1
HESI RN PROCTORED EXAM /ACTUAL EXAM dy dy dy dy dy
QUESTIONS AND WELL ELABORATED dy dy dy dy
ANSWERS/NEWEST /A+ GRADE dy dy dy
1. The nurse is caring for a pre-adolescent client in skeletal Dunloptraction.
dy dy dy dy dy dy dy dy dy dy yd
Which nursing intervention is appropriate for this child?
dy dy dy dy dy dy dy dy
A) Make certain the child is maintained in correct body alignment.
dy dy dy dy dy dy dy dy dy
B) Be sure the traction weights touch the end of the bed.
dy dy dy dy dy dy dy dy dy dy
C) Adjust the head and foot of the bed for the child's comfort
dy dy dy dy dy dy dy dy dy dy dy
D) Release the traction for 15-20 minutes every 6 hours PRN. dy dy dy dy dy dy dy dy dy
✓ A: Make certain the child is maintained in correct body alignment.
dy dy dy dy dy dy dy dy dy dy
2. The nurse is assessing a healthy child at the 2 year check up. Which
dy dy dy dy dy dy dy dy dy dy dy dy dy
of the following should the nurse report immediately to thehealth care
dy dy dy dy dy dy dy dy dy dy yd dy
provider?
dy
A) Height and weight percentiles varywidely dy dy dy dy yd
B) Growth pattern appears to have slowed dy dy dy dy dy
C) Recumbent and standing height are different dy dy dy dy dy
D) Short term weight changes are uneven
dy dy dy dy dy
✓ A: Height and weight percentiles vary widely
dy dy dy dy dy dy
3. The parents of a 2 year-old child report that he has been holdinghis
dy dy dy dy dy dy dy dy dy dy dy dy yd
breath whenever he has temper tantrums. What is the best action by the
dy dy dy dy dy dy dy dy dy dy dy dy dy
nurse?
dy
A) Teach the parents how to perform cardiopulmonary
dy dy dy dy dy dy
resuscitation
yd
B) Recommend that the parents give in when he holds his breath toprevent dy dy dy dy dy dy dy dy dy dy dy yd
anoxia
dy
C) Advise the parents to ignore breath holding because breathingwill
dy dy dy dy dy dy dy dy yd
begin as a reflex
dy dy dy dy
D) Instruct the parents on how to reason with the child about dy dy dy dy dy dy dy dy dy dy
possible harmful effects
yd dy dy
✓ C: Advise the parents to ignore breath holding because breathing
dy dy dy dy dy dy dy dy dy
will begin as a reflex
yd dy dy dy dy
4. The nurse is assessing a client in the emergency room. Which
dy dy dy dy dy dy dy dy dy dy
statement suggests that the problem is acute angina?
yd dy dy dy dy dy dy dy
A) "My pain is deep in my chest behind my sternum."
dy dy dy dy dy dy dy dy dy
B) "When I sit up the pain gets worse." dy dy dy dy dy dy dy
,2
C) "As I take a deep breath the pain gets worse."
dy dy dy dy dy dy dy dy dy
D) "The pain is right here in my stomach area." dy dy dy dy dy dy dy dy
✓ A: "My pain is deep in my chest behind my sternum."dy dy dy dy dy dy dy dy dy dy
5. The nurse is assessing the mental status of a client admitted with
dy dy dy dy dy dy dy dy dy dy dy
possible organic brain disorder. Which of these questions willbest assess
dy dy dy dy dy dy dy dy dy yd dy
the function of the client's recent memory?
dy dy dy dy dy dy dy
A) "Name the year." "What season is this?" (pause for answer aftereach dy dy dy dy dy dy dy dy dy dy yd
question)
dy
B) "Subtract 7 from 100 and then subtract 7 from that." (pause foranswer) dy dy dy dy dy dy dy dy dy dy dy yd
"Now continue to subtract 7 from the new number."
dy dy dy dy dy dy dy dy dy
C) "I am going to say the names of three things and I want you torepeat
dy dy dy dy dy dy dy dy dy dy dy dy dy dy yd
them after me: blue, ball, pen."
dy dy dy dy dy dy
D) "What is this on my wrist?" (point to your watch) Then ask,"What is dy dy dy dy dy dy dy dy dy dy dy yd dy
the purpose of it?"
dy dy dy dy
✓ C: "I am going to say the names of three things and I want you to
dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy
repeat them after me: blue, ball, pen."
yd dy dy dy dy dy dy
6. In planning care for a 6 month-old infant, what must the nurseprovide
dy dy dy dy dy dy dy dy dy dy dy yd
to assist in the development of trust?
