HESI Exit RN V3 Questions And Answers
With Correct Solution
1. ffA ff64 ffyear-old ffclient ffscheduled fffor ffsurgery ffwith ffa ffgeneral ffanesthetic ffrefuses ffto ffremove ffa
ffset ffof ffdentures ffprior ffto ffleaving ffthe ffunit fffor ffthe ffoperating ffroom. ffWhat ffwould ffbe ffthe
ffmost ffappropriate ffintervention ffby ffthe ffnurse? ff
A) ffExplain ffto ffthe ffclient ffthat ffthe ffdentures ffmust ffcome ffout ffas ffthey ffmay ffget fflost ffor ffbroken
ffin ffthe ffoperating ffroom ff
B) ffAsk ffthe ffclient ffif ffthere ffare ffsecond ffthoughts ffabout ffhaving ffthe ffprocedure ff
C) ffNotify ffthe ffanesthesia ffdepartment ffand ffthe ffsurgeon ffof ffthe ffclient's ffrefusal ff
D) ffAsk ffthe ffclient ffif ffthe ffpreference ffwould ffbe ffto ffremove ffthe ffdentures ffin ffthe ffoperating
ffroom ffreceiving ffarea ff- ffAnswer ff- ffD: ffAsk ffthe ffclient ffif ffthe ffpreference ffwould ffbe ffto ffremove
ffthe ffdentures ffin ffthe ffoperating ffroom ffreceiving ffarea
2. ffThe ffnurse ffhas ffbeen ffteaching ffadult ffclients ffabout ffcardiac ffrisks ffwhen ffthey ffvisit ffthe
ffhypertension ffclinic. ffWhich ffform ffof ffevaluation ffwould ffbest ffmeasure fflearning? ff
A) ffPerformance ffon ffwritten fftests ff
B) ffResponses ffto ffverbal ffquestions ff
C) ffCompletion ffof ffa ffmailed ffsurvey ff
D) ffReported ffbehavioral ffchanges ff- ffAnswer ff- ffD: ffReported ffbehavioral ffchanges
3. ffThe ffnurse ffis ffplanning ffcare fffor ffan ff18 ffmonth-old ffchild. ffWhich ffaction ffshould ffbe ffincluded
ffin ffthe ffchild's ffcare? ff
,A) ffHold ffand ffcuddle ffthe ffchild fffrequently ff
B) ffEncourage ffthe ffchild ffto fffeed ffhimself fffinger fffood ff
C) ffAllow ffthe ffchild ffto ffwalk ffindependently ffon ffthe ffnursing ffunit ff
D) ffEngage ffthe ffchild ffin ffgames ffwith ffother ffchildren ff- ffAnswer ff- ffB: ffEncourage ffthe ffchild ffto
fffeed ffhimself fffinger fffood
4. ffA ffpartner ffis ffconcerned ffbecause ffthe ffclient fffrequently ffdaydreams ffabout ffmoving ffto ffArizona
ffto ffget ffaway fffrom ffthe ffpollution ffand ffcrowding ffin ffsouthern ffCalifornia. ffThe ffnurse ffexplains
ffthat ff
A) ffSuch fffantasies ffcan ffgratify ffunconscious ffwishes ffor ffprepare fffor ffanticipated fffuture ffevents ff
B) ffDetaching ffor ffdissociating ffin ffthis ffway ffpostpones ffpainful fffeelings ff
C) ffThis ffconversion ffor fftransferring ffof ffa ffmental ffconflict ffto ffa ffphysical ffsymptom ffcan fflead ffto
ffmarital ffconflict ff
D) ffTo ffisolate ffthe fffeelings ffin ffthis ffway ffreduces ffconflict ffwithin ffthe ffclient ffand ffwith ffothers ff-
ffAnswer ff- ffA: ffSuch fffantasies ffcan ffgratify ffunconscious ffwishes ffor ffprepare fffor ffanticipated fffuture
ffevents
5. ffAn ffappropriate ffgoal fffor ffa ffclient ffwith ffanxiety ffwould ffbe ffto ff
A) ffVentilate ffanxious fffeelings ffto ffthe ffnurse ff
B) ffEstablish ffcontact ffwith ffreality ff
C) ffLearn ffself-help fftechniques ff
D) ffBecome ffdesensitized ffto ffpast fftrauma ff- ffAnswer ff- ffC: ffLearn ffself-help fftechniques
6. ffWhile ffthe ffnurse ffis ffadministering ffmedications ffto ffa ffclient, ffthe ffclient ffstates ff"I ffdo ffnot
ffwant ffto fftake ffthat ffmedicine fftoday." ffWhich ffof ffthe fffollowing ffresponses ffby ffthe ffnurse ffwould
ffbe ffbest? ff
A) ff"That's ffOK, ffits ffall ffright ffto ffskip ffyour ffmedication ffnow ffand ffthen." ff
B) ff"I ffwill ffhave ffto ffcall ffyour ffdoctor ffand ffreport ffthis." ff
C) ff"Is ffthere ffa ffreason ffwhy ffyou ffdon't ffwant ffto fftake ffyour ffmedicine?" ff
,D) ff"Do ffyou ffunderstand ffthe ffconsequences ffof ffrefusing ffyour ffprescribed fftreatment?" ff- ffAnswer
ff- ffC: ff"Is ffthere ffa ffreason ffwhy ffyou ffdon't ffwant ffto fftake ffyour ffmedicine?"
