BSN366- HESI Exit RN VOL4 Exam Ques
] ] ] ] ] ] ]
tions and Correct Answers 2025-2026
] ] ] ]
1. ]The ]nurse ]is ]caring ]for ]a ]pre-
adolescent ]client ]in ]skeletal ]Dunlop ]traction. ]Which ]nursing ]intervention ]is ]appropriate ]for ]this ]c
hild? ]
A) ]Make ]certain ]the ]child ]is ]maintained ]in ]correct ]body ]alignment. ]
B) ]Be ]sure ]the ]traction ]weights ]touch ]the ]end ]of ]the ]bed. ]
C) ]Adjust ]the ]head ]and ]foot ]of ]the ]bed ]for ]the ]child's ]comfort ]
D) ]Release ]the ]traction ]for ]15-
20 ]minutes ]every ]6 ]hours ]PRN. ]- ]correct ]answer: ]A: ]Make ]certain ]the ]child ]is ]maintained ]in ]corre
ct ]body ]alignment.
2. ]The ]nurse ]is ]assessing ]a ]healthy ]child ]at ]the ]2 ]year ]check ]up. ]Which ]of ]the ]following ]should ]th
e ]nurse ]report ]immediately ]to ]the ]health ]care ]provider? ]
A) ]Height ]and ]weight ]percentiles ]vary ]widely ]
B) ]Growth ]pattern ]appears ]to ]have ]slowed ]
C) ]Recumbent ]and ]standing ]height ]are ]different ]
D) ]Short ]term ]weight ]changes ]are ]uneven ]- ]correct ]answer: ]A: ]Height ]and ]weight ]percentiles ]var
y ]widely
3. ]The ]parents ]of ]a ]2 ]year-
old ]child ]report ]that ]he ]has ]been ]holding ]his ]breath ]whenever ]he ]has ]temper ]tantrums. ]What ]is ]
the ]best ]action ]by ]the ]nurse? ]
A) ]Teach ]the ]parents ]how ]to ]perform ]cardiopulmonary ]resuscitation ]
B) ]Recommend ]that ]the ]parents ]give ]in ]when ]he ]holds ]his ]breath ]to ]prevent ]anoxia ]
,C) ]Advise ]the ]parents ]to ]ignore ]breath ]holding ]because ]breathing ]will ]begin ]as ]a ]reflex ]
D) ]Instruct ]the ]parents ]on ]how ]to ]reason ]with ]the ]child ]about ]possible ]harmful ]effects ]- ]correct ]
answer: ]C: ]Advise ]the ]parents ]to ]ignore ]breath ]holding ]because ]breathing ]will ]begin ]as ]a ]reflex
4. ]The ]nurse ]is ]assessing ]a ]client ]in ]the ]emergency ]room. ]Which ]statement ]suggests ]that ]the ]pro
blem ]is ]acute ]angina? ]
A) ]"My ]pain ]is ]deep ]in ]my ]chest ]behind ]my ]sternum." ]
B) ]"When ]I ]sit ]up ]the ]pain ]gets ]worse." ]
C) ]"As ]I ]take ]a ]deep ]breath ]the ]pain ]gets ]worse." ]
D) ]"The ]pain ]is ]right ]here ]in ]my ]stomach ]area." ]- ]correct ]answer: ]A: ]"My ]pain ]is ]deep ]in ]my ]chest
]behind ]my ]sternum."
5. ]The ]nurse ]is ]assessing ]the ]mental ]status ]of ]a ]client ]admitted ]with ]possible ]organic ]brain ]disor
der. ]Which ]of ]these ]questions ]will ]best ]assess ]the ]function ]of ]the ]client's ]recent ]memory? ]
A) ]"Name ]the ]year." ]"What ]season ]is ]this?" ](pause ]for ]answer ]after ]each ]question) ]
B) ]"Subtract ]7 ]from ]100 ]and ]then ]subtract ]7 ]from ]that." ]
(pause ]for ]answer) ]"Now ]continue ]to ]subtract ]7 ]from ]the ]new ]number." ]
C) ]"I ]am ]going ]to ]say ]the ]names ]of ]three ]things ]and ]I ]want ]you ]to ]repeat ]them ]after ]me: ]blue, ]ba
ll, ]pen." ]
D) ]"What ]is ]this ]on ]my ]wrist?" ]
(point ]to ]your ]watch) ]Then ]ask, ]"What ]is ]the ]purpose ]of ]it?" ]- ]correct ]answer: ]C: ]"I ]am ]going ]to ]s
ay ]the ]names ]of ]three ]things ]and ]I ]want ]you ]to ]repeat ]them ]after ]me: ]blue, ]ball, ]pen."
