HESI EXIT FAMILY NURSE PRACTIONER FINAL EXAMS A & B 2023-2024 ACTUAL EXAM QUESTIONS AND CORRECT ANSWERS||COMBINED FINAL EXAMS (MAY 2023 UPDATE) ||AGRADE

HESI EXIT FAMILY NURSE PRACTIONER FINAL
EXAMS A & B 2023-2024 ACTUAL EXAM QUESTIONS
AND CORRECT ANSWERS||COMBINED FINAL EXAMS
(MAY 2023 UPDATE) ||AGRADE

1. The following sequence is recommended for well-child
   examinations up tothe age of 5 years:
2. 2 weeks, 2 months, 4 months, 6 months, 1 year, 15 months, 18
   months, andevery year from ages 2-5.
3. 2 months, 4 months, 6 months, 9 months, and annually from years 1- 5.
4. 2 weeks, 2 months, 4 months, 6 months, 9 months, 12 months, 15
   months, 18months, and annually years 2-5.
5. The same intervals recommended for immunizations.
6. 2 weeks, 2 months, 4 months, 6 months, 9 months, 12 months, 15
   months, 18months, and annually years 2-5.
   Rationale: These are the recommended health evaluation
   intervals for children to obtain regular assessment information
   regarding growth anddevelopment and to administer
   recommended immunizations.
7. An appropriate treatment for overweight children under 8 years of
   age wouldbe to:
8. Administer an appetite suppressant.
9. Eliminate all carbohydrates in the diet.
10. Plan a program of activity, balanced diet, and exercise.
11. Use vitamin therapy and herbal teas.
12. Plan a program of activity, balanced diet, and exercise.
    Rationale: An approach with a well-balanced diet, activity, and
    exercise is necessary for weight reduction. This allows for a slow
    approach to weight lossthat incorporates healthy behavior habits.
13. The family nurse practitioner examines a 2-week-old newborn
    during a first clinic visit. The family nurse practitioner notes
    dysmorphic facial features. The family nurse practitioner’s evaluation

includes:

1. Ordering a chromosome analysis.
2. Completing a postnatal history.
3. Writing a detailed physical exam and perinatal history.
4. Avoiding discussion with parents until diagnostic studies are
   completed
5. Writing a detailed physical exam and perinatal history.
   Rationale: The first and most important part of all data gathering
   starts with a detailed history and physical exam. A detailed, objective
   description of the dysmorphic features is essential for comparison to
   textbook descriptions and other data. Although chromosome analysis
   will probably be ordered, it is not done initially. Parents should be
   included in the discussion of the findings andkept informed of the
   progress throughout the evaluation process.
6. An 18-month-old’s feet turn inward. The mother is concerned,
   although the child is unaware of the problem. The differential
   diagnosis includes all except:
7. Femoral anteversion.
8. Metatarsus adductus.
9. Legg-Calvé-Perthes disease.
10. Adducted great toe.
11. Legg-Calvé-Perthes disease.
    Rationale: In-toeing is a common problem in children and can result
    from femoral anteversion, adduction of the great toe, medial tibial
    torsion, andmetatarsus adductus. Legg-Calvé-Perthes disease is
    commonly seen in older children (ages 4 to 8 years) who have loss of
    hip medial rotation.
12. The characteristics of an innocent heart murmur in children include:
13. Asymptomatic, loud diastolic rumble, grades I to V.
14. Mid-systolic, no thrill, and asymptomatic.
15. Asymptomatic with an S4 heard at lower left sternal border.
16. May disappear on sitting and following any type of physical activity.
17. Mid-systolic, no thrill, and asymptomatic.
    Rationale: Characteristics of innocent murmurs include midsystolic; asymptomatic; less than a grade III; loudest in pulmonic
    area (2–3 left intercostal space at the left sternal border); no
    radiation to other areas; maydisappear on sitting; and may
    intensify with fever, activity, anemia, and stress. Any S4 sound is
    considered pathologic in children as well as in adults.
18. The family nurse practitioner is examining a 6-month-old infant.
    What wouldbe the anticipated findings on examining the infant’s
    fontanels?
19. Both anterior and posterior should be open.
20. The anterior should be open, the posterior closed.
21. Both anterior and posterior should be closed.
22. The anterior should be closed, the posterior
    open.2. The anterior should be open, the
    posterior closed.
    Rationale: The posterior fontanel is usually closed by 2 months of age;
    theanterior fontanel closes at about 24 months of age.
23. Genu varum up to 20 degrees is normal until age:
24. 18 years.
25. 5 years.
26. 18 months.
27. 6 months.
28. 18
    months.
    Rationale: Genu varum (bowleg) of up to 20 degrees is a normal
    finding inchildren until the age of 18 months.
29. When approaching a toddler to complete a cardiac assessment,
    the familynurse practitioner would:
30. Allow the toddler to handle the stethoscope while the history is being
    taken.
31. Explain in detail what procedures will take place and get the
    toddlerinvolved.
32. Keep the child warm and covered to minimize discomfort.
33. Approach the child by cheerfully calling out his name.
34. Allow the toddler to handle the stethoscope while the history is being
    taken.