dy dy dy dy dy dy dy
A) Food
B) Warmth
C) Security
D) Comfort
✓ C: Security dy
7. A nurse has just received a medication order which is not legible.Which
dy dy dy dy dy dy dy dy dy dy dy yd
statement best reflects assertive communication?
dy dy dy dy dy
A) "I cannot give this medication as it is written. I have no idea ofwhat you
dy dy dy dy dy dy dy dy dy dy dy dy dy yd dy
mean."
dy
B) "Would you please clarify what you have written so I am sure Iam dy dy dy dy dy dy dy dy dy dy dy dy yd
reading it correctly?"
dy dy dy
C) "I am having difficulty reading your handwriting. It would saveme time
dy dy dy dy dy dy dy dy dy yd dy
if you would be more careful."
dy dy dy dy dy dy
D) "Please print in the future so I do not have to spend extra time dy dy dy dy dy dy dy dy dy dy dy dy dy
attempting to read your writing."
yd dy dy dy dy
✓ B) "Would you please clarify what you have written so I am sure Iam
dy dy dy dy dy dy dy dy dy dy dy dy dy yd
reading it correctly?" dy dy dy
8. What is the most important consideration when teaching parentshow to
dy dy dy dy dy dy dy dy yd dy
reduce risks in the home?
dy dy dy dy dy
A) Age and knowledge level of the parents dy dy dy dy dy dy
B) Proximityto emergency services dy dy dy
,3
C) Number of children in the home dy dy dy dy dy
D) Age of children in the home dy dy dy dy dy
✓ D: Age of children in the home dy dy dy dy dy dy
9. A 35 year-old client with sickle cell crisis is talking on the
dy dy dy dy dy dy dy dy dy dy dy
telephone but stops as the nurse enters the room to request
dy dy dy dy dy dy dy dy dy dy dy
something for pain. The nurse should
yd dy dy dy dy dy
A) Administer a placebo dy dy
B) Encourage increased fluid intake dy dy dy
C) Administer the prescribed analgesia dy yd dy
D) Recommend relaxation exercises for pain control dy dy dy dy dy
✓ C: Administer the prescribed analgesia dy dy dy dy
✓
10. While caring for a toddler with croup, which initial sign of crouprequires
dy dy dy dy dy dy dy dy dy dy dy yd
the nurse's immediate attention?
dy dy dy dy
A) Respiratory rate of 42 dy dy dy
B) Lethargy for the past hour dy dy dy dy
C) Apical pulse of 54 dy dy dy
D) Coughing up copious secretions dy dy dy
✓ A: Respiratory rate of 30 dy dy dy dy
11. A client is admitted with low T3 and T4 levels and an elevated TSH
dy dy dy dy dy dy dy dy dy dy dy dy dy
level. On initial assessment, the nurse would anticipate whichof the
dy dy dy dy dy dy dy dy dy yd dy
following assessment findings?
dy dy dy
A) Lethargy
B) Heat intolerance dy
C) Diarrhea
D) Skin eruptions dy
✓ A: Lethargy dy
12. The emergency room nurse admits a child who experienced a
dy dy dy dy dy dy dy dy dy
seizure at school. The father comments that this is the first occurrence,
dy dy dy dy dy dy dy dy dy dy dy dy
and denies any family history of epilepsy. What is thebest response by the
dy dy dy dy dy dy dy dy dy dy yd dy dy dy
nurse?
dy
A) "Do not worry. Epilepsy can be treated with medications."
dy dy dy dy dy dy dy dy
B) "The seizure may or may not mean your child has epilepsy."
dy dy yd dy dy dy dy dy dy dy
C) "Since this was the first convulsion, it may not happen again."
dy dy dy dy dy dy dy yd dy dy
D) "Long term treatment will prevent future seizures."
dy dy dy dy dy dy
✓ B: "The seizure may or may not mean your child has epilepsy."
dy dy dy dy dy dy dy dy dy dy dy
13. Alcohol and drug abuse impairs judgment and increases risktaking dy dy dy dy dy dy dy dy yd
behavior. What nursing diagnosis best applies?
dy dy dy dy dy dy
, A) Risk for injury dy dy
4
B) Risk for knowledge deficit dy dy dy
C) Altered thought process dy yd
D) Disturbance in self-esteem dy dy
✓ A: Risk for injury dy dy dy
14. The nurse is caring for a 10 month-old infant who is has oxygen via
dy dy dy dy dy dy dy dy dy dy dy dy yd
mask. It is important for the nurse to maintain patency of which of these
dy dy dy dy dy dy dy dy dy dy dy dy dy dy
areas?
