1
HESI RN EXIT EXAM
1. In planning care for a 6 month-old infant, what must the nurse provide to assist in
thedevelopment of trust?
A) Food
B) Warmth
C) Security
D) Comfort
2. A nurse has just received a medication order which is not legible. Which statement
bestreflects 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
yourwriting."
3. What is the most important consideration when teaching parents how to reduce risks in
thehome?
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
4. A 35 year-old client with sickle cell crisis is talking on the telephone but stops as
thenurse 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
5. While caring for a toddler with croup, which initial sign of croup requires the
nurse'simmediate attention?
A) Respiratory rate of 42
, 2
HESI RN EXIT EXAM
B) Lethargy for the past hour
C) Apical pulse of 54
D) Coughing up copious secretions
6. 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?
A) Lethargy
B) Heat intolerance
, 3
HESI RN EXIT EXAM
C) Diarrhea
D) Skin eruptions
7. 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?
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."
D) "Long term treatment will prevent future seizures."
8. Alcohol and drug abuse impairs judgment and increases risk taking behavior.
Whatnursing diagnosis best applies?
A) Risk for injury
B) Risk for knowledge deficit
C) Altered thought process
D) Disturbance in self-esteem
9. Which these findings would the nurse more closely associate with anemia in a 10 month-
oldinfant?
A) Hemoglobin level of 12 g/dI
B) Pale mucosa of the eyelids and lips
C) Hypoactivity
D) A heart rate between 140 to 160
10. The nurse is caring for a client in hypertensive crisis in an intensive care unit. The priority
assessment in the first hour of care is
A) Heart rate
B) Pedal pulses
C) Lung sounds
D) Pupil responses
11. Which of these clients who are all in the terminal stage of cancer is least appropriate
tosuggest the use of patient controlled analgesia (PCA) with a pump?
A) A young adult with a history of Down's syndrome
, 4
HESI RN EXIT EXAM
B) A teenager who reads at a 4th grade level
C) An elderly client with numerous arthritic nodules on the
handsD) A preschooler with intermittent episodes of alertness
12. The nurse is about to assess a 6 month-old child with nonorganic failure-to
thrive(NOFTT). Upon entering the room, the nurse would expect the baby to be
A) Irritable and "colicky" with no attempts to pull to standing
B) Alert, laughing and playing with a rattle, sitting with support
C) Skin color dusky with poor skin turgor over
abdomenD) Pale, thin arms and legs, uninterested in
surroundings
HESI RN EXIT EXAM
1. In planning care for a 6 month-old infant, what must the nurse provide to assist in
thedevelopment of trust?
A) Food
B) Warmth
C) Security
D) Comfort
2. A nurse has just received a medication order which is not legible. Which statement
bestreflects 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
yourwriting."
3. What is the most important consideration when teaching parents how to reduce risks in
thehome?
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
4. A 35 year-old client with sickle cell crisis is talking on the telephone but stops as
thenurse 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
5. While caring for a toddler with croup, which initial sign of croup requires the
nurse'simmediate attention?
A) Respiratory rate of 42
, 2
HESI RN EXIT EXAM
B) Lethargy for the past hour
C) Apical pulse of 54
D) Coughing up copious secretions
6. 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?
A) Lethargy
B) Heat intolerance
, 3
HESI RN EXIT EXAM
C) Diarrhea
D) Skin eruptions
7. 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?
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."
D) "Long term treatment will prevent future seizures."
8. Alcohol and drug abuse impairs judgment and increases risk taking behavior.
Whatnursing diagnosis best applies?
A) Risk for injury
B) Risk for knowledge deficit
C) Altered thought process
D) Disturbance in self-esteem
9. Which these findings would the nurse more closely associate with anemia in a 10 month-
oldinfant?
A) Hemoglobin level of 12 g/dI
B) Pale mucosa of the eyelids and lips
C) Hypoactivity
D) A heart rate between 140 to 160
10. The nurse is caring for a client in hypertensive crisis in an intensive care unit. The priority
assessment in the first hour of care is
A) Heart rate
B) Pedal pulses
C) Lung sounds
D) Pupil responses
11. Which of these clients who are all in the terminal stage of cancer is least appropriate
tosuggest the use of patient controlled analgesia (PCA) with a pump?
A) A young adult with a history of Down's syndrome
, 4
HESI RN EXIT EXAM
B) A teenager who reads at a 4th grade level
C) An elderly client with numerous arthritic nodules on the
handsD) A preschooler with intermittent episodes of alertness
12. The nurse is about to assess a 6 month-old child with nonorganic failure-to
thrive(NOFTT). Upon entering the room, the nurse would expect the baby to be
A) Irritable and "colicky" with no attempts to pull to standing
B) Alert, laughing and playing with a rattle, sitting with support
C) Skin color dusky with poor skin turgor over
abdomenD) Pale, thin arms and legs, uninterested in
surroundings