7. ffWhile ffcaring fffor ffa ffclient, ffthe ffnurse ffnotes ffa ffpulsating ffmass ffin ffthe ffclient's ffperi ffumbilical
ffarea. ffWhich ffof ffthe fffollowing ffassessments ffis ffappropriate fffor ffthe ffnurse ffto ffperform? ff
A) ffMeasure ffthe fflength ffof ffthe ffmass ff
B) ffAuscultate ffthe ffmass ff
C) ffPercuss ffthe ffmass ff
D) ffPalpate ffthe ffmass ff- ffAnswer ff- ffB: ffAuscultate ffthe ffmass
8. ffA ffclient ffis ffadmitted ffto ffthe ffhospital ffwith ffa ffhistory ffof ffconfusion. ffThe ffclient ffhas ffdifficulty
ffremembering ffrecent ffevents ffand ffbecomes ffdisoriented ffwhen ffaway fffrom ffhome. ffWhich
ffstatement ffwould ffprovide ffthe ffbest ffreality fforientation fffor ffthis ffclient? ff
A) ff"Good ffmorning. ffDo ffyou ffremember ffwhere ffyou ffare?" ff
B) ff"Hello. ffMy ffname ffis ffElaine ffJones ffand ffI ffam ffyour ffnurse fffor fftoday." ff
C) ff"How ffare ffyou fftoday? ffRemember, ffyou're ffin ffthe ffhospital." ff
D) ff"Good ffmorning. ffYou're ffin ffthe ffhospital. ffI ffam ffyour ffnurse ffElaine ffJones." ff- ffAnswer ff- ffD:
ff"Good ffmorning. ffYou're ffin ffthe ffhospital. ffI ffam ffyour ffnurse ffElaine ffJones."
9. ffThe ffnurse ffis ffteaching ffthe ffparents ffof ffa ff3 ffmonth-old ffinfant ffabout ffnutrition. ffWhat ffis ffthe
ffmain ffsource ffof fffluids fffor ffan ffinfant ffuntil ffabout ff12 ffmonths ffof ffage? ff
A) ffFormula ffor ffbreast ffmilk ff
B) ffDilute ffnonfat ffdry ffmilk ff
C) ffWarmed fffruit ffjuice ff
D) ffFluoridated fftap ffwater ff- ffAnswer ff- ffA: ffFormula ffor ffbreast ffmilk
10. ffThe fffamily ffof ffa ff6 ffyear-old ffwith ffa fffractured fffemur ffasks ffthe ffnurse ffif ffthe ffchild's ffheight
ffwill ffbe ffaffected ffby ffthe ffinjury. ffWhich ffstatement ffis fftrue ffconcerning fflong ffbone fffractures ffin
ffchildren? ff
, A) ffGrowth ffproblems ffwill ffoccur ffif ffthe fffracture ffinvolves ffthe ffperiosteum ff
B) ffEpiphyseal fffractures ffoften ffinterrupt ffa ffchild's ffnormal ffgrowth ffpattern ff
C) ffChildren ffusually ffheal ffvery ffquickly, ffso ffgrowth ffproblems ffare ffrare ff
D) ffAdequate ffblood ffsupply ffto ffthe ffbone ffprevents ffgrowth ffdelay ffafter fffractures ff- ffAnswer ff- ffB:
ffEpiphyseal fffractures ffoften ffinterrupt ffa ffchild''s ffnormal ffgrowth ffpattern
11. ffThe ffnurse ffis ffassessing ffa ffclient ffwho ffstates ffher fflast ffmenstrual ffperiod ffwas ffMarch ff16,
ffand ffshe ffhas ffmissed ffone ffperiod. ffShe ffreports ffepisodes ffof ffnausea ffand ffvomiting. ffPregnancy
ffis ffconfirmed ffby ffa ffurine fftest. ffWhat ffwill ffthe ffnurse ffcalculate ffas ffthe ffestimated ffdate ffof
ffdelivery ff(EDD)? ff
A) ffApril ff8 ff
B) ffJanuary ff15 ff
C) ffFebruary ff11 ff
D) ffDecember ff23 ff- ffAnswer ff- ffD: ffDecember ff23
12. ffWhen ffscreening ffchildren fffor ffscoliosis, ffat ffwhat fftime ffof ffdevelopment ffwould ffthe ffnurse
