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:

1. 2 weeks, 2 months, 4 months, 6 months, 1 year, 15 months, 18

months, andevery year from ages 2-5.

2. 2 months, 4 months, 6 months, 9 months, and annually from years 1- 5.

3. 2 weeks, 2 months, 4 months, 6 months, 9 months, 12 months, 15

months, 18months, and annually years 2-5.

4. The same intervals recommended for immunizations.

3. 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.

2. An appropriate treatment for overweight children under 8 years of

age wouldbe to:

1. Administer an appetite suppressant.

2. Eliminate all carbohydrates in the diet.

3. Plan a program of activity, balanced diet, and exercise.

4. Use vitamin therapy and herbal teas.

3. 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.

3. 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

3. 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.

4. 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:

1. Femoral anteversion.

2. Metatarsus adductus.

3. Legg-Calvé-Perthes disease.

4. Adducted great toe.

3. 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.

5. The characteristics of an innocent heart murmur in children include:

1. Asymptomatic, loud diastolic rumble, grades I to V.

2. Mid-systolic, no thrill, and asymptomatic.

3. Asymptomatic with an S4 heard at lower left sternal border.

4. May disappear on sitting and following any type of physical activity.

2. 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.

6. The family nurse practitioner is examining a 6-month-old infant.

What wouldbe the anticipated findings on examining the infant's

fontanels?

1. Both anterior and posterior should be open.

2. The anterior should be open, the posterior closed.

3. Both anterior and posterior should be closed.

4. 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.

7. Genu varum up to 20 degrees is normal until age:

1. 18 years.

2. 5 years.

3. 18 months.

4. 6 months.

3. 18

months.

Rationale: Genu varum (bowleg) of up to 20 degrees is a normal

finding inchildren until the age of 18 months.

8. When approaching a toddler to complete a cardiac assessment,

the familynurse practitioner would:

1. Allow the toddler to handle the stethoscope while the history is being

taken.

2. Explain in detail what procedures will take place and get the

toddlerinvolved.

3. Keep the child warm and covered to minimize discomfort.

4. Approach the child by cheerfully calling out his name.

1. Allow the toddler to handle the stethoscope while the history is being

taken.