INET HESI RN V4 ACTUAL TEST SCREENSHOTS PROCTORED EXAMYEAR
2024/2025 / ACCURATE CURRENTLY TESTING EXAM VERSIONS WITH ACTUAL
QUESTIONS AND DETAILED ANSWERS WITH A STUDY GUIDE / EXPERT
VERIFIED FOR GURANTEED PASS / LATEST UPDATE.
. The nurse is caring for a pre-adolescent client in skeletal Dunlop traction. Which
nursing intervention is appropriate for this child?
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. - ✔✔ANSW✔✔..A: Make
certain the child is maintained in correct body alignment.
In assessing the healing of a client's wound during a home visit, which of the following is
the best indicator of good healing?
A) White patches
B) Green drainage
C) Reddened tissue
D) Eschar development - ✔✔ANSW✔✔..C: Reddened tissue
. Which therapeutic communication skill is most likely to encourage a depressed client
to vent feelings?
A) Direct confrontation
B) Reality orientation
C) Projective identification
D) Active listening - ✔✔ANSW✔✔..D: Active listening
. In order to enhance a client's response to medication for chest pain from acute angina,
the nurse should emphasize
A) Learning relaxation techniques
B) Limiting alcohol use
C) Eating smaller meals
D) Avoiding passive smoke - ✔✔ANSW✔✔..A: Learning relaxation techniques
. The nurse is caring for 2 children who have had surgical repair of congenital heart
defects. For which defect is it a priority to assess for findings of heart conduction
disturbance?
A) Arterial septal defect
,B) Patent ductus arteriosus
C) Aortic stenosis
D) Ventricular septal defect - ✔✔ANSW✔✔..D: Ventricular se. Clients with mitral
stenosis would likely manifest findings associated with congestion in the
A) Pulmonary circulation
B) Descending aorta
C) Superior vena cava
D) Bundle of His - ✔✔ANSW✔✔..A: Pulmonary circulation
120. The nurse is teaching a smoking cessation class and notices there are 2 pregnant
women in the group. Which information is a priority for these women?
A) Low tar cigarettes are less harmful during pregnancy
B) There is a relationship between smoking and low birth weight
C) The placenta serves as a barrier to nicotine
D) Moderate smoking is effective in weight control - ✔✔ANSW✔✔..B: There is a
relationship between smoking and low birth weight
121. What is the best way for the nurse to accomplish a health history on a 14 year-old
client?
A) Have the mother present to verify information
B) Allow an opportunity for the teen to express feelings
C) Use the same type of language as the adolescent
D) Focus the discussion of risk factors in the peer group - ✔✔ANSW✔✔..B: Allow an
opportunity for the teen to express feelings
122. What principle of HIV disease should the nurse keep in mind when planning care
for a newborn who was infected in utero?
A) The disease will incubate longer and progress more slowly in this infant
B) The infant is very susceptible to infections
C) Growth and development patterns will proceed at a normal rate
D) Careful monitoring of renal function is indicated - ✔✔ANSW✔✔..B: The infant is very
susceptible to infections
123. While planning care for a preschool aged child, the nurse understands
developmental needs. Which of the following would be of the most concern to the
nurse?
A) Playing imaginatively
B) Expressing shame
C) Identifying with family
D) Exploring the playroom - ✔✔ANSW✔✔..B: Expressing shame
,124. A client has been receiving lithium (Lithane) for the past two weeks for the
treatment of bipolar illness. When planning client teaching, what is most important to
emphasize to the client?
A) Maintain a low sodium diet
B) Take a diuretic with lithium
C) Come in for evaluation of serum lithium levels every 1-3 months
D) Have blood lithium levels drawn during the summer months - ✔✔ANSW✔✔..D: Have
blood lithium levels drawn during the summer months
125. While teaching a client about their medications, the client asks how long it will take
before the effects of lithium take place. What is the best response of the nurse?
A) Immediately
B) Several days
C) 2 weeks
D) 1 month - ✔✔ANSW✔✔..C: 2 weeks
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?
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 - ✔✔ANSW✔✔..A: Height and weight
percentiles vary 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 -
✔✔ANSW✔✔..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 problem 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." - ✔✔ANSW✔✔..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 disorder. 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, ball, pen."
D) "What is this on my wrist?" (point to your watch) Then ask, "What is the purpose of
it?" - ✔✔ANSW✔✔..C: "I am going to say 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 - ✔✔ANSW✔✔..C: Security
7. A nurse has just received a medication order which is not legible. Which statement
best reflects 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 writing." - ✔✔ANSW✔✔..B) "Would you please clarify what you have written so I
am sure I am reading it correctly?"
8. What is the most important consideration when teaching parents how to reduce risks
in the home?
