HESI MILESTONE 3 REMEDIATION 2025/2026 ACTUAL EXAM CONTAINS 200 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+

A 10-year-old child has undergone a cardiac catheterization through the left femoral
artery. During a postprocedural assessment, the nurse finds the left foot is pulseless
and cool to touch. Which is the likely cause?
A. hemorrhage
B. hematoma
C. fasciculation
D. tamponade - ansB. hematoma
Cardiac catheterization is a routine diagnostic procedure; however, it is not without
risks. Loss of pulse in the catheterized extremity is likely due to a hematoma and
requires immediate intervention to restore circulation.
A 10-year-old client with a recent history of playing in the woods, presents to the school
nurse's clinic with localized skin eruptions on the hands and feet which are streaked,
consisting of blisters discharging clear fluid that are painful and itchy. What should the
school nurse suspect to be the causative agent?
A. sun burn
B. poison ivy
C. insect bite
D. heat rash
Contact with the oil called "Urushiol" which is found in poison ivy, oak and sumac may
produce an allergic reaction. Symptoms include localized, streaked, or oozing blisters.
These skin lesions are usually painful and itchy. - ans
A 10-year-old client with asthma arrives at an urgent care clinic with apparent bronchial
constriction. Which class of drugs should the nurse expect to be administered for this
condition?
A. methylxanthines
B. anticholinergic
C. long-acting beta2 agonists
D. oral corticosteroids - ansD. oral corticosteroids
Corticosteroids are fast-acting anti-inflammatory drugs. They are used to treat reversible
airflow obstruction, control symptoms, and reduce bronchial constriction with the fewest
side effects.
A 12-month-old client is being discharged with a body spica cast. Which information
should the nurse include in the parents' discharge teaching plan?
A. foul odor from cast may indicate infection or skin breakdown
B. pillows should not be placed under cast
C. the child can safely transported in a stroller
D. use pillows to elevate the child's head - ansA. foul odor from cast may indicate
infection or skin breakdown
Care of a child in a body spica cast can be challenging for parents at home. Skin under
the cast should be protected from injury and debris, so parents should be instructed that
a foul odor from the cast can be indicative of skin breakdown or infection and to contact
their health care provider.