HESI RN EXIT Exam Questions and
Verified Answers 2024
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 answer)C) Security
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 answer)B) "Would you please clarify what you
have written so I am sure I am reading it correctly?" 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 D) Age of
children in the home -(correct answer)D) Age of children in the home 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 answer)C) Administer the prescribed analgesia 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 answer)A) Respiratory rate of 42 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 D) Skin eruptions -(correct
answer)A) Lethargy 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? 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." -(correct answer)B) "The seizure may or may not mean your child has
epilepsy." Alcohol and drug abuse impairs judgment and increases risk taking behavior. What
nursing diagnosis best applies? A) Risk for injury B) Risk for knowledge deficit C) Altered
thought process D) Disturbance in self-esteem -(correct answer)A) Risk for injury Which these
findings would the nurse more closely associate with anemia in a 10 month-old infant? A)
Hemoglobin level of 12 g/dI B) Pale mucosa of the eyelids and lips C) Hypoactivity D) A heart
rate between 140 to 160 -(correct answer)B) Pale mucosa of the eyelids and lips 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 A) Heart rate B) Pedal pulses C) Lung sounds D) Pupil responses -(correct
answer)D) Pupil responses 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? A) A
,young adult with a history of Down's syndrome B) A teenager who reads at a 4th grade level C)
An elderly client with numerous arthritic nodules on the hands D) A preschooler with
intermittent episodes of alertness -(correct answer)D) A preschooler with intermittent episodes
of alertness 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 A) Irritable and
"colicky" with no attempts to pull to standing B) Alert, laughing and playing with a rattle, sitting
with support C) Skin color dusky with poor skin turgor over abdomen D) Pale, thin arms and
legs, uninterested in surroundings -(correct answer)D) Pale, thin arms and legs, uninterested
in surroundings 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? A) Mouth sores B) Fatigue C) Diarrhea D) Hair loss -(correct answer)D) Hair loss
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 degreesCelsius). The
appropriate nursing intervention is to A) Call the health care provider immediately B)
Administer acetaminophen as ordered as this is normal at this time C) Send blood, urine and
sputum for culture D) Increase the client's fluid intake -(correct answer)B) Administer
acetaminophen as ordered as this is normal at this time A client is admitted for first and second
degree burns on the face, neck, anterior chest and hands. The nurse's priority should be A)
Cover the areas with dry sterile dressings B) Assess for dyspnea or stridor C) Initiate
intravenous therapy D) Administer pain medication -(correct answer)B) Assess for dyspnea or
stridor 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? A) I started my period and now my urine
has turned bright red. B) I am an diabetic and today I have been going to the bathroom every
hour. C) I was started on medicine yesterday for a urine infection. Now my lower belly hurts
when I go to the bathroom. D) I went to the bathroom and my urine looked very red and it didn't
hurt when I went. -(correct answer)D) I went to the bathroom and my urine looked very red and
it didn't hurt when I went. Which of these parents' comment for a newborn would most likely
reveal an initial finding of a suspected pyloric stenosis? A) I noticed a little lump a little above
the belly button. B) The baby seems hungry all the time. C) Mild vomiting that progressed to
vomiting shooting across the room. D) Irritation and spitting up immediately after feedings.
-(correct answer)C) Mild vomiting that progressed to vomiting shooting across the room. The
nurse is assessing a child for clinical manifestations of iron deficiency anemia. Which factor
would the nurse recognize as cause for the findings? A) Decreased cardiac output B) Tissue
hypoxia C) Cerebral edema D) Reduced oxygen saturation -(correct answer)B) Tissue hypoxia
The nurse would expect the cystic fibrosis client to receive supplemental pancreatic enzymes
along with a diet A) High in carbohydrates and proteins B) Low in carbohydrates and proteins
C) High in carbohydrates, low in proteins D) Low in carbohydrates, high in proteins -(correct
answer)A) High in carbohydrates and proteins In evaluating the growth of a 12 month-old child,
which of these findings would the nurse expect to be present in the infant? A) Increased 10%
in height B) 2 deciduous teeth C) Tripled the birth weight D) Head > chest circumference
, -(correct answer)C) Tripled the birth weight A Hispanic client in the postpartum period refuses
the hospital food because it is "cold." The best initial action by the nurse is to A) 1Have the
unlicensed assistive personnel (UAP) reheat the food if the client wishes B) Ask the client what
foods are acceptable or bad C) Encourage her to eat for healing and strength D) Schedule the
dietitian to meet with the client as soon as possible -(correct answer)B) Ask the client what
foods are acceptable or bad 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?