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 - ✔✔ANSW✔✔..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
2024/2025 / ACCURATE CURRENTLY TESTING EXAM VERSIONS WITH ACTUAL
QUESTIONS AND DETAILED ANSWERS WITH A STUDY GUIDE / EXPERT
VERIFIED FOR GURANTEED PASS / LATEST UPDATE.
. The nurse is caring for a pre-adolescent client in skeletal Dunlop traction. Which
nursing intervention is appropriate for this child?
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. - ✔✔ANSW✔✔..A: Make
certain the child is maintained in correct body alignment.
In assessing the healing of a client's wound during a home visit, which of the following is
the best indicator of good healing?
A) White patches
B) Green drainage
C) Reddened tissue
D) Eschar development - ✔✔ANSW✔✔..C: Reddened tissue
. Which therapeutic communication skill is most likely to encourage a depressed client
to vent feelings?
A) Direct confrontation
B) Reality orientation
C) Projective identification
D) Active listening - ✔✔ANSW✔✔..D: Active listening
. In order to enhance a client's response to medication for chest pain from acute angina,
the nurse should emphasize
A) Learning relaxation techniques
B) Limiting alcohol use
C) Eating smaller meals
D) Avoiding passive smoke - ✔✔ANSW✔✔..A: Learning relaxation techniques
. The nurse is caring for 2 children who have had surgical repair of congenital heart
defects. For which defect is it a priority to assess for findings of heart conduction
disturbance?
A) Arterial septal defect
,B) Patent ductus arteriosus
C) Aortic stenosis
D) Ventricular septal defect - ✔✔ANSW✔✔..D: Ventricular se. Clients with mitral
stenosis would likely manifest findings associated with congestion in the
A) Pulmonary circulation
B) Descending aorta
C) Superior vena cava
D) Bundle of His - ✔✔ANSW✔✔..A: Pulmonary circulation
120. The nurse is teaching a smoking cessation class and notices there are 2 pregnant
women in the group. Which information is a priority for these women?
A) Low tar cigarettes are less harmful during pregnancy
B) There is a relationship between smoking and low birth weight
C) The placenta serves as a barrier to nicotine
D) Moderate smoking is effective in weight control - ✔✔ANSW✔✔..B: There is a
relationship between smoking and low birth weight
121. What is the best way for the nurse to accomplish a health history on a 14 year-old
client?
A) Have the mother present to verify information
B) Allow an opportunity for the teen to express feelings
C) Use the same type of language as the adolescent
D) Focus the discussion of risk factors in the peer group - ✔✔ANSW✔✔..B: Allow an
opportunity for the teen to express feelings
122. What principle of HIV disease should the nurse keep in mind when planning care
for a newborn who was infected in utero?
A) The disease will incubate longer and progress more slowly in this infant
B) The infant is very susceptible to infections
C) Growth and development patterns will proceed at a normal rate
D) Careful monitoring of renal function is indicated - ✔✔ANSW✔✔..B: The infant is very
susceptible to infections
123. While planning care for a preschool aged child, the nurse understands
developmental needs. Which of the following would be of the most concern to the
nurse?
A) Playing imaginatively
B) Expressing shame
C) Identifying with family
D) Exploring the playroom - ✔✔ANSW✔✔..B: Expressing shame
,124. A client has been receiving lithium (Lithane) for the past two weeks for the
treatment of bipolar illness. When planning client teaching, what is most important to
emphasize to the client?
A) Maintain a low sodium diet
B) Take a diuretic with lithium
C) Come in for evaluation of serum lithium levels every 1-3 months
D) Have blood lithium levels drawn during the summer months - ✔✔ANSW✔✔..D: Have
blood lithium levels drawn during the summer months
125. While teaching a client about their medications, the client asks how long it will take
before the effects of lithium take place. What is the best response of the nurse?
A) Immediately
B) Several days
C) 2 weeks
D) 1 month - ✔✔ANSW✔✔..C: 2 weeks
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?
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 - ✔✔ANSW✔✔..A: Height and weight
percentiles vary 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 -
✔✔ANSW✔✔..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 problem 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." - ✔✔ANSW✔✔..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 disorder. 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, ball, pen."
D) "What is this on my wrist?" (point to your watch) Then ask, "What is the purpose of
it?" - ✔✔ANSW✔✔..C: "I am going to say 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 - ✔✔ANSW✔✔..C: Security
7. A nurse has just received a medication order which is not legible. Which statement
best reflects 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 writing." - ✔✔ANSW✔✔..B) "Would you please clarify what you have written so I
am sure I am reading it correctly?"
8. What is the most important consideration when teaching parents how to reduce risks
in the home?
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 - ✔✔ANSW✔✔..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
