HESI RN EXIT EXAM QUESTIONS
AND VERIFIED ANSWERS 2024
In68planning68care68for68a68668month-
old68infant,68what68must68the68nurse68provide68to68assist68in68the68development68of68trus
t?
A)68Food
B)68Warmth
C)68Security
D)68Comfort68-68answer--C)68Security
A68nurse68has68just68received68a68medication68order68which68is68not68legible.68Which68st
atement68best68reflects68assertive68communication?
A)68"I68cannot68give68this68medication68as68it68is68written.68I68have68no68idea68of68what68
you68mean."
B)68"Would68you68please68clarify68what68you68have68written68so68I68am68sure68I68am68re
ading68it
correctly?"
C)68"I68am68having68difficulty68reading68your68handwriting.68It68would68save68me68time68i
f68you68would68be68more68careful."
D)68"Please68print68in68the68future68so68I68do68not68have68to68spend68extra68time68attem
pting68to68read68your68writing."68-68answer--
B)68"Would68you68please68clarify68what68you68have68written68so68I68am68sure68I68am68re
ading68it
correctly?"
What68is68the68most68important68consideration68when68teaching68parents68how68to68red
uce68risks68in68the68home?
A)68Age68and68knowledge68level68of68the68parents
B)68Proximity68to68emergency68services
C)68Number68of68children68in68the68home
D)68Age68of68children68in68the68home68-68answer--D)68Age68of68children68in68the68home
A683568year-
old68client68with68sickle68cell68crisis68is68talking68on68the68telephone68but68stops68as68the
68nurse68enters68the68room68to68request68something68for68pain.68The68nurse68should
A)68Administer68a68placebo
,B)68Encourage68increased68fluid68intake
C)68Administer68the68prescribed68analgesia
D)68Recommend68relaxation68exercises68for68pain68control68-68answer--
C)68Administer68the68prescribed68analgesia
While68caring68for68a68toddler68with68croup,68which68initial68sign68of68croup68requires68th
e68nurse's68immediate68attention?
A)68Respiratory68rate68of6842
B)68Lethargy68for68the68past68hour
C)68Apical68pulse68of6854
D)68Coughing68up68copious68secretions68-68answer--A)68Respiratory68rate68of6842
A68client68is68admitted68with68low68T368and68T468levels68and68an68elevated68TSH68level.
68On68initial68assessment,68the68nurse68would68anticipate68which68of68the68following68as
sessment68findings?
A)68Lethargy
B)68Heat68intolerance
C)68Diarrhea
D)68Skin68eruptions68-68answer--A)68Lethargy
The68emergency68room68nurse68admits68a68child68who68experienced68a68seizure68at68sc
hool.68The68father68comments68that68this68is68the68first68occurrence,68and68denies68any6
8family68history68of68epilepsy.68What68is68the68best68response68by68the68nurse?
A)68"Do68not68worry.68Epilepsy68can68be68treated68with68medications."
B)68"The68seizure68may68or68may68not68mean68your68child68has68epilepsy."
C)68"Since68this68was68the68first68convulsion,68it68may68not68happen68again."68
D)68"Long68term68treatment68will68prevent68future68seizures."68-68answer--
B)68"The68seizure68may68or68may68not68mean68your68child68has68epilepsy."
Alcohol68and68drug68abuse68impairs68judgment68and68increases68risk68taking68behavior.
68What68nursing68diagnosis68best68applies?
A)68Risk68for68injury
B)68Risk68for68knowledge68deficit
C)68Altered68thought68process68
D)68Disturbance68in68self-esteem68-68answer--A)68Risk68for68injury
Which68these68findings68would68the68nurse68more68closely68associate68with68anemia68in
68a681068month-old68infant?
A)68Hemoglobin68level68of681268g/dI
B)68Pale68mucosa68of68the68eyelids68and68lips
C)68Hypoactivity
D)68A68heart68rate68between6814068to6816068-68answer--
B)68Pale68mucosa68of68the68eyelids68and68lips
The68nurse68is68caring68for68a68client68in68hypertensive68crisis68in68an68intensive68care68
unit.68The68priority68assessment68in68the68first68hour68of68care68is
,A)68Heart68rate
B)68Pedal68pulses
C)68Lung68sounds
D)68Pupil68responses68-68answer--D)68Pupil68responses
Which68of68these68clients68who68are68all68in68the68terminal68stage68of68cancer68is68least6
8appropriate68to68suggest68the68use68of68patient68controlled68analgesia68(PCA)68with68a6
8pump?
