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1
The nurse is caring for a pre-adolescent client
in skeletalDunlop traction. Which
nursing intervention is appropriate for this child?
A) Make certain the child is maintained in correct
body alignment.
B) Be sure the traction weights touch the end of the bed.
C) Adjust the head and foot of the bed for the
child's comfort
D) Release the traction for 15-20 minutes every 6 hours
PRN. The correct answer is A: Make certain the child is
maintained incorrect body alignment.
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?
A) Height and weight percentiles vary widely
B) Growth pattern appears to have slowed
C) Recumbent and standing height are different
D) Short term weight changes are uneven
The correct answer is A: Height and weight percentiles
varywidely
The parents of a 2 year-old child report that he
HESI RN COMPASS EXIT EXAM V1 2024
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,HESI RN COMPASS EXIT EXAM V1 2024
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has beenholding his breath whenever
he has temper tantrums. What is the best action by the
nurse?
HESI RN COMPASS EXIT EXAM V1 2024
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, 2
HESI RN COMPASS EXIT EXAM V1 2024
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A) Teach the parents how to perform
HESI RN COMPASS EXIT EXAM V1 2024
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, HESI RN COMPASS EXIT EXAM V1 2024
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3
cardiopulmonaryresuscitation
B) Recommend that the parents give in when he holds his
breathto prevent anoxia
C) Advise the parents to ignore breath holding because
breathingwill begin as a reflex
D) Instruct the parents on how to reason with the
child aboutpossible harmful effects
The correct answer is C: Advise the parents to ignore
breathholding because breathing
will begin as a reflex
A nurse has just received a medication order which
is notlegible. Which statement best
reflects assertive communication?
A) "I cannot give this medication as it is written. I have
no idea ofwhat you mean."
B) "Would you please clarify what you have written so I
am sure Iam reading it
correctly?"
C) "I am having difficulty reading your handwriting. It
would saveme time if you would
be more careful."
D) "Please print in the future so I do not have to spend
extra timeattempting to read your
writing."
The correct answer is B) "Would you please clarify what
HESI RN COMPASS EXIT EXAM V1 2024
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