HESI RN COMPREHENSIVE EXIT EXAM VERSION IV- 160+ QUESTIONS
AND ANSWERS|WELL STRUCTURED|A+ GRADED|
QUESTIONS ANSWERS
1. The nurse is caring for a pre-adolescent client in skeletal Dunlop
traction. Which nursing intervention is appropriate for this child?
Make certain the child is maintained in correct body alignment.
A) A: Make certain the child is maintained in correct body alignment.
B) Be sure the traction weights touch the end of the bed.
C) Adjust the head and foot of the bed for the child's comfort
D) Release the traction for 15-20 minutes every 6 hours PRN.
2. The nurse is assessing a healthy child at the 2 year check up.
Which of the following should the nurse report immediately to the
health care provider?
A: Height and weight percentiles vary widely
A) Height and weight percentiles vary widely
B) Growth pattern appears to have slowed
C) Recumbent and standing height are different
D) Short term weight changes are uneven
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 resuscita-
tion C: Advise the parents to ignore breath holding because breathing
B) Recommend that the parents give in when he holds his breath will begin as a reflex
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
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." 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."
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) C: "I am going to say the names of three things and I want you to
B) "Subtract 7 from 100 and then subtract 7 from that." (pause for repeat them after me: blue, ball, pen."
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?"
6. In planning care for a 6 month-old infant, what must the nurse
provide to assist in the development of trust?
A) Food C: Security
B) Warmth
C) Security
D) Comfort
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 B) "Would you please clarify what you have written so I am sure I
what you mean." am reading it correctly?"
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."
8. What is the most important consideration when teaching par-
ents how to reduce risks in the home?
A) Age and knowledge level of the parents D: Age of children in the home
B) Proximity to emergency services
C) Number of children in the home
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
C: Administer the prescribed analgesia
A) Administer a placebo
B) Encourage increased fluid intake
C) Administer the prescribed analgesia
D) Recommend relaxation exercises for pain control
10. While caring for a toddler with croup, which initial sign of croup
requires the nurse's immediate attention?
A) Respiratory rate of 42 A: Respiratory rate of 30
B) Lethargy for the past hour
C) Apical pulse of 54
D) Coughing up copious secretions
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 A: Lethargy
B) Heat intolerance
C) Diarrhea
D) Skin eruptions
12. 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?
B: "The seizure may or may not mean your child has epilepsy."
A) "Do not worry. Epilepsy can be treated with medications."
B) "The seizure may or may not mean your child has epilepsy."
C) "Since this was the first convulsion, it may not happen again."
D) "Long term treatment will prevent future seizures."
13. Alcohol and drug abuse impairs judgment and increases risk
taking behavior. What nursing diagnosis best applies?
A) Risk for injury A: Risk for injury
B) Risk for knowledge deficit
C) Altered thought process
D) Disturbance in self-esteem
14. The nurse is caring for a 10 month-old infant who is has oxygen
via mask. It is important for the nurse to maintain patency of which
of these areas?
A) Mouth B: Nasal passages
B) Nasal passages
C) Back of throat
D) Bronchials
15. The nurse is providing instructions for a client with pneumonia.
What is the most important information to convey to the client?
, A) "Take at least 2 weeks off from work."
B) "You will need another chest x-ray in 6 weeks." D: "Complete all of the antibiotic even if your findings decrease."
C) "Take your temperature every day."
D) "Complete all of the antibiotic even if your findings decrease."
16. When counseling a 6 year old who is experiencing enuresis,
what must the nurse understand about the pathophysiological
basis of this disorder?
A: Has no clear etiology
A) Has no clear etiology
B) May be associated with sleep phobia
C) Has a definite genetic link
D) Is a sign of willful misbehavior
17. The nurse is discussing negativism with the parents of a 30
month-old child. How should the nurse tell the parents to best
respond to this behavior?
