HESI MILESTONE 3 REMEDIATION 2024 ACTUAL EXAM CONTAINS 200 QUESTIONS AND
CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED
A+
A c10-year-old cchild chas cundergone ca ccardiac ccatheterization cthrough cthe cleft
cfemoral cartery. cDuring ca cpostprocedural cassessment, cthe cnurse cfinds cthe cleft
cfoot cis cpulseless cand ccool cto ctouch. cWhich cis cthe clikely ccause?
A. chemorrhage
cB. chematoma
cC.
cfasciculation
D. ctamponade c- cand. chematoma
Cardiac ccatheterization cis ca croutine cdiagnostic cprocedure; chowever, cit cis cnot
cwithout crisks. cLoss cof cpulse cin cthe ccatheterized cextremity cis clikely cdue cto ca
chematoma cand crequires cimmediate cintervention cto crestore ccirculation.
A c10-year-old cclient cwith ca crecent chistory cof cplaying cin cthe cwoods cpresents cto cthe
cschool cnurse's cclinic cwith clocalized cskin ceruptions con cthe chands cand cfeet cwhich
care cstreaked, cconsisting cof cblisters cdischarging cclear cfluid cthat care cpainful cand
citchy. cWhat cshould cthe cschool cnurse csuspect cto cbe cthe ccausative cagent?
A. csunburn
cB. cpoison
civy cC.
cinsect cbite
cD. cheat
crash
Contact cwith cthe coil ccalled c"Urushiol" cwhich cis cfound cin cpoison civy, coak cand
csumac cmay cproduce can callergic creaction. cSymptoms cinclude clocalized, cstreaked,
cor coozing cblisters. cThese cskin clesions care cusually cpainful cand citchy. c- cans
A c10-year-old cclient cwith casthma carrives cat can curgent ccare cclinic cwith capparent
cbronchial cconstriction. cWhich cclass cof cdrugs cshould cthe cnurse cexpect cto cbe
cadministered cfor cthis ccondition?
A.
cmethylxanthines
cB. canticholinergic
C. clong-acting cbeta2 cagonists
D. coral ccorticosteroids c- cansD. coral ccorticosteroids
Corticosteroids care cfast-acting canti-inflammatory cdrugs. cThey care cused cto ctreat
creversible cairflow cobstruction, ccontrol csymptoms, cand creduce cbronchial cconstriction
cwith cthe cfewest cside ceffects.
A c12-month-old cclient cis cbeing cdischarged cwith ca cbody cspica ccast. cWhich
cinformation cshould cthe cnurse cinclude cin cthe cparents' cdischarge cteaching cplan?
A. cfoul codor cfrom ccast cmay cindicate cinfection cor cskin
cbreakdown cB. cpillows cshould cnot cbe cplaced cunder ccast
C. cthe cchild ccan csafely ctransported cin ca cstroller
D. cuse cpillows cto celevate cthe cchild's chead c- cansA. cfoul codor cfrom ccast cmay cindicate
cinfection cor cskin cbreakdown
Care cof ca cchild cin ca cbody cspica ccast ccan cbe cchallenging cfor cparents cat chome. cSkin
cunder cthe ccast cshould cbe cprotected cfrom cinjury cand cdebris, cso cparents cshould cbe
cinstructed cthat ca cfoul codor cfrom cthe ccast ccan cbe cindicative cof cskin cbreakdown cor
cinfection cand cto ccontact ctheir chealth ccare cprovider.
,HESI MILESTONE 3 REMEDIATION 2024 ACTUAL EXAM CONTAINS 200 QUESTIONS AND
CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED
A+
A c12-year-old cathlete creports csevere cankle cpain cand can caudible c"popping" csound
cin cthe cankle cafter ca cfall cat csoccer cpractice. cThe cnurse cupon cinspection cobserves
cmoderate cswelling, cbruising, cand cjoint cinstability. cInitial cradiographs cof cthe cankle
cappear cnormal. cWhich ctype cof cinjury cshould cthe cnurse csuspect?