A) Cooing B) Imitation of sounds C) Throaty sounds D) Laughter -(correct answer)B) Imitation
of sounds The nurse should recognize that physical dependence is accompanied by what
findings when alcohol consumption is first reduced or ended? A) Seizures B) Withdrawal C)
Craving D) Marked tolerance -(correct answer)B) Withdrawal Immediately following an acute
battering incident in a violent relationship, the batterer may respond to the partner's injuries by
A) Seeking medical help for the victim's injuries B) Minimizing the episode and
underestimating the victim's injuries C) Contacting a close friend and asking for help D) Being
very remorseful and assisting the victim with medical care -(correct answer)B) Minimizing the
episode and underestimating the victim's injuries 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? A) "I have a sharp
pain in my chest when I take a breath. "B) "I have been coughing up foul-tasting, brown, thick
sputum. " C) "I have been sweating all day. "D) "I feel hot off and on." -(correct answer)"B) "I
have been coughing up foul-tasting, brown, thick sputum. The nurse is performing an
assessment on a client in congestive heart failure. Auscultation of the heart is most likely to
reveal A) S3 ventricular gallop B) Apical click C) Systolic murmur D) Split S2 -(correct
answer)A) S3 ventricular gallop Which of these observations made by the nurse during an
excretory urogram indicate a complicaton? A) The client complains of a salty taste in the
mouth when the dye is injected B) The client's entire body turns a bright red color C) The client
states "I have a feeling of getting warm." D) The client gags and complains " I am getting sick."
-(correct answer)B) The client's entire body turns a bright red color 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? A) "The tube will drain fluid from your chest. "B)
"The tube will remove excess air from your chest." C) "The tube controls the amount of air that
enters your chest. " D) "The tube will seal the hole in your lung." -(correct answer)"B) "The tube
will remove excess air from your chest." The nurse is reviewing laboratory results on a client
with acute renal failure. Which one of the following should be reported immediately? A) Blood
urea nitrogen 50 mg/dl B) Hemoglobin of 10.3 mg/dl C) Venous blood pH 7.30 D) Serum
potassium 6 mEq/L -(correct answer)D) Serum potassium 6 mEq/L 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? A) Pallor B) Increased temperature C) Dyspnea D)
Involuntary muscle spasms -(correct answer)C) Dyspnea The nurse is performing a physical
Verified Answers 2024
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 answer)C) Security
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 answer)B) "Would you please clarify what you
have written so I am sure I am reading it correctly?" 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 D) Age of
children in the home -(correct answer)D) Age of children in the home 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 answer)C) Administer the prescribed analgesia 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 answer)A) Respiratory rate of 42 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 D) Skin eruptions -(correct
answer)A) Lethargy 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? 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." -(correct answer)B) "The seizure may or may not mean your child has
epilepsy." Alcohol and drug abuse impairs judgment and increases risk taking behavior. What
nursing diagnosis best applies? A) Risk for injury B) Risk for knowledge deficit C) Altered
thought process D) Disturbance in self-esteem -(correct answer)A) Risk for injury Which these
findings would the nurse more closely associate with anemia in a 10 month-old infant? A)
Hemoglobin level of 12 g/dI B) Pale mucosa of the eyelids and lips C) Hypoactivity D) A heart
rate between 140 to 160 -(correct answer)B) Pale mucosa of the eyelids and lips 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 A) Heart rate B) Pedal pulses C) Lung sounds D) Pupil responses -(correct
answer)D) Pupil responses 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? A) A
,young adult with a history of Down's syndrome B) A teenager who reads at a 4th grade level C)
An elderly client with numerous arthritic nodules on the hands D) A preschooler with
intermittent episodes of alertness -(correct answer)D) A preschooler with intermittent episodes
of alertness 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 A) Irritable and
"colicky" with no attempts to pull to standing B) Alert, laughing and playing with a rattle, sitting
with support C) Skin color dusky with poor skin turgor over abdomen D) Pale, thin arms and
legs, uninterested in surroundings -(correct answer)D) Pale, thin arms and legs, uninterested
in surroundings 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? A) Mouth sores B) Fatigue C) Diarrhea D) Hair loss -(correct answer)D) Hair loss
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 degreesCelsius). The
appropriate nursing intervention is to A) Call the health care provider immediately B)
Administer acetaminophen as ordered as this is normal at this time C) Send blood, urine and
sputum for culture D) Increase the client's fluid intake -(correct answer)B) Administer
acetaminophen as ordered as this is normal at this time A client is admitted for first and second
degree burns on the face, neck, anterior chest and hands. The nurse's priority should be A)
Cover the areas with dry sterile dressings B) Assess for dyspnea or stridor C) Initiate
intravenous therapy D) Administer pain medication -(correct answer)B) Assess for dyspnea or
stridor 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? A) I started my period and now my urine
has turned bright red. B) I am an diabetic and today I have been going to the bathroom every
hour. C) I was started on medicine yesterday for a urine infection. Now my lower belly hurts
when I go to the bathroom. D) I went to the bathroom and my urine looked very red and it didn't
hurt when I went. -(correct answer)D) I went to the bathroom and my urine looked very red and
it didn't hurt when I went. Which of these parents' comment for a newborn would most likely
reveal an initial finding of a suspected pyloric stenosis? A) I noticed a little lump a little above
the belly button. B) The baby seems hungry all the time. C) Mild vomiting that progressed to
vomiting shooting across the room. D) Irritation and spitting up immediately after feedings.
