2025/2026 HESI PN EXIT V4/ HESI
EXIT /VERSION 4/EXIT EXAMS/
HESI COMPLETE TEST BANK
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.
The correct answer is A: Make certain the child is maintained in correct body alignment.
2. The nurse is assessing a healthy child at the 2 year check up. Which of the following
should the nurse 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
The correct answer is A: Height and weight percentiles vary widely
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
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
The correct answer is 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."
The correct answer is 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?"
The correct answer is 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
The correct answer is 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."
The correct answer is 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
The correct answer is 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
The correct answer is C: Administer the prescribed analgesia
10. While fcaring f for f a ftoddler f with fcroup, fwhich finitial f sign f of f croup frequires fthe
f nurse'sfimmediate fattention?
A) Respiratory frate fof f42
B) Lethargy ffor fthe fpast f hour
C) Apical fpulse fof f54
D) Coughing f up fcopious f secretions
The fcorrect fanswer fis fA: fRespiratory frate fof f 30
11. A fclient fis fadmitted f with flow fT3 fand fT4 flevels f and fan felevated fTSH flevel. fOn
f initialfassessment, f the fnurse f would f anticipate f which f of f the ffollowing f assessment
f findings?
A) Lethargy
B) Heat fintolerance
C) Diarrhea
D) Skin feruptions
The fcorrect fanswer fis fA: fLethargy
12. The femergency froom fnurse fadmits f a fchild fwho f experienced fa fseizure f at f school.
fTheffather fcomments fthat f this fis f the ffirst f occurrence, fand fdenies fany ffamily fhistory
f of fepilepsy. fWhat fis fthe fbest fresponse fby fthe fnurse?
A) "Do fnot fworry. fEpilepsy fcan fbe ftreated fwith fmedications."
B) "The fseizure f may for f may fnot f mean fyour fchild fhas fepilepsy."
C) "Since fthis fwas fthe ffirst fconvulsion, f it f may fnot f happen fagain."
D) "Long fterm ftreatment f will fprevent ffuture f seizures."
The fcorrect fanswer fis fB: f"The fseizure fmay for fmay fnot f mean fyour fchild f has fepilepsy."
13. Alcohol fand fdrug f abuse f impairs fjudgment fand f increases frisk ftaking f behavior.
fWhatfnursing fdiagnosis fbest fapplies?
A) Risk ffor finjury
B) Risk ffor f knowledge fdeficit
, C) Altered fthought f process
D) Disturbance f in f self-esteem
The fcorrect fanswer fis fA: fRisk ffor finjury
14. The fnurse fis fcaring ffor fa f10 fmonth-old finfant fwho fis fhas foxygen fvia
f mask. f It f isfimportant ffor fthe fnurse fto fmaintain fpatency fof fwhich fof fthese
fareas?
A) Mouth
B) Nasal fpassages
C) Back fof fthroat
D) Bronchials
The fcorrect f answer fis fB: fNasal fpassages
15. The fnurse fis fproviding f instructions f for f a fclient f with fpneumonia. f What fis fthe
f mostfimportant finformation fto fconvey fto fthe fclient?
A) "Take fat fleast f2 fweeks foff ffrom fwork."
B) "You fwill fneed fanother fchest fx-ray fin f6 fweeks."
C) "Take fyour ftemperature fevery fday."
D) "Complete fall fof fthe fantibiotic feven fif f your f findings fdecrease."
The fcorrect fanswer fis fD: f"Complete fall fof fthe fantibiotic feven fif f your f findings
f decrease."
16. When fcounseling fa f 6 f year f old fwho fis fexperiencing f enuresis, fwhat f must f the
f nursefunderstand fabout fthe fpathophysiological f basis fof fthis fdisorder?
A) Has fno fclear fetiology
B) May fbe fassociated f with f sleep fphobia
C) Has fa fdefinite f genetic f link
D) Is fa fsign fof fwillful f misbehavior
The fcorrect fanswer fis fA: fHas fno fclear fetiology
17. The fnurse fis fdiscussing f negativism fwith f the f parents fof fa f30 f month-old f child.
f Howfshould fthe fnurse ftell fthe f parents fto fbest frespond fto fthis fbehavior?
A) Reprimand fthe fchild f and fgive fa f15 f minute f"time fout"
B) Maintain fa fpermissive f attitude f for f this f behavior
C) Use fpatience fand fa fsense fof fhumor fto fdeal f with f this fbehavior
D) Assert fauthority fover f the fchild fthrough f limit fsetting
The fcorrect fanswer fis fC: fUse fpatience fand fa fsense fof fhumor fto fdeal fwith fthis fbehavior
18. The fnurse fis ftalking fby ftelephone fwith fa fparent fof fa f4 fyear-old fchild fwho
fhas fchickenpox. f Which f of f the f following f demonstrates f appropriate f teaching f by
f the f nurse?
