HESI RN EXIT 2025 EXAM V4[ACTUAL EXAM] LATEST
VERSION [268 QUESTIONS AND ANSWERS] WITH STUDY
GUIDE DETAILED AND VERIFIED FOR GUARANTEED PASS-
LATEST UPDATE 2025 GRADED A
4. The nurse is assessing a client in the emergency room. Which
statement suggests that the problem is acute angina?
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." - CORRECT
ANSWER A: "My pain is deep in my chest behind my sternum."
5. The nurse is assessing the mental status of a client admitted with
possible organic brain disorder. Which of these questions will best
assess the function of the client's recent memory?
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?" - CORRECT ANSWER C: "I am going to say
the names of three things and I want you to repeat them after me:
blue, ball, pen."
6. 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 - CORRECT ANSWER C: Security
,7. A nurse has just received a medication order which is not legible.
Which statement best reflects assertive communication?
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." - CORRECT ANSWER B)
"Would you please clarify what you have written so I am sure I am
reading it correctly?"
8. 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 - CORRECT ANSWER D: Age of
children in the home
9. 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 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 - CORRECT
ANSWER C: Administer the prescribed analgesia
1. The nurse is caring for a pre-adolescent client in skeletal Dunlop
traction. Which nursing intervention is appropriate for this child?
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. -
CORRECT ANSWER A: Make certain the child is maintained in
correct body alignment.
10. 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 - CORRECT ANSWER A:
Respiratory rate of 30
11. A client is admitted with low T3 and T4 levels and 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 - CORRECT ANSWER A: Lethargy
12. The emergency room nurse admits a child who experienced a
seizure at school. The father comments that this is the first
occurrence, and denies any family history of epilepsy. What is the
best response by the nurse?
A) "Do not worry. Epilepsy can be treated with medications."
B) "The seizure may or may not mean your child has epilepsy."
C) "Since this was the first convulsion, it may not happen again."
D) "Long term treatment will prevent future seizures." - CORRECT
ANSWER B: "The seizure may or may not mean your child has
epilepsy."
13. Alcohol and drug abuse impairs judgment and increases risk
taking behavior. What nursing diagnosis best applies?
A) Risk for injury
B) Risk for knowledge deficit
, C) Altered thought process
D) Disturbance in self-esteem - CORRECT ANSWER A: Risk for
injury
14. The nurse is caring for a 10 month-old infant who is has oxygen
via mask. It is important for the nurse to maintain patency of which of
these areas?
A) Mouth
B) Nasal passages
C) Back of throat
D) Bronchials - CORRECT ANSWER B: Nasal passages
16. When counseling a 6 year old who is experiencing enuresis, what
must the nurse understand about the pathophysiological basis of this
disorder?
A) Has no clear etiology
B) May be associated with sleep phobia
C) Has a definite genetic link
D) Is a sign of willful misbehavior - CORRECT ANSWER A: Has
no clear etiology
17. The nurse is discussing negativism with the parents of a 30
month-old child. How should the nurse tell the parents to best
respond to this behavior?
A) Reprimand the child and give a 15 minute "time out"
B) Maintain a permissive attitude for this behavior
C) Use patience and a sense of humor to deal with this behavior
D) Assert authority over the child through limit setting - CORRECT
ANSWER C: Use patience and a sense of humor to deal with this
behavior
18. The nurse is talking by telephone with a parent of a 4 year-old
child who has chickenpox. Which of the following demonstrates
appropriate teaching by the nurse?
A) Chewable aspirin is the preferred analgesic
VERSION [268 QUESTIONS AND ANSWERS] WITH STUDY
GUIDE DETAILED AND VERIFIED FOR GUARANTEED PASS-
LATEST UPDATE 2025 GRADED A
4. The nurse is assessing a client in the emergency room. Which
statement suggests that the problem is acute angina?
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." - CORRECT
ANSWER A: "My pain is deep in my chest behind my sternum."
5. The nurse is assessing the mental status of a client admitted with
possible organic brain disorder. Which of these questions will best
assess the function of the client's recent memory?
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?" - CORRECT ANSWER C: "I am going to say
the names of three things and I want you to repeat them after me:
blue, ball, pen."
6. 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 - CORRECT ANSWER C: Security
,7. A nurse has just received a medication order which is not legible.
Which statement best reflects assertive communication?
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." - CORRECT ANSWER B)
"Would you please clarify what you have written so I am sure I am
reading it correctly?"
8. 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 - CORRECT ANSWER D: Age of
children in the home
9. 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 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 - CORRECT
ANSWER C: Administer the prescribed analgesia
1. The nurse is caring for a pre-adolescent client in skeletal Dunlop
traction. Which nursing intervention is appropriate for this child?
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. -
CORRECT ANSWER A: Make certain the child is maintained in
correct body alignment.
10. 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 - CORRECT ANSWER A:
Respiratory rate of 30
11. A client is admitted with low T3 and T4 levels and 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 - CORRECT ANSWER A: Lethargy
12. The emergency room nurse admits a child who experienced a
seizure at school. The father comments that this is the first
occurrence, and denies any family history of epilepsy. What is the
best response by the nurse?
A) "Do not worry. Epilepsy can be treated with medications."
B) "The seizure may or may not mean your child has epilepsy."
C) "Since this was the first convulsion, it may not happen again."
D) "Long term treatment will prevent future seizures." - CORRECT
ANSWER B: "The seizure may or may not mean your child has
epilepsy."
13. Alcohol and drug abuse impairs judgment and increases risk
taking behavior. What nursing diagnosis best applies?
A) Risk for injury
B) Risk for knowledge deficit
, C) Altered thought process
D) Disturbance in self-esteem - CORRECT ANSWER A: Risk for
injury
14. The nurse is caring for a 10 month-old infant who is has oxygen
via mask. It is important for the nurse to maintain patency of which of
these areas?
A) Mouth
B) Nasal passages
C) Back of throat
D) Bronchials - CORRECT ANSWER B: Nasal passages
16. When counseling a 6 year old who is experiencing enuresis, what
must the nurse understand about the pathophysiological basis of this
disorder?
A) Has no clear etiology
B) May be associated with sleep phobia
C) Has a definite genetic link
D) Is a sign of willful misbehavior - CORRECT ANSWER A: Has
no clear etiology
17. The nurse is discussing negativism with the parents of a 30
month-old child. How should the nurse tell the parents to best
respond to this behavior?
A) Reprimand the child and give a 15 minute "time out"
B) Maintain a permissive attitude for this behavior
C) Use patience and a sense of humor to deal with this behavior
D) Assert authority over the child through limit setting - CORRECT
ANSWER C: Use patience and a sense of humor to deal with this
behavior
18. The nurse is talking by telephone with a parent of a 4 year-old
child who has chickenpox. Which of the following demonstrates
appropriate teaching by the nurse?
A) Chewable aspirin is the preferred analgesic
