HESI EXIT RN V4 EXAM QUESTIONS AND ANSWERS UPDATED
2023/2024 ALL ANSWERS 100% CORRECT TOP RANKED A+ FOR
SUCCESS
1. The nurse enters a 2 year-old child's hospital room in order to
administer an oral medication. When the child is asked if he is ready to take
his medicine, he immediately says, "No!". What would be the most
appropriate next action?
A) Leave the room and return five minutes later and give the medicine
B) Explain to the child that the medicine must be taken now
C) Give the medication to the father and ask him to give it
D) Mix the medication with ice cream or applesauce - CORRECT ANSWERS
A: Leave the room and return five minutes later and give the medicine
2. The mother of a 15 month-old child asks the nurse to explain her child's
lab results and how they show her child has iron deficiency anemia. The
nurse's best response is
A) "Although the results are here, your doctor will explain them later."
B) "Your child has less red blood cells that carry oxygen."
C) "The blood cells that carry nutrients to the cells are too large."
D) "There are not enough blood cells in your child's circulation." -
CORRECT ANSWERS B: "Your child has less red blood cells that carry
oxygen."
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
,HESI EXIT RN V4 EXAM QUESTIONS AND ANSWERS UPDATED
2023/2024 ALL ANSWERS 100% CORRECT TOP RANKED A+ FOR
SUCCESS
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 - CORRECT ANSWERS C: Advise the parents to ignore
breath holding because breathing will begin as a reflex
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." - CORRECT ANSWERS A:
"My pain is deep in my chest behind my sternum."
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
question)
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?" - CORRECT ANSWERS C: "I am going to say the names of
three things and I want you to repeat them after me: blue, ball, pen."
,HESI EXIT RN V4 EXAM QUESTIONS AND ANSWERS UPDATED
2023/2024 ALL ANSWERS 100% CORRECT TOP RANKED A+ FOR
SUCCESS
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 - CORRECT ANSWERS C: Security
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." - CORRECT ANSWERS B) "Would you
please clarify what you have written so I am sure I am reading it correctly?"
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
, HESI EXIT RN V4 EXAM QUESTIONS AND ANSWERS UPDATED
2023/2024 ALL ANSWERS 100% CORRECT TOP RANKED A+ FOR
SUCCESS
D) Age of children in the home - CORRECT ANSWERS D: Age of children in
the home
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 - CORRECT ANSWERS
C: Administer the prescribed analgesia
10. While caring for a toddler with croup, which initial sign of croup
requires the nurse's immediate attention?
A) Respiratory rate of 42
B) Lethargy for the past hour
C) Apical pulse of 54
D) Coughing up copious secretions - CORRECT ANSWERS A: Respiratory
rate of 30
11. 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?
A) Lethargy
B) Heat intolerance
C) Diarrhea
2023/2024 ALL ANSWERS 100% CORRECT TOP RANKED A+ FOR
SUCCESS
1. The nurse enters a 2 year-old child's hospital room in order to
administer an oral medication. When the child is asked if he is ready to take
his medicine, he immediately says, "No!". What would be the most
appropriate next action?
A) Leave the room and return five minutes later and give the medicine
B) Explain to the child that the medicine must be taken now
C) Give the medication to the father and ask him to give it
D) Mix the medication with ice cream or applesauce - CORRECT ANSWERS
A: Leave the room and return five minutes later and give the medicine
2. The mother of a 15 month-old child asks the nurse to explain her child's
lab results and how they show her child has iron deficiency anemia. The
nurse's best response is
A) "Although the results are here, your doctor will explain them later."
B) "Your child has less red blood cells that carry oxygen."
C) "The blood cells that carry nutrients to the cells are too large."
D) "There are not enough blood cells in your child's circulation." -
CORRECT ANSWERS B: "Your child has less red blood cells that carry
oxygen."
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
,HESI EXIT RN V4 EXAM QUESTIONS AND ANSWERS UPDATED
2023/2024 ALL ANSWERS 100% CORRECT TOP RANKED A+ FOR
SUCCESS
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 - CORRECT ANSWERS C: Advise the parents to ignore
breath holding because breathing will begin as a reflex
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." - CORRECT ANSWERS A:
"My pain is deep in my chest behind my sternum."
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
question)
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?" - CORRECT ANSWERS C: "I am going to say the names of
three things and I want you to repeat them after me: blue, ball, pen."
,HESI EXIT RN V4 EXAM QUESTIONS AND ANSWERS UPDATED
2023/2024 ALL ANSWERS 100% CORRECT TOP RANKED A+ FOR
SUCCESS
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 - CORRECT ANSWERS C: Security
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." - CORRECT ANSWERS B) "Would you
please clarify what you have written so I am sure I am reading it correctly?"
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
, HESI EXIT RN V4 EXAM QUESTIONS AND ANSWERS UPDATED
2023/2024 ALL ANSWERS 100% CORRECT TOP RANKED A+ FOR
SUCCESS
D) Age of children in the home - CORRECT ANSWERS D: Age of children in
the home
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 - CORRECT ANSWERS
C: Administer the prescribed analgesia
10. While caring for a toddler with croup, which initial sign of croup
requires the nurse's immediate attention?
A) Respiratory rate of 42
B) Lethargy for the past hour
C) Apical pulse of 54
D) Coughing up copious secretions - CORRECT ANSWERS A: Respiratory
rate of 30
11. 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?
A) Lethargy
B) Heat intolerance
C) Diarrhea
