HESI RN EXIT EXAM Questions with Complete Solutions.

HESI RN EXIT EXAM 2022/2023 Questions with Complete Solutions 1. In planning care for a 6 month-old infant, what must the nurse provide to assist in the development of trust? - ANS: C) Security 2. A nurse has just received a medication order which is not legible. Which statement best reflects assertive communication? - ANS: B) "Would you please clarify what you have written so I am sure I am reading it correctly?" 3. What is the most important consideration when teaching parents how to reduce risks in the home? - ANS: D) Age of children in the home 4. 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 - ANS: C) Administer the prescribed analgesia 5. While caring for a toddler with croup, which initial sign of croup requires the nurse's immediate attention? - ANS: A) Respiratory rate of 42 6. A client is admitted with low T3 and T4 levels and an elevated TSH level. On initial assessment, the nurse would anticipate which of the following assessment findings? - ANS: A) Lethargy 7. The emergency room nurse admits a child who experienced a seizure at school. The father comments that this is the first occurrence, and denies any family history of epilepsy. What is the best response by the nurse? - ANS: B) "The seizure may or may not mean your child has epilepsy." 8. Alcohol and drug abuse impairs judgment and increases risk taking behavior. What nursing diagnosis best applies? - ANS: A) Risk for injury 9. Which these findings would the nurse more closely associate with anemia in a 10 month-old infant? - ANS: B) Pale mucosa of the eyelids and lips 10. The nurse is caring for a client in hypertensive crisis in an intensive care unit. The priority assessment in the first hour of care is - ANS: D) Pupil responses 11. Which of these clients who are all in the terminal stage of cancer is least appropriate to suggest the use of patient controlled analgesia (PCA) with a pump? - ANS: D) A preschooler with intermittent episodes of alertness 12. The nurse is about to assess a 6 month-old child with nonorganic failure-to thrive (NOFTT). Upon entering the room, the nurse would expect the baby to be - ANS: D) Pale, thin arms and legs, uninterested in surroundings 13. As the nurse is speaking with a group of teens which of these side effects of chemotherapy for cancer would the nurse expect this group to be more interested in during the discussion? - ANS: D) Hair loss 14. While caring for a client who was admitted with myocardial infarction (MI) 2 days ago, the nurse notes today's temperature is 101.1 degrees Fahrenheit (38.5 degrees Celsius). The appropriate nursing intervention is to - ANS: B) Administer acetaminophen as ordered as this is normal at this time 15. A client is admitted for first and second degree burns on the face, neck, anterior chest and hands. The nurse's priority should be - ANS: B) Assess for dyspnea or stridor 16. Which of these clients who call the community health clinic would the nurse ask to come in that day to be seen by the health care provider? - ANS: D) I went to the bathroom and my urine looked very red and it didn't hurt when I went. 17. Which of these parents' comment for a newborn would most likely reveal an initial finding of a suspected pyloric stenosis? - ANS: C) Mild vomiting that progressed to vomiting shooting across the room. 18. The nurse is assessing a child for clinical manifestations of iron deficiency anemia. Which factor would the nurse recognize as cause for the findings? - ANS: B) Tissue hypoxia 19. The nurse would expect the cystic fibrosis client to receive supplemental pancreatic enzymes along with a diet - ANS: A) High in carbohydrates and proteins 20. In evaluating the growth of a 12 month-old child, which of these findings would the nurse expect to be present in the infant? - ANS: C) Tripled the birth weight 21. A Hispanic client in the postpartum period refuses the hospital food because it is "cold." The best initial action by the nurse is to - ANS: B) Ask the client what foods are acceptable or bad 22. The father of an 8 month-old infant asks the nurse if his infant's vocalizations are normal for his age. Which of the following would the nurse expect at this age? - ANS: B) Imitation of sounds 23. The nurse should recognize that physical dependence is accompanied by what findings when alcohol consumption is first reduced or ended? - ANS: B) Withdrawal 24. Immediately following an acute battering incident in a violent relationship, the batterer may respond to the partner's injuries by - ANS: B) Minimizing the episode and underestimating the victim's injuries * 25. A client with pneumococcal pneumonia had been started on antibiotics 16 hours ago. During the nurse's initial evening rounds the nurse notices a foul smell in the room. The client makes all of these statements during their conversation. Which statement would alert the nurse to a complication? - ANS: B) "I have been coughing up foul-tasting, brown, thick sputum." 26. The nurse is performing an assessment on a client in congestive heart failure. Auscultation of the heart is most likely to reveal - ANS: A) S3 ventricular gallop 27. Which of these observations made by the nurse during an excretory urogram indicate a complicaton? - ANS: B) The client's entire body turns a bright red color 28. A client is diagnosed with a spontaneous pneumothorax necessitating the insertion of a chest tube. What is the best explanation for the nurse to provide this client? - ANS: B) "The tube will remove excess air from your chest." 29. The nurse is reviewing laboratory results on a client with acute renal failure. Which one of the following should be reported immediately? - ANS: D) Serum potassium 6 mEq/L 30. The nurse is caring for a client undergoing the placement of a central venous catheter line. Which of the following would require the nurse's immediate attention? - ANS: C) Dyspnea 31. The nurse is performing a physical assessment on a client who just had an endotracheal tube inserted. Which finding would call for immediate action by the nurse? - ANS: C) Pulse oximetry of 88 32. A nurse checks a client who is on a volume-cycled ventilator. Which finding indicates that the client may need suctioning? - ANS: D) Restlessness 33. During the evaluation phase for a client, the nurse should focus on - ANS: B) The client's status, progress toward goal achievement, and ongoing re-evaluation 34. The school nurse suspects that a third grade child might have Attention Deficit Hyperactivity Disorder. Prior to referring the child for further evaluation, the nurse should - ANS: C) Compile a history of behavior patterns and developmental accomplishments 35. Which of the actions suggested to the RN by the PN during a planning conference for a 10 month-old infant admitted 2 hours ago with bacterial meningitis would be acceptable to add to the plan of care? - ANS: A) Measure head circumference 36. A client is admitted with a diagnosis of hepatitis B. In reviewing the initial laboratory results, the nurse would expect to find elevation in which of the following values? - ANS: C) Bilirubin 37. The nurse is discussing nutritional requirements with the parents of an 18 month-old child. Which of these statements about milk consumption is correct? - ANS: D)