dy
A) Mouth
B) Nasal passages dy
C) Back of throat dy dy
D) Bronchials
✓ B: Nasal passages dy dy
15. The nurse is providing instructions for a client with pneumonia. What is
dy dy dy dy dy dy dy dy dy yd dy
the most important information to convey to the client?
dy dy dy dy dy dy dy dy dy
A) "Take at least 2 weeks off from work." dy dy dy dy dy dy dy
B) "You will need another chest x-ray in 6 weeks."
dy dy dy dy dy dy dy dy
C) "Take your temperature every day." dy dy dy yd
D) "Complete all of the antibiotic even if your findings decrease." dy dy dy dy dy dy dy dy dy
✓ D: "Complete all of the antibiotic even if your findings decrease."
dy dy dy dy dy dy dy dy dy dy
16. When counseling a 6 year old who is experiencing enuresis,what dy dy dy dy dy dy dy dy dy yd
must the nurse understand about the pathophysiological basis of this
dy dy dy dy dy dy dy dy dy dy
disorder?
dy
A) Has no clear etiology dy dy dy
B) May be associated with sleep phobia dy dy dy dy dy
C) Has a definite genetic link dy dy dy dy
D) Is a sign of willful misbehavior
dy dy dy dy dy
✓ A: Has no clear etiology dy dy dy dy
17. The nurse is discussing negativism with the parents of a 30month-
dy dy dy dy dy dy dy dy dy dy yd
old child. How should the nurse tell the parents to best respond to this
dy dy dy dy dy dy dy dy dy dy dy dy dy
behavior?
dy
A) Reprimand the child and give a 15 minute "time out" dy dy dy dy dy dy dy dy dy
B) Maintain a permissive attitude for this behavior dy dy dy dy dy dy
C) Use patience and a sense of humor to deal with this behavior
dy dy dy dy dy dy dy dy dy dy dy
D) Assert authority over the child through limit setting dy dy dy dy dy dy dy
✓ C: Use patience and a sense of humor to deal with this behavior
dy dy dy dy dy dy dy dy dy dy dy dy
18. The nurse is talking by telephone with a parent of a 4 year-oldchild
dy dy dy dy dy dy dy dy dy dy dy dy yd
who has chickenpox. Which of the following demonstrates appropriate
dy dy dy dy dy dy dy dy dy
HESI RN PROCTORED EXAM /ACTUAL EXAM dy dy dy dy dy
QUESTIONS AND WELL ELABORATED dy dy dy dy
ANSWERS/NEWEST /A+ GRADE dy dy dy
1. The nurse is caring for a pre-adolescent client in skeletal Dunloptraction.
dy dy dy dy dy dy dy dy dy dy yd
Which nursing intervention is appropriate for this child?
dy dy dy dy dy dy dy dy
A) Make certain the child is maintained in correct body alignment.
dy dy dy dy dy dy dy dy dy
B) Be sure the traction weights touch the end of the bed.
dy dy dy dy dy dy dy dy dy dy
C) Adjust the head and foot of the bed for the child's comfort
dy dy dy dy dy dy dy dy dy dy dy
D) Release the traction for 15-20 minutes every 6 hours PRN. dy dy dy dy dy dy dy dy dy
✓ A: Make certain the child is maintained in correct body alignment.
dy dy dy dy dy dy dy dy dy dy
2. The nurse is assessing a healthy child at the 2 year check up. Which
dy dy dy dy dy dy dy dy dy dy dy dy dy
of the following should the nurse report immediately to thehealth care
dy dy dy dy dy dy dy dy dy dy yd dy
provider?
dy
A) Height and weight percentiles varywidely dy dy dy dy yd
B) Growth pattern appears to have slowed dy dy dy dy dy
C) Recumbent and standing height are different dy dy dy dy dy
D) Short term weight changes are uneven
dy dy dy dy dy
✓ A: Height and weight percentiles vary widely
dy dy dy dy dy dy
3. The parents of a 2 year-old child report that he has been holdinghis
dy dy dy dy dy dy dy dy dy dy dy dy yd
breath whenever he has temper tantrums. What is the best action by the
dy dy dy dy dy dy dy dy dy dy dy dy dy
nurse?
dy
A) Teach the parents how to perform cardiopulmonary
dy dy dy dy dy dy
resuscitation
yd
B) Recommend that the parents give in when he holds his breath toprevent dy dy dy dy dy dy dy dy dy dy dy yd
anoxia
dy
C) Advise the parents to ignore breath holding because breathingwill
dy dy dy dy dy dy dy dy yd
begin as a reflex
dy dy dy dy
D) Instruct the parents on how to reason with the child about dy dy dy dy dy dy dy dy dy dy
possible harmful effects
yd dy dy
✓ C: Advise the parents to ignore breath holding because breathing
dy dy dy dy dy dy dy dy dy
will begin as a reflex
yd dy dy dy dy
4. The nurse is assessing a client in the emergency room. Which
dy dy dy dy dy dy dy dy dy dy
statement suggests that the problem is acute angina?