C: Use patience and a sense of humor to deal with this behavior
A) Reprimand the child and give a 15 minute "time out"
B) Maintain a permissive attitude for this behavior
C) Use patience and a sense of humor to deal with this behavior
D) Assert authority over the child through limit setting
18. The nurse is talking by telephone with a parent of a 4 year-old
child who has chickenpox. Which of the following demonstrates
appropriate teaching by the nurse?
A) Chewable aspirin is the preferred analgesic C: Papules, vesicles, and crusts will be present at one time
B) Topical cortisone ointment relieves itching
C) Papules, vesicles, and crusts will be present at one time
D) The illness is only contagious prior to lesion eruption
19. The nurse is assigned to a client who has heart failure . During
the morning rounds the nurse sees the client develop sudden anx-
iety, diaphoresis and dyspnea. The nurse auscultates, crackles
bilaterally. Which nursing intervention should be performed first?
B: Place the client in a sitting position with legs dangling
A) Take the client's vital signs
B) Place the client in a sitting position with legs dangling
C) Contact the health care provider
D) Administer the PRN anti anxiety agent
20. The nurse is caring for a toddler with atopic dermatitis. The
nurse should instruct the parents to
A) Dress the child warmly to avoid chilling
D: Wrap the child''s hand in mittens or socks to prevent scratching
B) Keep the child away from other children for the duration of the
rash
C) Clean the affected areas with tepid water and detergent
D) Wrap the child's hand in mittens or socks to prevent scratching
21. A recovering alcoholic asked the nurse, "Will it be ok for me to
just drink at special family gatherings?" Which initial response by
the nurse would be best?
A) "A recovering person has to be very careful not to lose control,
D: "The recovering person cannot return to drinking without start-
therefore, confine your drinking just at family gatherings."
ing the addiction process over."
B) "At your next AA meeting discuss the possibility of limited
drinking with your sponsor."
C) "A recovering person needs to get in touch with their feelings.
Do you want a drink?" D) "A recovering person cannot return to
drinking without starting the addiction process over."
22. In taking the history of a pregnant woman, which of the follow-
ing would the nurse recognize as the primary contraindication for
breast feeding?
AND ANSWERS|WELL STRUCTURED|A+ GRADED|
QUESTIONS ANSWERS
1. The nurse is caring for a pre-adolescent client in skeletal Dunlop
traction. Which nursing intervention is appropriate for this child?
Make certain the child is maintained in correct body alignment.
A) A: Make certain the child is maintained in correct body alignment.
B) Be sure the traction weights touch the end of the bed.
C) Adjust the head and foot of the bed for the child's comfort
D) Release the traction for 15-20 minutes every 6 hours PRN.
2. The nurse is assessing a healthy child at the 2 year check up.
Which of the following should the nurse report immediately to the
health care provider?
A: Height and weight percentiles vary widely
A) Height and weight percentiles vary widely
B) Growth pattern appears to have slowed
C) Recumbent and standing height are different
D) Short term weight changes are uneven
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 resuscita-
tion C: Advise the parents to ignore breath holding because breathing
B) Recommend that the parents give in when he holds his breath will begin as a reflex
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
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." 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."
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) C: "I am going to say the names of three things and I want you to
B) "Subtract 7 from 100 and then subtract 7 from that." (pause for repeat them after me: blue, ball, pen."
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?"
6. In planning care for a 6 month-old infant, what must the nurse
provide to assist in the development of trust?
A) Food C: Security
B) Warmth
C) Security
D) Comfort
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 B) "Would you please clarify what you have written so I am sure I
what you mean." am reading it correctly?"
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."
8. What is the most important consideration when teaching par-
ents how to reduce risks in the home?
A) Age and knowledge level of the parents D: Age of children in the home
B) Proximity to emergency services
C) Number of children in the home
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
C: Administer the prescribed analgesia
A) Administer a placebo
B) Encourage increased fluid intake
C) Administer the prescribed analgesia
D) Recommend relaxation exercises for pain control
10. While caring for a toddler with croup, which initial sign of croup
requires the nurse's immediate attention?
