HESI Exit RN V4
Study online at https://quizlet.com/_c8ksxq
1. 1. The nurse is caring for a pre-adolescent client in A: Make certain the child
skeletal Dunlop traction. Which nursing intervention is maintained in correct
is appropriate for this child? body alignment.
A) Make certain the child is maintained in correct body
alignment.
B) Be sure the traction weights touch the end of the
bed.
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 PRN.
2. 2. The nurse is assessing a healthy child at the 2 year A: Height and weight per-
check up. Which of the following should the nurse centiles vary widely
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
3. 3. The parents of a 2 year-old child report that he C: Advise the parents to ig-
has been holding his breath whenever he has temper nore breath holding be-
tantrums. What is the best action by the nurse? cause breathing will begin
as a reflex
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 be-
cause breathing will begin as a reflex
, HESI Exit RN V4
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D) Instruct the parents on how to reason with the child
about possible harmful effects
4. 4. The nurse is assessing a client in the emergency A: "My pain is deep in
room. Which statement suggests that the problem is my chest behind my ster-
acute angina? num."
A) "My pain is deep in my chest behind my sternum."
B) "When I sit up the pain gets worse."
C) "As I take a deep breath the pain gets worse."
D) "The pain is right here in my stomach area."
5. 5. The nurse is assessing the mental status of a client C: "I am going to say the
admitted with possible organic brain disorder. Which names of three things and
of these questions will best assess the function of the I want you to repeat them
client's recent memory? after me: blue, ball, pen."
A) "Name the year." "What season is this?" (pause for
answer after each question)
B) "Subtract 7 from 100 and then subtract 7 from that."
(pause for answer) "Now continue to subtract 7 from
the new number."
C) "I am going to say the names of three things and I
want you to repeat them after me: blue, ball, pen."
D) "What is this on my wrist?" (point to your watch)
Then ask, "What is the purpose of it?"
6. 6. In planning care for a 6 month-old infant, what C: Security
must the nurse provide to assist in the development
of trust?
A) Food
B) Warmth
, HESI Exit RN V4
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C) Security
D) Comfort
7. 7. A nurse has just received a medication order which B) "Would you please
is not legible. Which statement best reflects assertive clarify what you have writ-
communication? ten so I am sure I am read-
ing it correctly?"
A) "I cannot give this medication as it is written. I have
no idea of what you mean."
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 handwriting. It
would save me time if you would be more careful."
D) "Please print in the future so I do not have to spend
extra time attempting to read your writing."
8. 8. What is the most important consideration when D: Age of children in the
teaching parents how to reduce risks in the home? 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
9. 9. A 35 year-old client with sickle cell crisis is talking on C: Administer the pre-
the telephone but stops as the nurse enters the room scribed analgesia
to request something for pain. The nurse should
A) Administer a placebo
B) Encourage increased fluid intake
C) Administer the prescribed analgesia
D) Recommend relaxation exercises for pain control
, HESI Exit RN V4
Study online at https://quizlet.com/_c8ksxq
10. 10. While caring for a toddler with croup, which initial A: Respiratory rate of 30
sign of croup requires the nurse's immediate atten-
tion?
A) Respiratory rate of 42
B) Lethargy for the past hour
C) Apical pulse of 54
D) Coughing up copious secretions
11. 11. A client is admitted with low T3 and T4 levels and A: Lethargy
an elevated TSH level. On initial assessment, the nurse
would anticipate which of the following assessment
findings?
A) Lethargy
B) Heat intolerance
C) Diarrhea
D) Skin eruptions
12. 12. The emergency room nurse admits a child who B: "The seizure may or may
experienced a seizure at school. The father comments not mean your child has
that this is the first occurrence, and denies any family epilepsy."
history of epilepsy. What is the best response by the
nurse?
A) "Do not worry. Epilepsy can be treated with medica-
tions."
B) "The seizure may or may not mean your child has
epilepsy."
C) "Since this was the first convulsion, it may not hap-
pen again."
D) "Long term treatment will prevent future seizures."