A)68A68young68adult68with68a68history68of68Down's68syndrome
B)68A68teenager68who68reads68at68a684th68grade68level
C)68An68elderly68client68with68numerous68arthritic68nodules68on68the68hands
D)68A68preschooler68with68intermittent68episodes68of68alertness68-68answer--
D)68A68preschooler68with68intermittent68episodes68of68alertness
The68nurse68is68about68to68assess68a68668month-old68child68with68nonorganic68failure-
to68thrive68(NOFTT).68Upon68entering68the68room,68the68nurse68would68expect68the68bab
y68to68be
A)68Irritable68and68"colicky"68with68no68attempts68to68pull68to68standing
B)68Alert,68laughing68and68playing68with68a68rattle,68sitting68with68support
C)68Skin68color68dusky68with68poor68skin68turgor68over68abdomen
D)68Pale,68thin68arms68and68legs,68uninterested68in68surroundings68-68answer--
D)68Pale,68thin68arms68and68legs,68uninterested68in68surroundings
As68the68nurse68is68speaking68with68a68group68of68teens68which68of68these68side68effects
68of68chemotherapy68for68cancer68would68the68nurse68expect68this68group68to68be68more
68interested68in68during68the68discussion?68
A)68Mouth68sores
B)68Fatigue
C)68Diarrhea
D)68Hair68loss68-68answer--D)68Hair68loss
While68caring68for68a68client68who68was68admitted68with68myocardial68infarction68(MI)682
68days68ago,68the68nurse68notes68today's68temperature68is68101.168degrees68Fahrenheit
68(38.568degreesCelsius).68The68appropriate68nursing68intervention68is68to
A)68Call68the68health68care68provider68immediately
B)68Administer68acetaminophen68as68ordered68as68this68is68normal68at68this68time
C)68Send68blood,68urine68and68sputum68for68culture68
D)68Increase68the68client's68fluid68intake68-68answer--
B)68Administer68acetaminophen68as68ordered68as68this68is68normal68at68this68time
A68client68is68admitted68for68first68and68second68degree68burns68on68the68face,68neck,68a
nterior68chest68and68hands.68The68nurse's68priority68should68be
A)68Cover68the68areas68with68dry68sterile68dressings
B)68Assess68for68dyspnea68or68stridor
C)68Initiate68intravenous68therapy68
D)68Administer68pain68medication68-68answer--B)68Assess68for68dyspnea68or68stridor
, Which68of68these68clients68who68call68the68community68health68clinic68would68the68nurse
68ask68to68come68in68that68day68to68be68seen68by68the68health68care68provider?
A)68I68started68my68period68and68now68my68urine68has68turned68bright68red.
B)68I68am68an68diabetic68and68today68I68have68been68going68to68the68bathroom68every68
hour.
C)68I68was68started68on68medicine68yesterday68for68a68urine68infection.68Now68my68lower
68belly68hurts68when68I68go68to68the68bathroom.
D)68I68went68to68the68bathroom68and68my68urine68looked68very68red68and68it68didn't68hurt
68when68I68went.68-68answer--
D)68I68went68to68the68bathroom68and68my68urine68looked68very68red68and68it68didn't68hurt
68when68I68went.
Which68of68these68parents'68comment68for68a68newborn68would68most68likely68reveal68a
n68initial68finding68of68a68suspected68pyloric68stenosis?
A)68I68noticed68a68little68lump68a68little68above68the68belly68button.
B)68The68baby68seems68hungry68all68the68time.
C)68Mild68vomiting68that68progressed68to68vomiting68shooting68across68the68room.68
D)68Irritation68and68spitting68up68immediately68after68feedings.68-68answer--
C)68Mild68vomiting68that68progressed68to68vomiting68shooting68across68the68room.
The68nurse68is68assessing68a68child68for68clinical68manifestations68of68iron68deficiency68
anemia.
Which68factor68would68the68nurse68recognize68as68cause68for68the68findings?68
A)68Decreased68cardiac68output
B)68Tissue68hypoxia
C)68Cerebral68edema
D)68Reduced68oxygen68saturation68-68answer--B)68Tissue68hypoxia
The68nurse68would68expect68the68cystic68fibrosis68client68to68receive68supplemental68pa
ncreatic
enzymes68along68with68a68diet
A)68High68in68carbohydrates68and68proteins
B)68Low68in68carbohydrates68and68proteins
C)68High68in68carbohydrates,68low68in68proteins68
D)68Low68in68carbohydrates,68high68in68proteins68-68answer--
A)68High68in68carbohydrates68and68proteins
In68evaluating68the68growth68of68a681268month-
old68child,68which68of68these68findings68would68the
nurse68expect68to68be68present68in68the68infant?68
A)68Increased6810%68in68height
B)68268deciduous68teeth
C)68Tripled68the68birth68weight
D)68Head68>68chest68circumference68-68answer--C)68Tripled68the68birth68weight
AND VERIFIED ANSWERS 2024
In68planning68care68for68a68668month-
old68infant,68what68must68the68nurse68provide68to68assist68in68the68development68of68trus
t?
