HESI RN Psychiatric Mental Health Exit Exam Study
Guide 2026 – Comprehensive Review Notes, Practice
Questions & NCLEX Prep
• A nurse is caring for a 9-year-old child who has major burns to her face and
upper torso. Which of the following actions should the nurse take first?
• Administer a tetanus vaccine
• Give pain medication
• Begin enteral feedings
• Initiate a crystalloid IV bolus
• A nurse is planning care for a toddler who has developed oral ulcers in
response to chemotherapy. Which of the following should the nurse
include in the plan of care?
• Schedule routine oral care every 8 hrs.
• Administer oral viscous lidocaine
• Moisten the mucous with lemon glycerin swabs
• Cleanse the gums with saline soaked gauze
• A nurse in a community health clinic is assessing the needs of a single
parent who has three young children and works full time. Which of the
following resources should the nurse recommend?
• 12-step support group
• Respite child care
• Child home health care
• Counseling for depression
pg. 1
, • A nurse is caring for a child who has a prescription for fluticasone and has
developed white patches and sores in his mouth. Which of the following is
an appropriate action for the nurse to take?
• Encourage the use of a spacer
• Withhold the medication until the lesions heal
• Obtain a prescription for oral prednisone
• Collect a culture from the lesions
• A nurse is providing teaching to the parents of a child who has impetigo.
Which of the following instructions should the nurse include in the
teaching?
• Seal soft toys in a plastic bag for 14 days
• Apply bactericidal ointment to lesions
• Administer acyclovir PO two times per day
• Soak hairbrushes in boiling water for 10 min.
• A nurse in an emergency department is caring for a child who has epiglottis.
Which of the following actions should the nurse take?
• Provide nebulizer aerosol therapy
• Administer IV antibiotics
• Inspect the tonsils using a tongue depressor
• Collect a throat culture
• A nurse is planning care for a child who is placed in skin traction. Which of
the following is the priority action for the nurse to take?
• Increase fluid intake
• Maintain proper body alignment
• Use an alternate pressure mattress
• Monitor pedal pulses
pg. 2
, • A nurse is preparing to administer ondansetron 0.15 mg/kg IV to a child
who is receiving chemotherapy and weighs 29.4 kg. Available is
ondansetron 4 mg/2 mL solution. How many mL should the nurse
administer? (Round the answer to the nearest tenth. Use a leading zero if it
applies. Do not use a trailing zero)
• Answer: 2.2 mL
• A nurse is performing a physical assessment of a school-age child
who has acute glomerulonephritis. Which of the following findings
should the nurse expect?
• Hypotension
• Increased urinary output
• Flushed skin
• Facial edema
• A nurse in an emergency department is assessing an adolescent who reports
inhalation of gasoline. Which of the following findings should the nurse
expect?
• Hypothermia
• Pinpoint pupils
• Hyperactive reflexes
• Ataxia
• A nurse in the emergency department is assessing a toddler who has
hyperpyrexia, severe dyspnea, and is drooling. Which of the following
actions should the nurse take first?
• Prepare the toddler for nasotracheal intubation
• Insert an IV catheter for the toddler
pg. 3
, • Obtain a blood culture from the toddler
• Administer an antibiotic to the toddler
• A nurse is caring for an infant who has a patent ductus arteriosus. The
nurse should identify that the defect is at which of the following locations
of the heart? (You will find hot spots to select in the artwork below. Select
only the hot spot that corresponds to your assessment)
• Answer:
• A nurse is caring for an infant who has hydrocephalus and
ventriculoperitoneal shunt malfunction. Which of the following
assessment findings indicates that the infant is experiencing increased
intracranial pressure?
• Increased appetite
• Irritability
• Flat fontanel
• Tachycardia
• A nurse is assessing an infant who has iron deficiency anemia. Which of
the following findings should the nurse expect?
• Increased hemoglobin level
• Hyperactive muscle tone
• Bradycardia
• Pale conjunctiva
• A nurse is preparing to assess a 4-year old child’s visual acuity. Which of
the following actions should the nurse plan first?