A) Respiratory rate of 42 A: Respiratory rate of 30
B) Lethargy for the past hour
C) Apical pulse of 54
D) Coughing up copious secretions
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 A: Lethargy
B) Heat intolerance
C) Diarrhea
D) Skin eruptions
12. 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?
B: "The seizure may or may not mean your child has epilepsy."
A) "Do not worry. Epilepsy can be treated with medications."
B) "The seizure may or may not mean your child has epilepsy."
C) "Since this was the first convulsion, it may not happen again."
D) "Long term treatment will prevent future seizures."
13. Alcohol and drug abuse impairs judgment and increases risk
taking behavior. What nursing diagnosis best applies?
A) Risk for injury A: Risk for injury
B) Risk for knowledge deficit
C) Altered thought process
D) Disturbance in self-esteem
14. The nurse is caring for a 10 month-old infant who is has oxygen
via mask. It is important for the nurse to maintain patency of which
of these areas?
A) Mouth B: Nasal passages
B) Nasal passages
C) Back of throat
D) Bronchials
15. The nurse is providing instructions for a client with pneumonia.
What is the most important information to convey to the client?
, A) "Take at least 2 weeks off from work."
B) "You will need another chest x-ray in 6 weeks." D: "Complete all of the antibiotic even if your findings decrease."
C) "Take your temperature every day."
D) "Complete all of the antibiotic even if your findings decrease."
16. When counseling a 6 year old who is experiencing enuresis,
what must the nurse understand about the pathophysiological
basis of this disorder?
A: Has no clear etiology
A) Has no clear etiology
B) May be associated with sleep phobia
C) Has a definite genetic link
D) Is a sign of willful misbehavior
17. The nurse is discussing negativism with the parents of a 30
month-old child. How should the nurse tell the parents to best
respond to this behavior?
C: Use patience and a sense of humor to deal with this behavior
A) Reprimand the child and give a 15 minute "time out"
B) Maintain a permissive attitude for this behavior
C) Use patience and a sense of humor to deal with this behavior
D) Assert authority over the child through limit setting
18. The nurse is talking by telephone with a parent of a 4 year-old
child who has chickenpox. Which of the following demonstrates
appropriate teaching by the nurse?
A) Chewable aspirin is the preferred analgesic C: Papules, vesicles, and crusts will be present at one time
B) Topical cortisone ointment relieves itching
C) Papules, vesicles, and crusts will be present at one time
D) The illness is only contagious prior to lesion eruption
19. The nurse is assigned to a client who has heart failure . During
the morning rounds the nurse sees the client develop sudden anx-
iety, diaphoresis and dyspnea. The nurse auscultates, crackles
bilaterally. Which nursing intervention should be performed first?
B: Place the client in a sitting position with legs dangling
A) Take the client's vital signs
B) Place the client in a sitting position with legs dangling
C) Contact the health care provider
D) Administer the PRN anti anxiety agent
20. The nurse is caring for a toddler with atopic dermatitis. The
nurse should instruct the parents to
A) Dress the child warmly to avoid chilling
D: Wrap the child''s hand in mittens or socks to prevent scratching
B) Keep the child away from other children for the duration of the
rash
C) Clean the affected areas with tepid water and detergent
D) Wrap the child's hand in mittens or socks to prevent scratching
21. A recovering alcoholic asked the nurse, "Will it be ok for me to
just drink at special family gatherings?" Which initial response by
the nurse would be best?
A) "A recovering person has to be very careful not to lose control,
D: "The recovering person cannot return to drinking without start-
therefore, confine your drinking just at family gatherings."
ing the addiction process over."
B) "At your next AA meeting discuss the possibility of limited
drinking with your sponsor."
C) "A recovering person needs to get in touch with their feelings.
Do you want a drink?" D) "A recovering person cannot return to
drinking without starting the addiction process over."
22. In taking the history of a pregnant woman, which of the follow-
ing would the nurse recognize as the primary contraindication for
breast feeding?
