(V1 & V2) - All Q&As (Brand New) A++ TB w/Pics
1. The nurse is assessing a 2-month-old-infant at a well baby clinic. The nurse should
anticipate the infant should
(a) roll from prone to back
(b) have no head lag
(c) smile socially
(d) have no tonic neck refl ex
2. The nurse is teaching a class on infant nutrition. The nurse should instruct parentsto
introduce (a) fruit juices at 3 months
(b) honey sweetened water at 6 months
(c) pureed chicken at 7 months
(d) whole milk at 9 months
3. The nurse is caring for a 7-year-old who has thrombocytopenia and is on protective
precautions. Which of the following would be an appropriate toy for the nurse to
provide to the client?
(a) Finger paints and paper
(b) A rubber ball and bat
(c) A board game
(d) A stuffed toy
4. The nurse on a pediatric unit has been informed that the following clients are being
admitted. The nurse should fi rst plan to assess the client who is* (a) 2 years old, has a
temperature of 100.8 F and a blood pressure of 68/44
(b) 4 years old with a history of asthma and has a peak expiratory fl ow rate (PERF) of
81%
(c) 5 years old, has a fracture of the tibia and is reporting pain rated 7 on a pain scale
of 0 (no pain) to 10 (severe pain)
(d) 7 years old with ulcerative colitis and has had 15 blood tinged stools today
5. The nurse is providing discharge instructions to the parents of an infant who has a
cleft lip. The nurse should instruct the parents to
(a) place the infant in a prone position after each feeding
,(b) encourage the parents to provide the infant rest periods during feedings
,2022 RN HESI EXIT EXAM - Version 1 (V1) All 160 Qs
& As Included - Guaranteed Pass A+!!! (All Brand New
Q&A Pics Included)
(c) regularly offer the infant a pacifi er to enhance the sucking refl ex
(d) elevate the child‘s head forty fi ve degrees during feeding
6. The nurse is assessing a 3-year-old during a well-child visit. During the visit the
boy says to his mother, ―Mommy, I love you. I‘m going to marry you.‖ The nurse
should
(a) suggest to the mother not to encourage these types of statements
(b) explain to the child that he will not be able to marry his mother even though he
loves her
(c) tell the mother that this statement is appropriate for his stage of development
(d) recommend that the mother provide more opportunities for her son to play with
other 3-year-old boys
7. The nurse is assessing a child with coarctation of the aorta. Which of the following
would be an expected fi nding?
(a) diminished blood pressure in the upper extremities
(b) excessive weight gain
(c) high pitched murmur
(d) absence of femoral pulses
8. The nurse is caring for a child with an acyanotic heart defect. Which of the
following would be an expected fi nding. Select all that apply.
(a) poor suck refl ex
(b) tachycardia
(c) increased respiratory rate
(d) bradycardia
(e) fainting spells
(f) delayed growth and development
9. The nurse is teaching a new mother about immunizations. Which of the following
should the nurse include in the teaching?
(a) ―Your baby should wait six months to receive any immunizations since the baby
was born preterm.‖
(b) ―Your baby will receive the fi rst hepatitis B vaccine after one year of age.‖
(c) ―Acellular Pertussis vaccine has less side effects than whole-cell pertussis
vaccine.‖
7
, (d) The Haemophilus Infl uenza Type b (HIB) is given annually to protect against the
fl u.‖
10. The mother of an infant tells the nurse that the baby has not been tolerating
feedings lately and she noticed an olive-shaped mass in the infant‘s abdomen. The
nurse recognizes that this could be an expected fi nding if the infant has
(a) intussusception
(b) Hirschsprung‘s disease
(c) umbilical hernia
(d) pyloric stenosis
11. The nurse is teaching a group of parents about the expected growth and development
of three-year-old children. The nurse should include that a three-year-oldshould
(a) discriminate between fantasy and reality
(b) ride a tricycle independently
(c) have a vocabulary of 7,000 words
(d) play in a group of two or three with one being the leader
12. The nurse and the nursing assistant are caring for a group of clients. Which of the
following client care activities should the nurse assign to the nursing assistant? Select
all that apply.
(a) reinforcing the dressing of a client who has a decubitus ulcer
(b) monitoring the vital signs of a client who had a myocardial infarction 12
hours ago and is being transferred from the coronary care unit
(c) administering a prescribed Fleet‘s enema to a client who will undergo a
colonoscopy in two hours
(d) placing a client who had an above the knee amputation 24 hours ago in a
prone position
(e) assisting a client who had a colon resection 36 hours ago to ambulate
(f) showing a client who had a vaginal hysterectomy 36 hours ago how to
perform perineal care
13. The nurse is caring for a client with Acquired immunodefi ciency syndrome (AIDS)
who was started on Zidovidine (AZT). It would be important for the nurse toassess
8