A. cstrain
cB. csprain
cC.
cfracture
D. cdislocation c- cansB. cSprain
The cankle cis ca ccommon csite cfor csprain cinjuries. cAnkle csprains ccan crange cfrom cmild
c(grade c1) cto csevere c(grade c3), cwith ccomplete ctearing cof ca cligament cin cthe cmost
csevere csprains. cA c"popping" csound cis clikely can cindication cof ca cpartial cor ccomplete
cligament ctear; cjoint cinstability cmay cbe cdetected cat cthe cend-ranges cof cpassive
cmotion.
A c15-year-old cclient cpresents cwith ca clump cand cpersistent cpain cin cthe cright
cupper cthigh carea, cand cis csubsequently cdiagnosed cwith ca chigh-grade
costeosarcoma. cThe cnurse cshould canticipate cwhich cplan cof ctreatment cfor cthis
cclient?
A. chot/cold ctopical
capplications cB. camputation
cof cthe climb
C. celectrical cstimulation ctherapy
D. cprolonged cimmobilization c- cansB. camputation cof cthe climb
Osteosarcoma cis cthe cmost ccommon cbone ccancer cin cchildhood cand cconsidered cone
cof cthe cmost cfatal. cTreatment cgenerally cincludes cchemotherapy cand camputation cof
cthe caffected climb. cAs cof ctoday, cthere cis cno cmeedical cset cplan cof ccare.
A cchild cdiagnosed cwith cHIV cis cbeing cenrolled cin ca cnew cschool. cWho chas cthe
cright cto cinform cthe cschool cof cthis cchild's cHIV cstatus?
A. cdoctors cor
cnurses cB. csocial
cworkers
C. cparents cor clegal cguardians
D. cchild cwelfare cdepartment c- cansC. cparents cor clegal cguardians
Confidentiality cis ca cmajor cissue cin cschool cattendance. cThe cparents cor clegal
cguardians chave cthe cright cto cdecide cwhether cor cnot cto cinform cthe cschool cof ctheir
cchild's cHIV cstatus.
A cchild chas cbeen cdiagnosed cwith cchicken cpox cand cthe cnurse cteaches cthe cparent
cnot cto cgive cthe cchild caspirin. cWhich ccondition cmay cresult cwhen ca cchild cwith
cchickenpox cis cgiven caspirin?
A. cReye's csyndrome
cB. cHuntingtons
cdisease cc. cRaynaud
csyndrome
D. cpurpura cdisorder c- cansA. creye's csyndrome
Reye's csyndrome cis ca crare, cbut cserious ccondition cthat ccauses cbrain cand cliver
cdamage cthat chas cbeen clinked cwith caspirin cuse cin cchildren, cwhen cgiven cto ctreat ca
cviral cinfections, csuch cas cchicken cpox. cReye's csyndrome ccan cbe cprevented cby
,HESI MILESTONE 3 REMEDIATION 2024 ACTUAL EXAM CONTAINS 200 QUESTIONS AND
CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED
A+
cavoiding cthe cuse cof caspirin cin cchildren.
, HESI MILESTONE 3 REMEDIATION 2024 ACTUAL EXAM CONTAINS 200 QUESTIONS AND
CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED
A+
A cchild cis cadmitted cwith ca cdiagnosis cof csuspected cacute clymphoblastic cleukemia
c(ALL). cWhich ctest cis cperformed cto cconfirm cthis cdiagnosis cof cchildhood cleukemia?
A. ccerebral cspinal cfluid
canalysis cB. cbone cmarrow
caspiration
C. cCBC
D. cgenetic ctesting c- cansB. cbone cmarrow caspiration
ALL cis ca cform cof ccancer cin cwhich chigh cnumbers cof cabnormal cwhite cblood ccells care
cproduced. cA cbone cmarrow cbiopsy cthat creveals cprimary cblast ccells cis cconfirmation cof
ca cleukemia.
A cchild cis cbrought cto cthe cemergency cdepartment cafter cingesting ca clarge camount
cof chousehold cdrain ccleaner. cWhich cis cthe cnurse's cfirst cpriority cwhen ccaring cfor
cthis cclient? cA. cperform cNG csuctioning
B. cAssess cand cmaintain can copen
cairway cC. cgive csmall camounts cof
cwater cto cingest
D. cObtain cchest cand cabdomen cradiographs c- cansB. cassess cand cmaintain can copen
cairway cIngestion cof ccorrosive chousehold cagents cmay ccause cairway cobstruction cdue
cto crapidly cdeveloping claryngeal cedema. cThe cfirst cpriority cis cto cassess cand cmonitor
cthe cclient's cairway.
