HESI RN EXIT EXAM LEGACY V1

HESI RN EXIT EXAM LEGACY V QUESTIONS&ANSWERS GRADED A 1. ThenurseiscaringforapreadolescentclientinskeletalDunloptraction.Whichnursinginterventionisappropriatefort hischild? A) Makecertainthechildismaintainedincorrectbodyalignment. B) Besurethetractionweightstouchtheendofthebed. C) Adjusttheheadandfootofthebedforthechild'scomfort D) Releasethetractionfor15-20minutesevery6hoursPRN. ThecorrectanswerisA:Makecertainthechildismaintainedincorrectbodyalignment. 2. Thenurseisassessingahealthychildatthe2yearcheckup.Whichofthefollowingshouldthen ursereportimmediatelytothehealthcareprovider? A) Heightandweightpercentilesvarywidely B) Growthpatternappearstohaveslowed C) Recumbentandstandingheightaredifferent D) Shorttermweightchangesareuneven ThecorrectanswerisA:Heightandweightpercentilesvarywidely 3. Theparentsofa2yearoldchildreportthathehasbeenholdinghisbreathwheneverhehastempertantrums. Whatisthebestactionbythenurse? A) Teachtheparentshowtoperformcardiopulmonaryresuscitation B) Recommendthattheparentsgiveinwhenheholdshisbreathtopreventanoxia C) Advisetheparentstoignorebreathholdingbecausebreathingwillbeginasareflex D) InstructtheparentsonhowtoreasonwiththechildaboutpossibleharmfuleffectsThecorrect answerisC:Advisetheparentstoignorebreathholdingbecausebreathingwillbeginasareflex 4. Thenurseisassessingaclientintheemergencyroom.Whichstatementsuggeststhattheprobl emisacuteangina? A) "Mypainisdeepinmychestbehindmysternum." B) "WhenIsitupthepaingetsworse." C) "AsItakeadeepbreaththepaingetsworse." D) "Thepainisrighthereinmystomacharea." ThecorrectanswerisA:"Mypainisdeepinmychestbehindmysternum." . 5. Thenurseisassessingthementalstatusofaclientadmittedwithpossibleorganicbraindisorder. Whichofthesequestionswillbestassessthefunctionoftheclient'srecent memory? A) "Nametheyear.""Whatseasonisthis?"(pauseforansweraftereachquestion) B) "Subtract7from100andthensubtract7fromthat."(pauseforanswer)"Nowcontinuet osubtract7from thenewnumber." C) "IamgoingtosaythenamesofthreethingsandIwantyoutorepeatthemafterme:blue,ball,pe n." D) "Whatisthisonmywrist?"(pointtoyourwatch)Thenask,"Whatisthepurposeofit?" ThecorrectanswerisC:"IamgoingtosaythenamesofthreethingsandIwantyoutorepeatthem afterme:blue,ball,pen." 6. Inplanningcarefora6montholdinfant,whatmustthenurseprovidetoassistinthedevelopmentoftrust? A) Food B) Warmth C) Security D) Comfort ThecorrectanswerisC:Security 7. Anursehasjustreceivedamedicationorderwhichisnotlegible.Whichstatementbestreflectsas sertivecommunication? A) "Icannotgivethismedicationasitiswritten.Ihavenoideaofwhatyoumean." B) "WouldyoupleaseclarifywhatyouhavewrittensoIamsureIamreadingitcorrectly? " C) "Iamhavingdifficultyreadingyourhandwriting.Itwouldsavemetimeifyouwouldbemoreca reful." D) "PleaseprintinthefuturesoIdonothavetospendextratimeattemptingtoreadyourwriting." ThecorrectanswerisB)"WouldyoupleaseclarifywhatyouhavewrittensoIamsureIam readingitcorrectly?" 8. Whatisthemostimportantconsiderationwhenteachingparentshowtoreducerisksinthehome ? A) Ageandknowledgeleveloftheparents B) Proximitytoemergencyservices C) Numberofchildreninthehome D) Ageofchildreninthehome ThecorrectanswerisD:Ageofchildreninthehome 9. A35yearoldclientwithsicklecellcrisisistalkingonthetelephonebutstopsasthenurseenterstheroomtor equestsomethingforpain.Thenurseshould A) Administeraplacebo B) Encourageincreasedfluidintake C) Administertheprescribedanalgesia D) Recommendrelaxationexercisesforpaincontrol ThecorrectanswerisC:Administertheprescribedanalgesia 10. Whilecaringforatoddlerwithcroup,whichinitialsignofcrouprequiresthenurse'simmediat eattention? A) Respiratoryrateof42 B) Lethargyforthepasthour C) Apicalpulseof54 D) Coughingupcopioussecretions ThecorrectanswerisA:Respiratoryrateof30 11. AclientisadmittedwithlowT3andT4levelsandanelevatedTSHlevel.Oninitialassessmen t,thenursewouldanticipatewhichofthefollowingassessmentfindings? A) Lethargy B) Heatintolerance C) Diarrhea D) Skineruptions ThecorrectanswerisA:Lethargy 12. Theemergencyroomnurseadmitsachildwhoexperiencedaseizureatschool.Thefatherco mmentsthatthisisthefirstoccurrence,anddeniesanyfamilyhistoryofepilepsy.Whatisthebest responsebythenurse? A) "Donotworry.Epilepsycanbetreatedwithmedications." B) "Theseizuremayormaynotmeanyourchildhasepilepsy." C) "Sincethiswasthefirstconvulsion,itmaynothappenagain." D) "Longtermtreatmentwillpreventfutureseizures." ThecorrectanswerisB:"Theseizuremayormaynotmeanyourchildhasepilepsy." 13. Alcoholanddrugabuseimpairsjudgmentandincreasesrisktakingbehavior.Whatnursing diagnosisbestapplies? A) Riskforinjury B) Riskforknowledgedeficit