HESI RN COMPREHENSIVE EXIT EXAM VERSION V- 160+ QUESTIONS AND
QUESTIONS ANSWERS|WELL STRUCTURED|A+ GRADED| ANSWERS
The nurse is has just admitted a client with severe depression.
From which focus should the nurse identify a priority nursing
diagnosis?
A) Nutrition D: Safety
B) Elimination
C) Activity
D) Safety
While explaining an illness to a 10 year-old, what should the nurse
keep in mind about the cognitive development at this age?
A) They are able to make simple association of ideas
B: Think logically in organizing facts
B) They are able to think logically in organizing facts
C) Interpretation of events originate from their own perspective
D) Conclusions are based on previous experiences
The nurse enters the room as a 3 year-old is having a generalized
seizure. Which intervention should the nurse do first?
A) Clear the area of any hazards
B: Place the child on the side
B) Place the child on the side
C) Restrain the child
D) Give the prescribed anticonvulsant
The nurse is reviewing a depressed client's history from an ear-
lier admission. Documentation of anhedonia is noted. The nurse
understands that this finding refers to
A) Reports of difficulty falling and staying asleep C: Lack of enjoyment in usual pleasures
B) Expression of persistent suicidal thoughts
C) Lack of enjoyment in usual pleasures
D) Reduced senses of taste and smell
A client has just returned to the medical-surgical unit following
a segmental lung resection. After assessing the client, the first
nursing action would be to
A) Administer pain medication B) Suction excessive tracheobronchial secretions
B) Suction excessive tracheobronchial secretions
C) Assist client to turn, deep breathe and cough
D) Monitor oxygen saturation
While assessing a client in an outpatient facility with a panic dis-
order, the nurse completes a thorough health history and physical
exam. Which finding is most significantfor this client?
A) Compulsive behavior B) Sense of impending doom
B) Sense of impending doom
C) Fear of flying
D) Predictable episodes
A 16 month-old child has just been admitted to the hospital. As the
nurse assigned to this child enters the hospital room for the first
time, the toddler runs to the mother, clings
to her and begins to cry. What would be the initial action by the
nurse? B) Explain that this behavior is expected
A) Arrange to change client care assignments
B) Explain that this behavior is expected
C) Discuss the appropriate use of "time-out"
D) Explain that the child needs extra attention
A 15 year-old client with a lengthy confining illness is at risk for
altered growth and
development of which task?
A) Loss of control C) Dependence
B) Insecurity
C) Dependence
D) Lack of trust
Which playroom activities should the nurse organize for a small
group of 7 year-old hospitalized children? A) Sports and games with rules
A) Sports and games with rules
, HESI RN COMPREHENSIVE EXIT EXAM VERSION V- 160+ QUESTIONS AND
QUESTIONS ANSWERS|WELL STRUCTURED|A+ GRADED| ANSWERS
B) Finger paints and water play
C) "Dress-up" clothes and props
D) Chess and television programs
The nurse is discussing dietary intake with an adolescent who has
acne. The most appropriate statement for the nurse is
A) "Eat a balanced diet for your age."
A) "Eat a balanced diet for your age."
B) "Increase your intake of protein and Vitamin A."
C) "Decrease fatty foods from your diet."
D) "Do not use caffeine in any form, including chocolate."
The nurse is assigned to a newly delivered woman with HIV/AIDS.
The student asks the nurse about how it is determined that a per-
son has AIDS other than a positive HIV test. The nurse responds
A) "The complaints of at least 3 common findings." C) "CD4 lymphocyte count is less than 200."
B) "The absence of any opportunistic infection."
C) "CD4 lymphocyte count is less than 200."
D) "Developmental delays in children."
The nurse is caring for a child who has just returned from surgery
following a tonsillectomy and adenoidectomy. Which action by the
nurse is appropriate?
A) Offer ice cream every 2 hours D: Observe swallowing patterns
B) Place the child in a supine position
C) Allow the child to drink through a straw
D) Observe swallowing patterns
A 23 year-old single client is in the 33rd week of her first pregnan-
cy. She tells the nurse that she has everything ready for the baby
and has made plans for the first weeks together at home. Which
normal emotional reaction does the nurse recognize?