A cchild crecently cunderwent ccardiac csurgery cand cis cadmitted cwith ca csuspected
cdiagnosis cof cinfective cendocarditis. cWhich cpresentation cshould cthe cnurse cexpect
cwhen cassessing cthis cclient?
A. bradycardia, clethargy, cspeech cdisturbances
B. high cfever, cirregular cmovement cof cjoints, cinvoluntary cfacial cgrimaces
cc. ctachycardia, cchest cpain, cswollen cand cpainful cjoints
D. clow cgrade cfever, canorexia, csplinter chemorrhages cunder cthe cnails c- cansD. clow
cgrade cfever, canorexia, csplinter chemorrhages cunder cthe cnails
Children cwho cundergo ccardiac csurgery care cat chigher crisk cfor cinfection. cCommon
cclinical csigns cand csymptoms cof cinfective cendocarditis care cunexplained cfever c(low-
grade cand cintermittent), canorexia, cmalaise, cand csplinter chemorrhages cunder cthe
cnails
A cchild cwith csevere cburns cbegins cto cexhibit cdecreased clevel cof cconsciousness cand
clethargy cfour cdays cafter cbeing cadmitted cto cthe cburn cunit. cThe cnurse's cassessment
creveals ca clow-grade cfever, cbut cthe cclient's cother cvital csigns care cstable. cThe cnurse
cshould cbe calert cfor cwhich cpotential ccomplication?
A. crespiratory
cfailure cB.
cdehydration
C. csepsis
D. chypovolemia c- cansC. csepsis
Dead ctissue cand cexudate cassociated cwith cburned cskin cprovides ca cfertile cfield cfor
cbacterial cgrowth. cIf cthe cburn csite cis ccontaminated cwith cinfectious cmaterial, csepsis
cmay coccur.
Decreased clevel cof cconsciousness cand clethargy care cearly csigns cof csepsis.
CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED
A+
A c10-year-old cchild chas cundergone ca ccardiac ccatheterization cthrough cthe cleft
cfemoral cartery. cDuring ca cpostprocedural cassessment, cthe cnurse cfinds cthe cleft
cfoot cis cpulseless cand ccool cto ctouch. cWhich cis cthe clikely ccause?
A. chemorrhage
cB. chematoma
cC.
cfasciculation
D. ctamponade c- cand. chematoma
Cardiac ccatheterization cis ca croutine cdiagnostic cprocedure; chowever, cit cis cnot
cwithout crisks. cLoss cof cpulse cin cthe ccatheterized cextremity cis clikely cdue cto ca
chematoma cand crequires cimmediate cintervention cto crestore ccirculation.
A c10-year-old cclient cwith ca crecent chistory cof cplaying cin cthe cwoods cpresents cto cthe
cschool cnurse's cclinic cwith clocalized cskin ceruptions con cthe chands cand cfeet cwhich
care cstreaked, cconsisting cof cblisters cdischarging cclear cfluid cthat care cpainful cand
citchy. cWhat cshould cthe cschool cnurse csuspect cto cbe cthe ccausative cagent?
A. csunburn
cB. cpoison
civy cC.
cinsect cbite
cD. cheat
crash
Contact cwith cthe coil ccalled c"Urushiol" cwhich cis cfound cin cpoison civy, coak cand
csumac cmay cproduce can callergic creaction. cSymptoms cinclude clocalized, cstreaked,
cor coozing cblisters. cThese cskin clesions care cusually cpainful cand citchy. c- cans
A c10-year-old cclient cwith casthma carrives cat can curgent ccare cclinic cwith capparent
cbronchial cconstriction. cWhich cclass cof cdrugs cshould cthe cnurse cexpect cto cbe
cadministered cfor cthis ccondition?
