HESI Exit RN V3 EXAM
With Correct ANSWERS
(GRADE A+!!!!!!)
1. A 9 year-old is taken to the emergency room with right lower quadrant pain
and vomiting. When preparing the child for an emergency appendectomy,
what must the nurse expect to be the child's greatest fear?
A) Change in body image
B) An unfamiliar environment
C) Perceived loss of control
D) Guilt over being hospitalized - ANSWER: >>>>/C: Perceived loss of control
2. A nurse arranges for a interpreter to facilitate communication between the
health care team and a non-English speaking client. To promote therapeutic
communication, the appropriate action for the nurse to remember when
working with an interpreter is to
A) Promote verbal and nonverbal communication with both the client and the
interpreter
B) Speak only a few sentences at a time and then pause for a few moments
C) Plan that the encounter will take more time than if the client spoke
English
D) Ask the client to speak slowly and to look at the person spoken to -
ANSWER: >>>>/A: Promote verbal and nonverbal communication with both
the client and the interpreter
3. The nurse is planning care for a 2 year-old hospitalized child. Which of the
following will produces the most stress at this age?
,A) Separation anxiety
B) Fear of pain
C) Loss of control
D) Bodily injury - ANSWER: >>>>/A: Separation anxiety
4. Which statement describes strategies that help build personal power in an
organization?
A) Longevity in an organization, social ties to people in power, and a history
as someone who does not back down in conflict ends with success
B) Goals are met with the use of networking, mentoring, and coalition
building
C) High visibility and formal power are maintained with a confrontational
style
D) Credibility to one's position is enhanced when professional dress and
demeanor are employed - ANSWER: >>>>/B: Goals are meet with the use of
networking, mentoring, and coalition building
5. A 24 year-old male is admitted with a diagnosis of testicular cancer. The
nurse would expect the client to have
A) Scrotal discoloration
B) Sustained painful erection
C) Inability to achieve erection
D) Heaviness in the affected testicle - ANSWER: >>>>/D: Heaviness in the
affected testic
6. While the nurse is administering medications to a client, the client states
"I do not want to take that medicine today." Which of the following responses
by the nurse would be best?
A) "That's OK, its all right to skip your medication now and then."
,B) "I will have to call your doctor and report this."
C) "Is there a reason why you don't want to take your medicine?"
D) "Do you understand the consequences of refusing your prescribed
treatment?" - ANSWER: >>>>/C: "Is there a reason why you don't want to take
your medicine?"
7. While caring for a client, the nurse notes a pulsating mass in the client's
peri umbilical area. Which of the following assessments is appropriate for the
nurse to perform?
A) Measure the length of the mass
B) Auscultate the mass
C) Percuss the mass
D) Palpate the mass - ANSWER: >>>>/B: Auscultate the mass
8. A client is admitted to the hospital with a history of confusion. The client
has difficulty remembering recent events and becomes disoriented when
away from home. Which statement would provide the best reality orientation
for this client?
A) "Good morning. Do you remember where you are?"
B) "Hello. My name is Elaine Jones and I am your nurse for today."
C) "How are you today? Remember, you're in the hospital."
D) "Good morning. You're in the hospital. I am your nurse Elaine Jones." -
ANSWER: >>>>/D: "Good morning. You're in the hospital. I am your nurse
Elaine Jones."
9. A client with congestive heart failure is newly admitted to home health
care. The nurse discovers that the client has not been following the
prescribed diet. What would be the most appropriate nursing action?
A) Discharge the client from home health care related to noncompliance
, B) Notify the health care provider of the client's failure to follow prescribed
diet
C) Discuss diet with the client to learn the reasons for not following the diet
D) Make a referral to Meals-on-Wheels - ANSWER: >>>>/C: Discuss diet with
client to learn the reasons for not following the diet
10. When caring for a client with total parenteral nutrition (TPN), what is the
most important action on the part of the nurse?
A) Record the number of stools per day
B) Maintain strict intake and output records
C) Sterile technique for dressing change at IV site
D) Monitor for cardiac arrhythmias - ANSWER: >>>>/C: Sterile technique for
dressing change at IV site
11. When caring for a client who is receiving a thrombolytic agent to open a
clot
occluded coronary artery after a myocardial infarction, which finding would
be of greatest concern to the nurse?
A) Sero sanginous drainage from gums
B) Hematemesis
C) Pink frothy sputum
D) Slight red color at urine - ANSWER: >>>>/B: Hematemesis
12. A 52 year-old client is being transfused with one unit of packed cells. A
half hour after the transfusion was initiated, the client complains of chills
and headache. Which action should the nurse implement first?
