HESI RN EXIT EXAM QUESTIONS AND ANSWERS

HESI RN EXIT EXAM QUESTIONS AND
ANSWERS

1.zInzplanningzcarezforzaz6zmonth-
oldzinfant,zwhatzmustztheznursezprovideztozassistzinzthe
developmentzofztrust?
A)zFood
B)zWarmth
C)zSecurity
D)zComfortz-zanswer--C)zSecurity

2.zAznursezhaszjustzreceivedzazmedicationzorderzwhichzisznotzlegible.zWhichzstatementz
best
reflectszassertivezcommunication?
A)z"Izcannotzgivezthiszmedicationzaszitziszwritten.zIzhaveznozideazofzwhatzyouzmean."
B)z"WouldzyouzpleasezclarifyzwhatzyouzhavezwrittenzsozIzamzsurezIzamzreadingzit
correctly?"
C)z"Izamzhavingzdifficultyzreadingzyourzhandwriting.zItzwouldzsavezmeztimezifzyouzwouldz
be
morezcareful."
D)z"PleasezprintzinzthezfuturezsozIzdoznotzhaveztozspendzextraztimezattemptingztozreadzy
ourz-zanswer--
B)z"WouldzyouzpleasezclarifyzwhatzyouzhavezwrittenzsozIzamzsurezIzamzreadingzit
correctly?"

3.zWhatziszthezmostzimportantzconsiderationzwhenzteachingzparentszhowztozreducezris
kszinzthe
home?
A)zAgezandzknowledgezlevelzofzthezparents
B)zProximityztozemergencyzservices
C)zNumberzofzchildrenzinzthezhome
D)zAgezofzchildrenzinzthezhomez-zanswer--D)zAgezofzchildrenzinzthezhome

4.zAz35zyear-
oldzclientzwithzsicklezcellzcrisiszisztalkingzonztheztelephonezbutzstopszaszthe
nursezenterszthezroomztozrequestzsomethingzforzpain.zTheznursezshould
A)zAdministerzazplacebo
B)zEncouragezincreasedzfluidzintake
C)zAdministerzthezprescribedzanalgesia
D)zRecommendzrelaxationzexerciseszforzpainzcontrolz-zanswer--
C)zAdministerzthezprescribedzanalgesia

5.zWhilezcaringzforzaztoddlerzwithzcroup,zwhichzinitialzsignzofzcroupzrequiresztheznurse's
immediatezattention?
A)zRespiratoryzratezofz42

,B)zLethargyzforzthezpastzhour
C)zApicalzpulsezofz54
D)zCoughingzupzcopiouszsecretionsz-zanswer--A)zRespiratoryzratezofz42

6.zAzclientziszadmittedzwithzlowzT3zandzT4zlevelszandzanzelevatedzTSHzlevel.zOnzinitial
assessment,ztheznursezwouldzanticipatezwhichzofzthezfollowingzassessmentzfindings?
A)zLethargy
B)zHeatzintolerance
C)zDiarrhea
D)zSkinzeruptionsz-zanswer--A)zLethargy

7.zThezemergencyzroomznursezadmitszazchildzwhozexperiencedzazseizurezatzschool.zTh
e
fatherzcommentszthatzthisziszthezfirstzoccurrence,zandzdenieszanyzfamilyzhistoryzofzepile
psy.
Whatziszthezbestzresponsezbyztheznurse?
A)z"Doznotzworry.zEpilepsyzcanzbeztreatedzwithzmedications."
B)z"Thezseizurezmayzorzmayznotzmeanzyourzchildzhaszepilepsy."
C)z"Sincezthiszwaszthezfirstzconvulsion,zitzmayznotzhappenzagain."
D)z"Longztermztreatmentzwillzpreventzfuturezseizures."z-zanswer--
B)z"Thezseizurezmayzorzmayznotzmeanzyourzchildzhaszepilepsy."