A.
cmethylxanthines
cB. canticholinergic
C. clong-acting cbeta2 cagonists
D. coral ccorticosteroids c- cansD. coral ccorticosteroids
Corticosteroids care cfast-acting canti-inflammatory cdrugs. cThey care cused cto ctreat
creversible cairflow cobstruction, ccontrol csymptoms, cand creduce cbronchial cconstriction
cwith cthe cfewest cside ceffects.
A c12-month-old cclient cis cbeing cdischarged cwith ca cbody cspica ccast. cWhich
cinformation cshould cthe cnurse cinclude cin cthe cparents' cdischarge cteaching cplan?
A. cfoul codor cfrom ccast cmay cindicate cinfection cor cskin
cbreakdown cB. cpillows cshould cnot cbe cplaced cunder ccast
C. cthe cchild ccan csafely ctransported cin ca cstroller
D. cuse cpillows cto celevate cthe cchild's chead c- cansA. cfoul codor cfrom ccast cmay cindicate
cinfection cor cskin cbreakdown
Care cof ca cchild cin ca cbody cspica ccast ccan cbe cchallenging cfor cparents cat chome. cSkin
cunder cthe ccast cshould cbe cprotected cfrom cinjury cand cdebris, cso cparents cshould cbe
cinstructed cthat ca cfoul codor cfrom cthe ccast ccan cbe cindicative cof cskin cbreakdown cor
cinfection cand cto ccontact ctheir chealth ccare cprovider.
,HESI MILESTONE 3 REMEDIATION 2024 ACTUAL EXAM CONTAINS 200 QUESTIONS AND
CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED
A+
A c12-year-old cathlete creports csevere cankle cpain cand can caudible c"popping" csound
cin cthe cankle cafter ca cfall cat csoccer cpractice. cThe cnurse cupon cinspection cobserves
cmoderate cswelling, cbruising, cand cjoint cinstability. cInitial cradiographs cof cthe cankle
cappear cnormal. cWhich ctype cof cinjury cshould cthe cnurse csuspect?
A. cstrain
cB. csprain
cC.
cfracture
D. cdislocation c- cansB. cSprain
The cankle cis ca ccommon csite cfor csprain cinjuries. cAnkle csprains ccan crange cfrom cmild
c(grade c1) cto csevere c(grade c3), cwith ccomplete ctearing cof ca cligament cin cthe cmost
csevere csprains. cA c"popping" csound cis clikely can cindication cof ca cpartial cor ccomplete
cligament ctear; cjoint cinstability cmay cbe cdetected cat cthe cend-ranges cof cpassive
cmotion.
A c15-year-old cclient cpresents cwith ca clump cand cpersistent cpain cin cthe cright
cupper cthigh carea, cand cis csubsequently cdiagnosed cwith ca chigh-grade
costeosarcoma. cThe cnurse cshould canticipate cwhich cplan cof ctreatment cfor cthis
cclient?
A. chot/cold ctopical
capplications cB. camputation
cof cthe climb
C. celectrical cstimulation ctherapy
D. cprolonged cimmobilization c- cansB. camputation cof cthe climb
Osteosarcoma cis cthe cmost ccommon cbone ccancer cin cchildhood cand cconsidered cone
cof cthe cmost cfatal. cTreatment cgenerally cincludes cchemotherapy cand camputation cof
cthe caffected climb. cAs cof ctoday, cthere cis cno cmeedical cset cplan cof ccare.
A cchild cdiagnosed cwith cHIV cis cbeing cenrolled cin ca cnew cschool. cWho chas cthe
cright cto cinform cthe cschool cof cthis cchild's cHIV cstatus?
A. cdoctors cor
cnurses cB. csocial
cworkers
C. cparents cor clegal cguardians
D. cchild cwelfare cdepartment c- cansC. cparents cor clegal cguardians
Confidentiality cis ca cmajor cissue cin cschool cattendance. cThe cparents cor clegal
cguardians chave cthe cright cto cdecide cwhether cor cnot cto cinform cthe cschool cof ctheir
cchild's cHIV cstatus.
A cchild chas cbeen cdiagnosed cwith cchicken cpox cand cthe cnurse cteaches cthe cparent
cnot cto cgive cthe cchild caspirin. cWhich ccondition cmay cresult cwhen ca cchild cwith
cchickenpox cis cgiven caspirin?
