HESI EXAM ms
Exam Solution ms
EVOLVE HESI Preparation Case Studies Breathing Patte ms ms ms ms ms ms
rns 2026 A+ GRADE ASSURED COMPLETE SOLUTIONS
ms ms ms ms ms ms ms
AND VERIFIED ANSWERS (CEBA8) ms ms ms
QUESTION 1 ms
Respiration's are rapid and shallow. What technique should the nurse use to accuratel
ms ms ms ms ms ms ms ms ms ms ms ms
y evaluate the child's respiration's?
ms ms ms ms
ANSWER
Place hands against the back or chest and observe the rise and fall of the chest *Rationale -
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
This technique allows the nurse to observe and count each ventilatory cycle, even when the respira
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
tion's are shallow ms ms
QUESTION 2 ms
Because of the client's dyspnea, the nurse is concerned that they may need to receive
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
oxygen. Which action should the nurse perform that would be most indicative of the n
ms ms ms ms ms ms ms ms ms ms ms ms ms ms
eed for supplemental oxygen?
ms ms ms
ANSWER
Measure oxygen saturation *Rationale -
ms ms ms ms
Oxygen saturation provides important data about the percentage of hemoglobin that is saturated wi
ms ms ms ms ms ms ms ms ms ms ms ms ms ms
th oxygen, a valuable reflection of the client's overall oxygenation
ms ms ms ms ms ms ms ms ms
QUESTION 3 ms
When auscultating breath sounds, the nurse should demonstrate and ask the child to
ms ms ms ms ms ms ms ms ms ms ms ms ms
perform which action? ms ms
ANSWER
Breathe deeply through the mouth *Rationale -
ms ms ms ms ms ms
The child should be instructed to breathe slowly and deeply through a slightly opened mouth to all
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
ow best auscultation of breath sounds.
ms ms ms ms ms
, QUESTION 4 ms
The client's mother states that this is the third time in recent months she has brought
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
her child to the ED with a cough and shortness of breath. The nurse asks the mother
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
how many respiratory or other infections the child has had within the past year. What
ms ms ms ms ms ms ms ms ms ms ms ms ms ms
is the nurse's purpose for this question?
ms ms ms ms ms ms ms
ANSWER
To assess for a possible immune deficiency disorder. *Rational -
ms ms ms ms ms ms ms ms ms
By 5 years of age a child should have developed immunity to many types of infections. It they cont
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
inue to have reccurent infections it may be a sign of immune deficiency which will need further inv
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
estigation.
QUESTION 5 ms
To measure capillary refill, the nurse must first perform which action?
ms ms ms ms ms ms ms ms ms ms
ANSWER
Compress the nailbed of one finger until it blanches. *Rationale -
ms ms ms ms ms ms ms ms ms ms
To measure capillary refill, the nurse should first compress the client's nailbed, then note how man
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
y seconds it takes for the return of normal color to the nailbed.
ms ms ms ms ms ms ms ms ms ms ms ms
QUESTION 6 ms
While the nurse is explaining this procedure (capillary refill), the client asks if it will
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
hurt. Which response by the nurse is best?
ms ms ms ms ms ms ms
ANSWER
The clip feels like a clothespin squeezing your finger. *Rationale -
ms ms ms ms ms ms ms ms ms ms
This is an honest response to the child's question regarding pain and one that places the sensation
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
they will feel in a context he can understand.
ms ms ms ms ms ms ms ms
QUESTION 7 ms
Prior to applying a nasal cannula in the ED, which action is most important for the nu
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
rse to implement to ensure client safety?
ms ms ms ms ms ms
ANSWER
Determine that all electrical equipment in the room is functioning correctly and is properly grounde
ms ms ms ms ms ms ms ms ms ms ms ms ms ms
d. *Rationale - An electrical spark in the presence of oxygen can result in a serious fire.
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
QUESTION 8 ms
Exam Solution ms
EVOLVE HESI Preparation Case Studies Breathing Patte ms ms ms ms ms ms
rns 2026 A+ GRADE ASSURED COMPLETE SOLUTIONS
ms ms ms ms ms ms ms
AND VERIFIED ANSWERS (CEBA8) ms ms ms
QUESTION 1 ms
Respiration's are rapid and shallow. What technique should the nurse use to accuratel
ms ms ms ms ms ms ms ms ms ms ms ms
y evaluate the child's respiration's?
ms ms ms ms
ANSWER
Place hands against the back or chest and observe the rise and fall of the chest *Rationale -
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
This technique allows the nurse to observe and count each ventilatory cycle, even when the respira
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
tion's are shallow ms ms
QUESTION 2 ms
Because of the client's dyspnea, the nurse is concerned that they may need to receive
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
oxygen. Which action should the nurse perform that would be most indicative of the n
ms ms ms ms ms ms ms ms ms ms ms ms ms ms
eed for supplemental oxygen?
ms ms ms
ANSWER
Measure oxygen saturation *Rationale -
ms ms ms ms
Oxygen saturation provides important data about the percentage of hemoglobin that is saturated wi
ms ms ms ms ms ms ms ms ms ms ms ms ms ms
th oxygen, a valuable reflection of the client's overall oxygenation
ms ms ms ms ms ms ms ms ms
QUESTION 3 ms
When auscultating breath sounds, the nurse should demonstrate and ask the child to
ms ms ms ms ms ms ms ms ms ms ms ms ms
perform which action? ms ms
ANSWER
Breathe deeply through the mouth *Rationale -
ms ms ms ms ms ms
The child should be instructed to breathe slowly and deeply through a slightly opened mouth to all
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
ow best auscultation of breath sounds.
ms ms ms ms ms
, QUESTION 4 ms
The client's mother states that this is the third time in recent months she has brought
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
her child to the ED with a cough and shortness of breath. The nurse asks the mother
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
how many respiratory or other infections the child has had within the past year. What
ms ms ms ms ms ms ms ms ms ms ms ms ms ms
is the nurse's purpose for this question?
ms ms ms ms ms ms ms
ANSWER
To assess for a possible immune deficiency disorder. *Rational -
ms ms ms ms ms ms ms ms ms
By 5 years of age a child should have developed immunity to many types of infections. It they cont
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
inue to have reccurent infections it may be a sign of immune deficiency which will need further inv
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
estigation.
QUESTION 5 ms
To measure capillary refill, the nurse must first perform which action?
ms ms ms ms ms ms ms ms ms ms
ANSWER
Compress the nailbed of one finger until it blanches. *Rationale -
ms ms ms ms ms ms ms ms ms ms
To measure capillary refill, the nurse should first compress the client's nailbed, then note how man
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
y seconds it takes for the return of normal color to the nailbed.
ms ms ms ms ms ms ms ms ms ms ms ms
QUESTION 6 ms
While the nurse is explaining this procedure (capillary refill), the client asks if it will
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
hurt. Which response by the nurse is best?
ms ms ms ms ms ms ms
ANSWER
The clip feels like a clothespin squeezing your finger. *Rationale -
ms ms ms ms ms ms ms ms ms ms
This is an honest response to the child's question regarding pain and one that places the sensation
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
they will feel in a context he can understand.
ms ms ms ms ms ms ms ms
QUESTION 7 ms
Prior to applying a nasal cannula in the ED, which action is most important for the nu
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
rse to implement to ensure client safety?
ms ms ms ms ms ms
ANSWER
Determine that all electrical equipment in the room is functioning correctly and is properly grounde
ms ms ms ms ms ms ms ms ms ms ms ms ms ms
d. *Rationale - An electrical spark in the presence of oxygen can result in a serious fire.
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
QUESTION 8 ms