A) Chewable faspirin f is fthe f preferred fanalgesic
EXIT /VERSION 4/EXIT EXAMS/
HESI COMPLETE TEST BANK
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.
The correct answer is A: Make certain the child is maintained in correct body alignment.
2. The nurse is assessing a healthy child at the 2 year check up. Which of the following
should the nurse 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
The correct answer is A: Height and weight percentiles vary widely
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
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
The correct answer is 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."
The correct answer is 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?"
The correct answer is 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
The correct answer is 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."
The correct answer is 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
The correct answer is 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
The correct answer is C: Administer the prescribed analgesia
10. While fcaring f for f a ftoddler f with fcroup, fwhich finitial f sign f of f croup frequires fthe
f nurse'sfimmediate fattention?
A) Respiratory frate fof f42
B) Lethargy ffor fthe fpast f hour
C) Apical fpulse fof f54
D) Coughing f up fcopious f secretions
The fcorrect fanswer fis fA: fRespiratory frate fof f 30
11. A fclient fis fadmitted f with flow fT3 fand fT4 flevels f and fan felevated fTSH flevel. fOn
f initialfassessment, f the fnurse f would f anticipate f which f of f the ffollowing f assessment
f findings?
A) Lethargy
B) Heat fintolerance
C) Diarrhea
D) Skin feruptions
The fcorrect fanswer fis fA: fLethargy
12. The femergency froom fnurse fadmits f a fchild fwho f experienced fa fseizure f at f school.
fTheffather fcomments fthat f this fis f the ffirst f occurrence, fand fdenies fany ffamily fhistory
f of fepilepsy. fWhat fis fthe fbest fresponse fby fthe fnurse?
A) "Do fnot fworry. fEpilepsy fcan fbe ftreated fwith fmedications."
B) "The fseizure f may for f may fnot f mean fyour fchild fhas fepilepsy."
C) "Since fthis fwas fthe ffirst fconvulsion, f it f may fnot f happen fagain."
D) "Long fterm ftreatment f will fprevent ffuture f seizures."
The fcorrect fanswer fis fB: f"The fseizure fmay for fmay fnot f mean fyour fchild f has fepilepsy."
13. Alcohol fand fdrug f abuse f impairs fjudgment fand f increases frisk ftaking f behavior.
fWhatfnursing fdiagnosis fbest fapplies?
A) Risk ffor finjury
B) Risk ffor f knowledge fdeficit
, C) Altered fthought f process
D) Disturbance f in f self-esteem
The fcorrect fanswer fis fA: fRisk ffor finjury
14. The fnurse fis fcaring ffor fa f10 fmonth-old finfant fwho fis fhas foxygen fvia
f mask. f It f isfimportant ffor fthe fnurse fto fmaintain fpatency fof fwhich fof fthese
fareas?
A) Mouth
B) Nasal fpassages
C) Back fof fthroat
D) Bronchials
The fcorrect f answer fis fB: fNasal fpassages
15. The fnurse fis fproviding f instructions f for f a fclient f with fpneumonia. f What fis fthe
f mostfimportant finformation fto fconvey fto fthe fclient?
A) "Take fat fleast f2 fweeks foff ffrom fwork."
B) "You fwill fneed fanother fchest fx-ray fin f6 fweeks."
C) "Take fyour ftemperature fevery fday."
D) "Complete fall fof fthe fantibiotic feven fif f your f findings fdecrease."
The fcorrect fanswer fis fD: f"Complete fall fof fthe fantibiotic feven fif f your f findings
f decrease."
16. When fcounseling fa f 6 f year f old fwho fis fexperiencing f enuresis, fwhat f must f the
f nursefunderstand fabout fthe fpathophysiological f basis fof fthis fdisorder?
A) Has fno fclear fetiology
B) May fbe fassociated f with f sleep fphobia
C) Has fa fdefinite f genetic f link
D) Is fa fsign fof fwillful f misbehavior
The fcorrect fanswer fis fA: fHas fno fclear fetiology
17. The fnurse fis fdiscussing f negativism fwith f the f parents fof fa f30 f month-old f child.
f Howfshould fthe fnurse ftell fthe f parents fto fbest frespond fto fthis fbehavior?
A) Reprimand fthe fchild f and fgive fa f15 f minute f"time fout"
B) Maintain fa fpermissive f attitude f for f this f behavior
C) Use fpatience fand fa fsense fof fhumor fto fdeal f with f this fbehavior
D) Assert fauthority fover f the fchild fthrough f limit fsetting
The fcorrect fanswer fis fC: fUse fpatience fand fa fsense fof fhumor fto fdeal fwith fthis fbehavior
18. The fnurse fis ftalking fby ftelephone fwith fa fparent fof fa f4 fyear-old fchild fwho
fhas fchickenpox. f Which f of f the f following f demonstrates f appropriate f teaching f by
f the f nurse?
A) Chewable faspirin f is fthe f preferred fanalgesic
