HESI RN EXIT EXAM (V4) Actual Questions
and Answers to Pass the Exam
1. 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 comfort
D) Release the traction for 15-20 minutes every 6 hours PRN.
Answer: A: Make certain the child is maintained in correct body alignment.
2. 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 widely
B) Growth pattern appears to have slowed
C) Recumbent and standing height are different
D) Short term weight changes are uneven
Answer: A: Height and weight percentiles vary widely
3. 3. 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 resuscitation
B) Recommend that the parents give in when he holds his breath
to prevent anoxia
C)Advise the parents to ignore breath holding because breathing will
begin as a reflex
D) Instruct the parents on how to reason with the child about possible
harmful effects
Answer: C: Advise the parents to ignore breath holding because breathing will begin as a reflex
4. 4. The nurse is assessing a client in the emergency room. Which
statement suggests that the problem is acute angina?
A) "My pain is deep in my chest behind my sternum."
B) "When I sit up the pain gets worse."
C) "As I take a deep breath the pain gets worse."
D) "The pain is right here in my stomach area."
Answer: A: "My pain is deep in my chest behind my sternum."
5. 5. The nurse is assessing the mental status of a client admitted
with possible organic brain disorder. Which of these questions will
best assess the function of the client's recent memory?
,A) "Name the year." "What season is this?" (pause for answer after
each ques- tion)
B)"Subtract 7 from 100 and then subtract 7 from that." (pause for
answer) "Now continue to subtract 7 from the new number."
C)"I am going to say the names of three things and I want you to
repeat them after me: blue, ball, pen."
D) "What is this on my wrist?" (point to your watch) Then ask, "What
is the purpose of it?"
Answer: C: "I am going to say the names of three things and I want you to repeat them after
me: blue, ball, pen."
6. 6. In planning care for a 6 month-old infant, what must the
nurse provide to assist in the development of trust?
A) Food
B) Warmth
C) Security
D) Comfort
Answer: C: Security
7. 7. A nurse has just received a medication order which is not
legible. Which statement best reflects assertive communication?
A) "I cannot give this medication as it is written. I have no idea
of what you mean."
, B) "Would you please clarify what you have written so I am sure I
am reading it correctly?"
C) "I am having difficulty reading your handwriting. It would
save me time if you would be more careful."
D)"Please print in the future so I do not have to spend extra time
attempting to read your writing.": B) "Would you please clarify what you have written so I
am sure I am reading it correctly?"
8. 8. What is the most important consideration when teaching
parents how to reduce risks in the home?
A) Age and knowledge level of the parents
B) Proximity to emergency services
C) Number of children in the home
D) Age of children in the home
Answer: D: Age of children in the home
9. 9. A 35 year-old client with sickle cell crisis is talking on the
telephone but stops as the nurse enters the room to request
something for pain. The nurse should
A) Administer a placebo
B) Encourage increased fluid intake
C) Administer the prescribed analgesia
D)Recommend relaxation exercises for pain control
and Answers to Pass the Exam
1. 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 comfort
D) Release the traction for 15-20 minutes every 6 hours PRN.
Answer: A: Make certain the child is maintained in correct body alignment.
2. 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 widely
B) Growth pattern appears to have slowed
C) Recumbent and standing height are different
D) Short term weight changes are uneven
Answer: A: Height and weight percentiles vary widely
3. 3. 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 resuscitation
B) Recommend that the parents give in when he holds his breath
to prevent anoxia
C)Advise the parents to ignore breath holding because breathing will
begin as a reflex
D) Instruct the parents on how to reason with the child about possible
harmful effects
Answer: C: Advise the parents to ignore breath holding because breathing will begin as a reflex
4. 4. The nurse is assessing a client in the emergency room. Which
statement suggests that the problem is acute angina?
A) "My pain is deep in my chest behind my sternum."
B) "When I sit up the pain gets worse."
C) "As I take a deep breath the pain gets worse."
D) "The pain is right here in my stomach area."
Answer: A: "My pain is deep in my chest behind my sternum."
5. 5. The nurse is assessing the mental status of a client admitted
with possible organic brain disorder. Which of these questions will
best assess the function of the client's recent memory?
,A) "Name the year." "What season is this?" (pause for answer after
each ques- tion)
B)"Subtract 7 from 100 and then subtract 7 from that." (pause for
answer) "Now continue to subtract 7 from the new number."
C)"I am going to say the names of three things and I want you to
repeat them after me: blue, ball, pen."
D) "What is this on my wrist?" (point to your watch) Then ask, "What
is the purpose of it?"
Answer: C: "I am going to say the names of three things and I want you to repeat them after
me: blue, ball, pen."
6. 6. In planning care for a 6 month-old infant, what must the
nurse provide to assist in the development of trust?
A) Food
B) Warmth
C) Security
D) Comfort
Answer: C: Security
7. 7. A nurse has just received a medication order which is not
legible. Which statement best reflects assertive communication?
A) "I cannot give this medication as it is written. I have no idea
of what you mean."
, B) "Would you please clarify what you have written so I am sure I
am reading it correctly?"
C) "I am having difficulty reading your handwriting. It would
save me time if you would be more careful."
D)"Please print in the future so I do not have to spend extra time
attempting to read your writing.": B) "Would you please clarify what you have written so I
am sure I am reading it correctly?"
8. 8. What is the most important consideration when teaching
parents how to reduce risks in the home?
A) Age and knowledge level of the parents
B) Proximity to emergency services
C) Number of children in the home
D) Age of children in the home
Answer: D: Age of children in the home
9. 9. A 35 year-old client with sickle cell crisis is talking on the
telephone but stops as the nurse enters the room to request
something for pain. The nurse should
A) Administer a placebo
B) Encourage increased fluid intake
C) Administer the prescribed analgesia
D)Recommend relaxation exercises for pain control
