HESI RN EXIT Exam Questions |! |! |! |! |!
and Verified Answers |! |! |!
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
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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
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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
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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
|! |! |! |! |! |! |! |! |! |!
and Verified Answers |! |! |!
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
|! |! |! |! |! |! |! |! |! |!
