REVIEWED HESI RN EXIT EXAM QUESTIONS AND ANSWERS

REVIEWED HESI RN EXIT EXAM
QUESTIONS AND ANSWERS
In56planning56care56for56a56656month-
old56infant,56what56must56the56nurse56provide56to56assist56in56the56development56of56trust?

A) Food

B) Warmth

C) Security

D) Comfort56-56CORRECT56ANSWER56-C)56Security



A56nurse56has56just56received56a56medication56order56which56is56not56legible.56Which56statement56bes
t56reflects56assertive56communication?

A) "I56cannot56give56this56medication56as56it56is56written.56I56have56no56idea56of56what56you56mean."

B) "Would56you56please56clarify56what56you56have56written56so56I56am56sure56

I56am56reading56it56correctly?"

C) "I56am56having56difficulty56reading56your56handwriting.56It56would56save56me56time56if56you56would56be5
6more56careful."


D) "Please56print56in56the56future56so56I56do56not56have56to56spend56extra56time56attempting56to56r
ead56your56writing."56-56CORRECT56ANSWER56-
B)56"Would56you56please56clarify56what56you56have56written56so56I56am56sure56I56am56reading56it

correctly?"



What56is56the56most56important56consideration56when56teaching56parents56how56to56reduce56risks56in56the
56home?


A) Age56and56knowledge56level56of56the56parents

B) Proximity56to56emergency56services

C) Number56of56children56in56the56home

D) Age56of56children56in56the56home56-56CORRECT56ANSWER56-D)56Age56of56children56in56the56home

,A563556year-
old56client56with56sickle56cell56crisis56is56talking56on56the56telephone56but56stops56as56the56nurse56ent
ers56the56room56to56request56something56for56pain.56The56nurse56should

A) Administer56a56placebo

B) Encourage56increased56fluid56intake

C) Administer56the56prescribed56analgesia

D) Recommend56relaxation56exercises56for56pain56control56-56CORRECT56ANSWER56-
C)56Administer56the56prescribed56analgesia



While56caring56for56a56toddler56with56croup,56which56initial56sign56of56croup56requires56the56nurse's56i
mmediate56attention?

A) Respiratory56rate56of5642

B) Lethargy56for56the56past56hour

C) Apical56pulse56of5654

D) Coughing56up56copious56secretions56-56CORRECT56ANSWER56-A)56Respiratory56rate56of5642



A56client56is56admitted56with56low56T356and56T456levels56and56an56elevated56TSH56level.56On56initial56assess
ment,56the56nurse56would56anticipate56which56of56the56following56assessment56findings?

A) Lethargy

B) Heat56intolerance

C) Diarrhea

D) Skin56eruptions56-56CORRECT56ANSWER56-A)56Lethargy



The56emergency56room56nurse56admits56a56child56who56experienced56a56seizure56at56school.56The56f
ather56comments56that56this56is56the56first56occurrence,56and56denies56any56family56history56of56epile
psy.56What56is56the56best56response56by56the56nurse?

A) "Do56not56worry.56Epilepsy56can56be56treated56with56medications."

B) "The56seizure56may56or56may56not56mean56your56child56has56epilepsy."

,C) "Since56this56was56the56first56convulsion,56it56may56not56happen56again."

D) "Long56term56treatment56will56prevent56future56seizures."56-56CORRECT56ANSWER56-
B)56"The56seizure56may56or56may56not56mean56your56child56has56epilepsy."



Alcohol56and56drug56abuse56impairs56judgment56and56increases56risk56taking56behavior.56What56nursin
g56diagnosis56best56applies?

A) Risk56for56injury

B) Risk56for56knowledge56deficit

C) Altered56thought56process

D) Disturbance56in56self-esteem56-56CORRECT56ANSWER56-A)56Risk56for56injury



Which56these56findings56would56the56nurse56more56closely56associate56with56anemia56in56a561056month-
old56infant?

A) Hemoglobin56level56of561256g/dI

B) Pale56mucosa56of56the56eyelids56and56lips

C) Hypoactivity

D) A56heart56rate56between5614056to5616056-56CORRECT56ANSWER56-
B)56Pale56mucosa56of56the56eyelids56and56lips



The56nurse56is56caring56for56a56client56in56hypertensive56crisis56in56an56intensive56care56unit.56The56pri
ority56assessment56in56the56first56hour56of56care56is

A) Heart56rate

B) Pedal56pulses

C) Lung56sounds

D) Pupil56responses56-56CORRECT56ANSWER56-D)56Pupil56responses



Which56of56these56clients56who56are56all56in56the56terminal56stage56of56cancer56is56least56appropriate56
to56suggest56the56use56of56patient56controlled56analgesia56(PCA)56with56a56pump?

A) A56young56adult56with56a56history56of56Down's56syndrome

, B) A56teenager56who56reads56at56a564th56grade56level

C) An56elderly56client56with56numerous56arthritic56nodules56on56the56hands

D) A56preschooler56with56intermittent56episodes56of56alertness56-56CORRECT56ANSWER56-
D)56A56preschooler56with56intermittent56episodes56of56alertness



The56nurse56is56about56to56assess56a56656month-old56child56with56nonorganic56failure-
to56thrive56(NOFTT).56Upon56entering56the56room,56the56nurse56would56expect56the56baby56to56be

A) Irritable56and56"colicky"56with56no56attempts56to56pull56to56standing

B) Alert,56laughing56and56playing56with56a56rattle,56sitting56with56support

C) Skin56color56dusky56with56poor56skin56turgor56over56abdomen

D) Pale,56thin56arms56and56legs,56uninterested56in56surroundings56-56CORRECT56ANSWER56-
D)56Pale,56thin56arms56and56legs,56uninterested56in56surroundings



As56the56nurse56is56speaking56with56a56group56of56teens56which56of56these56side56effects56of56chemot
herapy56for56cancer56would56the56nurse56expect56this56group56to56be56more56interested56in56during5
6the56discussion?


A) Mouth56sores

B) Fatigue

C) Diarrhea

D) Hair56loss56-56CORRECT56ANSWER56-D)56Hair56loss



While56caring56for56a56client56who56was56admitted56with56myocardial56infarction56(MI)56256days56ago,
56the56nurse56notes56today's56temperature56is56101.156degrees56Fahrenheit56(38.556degreesCelsius).56
The56appropriate56nursing56intervention56is56to

A) Call56the56health56care56provider56immediately

B) Administer56acetaminophen56as56ordered56as56this56is56normal56at56this56time

C) Send56blood,56urine56and56sputum56for56culture

D) Increase56the56client's56fluid56intake56-56CORRECT56ANSWER56-
B)56Administer56acetaminophen56as56ordered56as56this56is56normal56at56this56time