HESI EXIT RN V1 REAL EXAM QUESTIONS AND
VERIFIED ANSWERS 2024 LATEST UPDATE
GRADED A+
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?
"I am going to say the names of three things and I want you to repeat them after me: blue,
ball, pen."
In planning care for a 6 month-old infant, what must the nurse provide to assist in the
development of trust?
Security
A nurse has just received a medication order which is not legible. Which statement best
reflects assertive communication?
"Would you please clarify what you have written so I am sure Iam reading it correctly?"
What is the most important consideration when teaching parents how to reduce risks in
the home?
Age of children in the home
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...
Administer the prescribed analgesia
While caring for a toddler with croup, which initial sign of croup requires the nurse's
immediate attention?
RR of 42.
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?
Lethargy
,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?
"The seizure may or may not mean your child has epilepsy."
Alcohol and drug abuse impairs judgment and increases risk taking behavior. What
nursing diagnosis best applies?
Risk for Injury
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?
Nasal passages
The nurse is providing instructions for a client with pneumonia. What is the most
important information to convey to the client?
"Complete all of the antibiotic even if your findings decrease."
When counseling a 6 year old who is experiencing enuresis, what must the nurse
understand about the pathophysiological basis of this disorder?
Has no clear etiology
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?
Use patience and a sense of humor to deal with this behavior.
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?
Papules, vesicles, and crusts will be present at one time
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?
Place the client in a sitting position with legs dangling.
, The nurse is caring for a toddler with atopic dermatitis. The nurse should instruct the
parents to
Wrap the child''s hand in mittens or socks to prevent scratching
A recovering alcoholic asked the nurse, "Will it be ok for me to just drink at special family
gatherings?" Which initial response by the nurse would be best?
"The recovering person cannot return to drinking without starting the addiction process
over."
In taking the history of a pregnant woman, which of the following would the nurse
recognize as the primary contraindication for breast feeding?
Uses cocaine on weekends
A client is receiving nitroprusside IV for the treatment of acute heart failure with
pulmonary edema. What diagnostic lab value should the nurse monitor in relation to this
medication?
Thiocyanate
A victim of domestic violence tells the batterer she needs a little time away. How would
the nurse expect that the batterer might respond?
With fear of rejection causing increased rage toward the victim
A postpartum mother is unwilling to allow the father to participate in the newborn's care,
although he is interested in doing so. She states, "I am afraid the baby will be confused
about who the mother is. Baby raising is for mothers, not fathers." The nurse's initial
intervention should be what focus?
Set time aside to get mother to express her feelings and concerns
A client with emphysema visits the clinic. While teaching about proper nutrition, the nurse
should emphasize that the client
Use oxygen during meals improves gas exchange
VERIFIED ANSWERS 2024 LATEST UPDATE
GRADED A+
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?
"I am going to say the names of three things and I want you to repeat them after me: blue,
ball, pen."
In planning care for a 6 month-old infant, what must the nurse provide to assist in the
development of trust?
Security
A nurse has just received a medication order which is not legible. Which statement best
reflects assertive communication?
"Would you please clarify what you have written so I am sure Iam reading it correctly?"
What is the most important consideration when teaching parents how to reduce risks in
the home?
Age of children in the home
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...
Administer the prescribed analgesia
While caring for a toddler with croup, which initial sign of croup requires the nurse's
immediate attention?
RR of 42.
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?
Lethargy
,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?
"The seizure may or may not mean your child has epilepsy."
Alcohol and drug abuse impairs judgment and increases risk taking behavior. What
nursing diagnosis best applies?
Risk for Injury
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?
Nasal passages
The nurse is providing instructions for a client with pneumonia. What is the most
important information to convey to the client?
"Complete all of the antibiotic even if your findings decrease."
When counseling a 6 year old who is experiencing enuresis, what must the nurse
understand about the pathophysiological basis of this disorder?
Has no clear etiology
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?
Use patience and a sense of humor to deal with this behavior.
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?
Papules, vesicles, and crusts will be present at one time
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?
Place the client in a sitting position with legs dangling.
, The nurse is caring for a toddler with atopic dermatitis. The nurse should instruct the
parents to
Wrap the child''s hand in mittens or socks to prevent scratching
A recovering alcoholic asked the nurse, "Will it be ok for me to just drink at special family
gatherings?" Which initial response by the nurse would be best?
"The recovering person cannot return to drinking without starting the addiction process
over."
In taking the history of a pregnant woman, which of the following would the nurse
recognize as the primary contraindication for breast feeding?
Uses cocaine on weekends
A client is receiving nitroprusside IV for the treatment of acute heart failure with
pulmonary edema. What diagnostic lab value should the nurse monitor in relation to this
medication?
Thiocyanate
A victim of domestic violence tells the batterer she needs a little time away. How would
the nurse expect that the batterer might respond?
With fear of rejection causing increased rage toward the victim
A postpartum mother is unwilling to allow the father to participate in the newborn's care,
although he is interested in doing so. She states, "I am afraid the baby will be confused
about who the mother is. Baby raising is for mothers, not fathers." The nurse's initial
intervention should be what focus?
Set time aside to get mother to express her feelings and concerns
A client with emphysema visits the clinic. While teaching about proper nutrition, the nurse
should emphasize that the client
Use oxygen during meals improves gas exchange