-(correct answer)C) Mild vomiting that progressed to vomiting shooting across the room. The
nurse is assessing a child for clinical manifestations of iron deficiency anemia. Which factor
would the nurse recognize as cause for the findings? A) Decreased cardiac output B) Tissue
hypoxia C) Cerebral edema D) Reduced oxygen saturation -(correct answer)B) Tissue hypoxia
The nurse would expect the cystic fibrosis client to receive supplemental pancreatic enzymes
along with a diet A) High in carbohydrates and proteins B) Low in carbohydrates and proteins
C) High in carbohydrates, low in proteins D) Low in carbohydrates, high in proteins -(correct
answer)A) High in carbohydrates and proteins In evaluating the growth of a 12 month-old child,
which of these findings would the nurse expect to be present in the infant? A) Increased 10%
in height B) 2 deciduous teeth C) Tripled the birth weight D) Head > chest circumference
, -(correct answer)C) Tripled the birth weight A Hispanic client in the postpartum period refuses
the hospital food because it is "cold." The best initial action by the nurse is to A) 1Have the
unlicensed assistive personnel (UAP) reheat the food if the client wishes B) Ask the client what
foods are acceptable or bad C) Encourage her to eat for healing and strength D) Schedule the
dietitian to meet with the client as soon as possible -(correct answer)B) Ask the client what
foods are acceptable or bad 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?
A) Cooing B) Imitation of sounds C) Throaty sounds D) Laughter -(correct answer)B) Imitation
of sounds The nurse should recognize that physical dependence is accompanied by what
findings when alcohol consumption is first reduced or ended? A) Seizures B) Withdrawal C)
Craving D) Marked tolerance -(correct answer)B) Withdrawal Immediately following an acute
battering incident in a violent relationship, the batterer may respond to the partner's injuries by
A) Seeking medical help for the victim's injuries B) Minimizing the episode and
underestimating the victim's injuries C) Contacting a close friend and asking for help D) Being
very remorseful and assisting the victim with medical care -(correct answer)B) Minimizing the
episode and underestimating the victim's injuries 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? A) "I have a sharp
pain in my chest when I take a breath. "B) "I have been coughing up foul-tasting, brown, thick
sputum. " C) "I have been sweating all day. "D) "I feel hot off and on." -(correct answer)"B) "I
have been coughing up foul-tasting, brown, thick sputum. The nurse is performing an
assessment on a client in congestive heart failure. Auscultation of the heart is most likely to
reveal A) S3 ventricular gallop B) Apical click C) Systolic murmur D) Split S2 -(correct
answer)A) S3 ventricular gallop Which of these observations made by the nurse during an
excretory urogram indicate a complicaton? A) The client complains of a salty taste in the
mouth when the dye is injected B) The client's entire body turns a bright red color C) The client
states "I have a feeling of getting warm." D) The client gags and complains " I am getting sick."
-(correct answer)B) The client's entire body turns a bright red color 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? A) "The tube will drain fluid from your chest. "B)
"The tube will remove excess air from your chest." C) "The tube controls the amount of air that
enters your chest. " D) "The tube will seal the hole in your lung." -(correct answer)"B) "The tube
will remove excess air from your chest." The nurse is reviewing laboratory results on a client
with acute renal failure. Which one of the following should be reported immediately? A) Blood
urea nitrogen 50 mg/dl B) Hemoglobin of 10.3 mg/dl C) Venous blood pH 7.30 D) Serum
potassium 6 mEq/L -(correct answer)D) Serum potassium 6 mEq/L 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? A) Pallor B) Increased temperature C) Dyspnea D)
Involuntary muscle spasms -(correct answer)C) Dyspnea The nurse is performing a physical