8.zAlcoholzandzdrugzabusezimpairszjudgmentzandzincreaseszriskztakingzbehavior.zWhat
nursingzdiagnosiszbestzapplies?
A)zRiskzforzinjury
B)zRiskzforzknowledgezdeficit
C)zAlteredzthoughtzprocess
D)zDisturbancezinzself-esteemz-zanswer--A)zRiskzforzinjury

9.zWhichzthesezfindingszwouldztheznursezmorezcloselyzassociatezwithzanemiazinzaz10z
month-old
infant?
A)zHemoglobinzlevelzofz12zg/dI
B)zPalezmucosazofzthezeyelidszandzlips
C)zHypoactivity
D)zAzheartzratezbetweenz140ztoz160z-zanswer--B)zPalezmucosazofzthezeyelidszandzlips

10.zTheznurseziszcaringzforzazclientzinzhypertensivezcrisiszinzanzintensivezcarezunit.zThez
priority
assessmentzinzthezfirstzhourzofzcarezis
A)zHeartzrate
B)zPedalzpulses
C)zLungzsounds
D)zPupilzresponsesz-zanswer--D)zPupilzresponses

11.zWhichzofzthesezclientszwhozarezallzinzthezterminalzstagezofzcancerziszleastzappropri
atezto
suggestzthezusezofzpatientzcontrolledzanalgesiaz(PCA)zwithzazpump?
A)zAzyoungzadultzwithzazhistoryzofzDown'szsyndrome
B)zAzteenagerzwhozreadszatzaz4thzgradezlevel

, C)zAnzelderlyzclientzwithznumerouszarthriticznoduleszonzthezhands
D)zAzpreschoolerzwithzintermittentzepisodeszofzalertnessz-zanswer--
D)zAzpreschoolerzwithzintermittentzepisodeszofzalertness

12.zTheznurseziszaboutztozassesszaz6zmonth-oldzchildzwithznonorganiczfailure-tozthrive
(NOFTT).zUponzenteringzthezroom,ztheznursezwouldzexpectzthezbabyztozbe
A)zIrritablezandz"colicky"zwithznozattemptsztozpullztozstanding
B)zAlert,zlaughingzandzplayingzwithzazrattle,zsittingzwithzsupport
C)zSkinzcolorzduskyzwithzpoorzskinzturgorzoverzabdomen
D)zPale,zthinzarmszandzlegs,zuninterestedzinzsurroundingsz-zanswer--
D)zPale,zthinzarmszandzlegs,zuninterestedzinzsurroundings

13.zAsztheznurseziszspeakingzwithzazgroupzofzteenszwhichzofzthesezsidezeffectszofzchem
otherapy
forzcancerzwouldztheznursezexpectzthiszgroupztozbezmorezinterestedzinzduringzthezdiscu
ssion?
A)zMouthzsores
B)zFatigue
C)zDiarrhea
D)zHairzlossz-zanswer--D)zHairzloss

14.zWhilezcaringzforzazclientzwhozwaszadmittedzwithzmyocardialzinfarctionz(MI)z2zdaysza
go,zthe
nurseznotesztoday'sztemperaturezisz101.1zdegreeszFahrenheitz(38.5zdegrees
Celsius).zThezappropriateznursingzinterventionziszto
A)zCallzthezhealthzcarezproviderzimmediately
B)zAdministerzacetaminophenzaszorderedzaszthiszisznormalzatzthisztime
C)zSendzblood,zurinezandzsputumzforzculture
D)zIncreasezthezclient'szfluidzintakez-zanswer--
B)zAdministerzacetaminophenzaszorderedzaszthiszisznormalzatzthisztime

15.zAzclientziszadmittedzforzfirstzandzsecondzdegreezburnszonzthezface,zneck,zanteriorzc
hestzand
hands.zTheznurse'szpriorityzshouldzbe
A)zCoverzthezareaszwithzdryzsterilezdressings
B)zAssesszforzdyspneazorzstridor
C)zInitiatezintravenousztherapy
D)zAdministerzpainzmedicationz-zanswer--B)zAssesszforzdyspneazorzstridor

16.zWhichzofzthesezclientszwhozcallzthezcommunityzhealthzcliniczwouldztheznursezaskzto
zcomezin

thatzdayztozbezseenzbyzthezhealthzcarezprovider?
A)zIzstartedzmyzperiodzandznowzmyzurinezhaszturnedzbrightzred.
B)zIzamzanzdiabeticzandztodayzIzhavezbeenzgoingztozthezbathroomzeveryzhour.
C)zIzwaszstartedzonzmedicinezyesterdayzforzazurinezinfection.zNowzmyzlowerzbellyzhurtsz
whenzIzgo
tozthezbathroom.
D)zIzwentztozthezbathroomzandzmyzurinezlookedzveryzredzandzitzdidn'tzhurtzwhenzIzwent.z
-zanswer--
D)zIzwentztozthezbathroomzandzmyzurinezlookedzveryzredzandzitzdidn'tzhurtzwhenzIzwent.