A)68Food
B)68Warmth
C)68Security
D)68Comfort68-68answer--C)68Security
A68nurse68has68just68received68a68medication68order68which68is68not68legible.68Which68st
atement68best68reflects68assertive68communication?
A)68"I68cannot68give68this68medication68as68it68is68written.68I68have68no68idea68of68what68
you68mean."
B)68"Would68you68please68clarify68what68you68have68written68so68I68am68sure68I68am68re
ading68it
correctly?"
C)68"I68am68having68difficulty68reading68your68handwriting.68It68would68save68me68time68i
f68you68would68be68more68careful."
D)68"Please68print68in68the68future68so68I68do68not68have68to68spend68extra68time68attem
pting68to68read68your68writing."68-68answer--
B)68"Would68you68please68clarify68what68you68have68written68so68I68am68sure68I68am68re
ading68it
correctly?"
What68is68the68most68important68consideration68when68teaching68parents68how68to68red
uce68risks68in68the68home?
A)68Age68and68knowledge68level68of68the68parents
B)68Proximity68to68emergency68services
C)68Number68of68children68in68the68home
D)68Age68of68children68in68the68home68-68answer--D)68Age68of68children68in68the68home
A683568year-
old68client68with68sickle68cell68crisis68is68talking68on68the68telephone68but68stops68as68the
68nurse68enters68the68room68to68request68something68for68pain.68The68nurse68should
A)68Administer68a68placebo
,B)68Encourage68increased68fluid68intake
C)68Administer68the68prescribed68analgesia
D)68Recommend68relaxation68exercises68for68pain68control68-68answer--
C)68Administer68the68prescribed68analgesia
While68caring68for68a68toddler68with68croup,68which68initial68sign68of68croup68requires68th
e68nurse's68immediate68attention?
A)68Respiratory68rate68of6842
B)68Lethargy68for68the68past68hour
C)68Apical68pulse68of6854
D)68Coughing68up68copious68secretions68-68answer--A)68Respiratory68rate68of6842
A68client68is68admitted68with68low68T368and68T468levels68and68an68elevated68TSH68level.
68On68initial68assessment,68the68nurse68would68anticipate68which68of68the68following68as
sessment68findings?
A)68Lethargy
B)68Heat68intolerance
C)68Diarrhea
D)68Skin68eruptions68-68answer--A)68Lethargy
The68emergency68room68nurse68admits68a68child68who68experienced68a68seizure68at68sc
hool.68The68father68comments68that68this68is68the68first68occurrence,68and68denies68any6
8family68history68of68epilepsy.68What68is68the68best68response68by68the68nurse?
A)68"Do68not68worry.68Epilepsy68can68be68treated68with68medications."
B)68"The68seizure68may68or68may68not68mean68your68child68has68epilepsy."
C)68"Since68this68was68the68first68convulsion,68it68may68not68happen68again."68
D)68"Long68term68treatment68will68prevent68future68seizures."68-68answer--
B)68"The68seizure68may68or68may68not68mean68your68child68has68epilepsy."
Alcohol68and68drug68abuse68impairs68judgment68and68increases68risk68taking68behavior.
68What68nursing68diagnosis68best68applies?
A)68Risk68for68injury
B)68Risk68for68knowledge68deficit
C)68Altered68thought68process68
D)68Disturbance68in68self-esteem68-68answer--A)68Risk68for68injury
Which68these68findings68would68the68nurse68more68closely68associate68with68anemia68in
68a681068month-old68infant?
A)68Hemoglobin68level68of681268g/dI
B)68Pale68mucosa68of68the68eyelids68and68lips
C)68Hypoactivity
D)68A68heart68rate68between6814068to6816068-68answer--
B)68Pale68mucosa68of68the68eyelids68and68lips
The68nurse68is68caring68for68a68client68in68hypertensive68crisis68in68an68intensive68care68
unit.68The68priority68assessment68in68the68first68hour68of68care68is
,A)68Heart68rate
B)68Pedal68pulses
C)68Lung68sounds
D)68Pupil68responses68-68answer--D)68Pupil68responses
Which68of68these68clients68who68are68all68in68the68terminal68stage68of68cancer68is68least6
8appropriate68to68suggest68the68use68of68patient68controlled68analgesia68(PCA)68with68a6
8pump?
