Hesi A2 Hesi Admission Assessment A2 Exam Course

HESI EXIT V 2 1. The nurse is caring for a pre-adolescent client in skeletal Dunlop 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 comfortD) Release the traction for 15-20 minutes every 6 hours PRN.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?A) Height and weight percentiles vary widelyB) Growth pattern appears to have slowedC) Recumbent and standing height are differentD) Short term weight changes are uneven3. 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 resuscitationB) Recommend that the parents give in when he holds his breath to prevent anoxiaC) Advise the parents to ignore breath holding because breathing will begin as a reflexD) Instruct the parents on how to reason with the child about possible harmful effects 4. The nurse