C: Anticipation of the birth
A) Acceptance of the pregnancy
B) Focus on fetal development
C) Anticipation of the birth
D) Ambivalence about pregnancy
The nurse is planning care for a client with pneumococcal pneu-
monia. Which of the following would be most effective in removing
respiratory secretions?
A) Administration of cough suppressants B: Increasing oral fluid intake to 3000 cc per day
B) Increasing oral fluid intake to 3000 cc per day
C) Maintaining bed rest with bathroom privileges
D) Performing chest physiotherapy twice a day
15. The nurse in a well-child clinic examines many children on a
daily basis. Which of the following toddlers requires further follow
up?
A) A 13 month-old unable to walk D: A 30 month-old only drinking from a sip cup
B) A 20 month-old only using 2 and 3 word sentences
C) A 24 month-old who cries during examination
D) A 30 month-old only drinking from a sip cup
Which of the following would be the best strategy for the nurse
to use when teaching insulin injection techniques to a newly
diagnosed client with diabetes?
A) Give written pre and post tests D: Observe a return demonstration
B) Ask questions during practice
C) Allow another diabetic to assist
D) Observe a return demonstration
A client has developed thrombophlebitis of the left leg. Which
nursing intervention should be given the highest priority?
A) Elevate leg on 2 pillows
B) Apply support stockings A: Elevate leg on 2 pillows
C) Apply warm compresses
D) Maintain complete bed rest
, HESI RN COMPREHENSIVE EXIT EXAM VERSION V- 160+ QUESTIONS AND
QUESTIONS ANSWERS|WELL STRUCTURED|A+ GRADED| ANSWERS
A nurse from the surgical department is reassigned to the pe-
diatric unit. The charge nurse should recognize that the child at
highest risk for cardiac arrest and is the least likely to be assigned
to
this nurse is which child? C: Prolonged hypoxemia
A) Congenital cardiac defects
B) An acute febrile illness
C) Prolonged hypoxemia
D) Severe multiple trauma
A home health nurse is at the home of a client with diabetes and
arthritis. The client has difficulty drawing up insulin. It would be
most appropriate for the nurse to refer the client to
A) A social worker from the local hospital B: An occupational therapist from the community center
B) An occupational therapist from the community center
C) A physical therapist from the rehabilitation agency
D) Another client with diabetes mellitus and takes insulin
A priority goal of involuntary hospitalization of the severely men-
tally ill client is
A) Re-orientation to reality C: Protection from self harm and harm to others
B) Elimination of symptoms
C) Protection from harm to self or others
The nurse is caring for a client with a long leg cast. During
discharge teaching about appropriate exercises for the affected
extremity, the nurse should recommend
A) Isometric A: Isometric
B) Range of motion
C) Aerobic
D) Isotonic
The nurse is teaching parents about the treatment plan for a
2 weeks-old infant with Tetralogy of Fallot. While awaiting future
surgery, the nurse instructs the parents to immediately report
A) Loss of consciousness A: Loss of consciousness
B) Feeding problems
C) Poor weight gain
D) Fatigue with crying
A client is scheduled for an Intravenous Pyelogram (IVP). In order
to prepare the client for this test, the nurse would
A) Instruct the client to maintain a regular diet the day prior to the
examination C: Administer a laxative to the client the evening before the exam-
B) Restrict the client's fluid intake 4 hours prior to the examination ination
C) Administer a laxative to the client the evening before the
examination
D) Inform the client that only 1 x-ray of his abdomen is necessary
The nurse is caring for a woman 2 hours after a vaginal delivery.
Documentation indicates that the membranes were ruptured for
36 hours prior to delivery. What is the priority nursing diagnoses
at this time?
D: Risk for infection
A) Altered tissue perfusion
B) Risk for fluid volume deficit
C) High risk for hemorrhage
D) Risk for infection
The parents of a newborn male with hypospadias want their child
circumcised.The best response by the nurse is to inform them that
A) Circumcision is delayed so the foreskin can be used for the
surgical repair Circumcision is delayed so the foreskin can be used for the surgi-
B) This procedure is contraindicated because of the permanent cal repair
defect
C) There is no medical indication for performing a circumcision on
any child
QUESTIONS ANSWERS|WELL STRUCTURED|A+ GRADED| ANSWERS
The nurse is has just admitted a client with severe depression.