yd dy dy dy dy dy dy dy
A) "My pain is deep in my chest behind my sternum."
dy dy dy dy dy dy dy dy dy
B) "When I sit up the pain gets worse." dy dy dy dy dy dy dy
,2
C) "As I take a deep breath the pain gets worse."
dy dy dy dy dy dy dy dy dy
D) "The pain is right here in my stomach area." dy dy dy dy dy dy dy dy
✓ A: "My pain is deep in my chest behind my sternum."dy dy dy dy dy dy dy dy dy dy
5. The nurse is assessing the mental status of a client admitted with
dy dy dy dy dy dy dy dy dy dy dy
possible organic brain disorder. Which of these questions willbest assess
dy dy dy dy dy dy dy dy dy yd dy
the function of the client's recent memory?
dy dy dy dy dy dy dy
A) "Name the year." "What season is this?" (pause for answer aftereach dy dy dy dy dy dy dy dy dy dy yd
question)
dy
B) "Subtract 7 from 100 and then subtract 7 from that." (pause foranswer) dy dy dy dy dy dy dy dy dy dy dy yd
"Now continue to subtract 7 from the new number."
dy dy dy dy dy dy dy dy dy
C) "I am going to say the names of three things and I want you torepeat
dy dy dy dy dy dy dy dy dy dy dy dy dy dy yd
them after me: blue, ball, pen."
dy dy dy dy dy dy
D) "What is this on my wrist?" (point to your watch) Then ask,"What is dy dy dy dy dy dy dy dy dy dy dy yd dy
the purpose of it?"
dy dy dy dy
✓ C: "I am going to say the names of three things and I want you to
dy dy dy dy dy dy dy dy dy dy dy dy dy dy dy
repeat them after me: blue, ball, pen."
yd dy dy dy dy dy dy
6. In planning care for a 6 month-old infant, what must the nurseprovide
dy dy dy dy dy dy dy dy dy dy dy yd
to assist in the development of trust?
dy dy dy dy dy dy dy
A) Food
B) Warmth
C) Security
D) Comfort
✓ C: Security dy
7. A nurse has just received a medication order which is not legible.Which
dy dy dy dy dy dy dy dy dy dy dy yd
statement best reflects assertive communication?
dy dy dy dy dy
A) "I cannot give this medication as it is written. I have no idea ofwhat you
dy dy dy dy dy dy dy dy dy dy dy dy dy yd dy
mean."
dy
B) "Would you please clarify what you have written so I am sure Iam dy dy dy dy dy dy dy dy dy dy dy dy yd
reading it correctly?"
dy dy dy
C) "I am having difficulty reading your handwriting. It would saveme time
dy dy dy dy dy dy dy dy dy yd dy
if you would be more careful."
dy dy dy dy dy dy
D) "Please print in the future so I do not have to spend extra time dy dy dy dy dy dy dy dy dy dy dy dy dy
attempting to read your writing."
yd dy dy dy dy
✓ B) "Would you please clarify what you have written so I am sure Iam
dy dy dy dy dy dy dy dy dy dy dy dy dy yd
reading it correctly?" dy dy dy
8. What is the most important consideration when teaching parentshow to
dy dy dy dy dy dy dy dy yd dy
reduce risks in the home?
dy dy dy dy dy
A) Age and knowledge level of the parents dy dy dy dy dy dy
B) Proximityto emergency services dy dy dy
,3
C) Number of children in the home dy dy dy dy dy
D) Age of children in the home dy dy dy dy dy
✓ D: Age of children in the home dy dy dy dy dy dy
9. A 35 year-old client with sickle cell crisis is talking on the
dy dy dy dy dy dy dy dy dy dy dy
telephone but stops as the nurse enters the room to request
dy dy dy dy dy dy dy dy dy dy dy
something for pain. The nurse should
yd dy dy dy dy dy
A) Administer a placebo dy dy
B) Encourage increased fluid intake dy dy dy
C) Administer the prescribed analgesia dy yd dy
D) Recommend relaxation exercises for pain control dy dy dy dy dy
✓ C: Administer the prescribed analgesia dy dy dy dy
✓
10. While caring for a toddler with croup, which initial sign of crouprequires
dy dy dy dy dy dy dy dy dy dy dy yd
the nurse's immediate attention?