6. ]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
7. ]A ]nurse ]has ]just ]received ]a ]medication ]order ]which ]is ]not ]legible. ]Which ]statement ]best ]reflec
ts ]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 ]writin
g." ]- ]correct ]answer: ]B) ]"Would ]you ]please ]clarify ]what ]you ]have ]written ]so ]I ]am ]sure ]I ]am ]readin
g ]it ]correctly?"
8. ]What ]is ]the ]most ]important ]consideration ]when ]teaching ]parents ]how ]to ]reduce ]risks ]in ]the ]h
ome? ]
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
9. ]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 ]prescrib
ed ]analgesia
10. ]While ]caring ]for ]a ]toddler ]with ]croup, ]which ]initial ]sign ]of ]croup ]requires ]the ]nurse's ]immedi
ate ]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 ]30
11. ]A ]client ]is ]admitted ]with ]low ]T3 ]and ]T4 ]levels ]and ]an ]elevated ]TSH ]level. ]On ]initial ]assessmen
t, ]the ]nurse ]would ]anticipate ]which ]of ]the ]following ]assessment ]findings? ]
A) ]Lethargy ]
B) ]Heat ]intolerance ]
C) ]Diarrhea ]
D) ]Skin ]eruptions ]- ]correct ]answer: ]A: ]Lethargy
12. ]The ]emergency ]room ]nurse ]admits ]a ]child ]who ]experienced ]a ]seizure ]at ]school. ]The ]father ]c
omments ]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." ]
] ] ] ] ] ] ]
tions and Correct Answers 2025-2026
] ] ] ]
1. ]The ]nurse ]is ]caring ]for ]a ]pre-
adolescent ]client ]in ]skeletal ]Dunlop ]traction. ]Which ]nursing ]intervention ]is ]appropriate ]for ]this ]c
hild? ]
A) ]Make ]certain ]the ]child ]is ]maintained ]in ]correct ]body ]alignment. ]
B) ]Be ]sure ]the ]traction ]weights ]touch ]the ]end ]of ]the ]bed. ]
C) ]Adjust ]the ]head ]and ]foot ]of ]the ]bed ]for ]the ]child's ]comfort ]
D) ]Release ]the ]traction ]for ]15-
20 ]minutes ]every ]6 ]hours ]PRN. ]- ]correct ]answer: ]A: ]Make ]certain ]the ]child ]is ]maintained ]in ]corre
ct ]body ]alignment.
