INET HESI RN V4 ACTUAL TEST
SCREENSHOTS PROCTORED
EXAM WITH 100% CORRECT
ANSWERS
An explosion has occurred at a high school for children with
special needs and severe developmental delays. One of the
students accompanied with a parent is seen at a community
health center a day later. After the initial assessment the
nurse concludes that the student appears to be in a crisis
state. Which of these interventions based on crisis
intervention principles is appropriate to do next?
A) Help the student to identify a specific problem
B) Ask the parent to identify the major problem
C) Ask the student to think of different alternatives
D) Examine with the parent a variety of options - ANSWER:
>>>>/B) Ask the parent to identify the major problem
Which statement made by a client to the admitting nurse
suggests that the client is experiencing a manic episode?
A) "I think all children should have their heads shaved.
"B) "I have been restricted in thought and harmed."
C) "I have powers to get you whatever you wish, no matter
the cost.
," D) "I think all of my contacts last week have attempted to
poison me." - ANSWER: >>>>/C) "I have powers to get you
whatever you wish, no matter the cost."
A client says, "It's raining outside and it's raining in my
heart. Did you know that St. Patrick drove the snakes out of
Ireland? I've never been to Ireland." The nurse would
document this behavior as
A) Perseveration
B) Circumstantiality
C) Neologisms
D) Flight of ideas - ANSWER: >>>>/D) Flight of ideas
During the change-of-shift report the assigned nurse notes a
Catholic client is scheduled to be admitted for the delivery
of a ninth child. Which comment stated angrily to a
colleague by this nurse indicates an attitude of prejudice?
A) "I wonder who is paying for this trip to the hospital?
"B) "I think she needs to go to the city hospital.
"C) "All those people indulge in large families!
"D) "Doesn't she know there's such a thing as birth
control?" - ANSWER: >>>>/D) "Doesn't she know there's
such a thing as birth control?"
Which of these statements by the nurse reflects the best use
of therapeutic interaction techniques?
A) "You look upset. Would you like to talk about it?
"B) "I'd like to know more about your family. Tell me about
them."
,C) "I understand that you lost your partner. I don't think I
could go on if that happened to me."
D) "You look very sad. How long have you been this way?" -
ANSWER: >>>>/A) "You look upset. Would you like to talk
about it?"
A nurse in the emergency department suspects domestic
violence as the cause of a client's injuries. What action
should the nurse take first?
A) Ask client if there are any old injuries also present
B) Interview the client without the persons who came with
the client
C) Gain client's trust by not being hurried during the intake
process
D) Photograph the specific injuries in question - ANSWER:
>>>>/B) Interview the client without the persons who came
with the client
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 - 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 - 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." -
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 - ANSWER: >>>>/A) Risk for
injury
SCREENSHOTS PROCTORED
EXAM WITH 100% CORRECT
ANSWERS
An explosion has occurred at a high school for children with
special needs and severe developmental delays. One of the
students accompanied with a parent is seen at a community
health center a day later. After the initial assessment the
nurse concludes that the student appears to be in a crisis
state. Which of these interventions based on crisis
intervention principles is appropriate to do next?
A) Help the student to identify a specific problem
B) Ask the parent to identify the major problem
C) Ask the student to think of different alternatives
D) Examine with the parent a variety of options - ANSWER:
>>>>/B) Ask the parent to identify the major problem
Which statement made by a client to the admitting nurse
suggests that the client is experiencing a manic episode?
A) "I think all children should have their heads shaved.
"B) "I have been restricted in thought and harmed."
C) "I have powers to get you whatever you wish, no matter
the cost.
," D) "I think all of my contacts last week have attempted to
poison me." - ANSWER: >>>>/C) "I have powers to get you
whatever you wish, no matter the cost."
A client says, "It's raining outside and it's raining in my
heart. Did you know that St. Patrick drove the snakes out of
Ireland? I've never been to Ireland." The nurse would
document this behavior as
A) Perseveration
B) Circumstantiality
C) Neologisms
D) Flight of ideas - ANSWER: >>>>/D) Flight of ideas
During the change-of-shift report the assigned nurse notes a
Catholic client is scheduled to be admitted for the delivery
of a ninth child. Which comment stated angrily to a
colleague by this nurse indicates an attitude of prejudice?
A) "I wonder who is paying for this trip to the hospital?
"B) "I think she needs to go to the city hospital.
"C) "All those people indulge in large families!
"D) "Doesn't she know there's such a thing as birth
control?" - ANSWER: >>>>/D) "Doesn't she know there's
such a thing as birth control?"
Which of these statements by the nurse reflects the best use
of therapeutic interaction techniques?
A) "You look upset. Would you like to talk about it?
"B) "I'd like to know more about your family. Tell me about
them."
,C) "I understand that you lost your partner. I don't think I
could go on if that happened to me."
D) "You look very sad. How long have you been this way?" -
ANSWER: >>>>/A) "You look upset. Would you like to talk
about it?"
A nurse in the emergency department suspects domestic
violence as the cause of a client's injuries. What action
should the nurse take first?
A) Ask client if there are any old injuries also present
B) Interview the client without the persons who came with
the client
C) Gain client's trust by not being hurried during the intake
process
D) Photograph the specific injuries in question - ANSWER:
>>>>/B) Interview the client without the persons who came
with the client
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 - 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 - 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." -
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 - ANSWER: >>>>/A) Risk for
injury