ffexpect ffearly ffsigns ffto ffappear? ff
A) ffPrenatally ffon ffultrasound ff
B) ffIn ffearly ffinfancy ff
C) ffWhen ffthe ffchild ffbegins ffto ffbear ffweight ff
D) ffDuring ffthe ffpreadolescent ffgrowth ffspurt ff- ffAnswer ff- ffD: ffDuring ffthe ffpreadolescent ffgrowth
ffspurt
13. ffA ffclient ffwith ffcongestive ffheart fffailure ffis ffnewly ffadmitted ffto ffhome ffhealth ffcare. ffThe ffnurse
ffdiscovers ffthat ffthe ffclient ffhas ffnot ffbeen fffollowing ffthe ffprescribed ffdiet. ffWhat ffwould ffbe ffthe
ffmost ffappropriate ffnursing ffaction? ff
A) ffDischarge ffthe ffclient fffrom ffhome ffhealth ffcare ffrelated ffto ffnoncompliance ff
B) ffNotify ffthe ffhealth ffcare ffprovider ffof ffthe ffclient's fffailure ffto fffollow ffprescribed ffdiet ff
C) ffDiscuss ffdiet ffwith ffthe ffclient ffto fflearn ffthe ffreasons fffor ffnot fffollowing ffthe ffdiet ff
With Correct Solution
1. ffA ff64 ffyear-old ffclient ffscheduled fffor ffsurgery ffwith ffa ffgeneral ffanesthetic ffrefuses ffto ffremove ffa
ffset ffof ffdentures ffprior ffto ffleaving ffthe ffunit fffor ffthe ffoperating ffroom. ffWhat ffwould ffbe ffthe
ffmost ffappropriate ffintervention ffby ffthe ffnurse? ff
A) ffExplain ffto ffthe ffclient ffthat ffthe ffdentures ffmust ffcome ffout ffas ffthey ffmay ffget fflost ffor ffbroken
ffin ffthe ffoperating ffroom ff
B) ffAsk ffthe ffclient ffif ffthere ffare ffsecond ffthoughts ffabout ffhaving ffthe ffprocedure ff
C) ffNotify ffthe ffanesthesia ffdepartment ffand ffthe ffsurgeon ffof ffthe ffclient's ffrefusal ff
D) ffAsk ffthe ffclient ffif ffthe ffpreference ffwould ffbe ffto ffremove ffthe ffdentures ffin ffthe ffoperating
ffroom ffreceiving ffarea ff- ffAnswer ff- ffD: ffAsk ffthe ffclient ffif ffthe ffpreference ffwould ffbe ffto ffremove
ffthe ffdentures ffin ffthe ffoperating ffroom ffreceiving ffarea
2. ffThe ffnurse ffhas ffbeen ffteaching ffadult ffclients ffabout ffcardiac ffrisks ffwhen ffthey ffvisit ffthe
ffhypertension ffclinic. ffWhich ffform ffof ffevaluation ffwould ffbest ffmeasure fflearning? ff
A) ffPerformance ffon ffwritten fftests ff
B) ffResponses ffto ffverbal ffquestions ff
C) ffCompletion ffof ffa ffmailed ffsurvey ff
D) ffReported ffbehavioral ffchanges ff- ffAnswer ff- ffD: ffReported ffbehavioral ffchanges
3. ffThe ffnurse ffis ffplanning ffcare fffor ffan ff18 ffmonth-old ffchild. ffWhich ffaction ffshould ffbe ffincluded
ffin ffthe ffchild's ffcare? ff
,A) ffHold ffand ffcuddle ffthe ffchild fffrequently ff
B) ffEncourage ffthe ffchild ffto fffeed ffhimself fffinger fffood ff
C) ffAllow ffthe ffchild ffto ffwalk ffindependently ffon ffthe ffnursing ffunit ff
D) ffEngage ffthe ffchild ffin ffgames ffwith ffother ffchildren ff- ffAnswer ff- ffB: ffEncourage ffthe ffchild ffto
fffeed ffhimself fffinger fffood
4. ffA ffpartner ffis ffconcerned ffbecause ffthe ffclient fffrequently ffdaydreams ffabout ffmoving ffto ffArizona
