NSG 222 HESI FINAL EXAM NEWEST 2024-2025 ACTUAL EXAM COMPLETE 100 QUESTIONS AND
CORRECT DETAILED ANSWERS
What should the nurse implement first for a child who stepped on a rusty nail? - (answer) Cleanse the
foot with soap and water and apply an antibiotic ointment.
What assessment finding indicates normal function of a VP shunt in a child with hydrocephalus? -
(answer) The child reports no evidence of continuous headaches.
What is the purpose of the second hand during fundal massage in postpartum assessment? - (answer)
Anchors the lower uterine segment.
What intervention should the nurse implement for a 5-month-old with TOF who has rapid breathing? -
(answer) Auscultate heart and lungs while the infant is held.
What is the most important assessment action for a newborn who was precipitously delivered and is
tremulous? - (answer) Obtain a drug screen for cocaine.
What acid-base imbalance might an adolescent with fever and right quadrant pain develop? - (answer)
Metabolic acidosis.
What physiological mechanism provides protection against communicable diseases in newborns? -
(answer) Passive immunity in the first months of life.
What is the most important prescription for a male infant with fever and diarrhea who refuses to drink? -
(answer) Infuse normal saline intravenously.
What instruction should the nurse provide to a client at 34 weeks' gestation traveling by commercial
airline? - (answer) Perform ankle flexion and extension several times throughout the trip.
What is the chance of a new baby having PKU if the first child has the disease? - (answer) Each
pregnancy has a 25% chance of resulting in a child with PKU disease.
What equipment should the nurse assemble for a vaginal examination to assess cervical dilation? -
(answer) Sterile glove and lubricant.
, NSG 222 HESI FINAL EXAM NEWEST 2024-2025 ACTUAL EXAM COMPLETE 100 QUESTIONS AND
CORRECT DETAILED ANSWERS
What nutritional information should be provided to the mother of a 6-month-old regarding solid food
introduction? - (answer) Food should be introduced into a child's diet one at a time, at 4-to-7-day
intervals.
What should the nurse teach a new mother about breastfeeding? - (answer) (Content not provided in
notes, but typical information includes techniques, frequency, and benefits of breastfeeding.)
What suggestion should a nurse provide to a client experiencing discomfort from engorged breasts? -
(answer) Wear a supportive bra at all times.
What is the most important action for a nurse to prevent bleeding in a neonate during the first hour
after birth? - (answer) Administer phytonadione (Vitamin K) IM.
What intervention should a nurse implement when administering oral medication to a reluctant
preschool-age boy? - (answer) Use a straightforward approach with the child.
Which type of anesthesia produces a loss of sensation only to the vagina and perineum during labor? -
(answer) Pudendal block.
What intervention should a nurse implement to ensure safe thermoregulation for a newborn under a
radiant warmer? - (answer) Place the temperature probe on the abdomen in line with the radiant heat
source.
What is the best action for a nurse to assist a client with a history of domestic assault? - (answer)
Develop a plan for initiating a rapid exit.
What should a nurse instruct a multigravida client receiving oxytocin IV for labor augmentation who
requests pain medication? - (answer) Instruct the client to use deep breathing during a contraction.
What should a nurse do when an infant with tetralogy of Fallot becomes pale and cyanotic during a
blood draw? - (answer) Situate the infant in a knee-chest position.
CORRECT DETAILED ANSWERS
What should the nurse implement first for a child who stepped on a rusty nail? - (answer) Cleanse the
foot with soap and water and apply an antibiotic ointment.
What assessment finding indicates normal function of a VP shunt in a child with hydrocephalus? -
(answer) The child reports no evidence of continuous headaches.
What is the purpose of the second hand during fundal massage in postpartum assessment? - (answer)
Anchors the lower uterine segment.
What intervention should the nurse implement for a 5-month-old with TOF who has rapid breathing? -
(answer) Auscultate heart and lungs while the infant is held.
What is the most important assessment action for a newborn who was precipitously delivered and is
tremulous? - (answer) Obtain a drug screen for cocaine.
What acid-base imbalance might an adolescent with fever and right quadrant pain develop? - (answer)
Metabolic acidosis.
What physiological mechanism provides protection against communicable diseases in newborns? -
(answer) Passive immunity in the first months of life.
What is the most important prescription for a male infant with fever and diarrhea who refuses to drink? -
(answer) Infuse normal saline intravenously.
What instruction should the nurse provide to a client at 34 weeks' gestation traveling by commercial
airline? - (answer) Perform ankle flexion and extension several times throughout the trip.
What is the chance of a new baby having PKU if the first child has the disease? - (answer) Each
pregnancy has a 25% chance of resulting in a child with PKU disease.
What equipment should the nurse assemble for a vaginal examination to assess cervical dilation? -
(answer) Sterile glove and lubricant.
, NSG 222 HESI FINAL EXAM NEWEST 2024-2025 ACTUAL EXAM COMPLETE 100 QUESTIONS AND
CORRECT DETAILED ANSWERS
What nutritional information should be provided to the mother of a 6-month-old regarding solid food
introduction? - (answer) Food should be introduced into a child's diet one at a time, at 4-to-7-day
intervals.
What should the nurse teach a new mother about breastfeeding? - (answer) (Content not provided in
notes, but typical information includes techniques, frequency, and benefits of breastfeeding.)
What suggestion should a nurse provide to a client experiencing discomfort from engorged breasts? -
(answer) Wear a supportive bra at all times.
What is the most important action for a nurse to prevent bleeding in a neonate during the first hour
after birth? - (answer) Administer phytonadione (Vitamin K) IM.
What intervention should a nurse implement when administering oral medication to a reluctant
preschool-age boy? - (answer) Use a straightforward approach with the child.
Which type of anesthesia produces a loss of sensation only to the vagina and perineum during labor? -
(answer) Pudendal block.
What intervention should a nurse implement to ensure safe thermoregulation for a newborn under a
radiant warmer? - (answer) Place the temperature probe on the abdomen in line with the radiant heat
source.
What is the best action for a nurse to assist a client with a history of domestic assault? - (answer)
Develop a plan for initiating a rapid exit.
What should a nurse instruct a multigravida client receiving oxytocin IV for labor augmentation who
requests pain medication? - (answer) Instruct the client to use deep breathing during a contraction.
What should a nurse do when an infant with tetralogy of Fallot becomes pale and cyanotic during a
blood draw? - (answer) Situate the infant in a knee-chest position.