Study online at https://quizlet.com/_c8ksxq
1. 1. The nurse is caring for a pre-adolescent client in A: Make certain the child
skeletal Dunlop traction. Which nursing intervention is maintained in correct
is appropriate for this child? body alignment.
A) Make certain the child is maintained in correct body
alignment.
B) Be sure the traction weights touch the end of the
bed.
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 PRN.
2. 2. The nurse is assessing a healthy child at the 2 year A: Height and weight per-
check up. Which of the following should the nurse centiles vary widely
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
3. 3. The parents of a 2 year-old child report that he C: Advise the parents to ig-
has been holding his breath whenever he has temper nore breath holding be-
tantrums. What is the best action by the nurse? cause breathing will begin
as a reflex
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 be-
cause breathing will begin as a reflex
, HESI Exit RN V4
Study online at https://quizlet.com/_c8ksxq
D) Instruct the parents on how to reason with the child
about possible harmful effects
4. 4. The nurse is assessing a client in the emergency A: "My pain is deep in
room. Which statement suggests that the problem is my chest behind my ster-
acute angina? num."
A) "My pain is deep in my chest behind my sternum."
B) "When I sit up the pain gets worse."
C) "As I take a deep breath the pain gets worse."
D) "The pain is right here in my stomach area."
5. 5. The nurse is assessing the mental status of a client C: "I am going to say the
admitted with possible organic brain disorder. Which names of three things and
of these questions will best assess the function of the I want you to repeat them
client's recent memory? after me: blue, ball, pen."
A) "Name the year." "What season is this?" (pause for
answer after each question)
B) "Subtract 7 from 100 and then subtract 7 from that."
(pause for answer) "Now continue to subtract 7 from
the new number."
C) "I am going to say the names of three things and I
want you to repeat them after me: blue, ball, pen."
D) "What is this on my wrist?" (point to your watch)
Then ask, "What is the purpose of it?"
6. 6. In planning care for a 6 month-old infant, what C: Security
must the nurse provide to assist in the development
of trust?
A) Food
B) Warmth
, HESI Exit RN V4
Study online at https://quizlet.com/_c8ksxq
C) Security
D) Comfort
7. 7. A nurse has just received a medication order which B) "Would you please
is not legible. Which statement best reflects assertive clarify what you have writ-
communication? ten so I am sure I am read-
ing it correctly?"
A) "I cannot give this medication as it is written. I have
no idea of what you mean."
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 handwriting. It
would save me time if you would be more careful."
D) "Please print in the future so I do not have to spend
extra time attempting to read your writing."
8. 8. What is the most important consideration when D: Age of children in the
teaching parents how to reduce risks in the home? 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
9. 9. A 35 year-old client with sickle cell crisis is talking on C: Administer the pre-
the telephone but stops as the nurse enters the room scribed analgesia
to request something for pain. The nurse should
A) Administer a placebo
B) Encourage increased fluid intake
C) Administer the prescribed analgesia
D) Recommend relaxation exercises for pain control
, HESI Exit RN V4
Study online at https://quizlet.com/_c8ksxq
10. 10. While caring for a toddler with croup, which initial A: Respiratory rate of 30
sign of croup requires the nurse's immediate atten-
tion?
A) Respiratory rate of 42
B) Lethargy for the past hour
C) Apical pulse of 54
D) Coughing up copious secretions
11. 11. A client is admitted with low T3 and T4 levels and A: Lethargy
an elevated TSH level. On initial assessment, the nurse
would anticipate which of the following assessment
findings?
A) Lethargy
B) Heat intolerance
C) Diarrhea
D) Skin eruptions
12. 12. The emergency room nurse admits a child who B: "The seizure may or may
experienced a seizure at school. The father comments not mean your child has
that this is the first occurrence, and denies any family epilepsy."
history of epilepsy. What is the best response by the
nurse?
A) "Do not worry. Epilepsy can be treated with medica-
tions."
B) "The seizure may or may not mean your child has
epilepsy."
C) "Since this was the first convulsion, it may not hap-
pen again."
D) "Long term treatment will prevent future seizures."
