MEDICAL-SURGICAL NURSING · RN EXIT EXAM
HESI RN EXIT
Exam Review Guide
Key Questions with Verified Answers &
Rationale Labels
51 Questions · Verified Answers · Organized by Topic
,👶 Pediatric & Developmental Nursing
In planning care for a 6 month-old infant, what must the nurse
Q01
provide to assist in the development of trust?
A Food
B Warmth
C Security ✓
D Comfort
CORRECT ANSWER: C — Security — foundational to Erikson's trust vs. mistrust stage
While caring for a toddler with croup, which initial sign requires the
Q02
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 — tachypnea indicates impending airway compromise
Which finding would the nurse associate with anemia in a 10 month-
Q03
old infant?
A Hemoglobin level of 12 g/dL
B Pale mucosa of the eyelids and lips ✓
C Hypoactivity
D Heart rate between 140–160
CORRECT ANSWER: B — Pale mucosa of the eyelids and lips — classic sign of anemia
In evaluating the growth of a 12 month-old child, which finding would
Q04
the nurse expect?
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 — expected by 12 months
The father of an 8 month-old asks about normal vocalizations. Which
Q05
would the nurse expect at this age?
A Cooing
B Imitation of sounds ✓
C Throaty sounds
D Laughter
CORRECT ANSWER: B — Imitation of sounds — normal milestone at 8 months
Which parent comment for a newborn would most likely reveal a
Q06
suspected pyloric stenosis?
A I noticed a little lump 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 — Projectile vomiting — hallmark sign of pyloric stenosis
A mother asks about expected motor skills for a 3 year-old. Which
Q07
would the nurse emphasize as normal?
A Jumping rope
B Tying shoelaces
C Riding a tricycle ✓
D Playing hopscotch
CORRECT ANSWER: C — Riding a tricycle — appropriate gross motor skill for age 3
A 30 month-old child is admitted to the hospital. Which toy would be
Q08
appropriate?
A Cartoon stickers
B Large wooden puzzle ✓
C Blunt scissors and paper
HESI RN EXIT
Exam Review Guide
Key Questions with Verified Answers &
Rationale Labels
51 Questions · Verified Answers · Organized by Topic
,👶 Pediatric & Developmental Nursing
In planning care for a 6 month-old infant, what must the nurse
Q01
provide to assist in the development of trust?
A Food
B Warmth
C Security ✓
D Comfort
CORRECT ANSWER: C — Security — foundational to Erikson's trust vs. mistrust stage
While caring for a toddler with croup, which initial sign requires the
Q02
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 — tachypnea indicates impending airway compromise
Which finding would the nurse associate with anemia in a 10 month-
Q03
old infant?
A Hemoglobin level of 12 g/dL
B Pale mucosa of the eyelids and lips ✓
C Hypoactivity
D Heart rate between 140–160
CORRECT ANSWER: B — Pale mucosa of the eyelids and lips — classic sign of anemia
In evaluating the growth of a 12 month-old child, which finding would
Q04
the nurse expect?
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 — expected by 12 months
The father of an 8 month-old asks about normal vocalizations. Which
Q05
would the nurse expect at this age?
A Cooing
B Imitation of sounds ✓
C Throaty sounds
D Laughter
CORRECT ANSWER: B — Imitation of sounds — normal milestone at 8 months
Which parent comment for a newborn would most likely reveal a
Q06
suspected pyloric stenosis?
A I noticed a little lump 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 — Projectile vomiting — hallmark sign of pyloric stenosis
A mother asks about expected motor skills for a 3 year-old. Which
Q07
would the nurse emphasize as normal?
A Jumping rope
B Tying shoelaces
C Riding a tricycle ✓
D Playing hopscotch
CORRECT ANSWER: C — Riding a tricycle — appropriate gross motor skill for age 3
A 30 month-old child is admitted to the hospital. Which toy would be
Q08
appropriate?
A Cartoon stickers
B Large wooden puzzle ✓
C Blunt scissors and paper