ffto ffget ffaway fffrom ffthe ffpollution ffand ffcrowding ffin ffsouthern ffCalifornia. ffThe ffnurse ffexplains
ffthat ff
A) ffSuch fffantasies ffcan ffgratify ffunconscious ffwishes ffor ffprepare fffor ffanticipated fffuture ffevents ff
B) ffDetaching ffor ffdissociating ffin ffthis ffway ffpostpones ffpainful fffeelings ff
C) ffThis ffconversion ffor fftransferring ffof ffa ffmental ffconflict ffto ffa ffphysical ffsymptom ffcan fflead ffto
ffmarital ffconflict ff
D) ffTo ffisolate ffthe fffeelings ffin ffthis ffway ffreduces ffconflict ffwithin ffthe ffclient ffand ffwith ffothers ff-
ffAnswer ff- ffA: ffSuch fffantasies ffcan ffgratify ffunconscious ffwishes ffor ffprepare fffor ffanticipated fffuture
ffevents
5. ffAn ffappropriate ffgoal fffor ffa ffclient ffwith ffanxiety ffwould ffbe ffto ff
A) ffVentilate ffanxious fffeelings ffto ffthe ffnurse ff
B) ffEstablish ffcontact ffwith ffreality ff
C) ffLearn ffself-help fftechniques ff
D) ffBecome ffdesensitized ffto ffpast fftrauma ff- ffAnswer ff- ffC: ffLearn ffself-help fftechniques
6. ffWhile ffthe ffnurse ffis ffadministering ffmedications ffto ffa ffclient, ffthe ffclient ffstates ff"I ffdo ffnot
ffwant ffto fftake ffthat ffmedicine fftoday." ffWhich ffof ffthe fffollowing ffresponses ffby ffthe ffnurse ffwould
ffbe ffbest? ff
A) ff"That's ffOK, ffits ffall ffright ffto ffskip ffyour ffmedication ffnow ffand ffthen." ff
B) ff"I ffwill ffhave ffto ffcall ffyour ffdoctor ffand ffreport ffthis." ff
C) ff"Is ffthere ffa ffreason ffwhy ffyou ffdon't ffwant ffto fftake ffyour ffmedicine?" ff
,D) ff"Do ffyou ffunderstand ffthe ffconsequences ffof ffrefusing ffyour ffprescribed fftreatment?" ff- ffAnswer
ff- ffC: ff"Is ffthere ffa ffreason ffwhy ffyou ffdon't ffwant ffto fftake ffyour ffmedicine?"
7. ffWhile ffcaring fffor ffa ffclient, ffthe ffnurse ffnotes ffa ffpulsating ffmass ffin ffthe ffclient's ffperi ffumbilical
ffarea. ffWhich ffof ffthe fffollowing ffassessments ffis ffappropriate fffor ffthe ffnurse ffto ffperform? ff
A) ffMeasure ffthe fflength ffof ffthe ffmass ff
B) ffAuscultate ffthe ffmass ff
C) ffPercuss ffthe ffmass ff
D) ffPalpate ffthe ffmass ff- ffAnswer ff- ffB: ffAuscultate ffthe ffmass
8. ffA ffclient ffis ffadmitted ffto ffthe ffhospital ffwith ffa ffhistory ffof ffconfusion. ffThe ffclient ffhas ffdifficulty
ffremembering ffrecent ffevents ffand ffbecomes ffdisoriented ffwhen ffaway fffrom ffhome. ffWhich
ffstatement ffwould ffprovide ffthe ffbest ffreality fforientation fffor ffthis ffclient? ff
A) ff"Good ffmorning. ffDo ffyou ffremember ffwhere ffyou ffare?" ff
B) ff"Hello. ffMy ffname ffis ffElaine ffJones ffand ffI ffam ffyour ffnurse fffor fftoday." ff
C) ff"How ffare ffyou fftoday? ffRemember, ffyou're ffin ffthe ffhospital." ff
D) ff"Good ffmorning. ffYou're ffin ffthe ffhospital. ffI ffam ffyour ffnurse ffElaine ffJones." ff- ffAnswer ff- ffD:
ff"Good ffmorning. ffYou're ffin ffthe ffhospital. ffI ffam ffyour ffnurse ffElaine ffJones."
