HESI V4 EXIT EXAM QUESTIONS AND ANSWERS WITH CORRECT SOLUTIONS

HESI EXIT V4 EXAM [Document subtitle]   HESI EXIT V4 1. The nurse is caring for a pre-adolescent client in skeletal Dunlop traction. Which nursing intervention is appropriate for this child? 2. The nurse is assessing a healthy child at the 2 year check up. Which of the following should the nurse report immediately to the health care provider? 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? 4. The nurse is assessing a client in the emergency room. Which statement suggests that the problem is acute angina? . 5. The nurse is assessing the mental status of a client admitted with possible organic brain disorder. Which of these questions will best assess the function of the client's recent memory? 6. In planning care for a 6 month-old infant, what must the nurse provide to assist in the development of trust? 7. A nurse has just received a medication order which is not legible. Which statement best reflects assertive communication? 8. What is the most important consideration when teaching parents how to reduce risks 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 10. While caring for a toddler with croup, which initial sign of croup requires the nurse's immediate attention? 11. A client is admitted with low T3 and T4 levels and an elevated TSH level. On initial assessment, the nurse would anticipate which of the following assessment findings? 12. The emergency room nurse admits a child who experienced a seizure at school. The father comments that this is the first occurrence, and denies any family history of epilepsy. What is the best response by the nurse? 13. Alcohol and drug abuse impairs judgment and increases risk taking behavior. What nursing diagnosis best applies? 14. The nurse is caring for a 10 month-old infant who is has oxygen via mask. It is important for the nurse to maintain patency of which of these areas? 15. The nurse is providing instructions for a client with pneumonia. What is the most important information to convey to the client? 16. When counseling a 6 year old who is experiencing enuresis, what must the nurse understand about the pathophysiological basis of this disorder? 17. The nurse is discussing negativism with the parents of a 30 month-old child. How should the nurse tell the parents to best respond to this behavior? 18. The nurse is talking by telephone with a parent of a 4 year-old child who has chickenpox. Which of the following demonstrates appropriate teaching by the nurse? 19. The nurse is assigned to a client who has heart failure . During the morning rounds the nurse sees the client develop sudden anxiety, diaphoresis and dyspnea. The nurse auscultates, crackles bilaterally. Which nursing intervention should be performed first? 20. The nurse is caring for a toddler with atopic dermatitis. The nurse should instruct the parents to 21. A recovering alcoholic asked the nurse,