to this mother?
A. Administer a half dose now.
B. Give another dose
,C. Mix the next dose with food.
D. Withhold this dose Correct Answers D. Withhold this dose
Withholding this dose is a sensible instruction for the nurse to
provide, as this can prevent adverse effects and allow the infant's
serum digoxin level to be checked before giving another dose.
Therefore, this is the correct choice.
A mother calls the nurse to report that at 0900 she administered
an oral dose of digoxin to her 4-month-old infant, but at 0920
the baby vomited the medicine. Which instruction should the
nurse provide to this mother?
A. Administer a half dose now.
B. Give another dose.
C. Mix the next dose with food.
D. Withhold this dose. Correct Answers D. Withhold this dose.
Withholding the dose is the safest option. If vomiting occurs
within 30 minutes of administration, it's generally advised to
skip that dose to avoid the risk of overdose.The next dose should
be given as scheduled Digoxin has a long half-life and
accumulates in tissues, so missing one dose will not significantly
affect its therapeutic effect. Withholding this dose will avoid
overdosing and toxicity of digoxin, which can be life-
threatening in infants and children. The nurse should also advise
, the mother to resume the regular dosing schedule and monitor
the infant's pulse rate and signs of digoxin toxicity.
A mother calls the nurse to report that at 0900 she administered
an oral dose of digoxin to her 4-month-old infant, but at 0920
the baby vomited the medicine. Which instruction should the
nurse provide to this mother?
A. Give another dose.
B. Administer a half dose now.
C. Withhold this doe
D. Mix the next dose with food. Correct Answers A. Give
another dose.
A mother calls the nurse to report that at 0900 she administered
an oral dose of digoxin to her 4-month-old infant, but at 0920
the baby vomited the medicine. Which instruction should the
nurse provide to this mother?
A. Mix the next dose with food.
B. Administer a half dose now.
C. Withhold this dose.
D. Give another dose. Correct Answers C. Withhold this dose.
A mother calls the nurse to report that at 0900 she administered
an oral dose of digoxin to her 4-month-old infant, but at 0920
Complete Solutions
84/Y/O The nurse used the Modified Caregiver Strain Index
(MCSI) and determined that the daughter is under significant
stress caused by the assumption of her mother's care. The nurse
is planning to have a discussion with the daughter on decreasing
the stress she is experiencing as a caregiver.
Select the 3 statements that the nurse should include when
discussing caregiver stress with the client's daughter.
A. Involve your mother in the decision-making process.
B. It is okay not to love or like your mother when you are caring
for her.
C. Moving your mother into a care facility will show her that
you do not love her.
D. Avoid discussion of negative situations that may occur in the
future.
E. Saying "no" to things involving the care of your mother is a
selfish action.
F. Take time for yourself and the other relationships that you
care about Correct Answers A,B,E
,A mother brings her 4-month-old son to the clinic with a quarter
taped over his umbilicus, and tells the nurse the quarter is
supposed to fix her child's hernia. Which explanation should the
nurse provide?
A. An abdominal binder can be worn daily to reduce the
protrusion.
B. This hernia is a normal variation that resolves without
treatment.
C. The quarter should be secured with an elastic bandage wrap.
D. Restrictive clothing will be adequate to help the hernia go
away. Correct Answers B. This hernia is a normal variation
that resolves without treatment.
This hernia is a normal variation that resolves without treatment
is a correct explanation for the nurse to provide, as this refers to
an umbilical hernia, which is a common and harmless condition
in infants that usually disappears by age 2. Therefore, this is the
correct choice.
A mother calls the nurse to report that at 0900 she administered
an oral dose of digoxin to her 4-month-old infant, but at 0920
the baby vomited the medicine. Which instruction should the
nurse provide to this mother?
A. Administer a half dose now.
B. Give another dose
,C. Mix the next dose with food.
D. Withhold this dose Correct Answers D. Withhold this dose
Withholding this dose is a sensible instruction for the nurse to
provide, as this can prevent adverse effects and allow the infant's
serum digoxin level to be checked before giving another dose.
Therefore, this is the correct choice.
A mother calls the nurse to report that at 0900 she administered
an oral dose of digoxin to her 4-month-old infant, but at 0920
the baby vomited the medicine. Which instruction should the
nurse provide to this mother?
A. Administer a half dose now.
B. Give another dose.
C. Mix the next dose with food.
D. Withhold this dose. Correct Answers D. Withhold this dose.
Withholding the dose is the safest option. If vomiting occurs
within 30 minutes of administration, it's generally advised to
skip that dose to avoid the risk of overdose.The next dose should
be given as scheduled Digoxin has a long half-life and
accumulates in tissues, so missing one dose will not significantly
affect its therapeutic effect. Withholding this dose will avoid
overdosing and toxicity of digoxin, which can be life-
threatening in infants and children. The nurse should also advise
, the mother to resume the regular dosing schedule and monitor
the infant's pulse rate and signs of digoxin toxicity.
A mother calls the nurse to report that at 0900 she administered
an oral dose of digoxin to her 4-month-old infant, but at 0920
the baby vomited the medicine. Which instruction should the
nurse provide to this mother?
A. Give another dose.
B. Administer a half dose now.
C. Withhold this doe
D. Mix the next dose with food. Correct Answers A. Give
another dose.
A mother calls the nurse to report that at 0900 she administered
an oral dose of digoxin to her 4-month-old infant, but at 0920
the baby vomited the medicine. Which instruction should the
nurse provide to this mother?
A. Mix the next dose with food.
B. Administer a half dose now.
C. Withhold this dose.
D. Give another dose. Correct Answers C. Withhold this dose.
A mother calls the nurse to report that at 0900 she administered
an oral dose of digoxin to her 4-month-old infant, but at 0920
