HESI RN EXIT! EXAM WITH CORRECT ANSWERS.

HESI RN EXIT! EXAM WITH CORRECT ANSWERS




In planning care for a 6 month-old infant, what must the nurse provide to assist in the development of trust?
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A) Food t




B) Warmtht




C) Security
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D) Comfort - correct answer C) Security
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A nurse has just received a medication order which is not legible. Which statement best reflects assertive
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communication?

A) "I cannot give this medication as it is written. I have no idea of what you mean."
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B) "Would you please clarify what you have written so I am sure I am reading it
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correctly?"

C) "I am having difficulty reading your handwriting. It would save me time if you would be more careful."
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D) "Please print in the future so I do not have to spend extra time attempting to read your writing." - correct
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answer B) "Would you please clarify what you have written so I am sure I am reading it
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correctly?"



What is the most important consideration when teaching parents how to reduce risks in the home?
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A) Age and knowledge level of the parents
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B) Proximity to emergency services
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C) Number of children in the home
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D) Age of children in the home - correct answer D) Age of children in the home
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,A 35 year-old client with sickle cell crisis is talking on the telephone but stops as the nurse enters the room to
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request something for pain. The nurse should t t t t t t




A) Administer a placebo
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B) Encourage increased fluid intake
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C) Administer the prescribed analgesia
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D) Recommend relaxation exercises for pain control - correct answer C) Administer the prescribed analgesia
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While caring for a toddler with croup, which initial sign of croup requires the nurse's immediate attention?
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A) Respiratory rate of 42
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B) Lethargy for the past hour
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C) Apical pulse of 54
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D) Coughing up copious secretions - correct answer A) Respiratory rate of 42
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A client is admitted with low T3 and T4 levels and an elevated TSH level. On initial assessment, the nurse would
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anticipate which of the following assessment findings? t t t t t t




A) Lethargy t




B) Heat intolerance
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C) Diarrhea
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D) Skin eruptions - correct answer A) Lethargy
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The emergency room nurse admits a child who experienced a seizure at school. The father comments that this
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is the first occurrence, and denies any family history of epilepsy. What is the best response by the nurse?
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A) "Do not worry. Epilepsy can be treated with medications."
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B) "The seizure may or may not mean your child has epilepsy."
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C) "Since this was the first convulsion, it may not happen again."
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D) "Long term treatment will prevent future seizures." - correct answer B) "The seizure may or may not mean
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your child has epilepsy." t t t




Alcohol and drug abuse impairs judgment and increases risk taking behavior. What nursing diagnosis best
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applies?

,A) Risk for injury
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B) Risk for knowledge deficit
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C) Altered thought process
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D) Disturbance in self-esteem - correct answer A) Risk for injury
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Which these findings would the nurse more closely associate with anemia in a 10 month-old infant?
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A) Hemoglobin level of 12 g/dI
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B) Pale mucosa of the eyelids and lips
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C) Hypoactivity
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D) A heart rate between 140 to 160 - correct answer B) Pale mucosa of the eyelids and lips
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The nurse is caring for a client in hypertensive crisis in an intensive care unit. The priority assessment in the first
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hour of care is t t t




A) Heart rate
t t




B) Pedal pulses
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C) Lung sounds
t t




D) Pupil responses - correct answer D) Pupil responses
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Which of these clients who are all in the terminal stage of cancer is least appropriate to suggest the use of
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patient controlled analgesia (PCA) with a pump? t t t t t t




A) A young adult with a history of Down's syndrome
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B) A teenager who reads at a 4th grade level
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C) An elderly client with numerous arthritic nodules on the hands
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D) A preschooler with intermittent episodes of alertness - correct answer D) A preschooler with intermittent
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episodes of alertness t t




The nurse is about to assess a 6 month-old child with nonorganic failure-to thrive (NOFTT). Upon entering the
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room, the nurse would expect the baby to be
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A) Irritable and "colicky" with no attempts to pull to standing
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B) Alert, laughing and playing with a rattle, sitting with support
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, C) Skin color dusky with poor skin turgor over abdomen
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D) Pale, thin arms and legs, uninterested in surroundings - correct answer D) Pale, thin arms and legs,
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uninterested in surroundings t t




As the nurse is speaking with a group of teens which of these side effects of chemotherapy for cancer would the
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nurse expect this group to be more interested in during the discussion?
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A) Mouth sores
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B) Fatigue
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C) Diarrhea
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D) Hair loss - correct answer D) Hair loss
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While caring for a client who was admitted with myocardial infarction (MI) 2 days ago, the nurse notes today's
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temperature is 101.1 degrees Fahrenheit (38.5 degreesCelsius). The appropriate nursing intervention is to t t t t t t t t t t t t




A) Call the health care provider immediately
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B) Administer acetaminophen as ordered as this is normal at this time
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C) Send blood, urine and sputum for culture
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D) Increase the client's fluid intake - correct answer B) Administer acetaminophen as ordered as this is normal
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at this time
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A client is admitted for first and second degree burns on the face, neck, anterior chest and hands. The nurse's
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priority should be t t




A) Cover the areas with dry sterile dressings
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B) Assess for dyspnea or stridor
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C) Initiate intravenous therapy
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D) Administer pain medication - correct answer B) Assess for dyspnea or stridor
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Which of these clients who call the community health clinic would the nurse ask to come in that day to be seen
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by the health care provider?
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A) I started my period and now my urine has turned bright red.
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B) I am an diabetic and today I have been going to the bathroom every hour.
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