From which focus should the nurse identify a priority nursing
diagnosis?
A) Nutrition D: Safety
B) Elimination
C) Activity
D) Safety
While explaining an illness to a 10 year-old, what should the nurse
keep in mind about the cognitive development at this age?
A) They are able to make simple association of ideas
B: Think logically in organizing facts
B) They are able to think logically in organizing facts
C) Interpretation of events originate from their own perspective
D) Conclusions are based on previous experiences
The nurse enters the room as a 3 year-old is having a generalized
seizure. Which intervention should the nurse do first?
A) Clear the area of any hazards
B: Place the child on the side
B) Place the child on the side
C) Restrain the child
D) Give the prescribed anticonvulsant
The nurse is reviewing a depressed client's history from an ear-
lier admission. Documentation of anhedonia is noted. The nurse
understands that this finding refers to
A) Reports of difficulty falling and staying asleep C: Lack of enjoyment in usual pleasures
B) Expression of persistent suicidal thoughts
C) Lack of enjoyment in usual pleasures
D) Reduced senses of taste and smell
A client has just returned to the medical-surgical unit following
a segmental lung resection. After assessing the client, the first
nursing action would be to
A) Administer pain medication B) Suction excessive tracheobronchial secretions
B) Suction excessive tracheobronchial secretions
C) Assist client to turn, deep breathe and cough
D) Monitor oxygen saturation
While assessing a client in an outpatient facility with a panic dis-
order, the nurse completes a thorough health history and physical
exam. Which finding is most significantfor this client?
A) Compulsive behavior B) Sense of impending doom
B) Sense of impending doom
C) Fear of flying
D) Predictable episodes
A 16 month-old child has just been admitted to the hospital. As the
nurse assigned to this child enters the hospital room for the first
time, the toddler runs to the mother, clings
to her and begins to cry. What would be the initial action by the
nurse? B) Explain that this behavior is expected
A) Arrange to change client care assignments
B) Explain that this behavior is expected
C) Discuss the appropriate use of "time-out"
D) Explain that the child needs extra attention
A 15 year-old client with a lengthy confining illness is at risk for
altered growth and
development of which task?
A) Loss of control C) Dependence
B) Insecurity
C) Dependence
D) Lack of trust
Which playroom activities should the nurse organize for a small
group of 7 year-old hospitalized children? A) Sports and games with rules
A) Sports and games with rules
, HESI RN COMPREHENSIVE EXIT EXAM VERSION V- 160+ QUESTIONS AND
QUESTIONS ANSWERS|WELL STRUCTURED|A+ GRADED| ANSWERS
B) Finger paints and water play
C) "Dress-up" clothes and props
D) Chess and television programs
The nurse is discussing dietary intake with an adolescent who has
acne. The most appropriate statement for the nurse is
A) "Eat a balanced diet for your age."
A) "Eat a balanced diet for your age."
B) "Increase your intake of protein and Vitamin A."
C) "Decrease fatty foods from your diet."
D) "Do not use caffeine in any form, including chocolate."
The nurse is assigned to a newly delivered woman with HIV/AIDS.
The student asks the nurse about how it is determined that a per-
son has AIDS other than a positive HIV test. The nurse responds
A) "The complaints of at least 3 common findings." C) "CD4 lymphocyte count is less than 200."
B) "The absence of any opportunistic infection."
C) "CD4 lymphocyte count is less than 200."
D) "Developmental delays in children."
The nurse is caring for a child who has just returned from surgery
following a tonsillectomy and adenoidectomy. Which action by the
nurse is appropriate?
A) Offer ice cream every 2 hours D: Observe swallowing patterns
B) Place the child in a supine position
C) Allow the child to drink through a straw
D) Observe swallowing patterns
A 23 year-old single client is in the 33rd week of her first pregnan-
cy. She tells the nurse that she has everything ready for the baby
and has made plans for the first weeks together at home. Which
normal emotional reaction does the nurse recognize?