A. cReye's csyndrome
cB. cHuntingtons
cdisease cc. cRaynaud
csyndrome
D. cpurpura cdisorder c- cansA. creye's csyndrome
Reye's csyndrome cis ca crare, cbut cserious ccondition cthat ccauses cbrain cand cliver
cdamage cthat chas cbeen clinked cwith caspirin cuse cin cchildren, cwhen cgiven cto ctreat ca
cviral cinfections, csuch cas cchicken cpox. cReye's csyndrome ccan cbe cprevented cby
,HESI MILESTONE 3 REMEDIATION 2024 ACTUAL EXAM CONTAINS 200 QUESTIONS AND
CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED
A+
cavoiding cthe cuse cof caspirin cin cchildren.
, HESI MILESTONE 3 REMEDIATION 2024 ACTUAL EXAM CONTAINS 200 QUESTIONS AND
CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED
A+
A cchild cis cadmitted cwith ca cdiagnosis cof csuspected cacute clymphoblastic cleukemia
c(ALL). cWhich ctest cis cperformed cto cconfirm cthis cdiagnosis cof cchildhood cleukemia?
A. ccerebral cspinal cfluid
canalysis cB. cbone cmarrow
caspiration
C. cCBC
D. cgenetic ctesting c- cansB. cbone cmarrow caspiration
ALL cis ca cform cof ccancer cin cwhich chigh cnumbers cof cabnormal cwhite cblood ccells care
cproduced. cA cbone cmarrow cbiopsy cthat creveals cprimary cblast ccells cis cconfirmation cof
ca cleukemia.
A cchild cis cbrought cto cthe cemergency cdepartment cafter cingesting ca clarge camount
cof chousehold cdrain ccleaner. cWhich cis cthe cnurse's cfirst cpriority cwhen ccaring cfor
cthis cclient? cA. cperform cNG csuctioning
B. cAssess cand cmaintain can copen
cairway cC. cgive csmall camounts cof
cwater cto cingest
D. cObtain cchest cand cabdomen cradiographs c- cansB. cassess cand cmaintain can copen
cairway cIngestion cof ccorrosive chousehold cagents cmay ccause cairway cobstruction cdue
cto crapidly cdeveloping claryngeal cedema. cThe cfirst cpriority cis cto cassess cand cmonitor
cthe cclient's cairway.
A cchild crecently cunderwent ccardiac csurgery cand cis cadmitted cwith ca csuspected
cdiagnosis cof cinfective cendocarditis. cWhich cpresentation cshould cthe cnurse cexpect
cwhen cassessing cthis cclient?
A. bradycardia, clethargy, cspeech cdisturbances
B. high cfever, cirregular cmovement cof cjoints, cinvoluntary cfacial cgrimaces
cc. ctachycardia, cchest cpain, cswollen cand cpainful cjoints
D. clow cgrade cfever, canorexia, csplinter chemorrhages cunder cthe cnails c- cansD. clow
cgrade cfever, canorexia, csplinter chemorrhages cunder cthe cnails
Children cwho cundergo ccardiac csurgery care cat chigher crisk cfor cinfection. cCommon
cclinical csigns cand csymptoms cof cinfective cendocarditis care cunexplained cfever c(low-
grade cand cintermittent), canorexia, cmalaise, cand csplinter chemorrhages cunder cthe
cnails
A cchild cwith csevere cburns cbegins cto cexhibit cdecreased clevel cof cconsciousness cand
clethargy cfour cdays cafter cbeing cadmitted cto cthe cburn cunit. cThe cnurse's cassessment
creveals ca clow-grade cfever, cbut cthe cclient's cother cvital csigns care cstable. cThe cnurse
cshould cbe calert cfor cwhich cpotential ccomplication?
A. crespiratory
cfailure cB.
cdehydration
C. csepsis
D. chypovolemia c- cansC. csepsis
Dead ctissue cand cexudate cassociated cwith cburned cskin cprovides ca cfertile cfield cfor
cbacterial cgrowth. cIf cthe cburn csite cis ccontaminated cwith cinfectious cmaterial, csepsis
cmay coccur.
Decreased clevel cof cconsciousness cand clethargy care cearly csigns cof csepsis.
