Med Surg V2 PN HESI, OB HESI, Pediatrics HESI PN Review, Maternity NCLEX PN Correct and Verified Answers Graded .

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Med Surg V2 PN HESI, OB HESI, Pediatrics HESI PN Review, Maternity NCLEX PN Correct and Verified Answers Graded .

• The nurse judges that the parent of a 9-month-old infant in a hip spica cast

understands how to feed the child when the parent states which of the following?

• "I can lay my child flat and feed that way."
• "I'll raise my child's head up and leave the hips and legs on a pillow."
• "I can borrow a special feeding table to use."
• "It will take two of us, one to hold and one to feed."

Correct Answer: C

• After the client has a temporary pacemaker inserted, the nurse should verify that

which of the following has been documented?

• The client's cardiovascular status.
• The client's emotional state.
• The type of sedation used.
• Pacemaker rate, type, and settings.

Correct Answer: A

• A widowed client who is receiving chemotherapy tells the nurse that he does not

like to cook for himself. A community resource for this client is:

• Hospice/palliative care association.
• Home care/visiting nurses group.
• Meals on Wheels.
• Association for Retirees.

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Correct Answer: C

• A mother who is breast-feeding and has known food sensitivities is asking the nurse

what foods she should avoid in her diet. The nurse should advise her to avoid which foods? Select all that apply.

• Shellfish.
• Eggs.
• Peanuts.
• Beef.
• Lamb.

Correct Answer: A, B, C

• A worried mother confides in the nurse that she wants to change primary care

providers because her infant is not getting better. The best response by the nurse is which of the following?

• "This doctor has been on our staff for 20 years."
• "I know you are worried, but the doctor has an excellent reputation."
• "You always have an option to change. Tell me about your concerns."
• "I take my own children to this doctor."

Correct Answer: C

• A client has a reddened area over a bony prominence. The nurse finds a nursing

assistant massaging this area. The nurse should:

• Reinforce the nursing assistant's use of this intervention over the bony prominence.
• Explain to the nursing assistant that massage is effective because it improves blood flow

to the area.

• Inform the nursing assistant that massage is even more effective when combined with

the use of lotion.

• Instruct the nursing assistant that massage is contraindicated because it decreases

blood flow to the area.

Correct Answer: D

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• A 4-year-old child is admitted for a cardiac catheterization. Which of the following is

most important to include as the nurse teaches this child about the cardiac catheterization?

• A plastic model of the heart.
• A catheter that will be inserted into the artery.
• The parents.
• Other children undergoing a catheterization.

Correct Answer: C

• A client who has been prescribed chemotherapy is worried and wants to take herbal

treatments instead. The nurse's best response to the client is which of the following?

• "You are making a mistake and placing your life in jeopardy."
• "Herbal treatments are not approved by the government's regulatory agency."
• "Herbal treatments have not been researched with cancer."
• "Tell me about your concerns with chemotherapy."

Correct Answer: D

• A client at a follow-up appointment after having a miscarriage 2 weeks previously

yells at the nurse, "How could God do this to me? I've never done anything wrong." Which of the following responses by the nurse would be most appropriate at this time?

• "God can handle your anger. It's okay."
• "I know you are angry. It's so hard to lose your baby."
• "It isn't God's fault. It was an accident."
• "You're a strong person. You will get through this."

Correct Answer: B

• A primigravid client at 26 weeks' gestation asks the nurse what causes heartburn

during pregnancy. The nurse should explain to the client that heartburn during pregnancy is usually caused by which of the following?

• Increased peristaltic action during pregnancy.
• Displacement of the stomach by the diaphragm.

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• Decreased secretion of hydrochloric acid.
• Backflow of stomach contents into the esophagus.

Correct Answer: D

• The nurse is assessing home care needs for a group of clients. Which clients

qualify for home care services? The client who: (Select all that apply.)

• Requires monitoring of prothrombin time due to Coumadin (warfarin) therapy.
• Needs additional instruction regarding preparation of food on a low-sodium diet.
• Has episodes of vertigo that result in falls.
• Has multiple sclerosis with an open, draining lesion on a foot.
• Needs stronger lenses for glasses.

Correct Answer: C, D

• Forty-eight hours after a ventriculoperitoneal shunt placement, an infant is

irritable and vomits a large amount. The assessment reveals a bulging fontanel. Using the SBAR (Situation-Background-Assessment-Recommendation) technique for communication, the nurse calls the primary health care provider with the

recommendation for:

• A dose of morphine (Astramorph).
• A fluid bolus of normal saline.
• A computerized tomography scan.
• A dose of furosemide (Lasix).

Correct Answer: C

• The nursing staff has finished restraining a client. In addition to determining

whether anyone was injured, the staff is mandated to evaluate the incident to obtain which of the following ultimate outcomes?

• Coordinate documentation of the incident.
• Resolve negative feelings and attitudes.
• Improve the use of restraint procedures.
• Calm down before returning to the other clients.