HESI RN EXIT EXAM 2023\2024 QUESTIONS AND DETAILED CORRECT ANSWERS .GRADED A+. The nurse is giving preop instructions to a 14 yr old scheduled to correct a spinal curvature. Which statement best demonstrates that learning has taken place? - ANSWER -I understand I will be in a body cast and I will show you hoy you taught me to turn To take the vital signs of a 4 month old child which order will give the most accurate results? - ANSWER -Respiratory rate, heart rate, rectal temperature AN otoscope exam of a child's ear reveals a tympanic membrane that is pearly gray, slightly bulging and not movable. What action should the nurse take next? - ANSWER -Ask the child if he has has a cold, runny nose or any ear pain latelyWhich restraint should be used for a toddler after a cleft palate repair? - ANSWER -elbow What preoperative nursing intervention should be included in the plan of care for an infant with pyloric stenosis? - ANSWER -Observe for projectile vomiting A six month old returns from surgery with elbow restraints in place. What nursing intervention should be included when caring for any restrained child? - ANSWER -remove restraints one