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HESI RN MENTAL HEALTH EXIT EXAM | QUESTIONS
WITH VERIFIED ANSWERS | 2026 UPDATE
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? - SOLUTION=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? - SOLUTION=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? -
SOLUTION=Ask the child if he has has a cold, runny nose or any ear pain lately
Which restraint should be used for a toddler after a cleft palate repair? - SOLUTION=elbow
What preoperative nursing intervention should be included in the plan of care for an infant
with pyloric stenosis? - SOLUTION=Observe for projectile vomiting
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A six month old returns from surgery with elbow restraints in place. What nursing
intervention should be included when caring for any restrained child? - SOLUTION=remove
restraints one at a time and provide range of motion exercise
A two year old with Down Syndrome is brought to the clinic for his regular physical exam.
The nurse knows which problem is frequently associated with Down Syndrome? -
SOLUTION=Congenital Heart Disease
When assessing a child with asthma the nurse should expect intercostal retractions during -
SOLUTION=inspiration
When planning the care for a child who has had a cleft lip repair, the nurse knows that
crying should be minimized because it - SOLUTION=stresses the suture line
A client with a productive cough has obtained a sputum specimen for culture as instructed.
What action is the best initial nursing action? - SOLUTION=Administer the first dose of
prescribed antibiotic therapy
A client is brought to the Emergency Department by ambulance in cardiac arrest with CPR
in progress. The client is intubated and receiving 100% O2 per ambu bag. The nurse
determines the client is
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cyanotic, cold, and diaphoretic. Which assessment is most important to obtain? -
SOLUTION=deep tendon reflexes
After a hospitalization for Syndrome of Inappropriate Antidiuretic Hormone (SIADH), a client
develops pontine myselinolysis. Which intervention should the nurse implement first? -
SOLUTION=Reorientate client to his room
A male client with heart failure (HF) calls the clinic and reports he cannot put his shoes on
because they are too tight. Which additional information should the nurse obtain? -
SOLUTION=Has his weight changed in the last several days
An older adult with a long hx of COPD is admitted with progressive shortness of breath and
a persistent cough. She is anxious and is complaining of a dry mouth. Which intervention
should the nurse implement? - SOLUTION=Apply a high flow venturi mask
A client with a hx of asthma and bronchitis arrives at the clinic with SOB, productive cough
with thickened tenacious mucous and the inability to walk up a flight of stairs without
experiencing breathlessness. Which action is important for the nurse to instruct the client
about self care? - SOLUTION=Increase the daily intake of oral fluids to to liquefy secretions
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A cardiac catherization of a client with heart disease indicates the following blockages 95%
LAD 99% proximal circumflex and 95% proximal RCA. The client later asks the nurse "what
does all that mean for me" - SOLUTION=3 main arteries have major blockages with only 1
to 5% of blood flow getting through to the heart muscle
The nurse is caring for a client with a lower left pulmonary abscess which position should
the nurse instruct the client to maintain - SOLUTION=left lateral
A client with cholelithiasis has a gallstone lodged in the common bile duct and is unable to
eat or drink without nausea and vomiting. Which finding should the nurse report to the
healthcare provider - SOLUTION=yellow sclera
While caring for a client with Amyotrophic Lateral Sclerosis (ALS), the nurse performs a
neuro assessment every 4 hours. which assessment finding warrants immediate
intervention by the nurse? - SOLUTION=Increasing Anxiety
The nurse is providing preoperative education for a Jewish client scheduled to receive a
xenograft to promote burn healing. Which info should the nurse provide this client? -
SOLUTION=The xenograft is taken from nonhuman sources
HESI RN MENTAL HEALTH EXIT EXAM | QUESTIONS
WITH VERIFIED ANSWERS | 2026 UPDATE
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? - SOLUTION=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? - SOLUTION=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? -
SOLUTION=Ask the child if he has has a cold, runny nose or any ear pain lately
Which restraint should be used for a toddler after a cleft palate repair? - SOLUTION=elbow
What preoperative nursing intervention should be included in the plan of care for an infant
with pyloric stenosis? - SOLUTION=Observe for projectile vomiting
,2|Page
A six month old returns from surgery with elbow restraints in place. What nursing
intervention should be included when caring for any restrained child? - SOLUTION=remove
restraints one at a time and provide range of motion exercise
A two year old with Down Syndrome is brought to the clinic for his regular physical exam.
The nurse knows which problem is frequently associated with Down Syndrome? -
SOLUTION=Congenital Heart Disease
When assessing a child with asthma the nurse should expect intercostal retractions during -
SOLUTION=inspiration
When planning the care for a child who has had a cleft lip repair, the nurse knows that
crying should be minimized because it - SOLUTION=stresses the suture line
A client with a productive cough has obtained a sputum specimen for culture as instructed.
What action is the best initial nursing action? - SOLUTION=Administer the first dose of
prescribed antibiotic therapy
A client is brought to the Emergency Department by ambulance in cardiac arrest with CPR
in progress. The client is intubated and receiving 100% O2 per ambu bag. The nurse
determines the client is
,3|Page
cyanotic, cold, and diaphoretic. Which assessment is most important to obtain? -
SOLUTION=deep tendon reflexes
After a hospitalization for Syndrome of Inappropriate Antidiuretic Hormone (SIADH), a client
develops pontine myselinolysis. Which intervention should the nurse implement first? -
SOLUTION=Reorientate client to his room
A male client with heart failure (HF) calls the clinic and reports he cannot put his shoes on
because they are too tight. Which additional information should the nurse obtain? -
SOLUTION=Has his weight changed in the last several days
An older adult with a long hx of COPD is admitted with progressive shortness of breath and
a persistent cough. She is anxious and is complaining of a dry mouth. Which intervention
should the nurse implement? - SOLUTION=Apply a high flow venturi mask
A client with a hx of asthma and bronchitis arrives at the clinic with SOB, productive cough
with thickened tenacious mucous and the inability to walk up a flight of stairs without
experiencing breathlessness. Which action is important for the nurse to instruct the client
about self care? - SOLUTION=Increase the daily intake of oral fluids to to liquefy secretions
, 4|Page
A cardiac catherization of a client with heart disease indicates the following blockages 95%
LAD 99% proximal circumflex and 95% proximal RCA. The client later asks the nurse "what
does all that mean for me" - SOLUTION=3 main arteries have major blockages with only 1
to 5% of blood flow getting through to the heart muscle
The nurse is caring for a client with a lower left pulmonary abscess which position should
the nurse instruct the client to maintain - SOLUTION=left lateral
A client with cholelithiasis has a gallstone lodged in the common bile duct and is unable to
eat or drink without nausea and vomiting. Which finding should the nurse report to the
healthcare provider - SOLUTION=yellow sclera
While caring for a client with Amyotrophic Lateral Sclerosis (ALS), the nurse performs a
neuro assessment every 4 hours. which assessment finding warrants immediate
intervention by the nurse? - SOLUTION=Increasing Anxiety
The nurse is providing preoperative education for a Jewish client scheduled to receive a
xenograft to promote burn healing. Which info should the nurse provide this client? -
SOLUTION=The xenograft is taken from nonhuman sources