9. ffThe ffnurse ffis ffteaching ffthe ffparents ffof ffa ff3 ffmonth-old ffinfant ffabout ffnutrition. ffWhat ffis ffthe
ffmain ffsource ffof fffluids fffor ffan ffinfant ffuntil ffabout ff12 ffmonths ffof ffage? ff
A) ffFormula ffor ffbreast ffmilk ff
B) ffDilute ffnonfat ffdry ffmilk ff
C) ffWarmed fffruit ffjuice ff
D) ffFluoridated fftap ffwater ff- ffAnswer ff- ffA: ffFormula ffor ffbreast ffmilk
10. ffThe fffamily ffof ffa ff6 ffyear-old ffwith ffa fffractured fffemur ffasks ffthe ffnurse ffif ffthe ffchild's ffheight
ffwill ffbe ffaffected ffby ffthe ffinjury. ffWhich ffstatement ffis fftrue ffconcerning fflong ffbone fffractures ffin
ffchildren? ff
, A) ffGrowth ffproblems ffwill ffoccur ffif ffthe fffracture ffinvolves ffthe ffperiosteum ff
B) ffEpiphyseal fffractures ffoften ffinterrupt ffa ffchild's ffnormal ffgrowth ffpattern ff
C) ffChildren ffusually ffheal ffvery ffquickly, ffso ffgrowth ffproblems ffare ffrare ff
D) ffAdequate ffblood ffsupply ffto ffthe ffbone ffprevents ffgrowth ffdelay ffafter fffractures ff- ffAnswer ff- ffB:
ffEpiphyseal fffractures ffoften ffinterrupt ffa ffchild''s ffnormal ffgrowth ffpattern
11. ffThe ffnurse ffis ffassessing ffa ffclient ffwho ffstates ffher fflast ffmenstrual ffperiod ffwas ffMarch ff16,
ffand ffshe ffhas ffmissed ffone ffperiod. ffShe ffreports ffepisodes ffof ffnausea ffand ffvomiting. ffPregnancy
ffis ffconfirmed ffby ffa ffurine fftest. ffWhat ffwill ffthe ffnurse ffcalculate ffas ffthe ffestimated ffdate ffof
ffdelivery ff(EDD)? ff
A) ffApril ff8 ff
B) ffJanuary ff15 ff
C) ffFebruary ff11 ff
D) ffDecember ff23 ff- ffAnswer ff- ffD: ffDecember ff23
12. ffWhen ffscreening ffchildren fffor ffscoliosis, ffat ffwhat fftime ffof ffdevelopment ffwould ffthe ffnurse
ffexpect ffearly ffsigns ffto ffappear? ff
A) ffPrenatally ffon ffultrasound ff
B) ffIn ffearly ffinfancy ff
C) ffWhen ffthe ffchild ffbegins ffto ffbear ffweight ff
D) ffDuring ffthe ffpreadolescent ffgrowth ffspurt ff- ffAnswer ff- ffD: ffDuring ffthe ffpreadolescent ffgrowth
ffspurt
13. ffA ffclient ffwith ffcongestive ffheart fffailure ffis ffnewly ffadmitted ffto ffhome ffhealth ffcare. ffThe ffnurse
ffdiscovers ffthat ffthe ffclient ffhas ffnot ffbeen fffollowing ffthe ffprescribed ffdiet. ffWhat ffwould ffbe ffthe
ffmost ffappropriate ffnursing ffaction? ff
A) ffDischarge ffthe ffclient fffrom ffhome ffhealth ffcare ffrelated ffto ffnoncompliance ff
B) ffNotify ffthe ffhealth ffcare ffprovider ffof ffthe ffclient's fffailure ffto fffollow ffprescribed ffdiet ff
C) ffDiscuss ffdiet ffwith ffthe ffclient ffto fflearn ffthe ffreasons fffor ffnot fffollowing ffthe ffdiet ff
