HESI Exit RN V4 QUESTIONS AND ANSWERS
1rh The nurse is caring for a pre-adolescent client in skeletal Dunlop tractionrh Which
nursing intervention is appropriate for this child?
A) Make certain the child is maintained in correct body alignmentrh
B) Be sure the traction weights touch the end of the bedrh
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 PRNrh - answersA: Make certain the
child is maintained in correct body alignmentrh
2rh The nurse is assessing a healthy child at the 2 year check uprh 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 - answersA: Height and weight percentiles vary
widely
3rh The parents of a 2 year-old child report that he has been holding his breath whenever he
has temper tantrumsrh 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 -
answersC: Advise the parents to ignore breath holding because breathing will begin as a
reflex
4rh The nurse is assessing a client in the emergency roomrh Which statement suggests that
the problem is acute angina?
A) "My pain is deep in my chest behind my sternumrh"
B) "When I sit up the pain gets worserh"
C) "As I take a deep breath the pain gets worserh"
D) "The pain is right here in my stomach arearh" - answersA: "My pain is deep in my chest
behind my sternumrh"
5rh The nurse is assessing the mental status of a client admitted with possible organic brain
disorderrh Which of these questions will best assess the function of the client's recent
memory?
A) "Name the yearrh" "What season is this?" (pause for answer after each question)
B) "Subtract 7 from 100 and then subtract 7 from thatrh" (pause for answer) "Now continue
to subtract 7 from the new numberrh"
C) "I am going to say the names of three things and I want you to repeat them after me:
blue, ball, penrh"
D) "What is this on my wrist?" (point to your watch) Then ask, "What is the purpose of it?" -
answersC: "I am going to say the names of three things and I want you to repeat them after
me: blue, ball, penrh"
6rh 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 - answersC: Security
7rh A nurse has just received a medication order which is not legiblerh Which statement
best reflects assertive communication?
A) "I cannot give this medication as it is writtenrh I have no idea of what you meanrh"
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 handwritingrh It would save me time if you would be
more carefulrh"
D) "Please print in the future so I do not have to spend extra time attempting to read your
writingrh" - answersB) "Would you please clarify what you have written so I am sure I am
reading it correctly?"
8rh 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 - answersD: Age of children in the home
9rh 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 painrh The nurse should
A) Administer a placebo
B) Encourage increased fluid intake
C) Administer the prescribed analgesia
D) Recommend relaxation exercises for pain control - answersC: Administer the prescribed
analgesia
, 10rh While caring for a toddler with croup, which initial sign of croup requires the nurse's
immediate attention?
A) Respiratory rate of 42
B) Lethargy for the past hour
C) Apical pulse of 54
D) Coughing up copious secretions - answersA: Respiratory rate of 30
11rh A client is admitted with low T3 and T4 levels and an elevated TSH levelrh On initial
assessment, the nurse would anticipate which of the following assessment findings?
A) Lethargy
B) Heat intolerance
C) Diarrhea
D) Skin eruptions - answersA: Lethargy
12rh The emergency room nurse admits a child who experienced a seizure at schoolrh The
father comments that this is the first occurrence, and denies any family history of epilepsyrh
What is the best response by the nurse?
A) "Do not worryrh Epilepsy can be treated with medicationsrh"
B) "The seizure may or may not mean your child has epilepsyrh"
C) "Since this was the first convulsion, it may not happen againrh"
D) "Long term treatment will prevent future seizuresrh" - answersB: "The seizure may or
may not mean your child has epilepsyrh"
13rh Alcohol and drug abuse impairs judgment and increases risk taking behaviorrh What
nursing diagnosis best applies?
1rh The nurse is caring for a pre-adolescent client in skeletal Dunlop tractionrh Which
nursing intervention is appropriate for this child?
A) Make certain the child is maintained in correct body alignmentrh
B) Be sure the traction weights touch the end of the bedrh
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 PRNrh - answersA: Make certain the
child is maintained in correct body alignmentrh
2rh The nurse is assessing a healthy child at the 2 year check uprh 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 - answersA: Height and weight percentiles vary
widely
3rh The parents of a 2 year-old child report that he has been holding his breath whenever he
has temper tantrumsrh 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 -
answersC: Advise the parents to ignore breath holding because breathing will begin as a
reflex
4rh The nurse is assessing a client in the emergency roomrh Which statement suggests that
the problem is acute angina?
A) "My pain is deep in my chest behind my sternumrh"
B) "When I sit up the pain gets worserh"
C) "As I take a deep breath the pain gets worserh"
D) "The pain is right here in my stomach arearh" - answersA: "My pain is deep in my chest
behind my sternumrh"
5rh The nurse is assessing the mental status of a client admitted with possible organic brain
disorderrh Which of these questions will best assess the function of the client's recent
memory?
A) "Name the yearrh" "What season is this?" (pause for answer after each question)
B) "Subtract 7 from 100 and then subtract 7 from thatrh" (pause for answer) "Now continue
to subtract 7 from the new numberrh"
C) "I am going to say the names of three things and I want you to repeat them after me:
blue, ball, penrh"
D) "What is this on my wrist?" (point to your watch) Then ask, "What is the purpose of it?" -
answersC: "I am going to say the names of three things and I want you to repeat them after
me: blue, ball, penrh"
6rh 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 - answersC: Security
7rh A nurse has just received a medication order which is not legiblerh Which statement
best reflects assertive communication?
A) "I cannot give this medication as it is writtenrh I have no idea of what you meanrh"
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 handwritingrh It would save me time if you would be
more carefulrh"
D) "Please print in the future so I do not have to spend extra time attempting to read your
writingrh" - answersB) "Would you please clarify what you have written so I am sure I am
reading it correctly?"
8rh 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 - answersD: Age of children in the home
9rh 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 painrh The nurse should
A) Administer a placebo
B) Encourage increased fluid intake
C) Administer the prescribed analgesia
D) Recommend relaxation exercises for pain control - answersC: Administer the prescribed
analgesia
, 10rh While caring for a toddler with croup, which initial sign of croup requires the nurse's
immediate attention?
A) Respiratory rate of 42
B) Lethargy for the past hour
C) Apical pulse of 54
D) Coughing up copious secretions - answersA: Respiratory rate of 30
11rh A client is admitted with low T3 and T4 levels and an elevated TSH levelrh On initial
assessment, the nurse would anticipate which of the following assessment findings?
A) Lethargy
B) Heat intolerance
C) Diarrhea
D) Skin eruptions - answersA: Lethargy
12rh The emergency room nurse admits a child who experienced a seizure at schoolrh The
father comments that this is the first occurrence, and denies any family history of epilepsyrh
What is the best response by the nurse?
A) "Do not worryrh Epilepsy can be treated with medicationsrh"
B) "The seizure may or may not mean your child has epilepsyrh"
C) "Since this was the first convulsion, it may not happen againrh"
D) "Long term treatment will prevent future seizuresrh" - answersB: "The seizure may or
may not mean your child has epilepsyrh"
13rh Alcohol and drug abuse impairs judgment and increases risk taking behaviorrh What
nursing diagnosis best applies?