dy dy dy dy
A) Respiratory rate of 42 dy dy dy
B) Lethargy for the past hour dy dy dy dy
C) Apical pulse of 54 dy dy dy
D) Coughing up copious secretions dy dy dy
✓ A: Respiratory rate of 30 dy dy dy dy
11. A client is admitted with low T3 and T4 levels and an elevated TSH
dy dy dy dy dy dy dy dy dy dy dy dy dy
level. On initial assessment, the nurse would anticipate whichof the
dy dy dy dy dy dy dy dy dy yd dy
following assessment findings?
dy dy dy
A) Lethargy
B) Heat intolerance dy
C) Diarrhea
D) Skin eruptions dy
✓ A: Lethargy dy
12. The emergency room nurse admits a child who experienced a
dy dy dy dy dy dy dy dy dy
seizure at school. The father comments that this is the first occurrence,
dy dy dy dy dy dy dy dy dy dy dy dy
and denies any family history of epilepsy. What is thebest response by the
dy dy dy dy dy dy dy dy dy dy yd dy dy dy
nurse?
dy
A) "Do not worry. Epilepsy can be treated with medications."
dy dy dy dy dy dy dy dy
B) "The seizure may or may not mean your child has epilepsy."
dy dy yd dy dy dy dy dy dy dy
C) "Since this was the first convulsion, it may not happen again."
dy dy dy dy dy dy dy yd dy dy
D) "Long term treatment will prevent future seizures."
dy dy dy dy dy dy
✓ B: "The seizure may or may not mean your child has epilepsy."
dy dy dy dy dy dy dy dy dy dy dy
13. Alcohol and drug abuse impairs judgment and increases risktaking dy dy dy dy dy dy dy dy yd
behavior. What nursing diagnosis best applies?
dy dy dy dy dy dy
, A) Risk for injury dy dy
4
B) Risk for knowledge deficit dy dy dy
C) Altered thought process dy yd
D) Disturbance in self-esteem dy dy
✓ A: Risk for injury dy dy dy
14. The nurse is caring for a 10 month-old infant who is has oxygen via
dy dy dy dy dy dy dy dy dy dy dy dy yd
mask. It is important for the nurse to maintain patency of which of these
dy dy dy dy dy dy dy dy dy dy dy dy dy dy
areas?
dy
A) Mouth
B) Nasal passages dy
C) Back of throat dy dy
D) Bronchials
✓ B: Nasal passages dy dy
15. The nurse is providing instructions for a client with pneumonia. What is
dy dy dy dy dy dy dy dy dy yd dy
the most important information to convey to the client?
dy dy dy dy dy dy dy dy dy
A) "Take at least 2 weeks off from work." dy dy dy dy dy dy dy
B) "You will need another chest x-ray in 6 weeks."
dy dy dy dy dy dy dy dy
C) "Take your temperature every day." dy dy dy yd
D) "Complete all of the antibiotic even if your findings decrease." dy dy dy dy dy dy dy dy dy
✓ D: "Complete all of the antibiotic even if your findings decrease."
dy dy dy dy dy dy dy dy dy dy
16. When counseling a 6 year old who is experiencing enuresis,what dy dy dy dy dy dy dy dy dy yd
must the nurse understand about the pathophysiological basis of this
dy dy dy dy dy dy dy dy dy dy
disorder?
dy
A) Has no clear etiology dy dy dy
B) May be associated with sleep phobia dy dy dy dy dy
C) Has a definite genetic link dy dy dy dy
D) Is a sign of willful misbehavior
dy dy dy dy dy
✓ A: Has no clear etiology dy dy dy dy
17. The nurse is discussing negativism with the parents of a 30month-
dy dy dy dy dy dy dy dy dy dy yd
old child. How should the nurse tell the parents to best respond to this
dy dy dy dy dy dy dy dy dy dy dy dy dy
behavior?
dy
A) Reprimand the child and give a 15 minute "time out" dy dy dy dy dy dy dy dy dy
B) Maintain a permissive attitude for this behavior dy dy dy dy dy dy
C) Use patience and a sense of humor to deal with this behavior
dy dy dy dy dy dy dy dy dy dy dy
D) Assert authority over the child through limit setting dy dy dy dy dy dy dy
✓ C: Use patience and a sense of humor to deal with this behavior
dy dy dy dy dy dy dy dy dy dy dy dy
18. The nurse is talking by telephone with a parent of a 4 year-oldchild
dy dy dy dy dy dy dy dy dy dy dy dy yd
who has chickenpox. Which of the following demonstrates appropriate
dy dy dy dy dy dy dy dy dy