A)68A68young68adult68with68a68history68of68Down's68syndrome
B)68A68teenager68who68reads68at68a684th68grade68level
C)68An68elderly68client68with68numerous68arthritic68nodules68on68the68hands
D)68A68preschooler68with68intermittent68episodes68of68alertness68-68answer--
D)68A68preschooler68with68intermittent68episodes68of68alertness
The68nurse68is68about68to68assess68a68668month-old68child68with68nonorganic68failure-
to68thrive68(NOFTT).68Upon68entering68the68room,68the68nurse68would68expect68the68bab
y68to68be
A)68Irritable68and68"colicky"68with68no68attempts68to68pull68to68standing
B)68Alert,68laughing68and68playing68with68a68rattle,68sitting68with68support
C)68Skin68color68dusky68with68poor68skin68turgor68over68abdomen
D)68Pale,68thin68arms68and68legs,68uninterested68in68surroundings68-68answer--
D)68Pale,68thin68arms68and68legs,68uninterested68in68surroundings
As68the68nurse68is68speaking68with68a68group68of68teens68which68of68these68side68effects
68of68chemotherapy68for68cancer68would68the68nurse68expect68this68group68to68be68more
68interested68in68during68the68discussion?68
A)68Mouth68sores
B)68Fatigue
C)68Diarrhea
D)68Hair68loss68-68answer--D)68Hair68loss
While68caring68for68a68client68who68was68admitted68with68myocardial68infarction68(MI)682
68days68ago,68the68nurse68notes68today's68temperature68is68101.168degrees68Fahrenheit
68(38.568degreesCelsius).68The68appropriate68nursing68intervention68is68to
A)68Call68the68health68care68provider68immediately
B)68Administer68acetaminophen68as68ordered68as68this68is68normal68at68this68time
C)68Send68blood,68urine68and68sputum68for68culture68
D)68Increase68the68client's68fluid68intake68-68answer--
B)68Administer68acetaminophen68as68ordered68as68this68is68normal68at68this68time
A68client68is68admitted68for68first68and68second68degree68burns68on68the68face,68neck,68a
nterior68chest68and68hands.68The68nurse's68priority68should68be
A)68Cover68the68areas68with68dry68sterile68dressings
B)68Assess68for68dyspnea68or68stridor
C)68Initiate68intravenous68therapy68
D)68Administer68pain68medication68-68answer--B)68Assess68for68dyspnea68or68stridor
, Which68of68these68clients68who68call68the68community68health68clinic68would68the68nurse
68ask68to68come68in68that68day68to68be68seen68by68the68health68care68provider?
A)68I68started68my68period68and68now68my68urine68has68turned68bright68red.
B)68I68am68an68diabetic68and68today68I68have68been68going68to68the68bathroom68every68
hour.
C)68I68was68started68on68medicine68yesterday68for68a68urine68infection.68Now68my68lower
68belly68hurts68when68I68go68to68the68bathroom.
D)68I68went68to68the68bathroom68and68my68urine68looked68very68red68and68it68didn't68hurt
68when68I68went.68-68answer--
D)68I68went68to68the68bathroom68and68my68urine68looked68very68red68and68it68didn't68hurt
68when68I68went.
Which68of68these68parents'68comment68for68a68newborn68would68most68likely68reveal68a
n68initial68finding68of68a68suspected68pyloric68stenosis?
A)68I68noticed68a68little68lump68a68little68above68the68belly68button.
B)68The68baby68seems68hungry68all68the68time.
C)68Mild68vomiting68that68progressed68to68vomiting68shooting68across68the68room.68
D)68Irritation68and68spitting68up68immediately68after68feedings.68-68answer--
C)68Mild68vomiting68that68progressed68to68vomiting68shooting68across68the68room.
The68nurse68is68assessing68a68child68for68clinical68manifestations68of68iron68deficiency68
anemia.
Which68factor68would68the68nurse68recognize68as68cause68for68the68findings?68
A)68Decreased68cardiac68output
B)68Tissue68hypoxia
C)68Cerebral68edema
D)68Reduced68oxygen68saturation68-68answer--B)68Tissue68hypoxia
The68nurse68would68expect68the68cystic68fibrosis68client68to68receive68supplemental68pa
ncreatic
enzymes68along68with68a68diet
A)68High68in68carbohydrates68and68proteins
B)68Low68in68carbohydrates68and68proteins
C)68High68in68carbohydrates,68low68in68proteins68
D)68Low68in68carbohydrates,68high68in68proteins68-68answer--
A)68High68in68carbohydrates68and68proteins
In68evaluating68the68growth68of68a681268month-
old68child,68which68of68these68findings68would68the
nurse68expect68to68be68present68in68the68infant?68
A)68Increased6810%68in68height
B)68268deciduous68teeth
C)68Tripled68the68birth68weight
D)68Head68>68chest68circumference68-68answer--C)68Tripled68the68birth68weight