2. ]The ]nurse ]is ]assessing ]a ]healthy ]child ]at ]the ]2 ]year ]check ]up. ]Which ]of ]the ]following ]should ]th
e ]nurse ]report ]immediately ]to ]the ]health ]care ]provider? ]
A) ]Height ]and ]weight ]percentiles ]vary ]widely ]
B) ]Growth ]pattern ]appears ]to ]have ]slowed ]
C) ]Recumbent ]and ]standing ]height ]are ]different ]
D) ]Short ]term ]weight ]changes ]are ]uneven ]- ]correct ]answer: ]A: ]Height ]and ]weight ]percentiles ]var
y ]widely
3. ]The ]parents ]of ]a ]2 ]year-
old ]child ]report ]that ]he ]has ]been ]holding ]his ]breath ]whenever ]he ]has ]temper ]tantrums. ]What ]is ]
the ]best ]action ]by ]the ]nurse? ]
A) ]Teach ]the ]parents ]how ]to ]perform ]cardiopulmonary ]resuscitation ]
B) ]Recommend ]that ]the ]parents ]give ]in ]when ]he ]holds ]his ]breath ]to ]prevent ]anoxia ]
,C) ]Advise ]the ]parents ]to ]ignore ]breath ]holding ]because ]breathing ]will ]begin ]as ]a ]reflex ]
D) ]Instruct ]the ]parents ]on ]how ]to ]reason ]with ]the ]child ]about ]possible ]harmful ]effects ]- ]correct ]
answer: ]C: ]Advise ]the ]parents ]to ]ignore ]breath ]holding ]because ]breathing ]will ]begin ]as ]a ]reflex
4. ]The ]nurse ]is ]assessing ]a ]client ]in ]the ]emergency ]room. ]Which ]statement ]suggests ]that ]the ]pro
blem ]is ]acute ]angina? ]
A) ]"My ]pain ]is ]deep ]in ]my ]chest ]behind ]my ]sternum." ]
B) ]"When ]I ]sit ]up ]the ]pain ]gets ]worse." ]
C) ]"As ]I ]take ]a ]deep ]breath ]the ]pain ]gets ]worse." ]
D) ]"The ]pain ]is ]right ]here ]in ]my ]stomach ]area." ]- ]correct ]answer: ]A: ]"My ]pain ]is ]deep ]in ]my ]chest
]behind ]my ]sternum."
5. ]The ]nurse ]is ]assessing ]the ]mental ]status ]of ]a ]client ]admitted ]with ]possible ]organic ]brain ]disor
der. ]Which ]of ]these ]questions ]will ]best ]assess ]the ]function ]of ]the ]client's ]recent ]memory? ]
A) ]"Name ]the ]year." ]"What ]season ]is ]this?" ](pause ]for ]answer ]after ]each ]question) ]
B) ]"Subtract ]7 ]from ]100 ]and ]then ]subtract ]7 ]from ]that." ]
(pause ]for ]answer) ]"Now ]continue ]to ]subtract ]7 ]from ]the ]new ]number." ]
C) ]"I ]am ]going ]to ]say ]the ]names ]of ]three ]things ]and ]I ]want ]you ]to ]repeat ]them ]after ]me: ]blue, ]ba
ll, ]pen." ]
D) ]"What ]is ]this ]on ]my ]wrist?" ]
(point ]to ]your ]watch) ]Then ]ask, ]"What ]is ]the ]purpose ]of ]it?" ]- ]correct ]answer: ]C: ]"I ]am ]going ]to ]s
ay ]the ]names ]of ]three ]things ]and ]I ]want ]you ]to ]repeat ]them ]after ]me: ]blue, ]ball, ]pen."
6. ]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
7. ]A ]nurse ]has ]just ]received ]a ]medication ]order ]which ]is ]not ]legible. ]Which ]statement ]best ]reflec
ts ]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 ]writin
g." ]- ]correct ]answer: ]B) ]"Would ]you ]please ]clarify ]what ]you ]have ]written ]so ]I ]am ]sure ]I ]am ]readin
g ]it ]correctly?"
8. ]What ]is ]the ]most ]important ]consideration ]when ]teaching ]parents ]how ]to ]reduce ]risks ]in ]the ]h
ome? ]
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
9. ]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 ]prescrib
ed ]analgesia
10. ]While ]caring ]for ]a ]toddler ]with ]croup, ]which ]initial ]sign ]of ]croup ]requires ]the ]nurse's ]immedi
ate ]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 ]30
11. ]A ]client ]is ]admitted ]with ]low ]T3 ]and ]T4 ]levels ]and ]an ]elevated ]TSH ]level. ]On ]initial ]assessmen
t, ]the ]nurse ]would ]anticipate ]which ]of ]the ]following ]assessment ]findings? ]
A) ]Lethargy ]
B) ]Heat ]intolerance ]
C) ]Diarrhea ]
D) ]Skin ]eruptions ]- ]correct ]answer: ]A: ]Lethargy
12. ]The ]emergency ]room ]nurse ]admits ]a ]child ]who ]experienced ]a ]seizure ]at ]school. ]The ]father ]c
omments ]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." ]