C: Anticipation of the birth
A) Acceptance of the pregnancy
B) Focus on fetal development
C) Anticipation of the birth
D) Ambivalence about pregnancy
The nurse is planning care for a client with pneumococcal pneu-
monia. Which of the following would be most effective in removing
respiratory secretions?
A) Administration of cough suppressants B: Increasing oral fluid intake to 3000 cc per day
B) Increasing oral fluid intake to 3000 cc per day
C) Maintaining bed rest with bathroom privileges
D) Performing chest physiotherapy twice a day
15. The nurse in a well-child clinic examines many children on a
daily basis. Which of the following toddlers requires further follow
up?
A) A 13 month-old unable to walk D: A 30 month-old only drinking from a sip cup
B) A 20 month-old only using 2 and 3 word sentences
C) A 24 month-old who cries during examination
D) A 30 month-old only drinking from a sip cup
Which of the following would be the best strategy for the nurse
to use when teaching insulin injection techniques to a newly
diagnosed client with diabetes?
A) Give written pre and post tests D: Observe a return demonstration
B) Ask questions during practice
C) Allow another diabetic to assist
D) Observe a return demonstration
A client has developed thrombophlebitis of the left leg. Which
nursing intervention should be given the highest priority?
A) Elevate leg on 2 pillows
B) Apply support stockings A: Elevate leg on 2 pillows
C) Apply warm compresses
D) Maintain complete bed rest
, HESI RN COMPREHENSIVE EXIT EXAM VERSION V- 160+ QUESTIONS AND
QUESTIONS ANSWERS|WELL STRUCTURED|A+ GRADED| ANSWERS
A nurse from the surgical department is reassigned to the pe-
diatric unit. The charge nurse should recognize that the child at
highest risk for cardiac arrest and is the least likely to be assigned
to
this nurse is which child? C: Prolonged hypoxemia
A) Congenital cardiac defects
B) An acute febrile illness
C) Prolonged hypoxemia
D) Severe multiple trauma
A home health nurse is at the home of a client with diabetes and
arthritis. The client has difficulty drawing up insulin. It would be
most appropriate for the nurse to refer the client to
A) A social worker from the local hospital B: An occupational therapist from the community center
B) An occupational therapist from the community center
C) A physical therapist from the rehabilitation agency
D) Another client with diabetes mellitus and takes insulin
A priority goal of involuntary hospitalization of the severely men-
tally ill client is
A) Re-orientation to reality C: Protection from self harm and harm to others
B) Elimination of symptoms
C) Protection from harm to self or others
The nurse is caring for a client with a long leg cast. During
discharge teaching about appropriate exercises for the affected
extremity, the nurse should recommend
A) Isometric A: Isometric
B) Range of motion
C) Aerobic
D) Isotonic
The nurse is teaching parents about the treatment plan for a
2 weeks-old infant with Tetralogy of Fallot. While awaiting future
surgery, the nurse instructs the parents to immediately report
A) Loss of consciousness A: Loss of consciousness
B) Feeding problems
C) Poor weight gain
D) Fatigue with crying
A client is scheduled for an Intravenous Pyelogram (IVP). In order
to prepare the client for this test, the nurse would
A) Instruct the client to maintain a regular diet the day prior to the
examination C: Administer a laxative to the client the evening before the exam-
B) Restrict the client's fluid intake 4 hours prior to the examination ination
C) Administer a laxative to the client the evening before the
examination
D) Inform the client that only 1 x-ray of his abdomen is necessary
The nurse is caring for a woman 2 hours after a vaginal delivery.
Documentation indicates that the membranes were ruptured for
36 hours prior to delivery. What is the priority nursing diagnoses
at this time?
D: Risk for infection
A) Altered tissue perfusion
B) Risk for fluid volume deficit
C) High risk for hemorrhage
D) Risk for infection
The parents of a newborn male with hypospadias want their child
circumcised.The best response by the nurse is to inform them that
A) Circumcision is delayed so the foreskin can be used for the
surgical repair Circumcision is delayed so the foreskin can be used for the surgi-
B) This procedure is contraindicated because of the permanent cal repair
defect
C) There is no medical indication for performing a circumcision on
any child