• Use a tumbling E chart for the assessment
pg. 4
Guide 2026 – Comprehensive Review Notes, Practice
Questions & NCLEX Prep
• A nurse is caring for a 9-year-old child who has major burns to her face and
upper torso. Which of the following actions should the nurse take first?
• Administer a tetanus vaccine
• Give pain medication
• Begin enteral feedings
• Initiate a crystalloid IV bolus
• A nurse is planning care for a toddler who has developed oral ulcers in
response to chemotherapy. Which of the following should the nurse
include in the plan of care?
• Schedule routine oral care every 8 hrs.
• Administer oral viscous lidocaine
• Moisten the mucous with lemon glycerin swabs
• Cleanse the gums with saline soaked gauze
• A nurse in a community health clinic is assessing the needs of a single
parent who has three young children and works full time. Which of the
following resources should the nurse recommend?
• 12-step support group
• Respite child care
• Child home health care
• Counseling for depression
pg. 1
, • A nurse is caring for a child who has a prescription for fluticasone and has
developed white patches and sores in his mouth. Which of the following is
an appropriate action for the nurse to take?
• Encourage the use of a spacer
• Withhold the medication until the lesions heal
• Obtain a prescription for oral prednisone
• Collect a culture from the lesions
• A nurse is providing teaching to the parents of a child who has impetigo.
Which of the following instructions should the nurse include in the
teaching?
• Seal soft toys in a plastic bag for 14 days
• Apply bactericidal ointment to lesions
• Administer acyclovir PO two times per day
• Soak hairbrushes in boiling water for 10 min.
• A nurse in an emergency department is caring for a child who has epiglottis.
Which of the following actions should the nurse take?
• Provide nebulizer aerosol therapy
• Administer IV antibiotics
• Inspect the tonsils using a tongue depressor
• Collect a throat culture
• A nurse is planning care for a child who is placed in skin traction. Which of
the following is the priority action for the nurse to take?
• Increase fluid intake
• Maintain proper body alignment
• Use an alternate pressure mattress
• Monitor pedal pulses
pg. 2
, • A nurse is preparing to administer ondansetron 0.15 mg/kg IV to a child
who is receiving chemotherapy and weighs 29.4 kg. Available is
ondansetron 4 mg/2 mL solution. How many mL should the nurse
administer? (Round the answer to the nearest tenth. Use a leading zero if it
applies. Do not use a trailing zero)
• Answer: 2.2 mL
• A nurse is performing a physical assessment of a school-age child
who has acute glomerulonephritis. Which of the following findings
should the nurse expect?
• Hypotension
• Increased urinary output
• Flushed skin
• Facial edema
• A nurse in an emergency department is assessing an adolescent who reports
inhalation of gasoline. Which of the following findings should the nurse
expect?
• Hypothermia
• Pinpoint pupils
• Hyperactive reflexes
• Ataxia
• A nurse in the emergency department is assessing a toddler who has
hyperpyrexia, severe dyspnea, and is drooling. Which of the following
actions should the nurse take first?
• Prepare the toddler for nasotracheal intubation
• Insert an IV catheter for the toddler
pg. 3
, • Obtain a blood culture from the toddler
• Administer an antibiotic to the toddler
• A nurse is caring for an infant who has a patent ductus arteriosus. The
nurse should identify that the defect is at which of the following locations
of the heart? (You will find hot spots to select in the artwork below. Select
only the hot spot that corresponds to your assessment)
• Answer:
• A nurse is caring for an infant who has hydrocephalus and
ventriculoperitoneal shunt malfunction. Which of the following
assessment findings indicates that the infant is experiencing increased
intracranial pressure?
• Increased appetite
• Irritability
• Flat fontanel
• Tachycardia
• A nurse is assessing an infant who has iron deficiency anemia. Which of
the following findings should the nurse expect?
• Increased hemoglobin level
• Hyperactive muscle tone
• Bradycardia
• Pale conjunctiva
• A nurse is preparing to assess a 4-year old child’s visual acuity. Which of
the following actions should the nurse plan first?
• Use a tumbling E chart for the assessment
pg. 4
