HESI RN EXIT EXAM (V5) Actual Questions
and Answers to Pass the Exam
1. The nurse is has just admitted a client with severe depression.
From which focus should the nurse identify a priority nursing
diagnosis?
A) Nutrition
B) Elimination
C) Activity
D) Safety:
Answer D Safety
2. While explaining an illness to a 10 year-old, what should the
nurse keep in mind about the cognitive development at this age?
A) They are able to make simple association of ideas
B) They are able to think logically in organizing facts
C) Interpretation of events originate from their own perspective
D) Conclusions are based on previous experiences:
Answer B Think logically in organizing facts
3. The nurse enters the room as a 3 year-old is having a
generalized seizure. Which intervention should the nurse do first?
,A) Clear the area of any hazards
B) Place the child on the side
C) Restrain the child
D) Give the prescribed anticonvulsant:
Answer B Place the child on the side
4. The nurse is reviewing a depressed client's history from an earlier
admission. Documentation of anhedonia is noted. The nurse
understands that this finding refers to
A) Reports of difficulty falling and staying asleep
B) Expression of persistent suicidal thoughts
C) Lack of enjoyment in usual pleasures
D) Reduced senses of taste and smell:
Answer C Lack of enjoyment in usual pleasures
5. A client has just returned to the medical-surgical unit following a
segmental lung resection. After assessing the client, the first
nursing action would be to
A) Administer pain medication
B) Suction excessive tracheobronchial secretions
C) Assist client to turn, deep breathe and cough
D) Monitor oxygen saturation:
Answer B) Suction excessive tracheobronchial secretions
,6. While assessing a client in an outpatient facility with a panic
disorder, the nurse completes a thorough health history and
physical exam. Which finding is most significantfor this client?
A) Compulsive behavior
B) Sense of impending doom
C) Fear of flying
D) Predictable episodes:
Answer B) Sense of impending doom
7. A 16 month-old child has just been admitted to the hospital.
As the nurse assigned to this child enters the hospital room for
the first time, the toddler runs to the mother, clings
to her and begins to cry. What would be the initial action by the
nurse?
A) Arrange to change client care assignments
B) Explain that this behavior is expected
C) Discuss the appropriate use of "time-out"
D) Explain that the child needs extra attention:
Answer B) Explain that this behavior is expected
8. A 15 year-old client with a lengthy confining illness is at risk for
altered growth and
, development of which task?
A) Loss of control
B) Insecurity
C) Dependence
D) Lack of trust:
Answer C) Dependence
9. Which playroom activities should the nurse organize for a small
group of 7 year-old hospitalized children?
A) Sports and games with rules
B) Finger paints and water play
C) "Dress-up" clothes and props
D) Chess and television programs:
Answer A) Sports and games with rules
10. The nurse is discussing dietary intake with an adolescent who
has acne. The most appropriate statement for the nurse is
A) "Eat a balanced diet for your age."
B) "Increase your intake of protein and Vitamin A."
C) "Decrease fatty foods from your diet."
D)"Do not use caffeine in any form, including chocolate.":
Answer A) "Eat a balanced diet for your age."
and Answers to Pass the Exam
1. The nurse is has just admitted a client with severe depression.
From which focus should the nurse identify a priority nursing
diagnosis?
A) Nutrition
B) Elimination
C) Activity
D) Safety:
Answer D Safety
2. While explaining an illness to a 10 year-old, what should the
nurse keep in mind about the cognitive development at this age?
A) They are able to make simple association of ideas
B) They are able to think logically in organizing facts
C) Interpretation of events originate from their own perspective
D) Conclusions are based on previous experiences:
Answer B Think logically in organizing facts
3. The nurse enters the room as a 3 year-old is having a
generalized seizure. Which intervention should the nurse do first?
,A) Clear the area of any hazards
B) Place the child on the side
C) Restrain the child
D) Give the prescribed anticonvulsant:
Answer B Place the child on the side
4. The nurse is reviewing a depressed client's history from an earlier
admission. Documentation of anhedonia is noted. The nurse
understands that this finding refers to
A) Reports of difficulty falling and staying asleep
B) Expression of persistent suicidal thoughts
C) Lack of enjoyment in usual pleasures
D) Reduced senses of taste and smell:
Answer C Lack of enjoyment in usual pleasures
5. A client has just returned to the medical-surgical unit following a
segmental lung resection. After assessing the client, the first
nursing action would be to
A) Administer pain medication
B) Suction excessive tracheobronchial secretions
C) Assist client to turn, deep breathe and cough
D) Monitor oxygen saturation:
Answer B) Suction excessive tracheobronchial secretions
,6. While assessing a client in an outpatient facility with a panic
disorder, the nurse completes a thorough health history and
physical exam. Which finding is most significantfor this client?
A) Compulsive behavior
B) Sense of impending doom
C) Fear of flying
D) Predictable episodes:
Answer B) Sense of impending doom
7. A 16 month-old child has just been admitted to the hospital.
As the nurse assigned to this child enters the hospital room for
the first time, the toddler runs to the mother, clings
to her and begins to cry. What would be the initial action by the
nurse?
A) Arrange to change client care assignments
B) Explain that this behavior is expected
C) Discuss the appropriate use of "time-out"
D) Explain that the child needs extra attention:
Answer B) Explain that this behavior is expected
8. A 15 year-old client with a lengthy confining illness is at risk for
altered growth and
, development of which task?
A) Loss of control
B) Insecurity
C) Dependence
D) Lack of trust:
Answer C) Dependence
9. Which playroom activities should the nurse organize for a small
group of 7 year-old hospitalized children?
A) Sports and games with rules
B) Finger paints and water play
C) "Dress-up" clothes and props
D) Chess and television programs:
Answer A) Sports and games with rules
10. The nurse is discussing dietary intake with an adolescent who
has acne. The most appropriate statement for the nurse is
A) "Eat a balanced diet for your age."
B) "Increase your intake of protein and Vitamin A."
C) "Decrease fatty foods from your diet."
D)"Do not use caffeine in any form, including chocolate.":
Answer A) "Eat a balanced diet for your age."