A) Notify the health care provider
B) Check the client's temperature
C) Stop the transfusion
With Correct ANSWERS
(GRADE A+!!!!!!)
1. A 9 year-old is taken to the emergency room with right lower quadrant pain
and vomiting. When preparing the child for an emergency appendectomy,
what must the nurse expect to be the child's greatest fear?
A) Change in body image
B) An unfamiliar environment
C) Perceived loss of control
D) Guilt over being hospitalized - ANSWER: >>>>/C: Perceived loss of control
2. A nurse arranges for a interpreter to facilitate communication between the
health care team and a non-English speaking client. To promote therapeutic
communication, the appropriate action for the nurse to remember when
working with an interpreter is to
A) Promote verbal and nonverbal communication with both the client and the
interpreter
B) Speak only a few sentences at a time and then pause for a few moments
C) Plan that the encounter will take more time than if the client spoke
English
D) Ask the client to speak slowly and to look at the person spoken to -
ANSWER: >>>>/A: Promote verbal and nonverbal communication with both
the client and the interpreter
3. The nurse is planning care for a 2 year-old hospitalized child. Which of the
following will produces the most stress at this age?
,A) Separation anxiety
B) Fear of pain
C) Loss of control
D) Bodily injury - ANSWER: >>>>/A: Separation anxiety
4. Which statement describes strategies that help build personal power in an
organization?
A) Longevity in an organization, social ties to people in power, and a history
as someone who does not back down in conflict ends with success
B) Goals are met with the use of networking, mentoring, and coalition
building
C) High visibility and formal power are maintained with a confrontational
style
D) Credibility to one's position is enhanced when professional dress and
demeanor are employed - ANSWER: >>>>/B: Goals are meet with the use of
networking, mentoring, and coalition building
5. A 24 year-old male is admitted with a diagnosis of testicular cancer. The
nurse would expect the client to have
A) Scrotal discoloration
B) Sustained painful erection
C) Inability to achieve erection
D) Heaviness in the affected testicle - ANSWER: >>>>/D: Heaviness in the
affected testic
6. While the nurse is administering medications to a client, the client states
"I do not want to take that medicine today." Which of the following responses
by the nurse would be best?
A) "That's OK, its all right to skip your medication now and then."
,B) "I will have to call your doctor and report this."
C) "Is there a reason why you don't want to take your medicine?"
D) "Do you understand the consequences of refusing your prescribed
treatment?" - ANSWER: >>>>/C: "Is there a reason why you don't want to take
your medicine?"
7. While caring for a client, the nurse notes a pulsating mass in the client's
peri umbilical area. Which of the following assessments is appropriate for the
nurse to perform?
A) Measure the length of the mass
B) Auscultate the mass
C) Percuss the mass
D) Palpate the mass - ANSWER: >>>>/B: Auscultate the mass
8. A client is admitted to the hospital with a history of confusion. The client
has difficulty remembering recent events and becomes disoriented when
away from home. Which statement would provide the best reality orientation
for this client?
A) "Good morning. Do you remember where you are?"
B) "Hello. My name is Elaine Jones and I am your nurse for today."
C) "How are you today? Remember, you're in the hospital."
D) "Good morning. You're in the hospital. I am your nurse Elaine Jones." -
ANSWER: >>>>/D: "Good morning. You're in the hospital. I am your nurse
Elaine Jones."
9. A client with congestive heart failure is newly admitted to home health
care. The nurse discovers that the client has not been following the
prescribed diet. What would be the most appropriate nursing action?
A) Discharge the client from home health care related to noncompliance
, B) Notify the health care provider of the client's failure to follow prescribed
diet
C) Discuss diet with the client to learn the reasons for not following the diet
D) Make a referral to Meals-on-Wheels - ANSWER: >>>>/C: Discuss diet with
client to learn the reasons for not following the diet
10. When caring for a client with total parenteral nutrition (TPN), what is the
most important action on the part of the nurse?
A) Record the number of stools per day
B) Maintain strict intake and output records
C) Sterile technique for dressing change at IV site
D) Monitor for cardiac arrhythmias - ANSWER: >>>>/C: Sterile technique for
dressing change at IV site
11. When caring for a client who is receiving a thrombolytic agent to open a
clot
occluded coronary artery after a myocardial infarction, which finding would
be of greatest concern to the nurse?
A) Sero sanginous drainage from gums
B) Hematemesis
C) Pink frothy sputum
D) Slight red color at urine - ANSWER: >>>>/B: Hematemesis
12. A 52 year-old client is being transfused with one unit of packed cells. A
half hour after the transfusion was initiated, the client complains of chills
and headache. Which action should the nurse implement first?
A) Notify the health care provider
B) Check the client's temperature
C) Stop the transfusion
