Summary 2018 HESI EXIT V4 latest update 2020

1. The nurse is caring for a pre-adolescent client in skeletal Dunlop traction. Which nursing intervention is appropriate for this child? 2. The nurse is assessing a healthy child at the 2 year check up. Which of the following should the nurse report immediately to the health care provider? 3. The parents of a 2 year-old child report that he has been holding his breath whenever he has temper tantrums. What is the best action by the nurse? A) Teach the parents how to perform cardiopulmonary resuscitation B) Recommend that the parents give in when he holds his breath to prevent anoxia C) Advise the parents to ignore breath holding because breathing will begin as a reflex D) Instruct the parents on how to reason with the child about possible harmful effects The correct answer is C: Advise the parents to ignore breath holding because breathing will begin as a reflex 4. The nurse is assessing a client in the emergency room. Which statement suggests that the problem is acute angina? 5. The nurse is assessing the mental status of a client admitted with possible organic brain disorder. Which of these questions will best assess the function of the client's recent 6. In planning care for a 6 month-old infant, what must the nurse provide to assist in the development of trust? 7. A nurse has just received a medication order which is not legible. Which statement best reflects assertive communication? 8. What is the most important consideration when teaching parents how to reduce risks in the home? 9. A 35 year-old client with sickle cell crisis is talking on the telephone but stops as the nurse enters the room to request something for pain. The nurse should 10. While caring for a toddler with croup, which initial sign of croup requires the nurse's immediate attention? // .......................to continue up to question 160 with answers...............///// 160. The nurse is performing physical assessments on adolescents. When would the nurse anticipate that females experience growth spurts?