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HESI EXIT RN V4 EXAM|| ACCURATE AND
FREQUENTLY TESTED QUESTIONS AND 100%
CORRECT ANSWERS|| LATEST AND COMPLETE
UPDATE WITH EXPERT VERIFIED SOLUTIONS||
SURE PASS!!
1. A client is admitted with a pressure ulcer in the sacral area. The partial thickness
wound is 4cm by 7cm, the wound base is red and moist with no exudate and the
surrounding skin is intact. Which of the following coverings is most appropriate
for this wound?
A) Transparent dressing
B) Dry sterile dressing with antibiotic ointment
C) Wet to dry dressing
D) Occlusive moist dressing - ANSWER: D: Occlusive moist dressing
2. A 65-year-old Hispanic-Latino client with prostate cancer rates his pain as a 6
on a 0- to-10 scale. The client refuses all pain medication other than Motrin, which
does not relieve his pain. The next action for the nurse to take is to
A) Ask the client about the refusal of certain pain medications
B) Talk with the client's family about the situation
C) Report the situation to the health care provider
D) Document the situation in the notes - ANSWER: A: Ask the client about the
refusal of certain pain medications
3. The parents of a 2 year-old child report that he has been holding his breath
whenever he has temper tantrums. 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
,2|Page
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 - ANSWER: C: Advise the parents to ignore breath holding because
breathing will begin as a reflex
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." - 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?" - 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?
,3|Page
A) Food
B) Warmth
C) Security
D) Comfort - 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." - 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 - 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
, 4|Page
C) Administer the prescribed analgesia
D) Recommend relaxation exercises for pain control - ANSWER: C: Administer
the prescribed analgesia
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 - 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 - 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."
HESI EXIT RN V4 EXAM|| ACCURATE AND
FREQUENTLY TESTED QUESTIONS AND 100%
CORRECT ANSWERS|| LATEST AND COMPLETE
UPDATE WITH EXPERT VERIFIED SOLUTIONS||
SURE PASS!!
1. A client is admitted with a pressure ulcer in the sacral area. The partial thickness
wound is 4cm by 7cm, the wound base is red and moist with no exudate and the
surrounding skin is intact. Which of the following coverings is most appropriate
for this wound?
A) Transparent dressing
B) Dry sterile dressing with antibiotic ointment
C) Wet to dry dressing
D) Occlusive moist dressing - ANSWER: D: Occlusive moist dressing
2. A 65-year-old Hispanic-Latino client with prostate cancer rates his pain as a 6
on a 0- to-10 scale. The client refuses all pain medication other than Motrin, which
does not relieve his pain. The next action for the nurse to take is to
A) Ask the client about the refusal of certain pain medications
B) Talk with the client's family about the situation
C) Report the situation to the health care provider
D) Document the situation in the notes - ANSWER: A: Ask the client about the
refusal of certain pain medications
3. The parents of a 2 year-old child report that he has been holding his breath
whenever he has temper tantrums. 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
,2|Page
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 - ANSWER: C: Advise the parents to ignore breath holding because
breathing will begin as a reflex
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." - 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?" - 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?
,3|Page
A) Food
B) Warmth
C) Security
D) Comfort - 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." - 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 - 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
, 4|Page
C) Administer the prescribed analgesia
D) Recommend relaxation exercises for pain control - ANSWER: C: Administer
the prescribed analgesia
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 - 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 - 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."
