NSG 222 HESI FINAL LATEST
A nurse is caring for a child after an inguinal hernia repair. Which
finding would
indicate that the surgical repair was effective?
a. abdominal distention
b. absence of inguinal swelling with crying
c. a clean, dry incision
d. an adequate flow of urine
B
A nurse is providing home care instructions to the parents of an
infant who had
surgical repair of an inguinal hernia. The nurse instructs the
parents to do which of
the following to prevent infection at the surgical site?
a. change the diapers as soon as they become damp
b. report a fever immediately
c. soak the infant in a tub bath twice a day for the next 5 days
d. restrict the infant's physical activity
A
"When obtaining a history from parents of a 5 month old child
suspected of having
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, NSG 222 HESI FINAL LATEST
intussusception, which assessment area would be most important for
the nurse to
address?"
a. pattern of abdominal pain
b. known allergies
c. dietary intake during the past 24 hours
d. usual pattern of bowel movements
A
A nurse is assessing a child after hydrostatic reduction for
intussusception. The
nurse would expect to observe which finding after this procedure?
a. severe colicy-type pain with vomiting
b. currant jelly like stools
c. passage of barium or water soluble contrast with stools
d. severe abdominal distention
C
"A nurse is caring for a child with intussusception. During care, the
child passes a
normal brown stool. The most appropriate nursing action is to:"
a. report the passage of a normal brown stool to the physician
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PAGE
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, NSG 222 HESI FINAL LATEST
b. prepare the child and parents for the possibility of surgery
c. note the child's physical symptoms
d. prepare the child for hydrostatic reduction
A
A nurse is preparing a plan of care for a child being admitted to the
hospital with a
diagnosis of congestive heart failure (CHF). The nurse avoids
including which of the
following in the plan?
a. limiting the time the child is allowed to bottle-feed
b. elevating the head of the bed
c. waking the child for feeding to ensure adequate nutrition
d. providing oxygen during stressful periods
C
A nurse caring for a child with congestive heart failure provides
instructions to the
parents regarding the administration of digoxin (Lanoxin). Which
statement by the
mother indicates a need for further instructions?
a. if my child vomits after I give the medication, I will not repeat the
dose
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, NSG 222 HESI FINAL LATEST
b. I will check my child's pulse before giving the medication
c. I will check the dose of the medication with my husband before I
give the
medication
d. I will mix the medication with food
D
A nurse prepares to administer digoxin (Lanoxin) to a newborn
infant with a
diagnosis of congestive heart failure. The nurse notes that the apical
rate is 140
beats per minute. Which of the following nursing actions is
appropriate?
a. administer the digoxin because the apical rate is within normal
limits
b. recheck the apical rate in 1 hour and administer the medication at
that time
c. notify the physician because the apical rate is lower than the
normal range
d. hold the medication, because the apical rate is normal, indication
that the
medication is not needed
D
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PAGE
4
A nurse is caring for a child after an inguinal hernia repair. Which
finding would
indicate that the surgical repair was effective?
a. abdominal distention
b. absence of inguinal swelling with crying
c. a clean, dry incision
d. an adequate flow of urine
B
A nurse is providing home care instructions to the parents of an
infant who had
surgical repair of an inguinal hernia. The nurse instructs the
parents to do which of
the following to prevent infection at the surgical site?
a. change the diapers as soon as they become damp
b. report a fever immediately
c. soak the infant in a tub bath twice a day for the next 5 days
d. restrict the infant's physical activity
A
"When obtaining a history from parents of a 5 month old child
suspected of having
END OF
PAGE
1
, NSG 222 HESI FINAL LATEST
intussusception, which assessment area would be most important for
the nurse to
address?"
a. pattern of abdominal pain
b. known allergies
c. dietary intake during the past 24 hours
d. usual pattern of bowel movements
A
A nurse is assessing a child after hydrostatic reduction for
intussusception. The
nurse would expect to observe which finding after this procedure?
a. severe colicy-type pain with vomiting
b. currant jelly like stools
c. passage of barium or water soluble contrast with stools
d. severe abdominal distention
C
"A nurse is caring for a child with intussusception. During care, the
child passes a
normal brown stool. The most appropriate nursing action is to:"
a. report the passage of a normal brown stool to the physician
END OF
PAGE
2
, NSG 222 HESI FINAL LATEST
b. prepare the child and parents for the possibility of surgery
c. note the child's physical symptoms
d. prepare the child for hydrostatic reduction
A
A nurse is preparing a plan of care for a child being admitted to the
hospital with a
diagnosis of congestive heart failure (CHF). The nurse avoids
including which of the
following in the plan?
a. limiting the time the child is allowed to bottle-feed
b. elevating the head of the bed
c. waking the child for feeding to ensure adequate nutrition
d. providing oxygen during stressful periods
C
A nurse caring for a child with congestive heart failure provides
instructions to the
parents regarding the administration of digoxin (Lanoxin). Which
statement by the
mother indicates a need for further instructions?
a. if my child vomits after I give the medication, I will not repeat the
dose
END OF
PAGE
3
, NSG 222 HESI FINAL LATEST
b. I will check my child's pulse before giving the medication
c. I will check the dose of the medication with my husband before I
give the
medication
d. I will mix the medication with food
D
A nurse prepares to administer digoxin (Lanoxin) to a newborn
infant with a
diagnosis of congestive heart failure. The nurse notes that the apical
rate is 140
beats per minute. Which of the following nursing actions is
appropriate?
a. administer the digoxin because the apical rate is within normal
limits
b. recheck the apical rate in 1 hour and administer the medication at
that time
c. notify the physician because the apical rate is lower than the
normal range
d. hold the medication, because the apical rate is normal, indication
that the
medication is not needed
D
END OF
PAGE
4
