HESI RN EXIT EXAM V4 – 2025 PRACTICE TEST
| Updated Edition |Graded A+ | PDF
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.
A) Make certain the child is maintained in correct body alignment. Rationale
Maintaining alignment ensures traction effectiveness and prevents muscle spasm,
contracture, and nerve injury.
2. The nurse is assessing a healthy child at the 2-year checkup. Which finding
should be reported immediately to the healthcare 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.
A) Height and weight percentiles vary widely.
Rationale A large discrepancy between height and weight percentiles can indicate
an underlying endocrine or nutritional disorder.
3. The parents of a 2-year-old report that he holds his breath during temper
tantrums. What is the best nursing action?
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 resume
reflexively.
D) Instruct the parents on how to reason with the child about possible harmful
effects.
,C) Advise the parents to ignore breath-holding because breathing will resume
reflexively.
Rationale Breath-holding spells are benign and self-limiting; ignoring the behavior
prevents reinforcement. The child will start breathing again automatically.
4. The nurse is assessing a client in the emergency room. Which statement suggests
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."
A) "My pain is deep in my chest behind my sternum."
Rationale Anginal pain is classically described as deep, pressure-like, or
squeezing behind the sternum and not affected by breathing or position.
5. The nurse is assessing the mental status of a client admitted with possible
organic brain disorder. Which of these questions best assesses recent memory?
A) "Name the year." "What season is this?"
B) "Subtract 7 from 100 and continue subtracting 7."
C) "I’m going to say three things: blue, ball, pen. Please repeat them after me."
D) "What is this on my wrist?" (point to watch) "What is it used for?"
C) "I’m going to say three things: blue, ball, pen. Please repeat them after
me."
Rationale Immediate recall of three objects tests short-term (recent) memory
function.
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
,C) Security
Rationale According to Erikson, trust develops when caregivers provide consistent
care and security in meeting needs.
7. A nurse has just received a medication order that is not legible. Which statement
reflects assertive communication?
A) "I cannot give this medication as it is written. I have no idea what you mean."
B) "Would you please clarify what you have written so I’m sure I am reading it
correctly?"
C) "I am having difficulty reading your handwriting. It would save me time if you
were more careful."
D) "Please print in the future so I don’t waste time trying to read your writing."
B) "Would you please clarify what you have written so I’m sure I am reading
it correctly?"
Rationale Assertive communication is direct, respectful, and clear; it promotes
patient safety and interprofessional collaboration.
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
D) Age of children in the home
Rationale Safety teaching must be age-appropriate since developmental level
determines the type of hazards present.
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 analgesic.
D) Distract the client with conversation.
, C) Administer the prescribed analgesic.
Rationale Pain during sickle cell crisis is severe and must be managed promptly
with prescribed opioids. Placebo use is unethical.
10. A nurse is caring for a 10-year-old child following an appendectomy. Which
intervention promotes effective respiratory function postoperatively? A)
Encourage incentive spirometry every 2 hours while awake.
B) Maintain the child on strict bed rest for the first 48 hours.
C) Offer sips of water to prevent dehydration.
D) Administer antibiotics as prescribed.
A) Encourage incentive spirometry every 2 hours while awake. Rationale
Deep breathing prevents atelectasis and pneumonia after surgery, especially
in abdominal procedures.
11. The nurse is caring for a client receiving total parenteral nutrition (TPN).
Which finding requires immediate action?
A) Dry mucous membranes
B) Blood glucose of 380 mg/dL
C) Complaints of hunger
D) Weight gain of 1 lb in a week
B) Blood glucose of 380 mg/dL
| Updated Edition |Graded A+ | PDF
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.
A) Make certain the child is maintained in correct body alignment. Rationale
Maintaining alignment ensures traction effectiveness and prevents muscle spasm,
contracture, and nerve injury.
2. The nurse is assessing a healthy child at the 2-year checkup. Which finding
should be reported immediately to the healthcare 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.
A) Height and weight percentiles vary widely.
Rationale A large discrepancy between height and weight percentiles can indicate
an underlying endocrine or nutritional disorder.
3. The parents of a 2-year-old report that he holds his breath during temper
tantrums. What is the best nursing action?
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 resume
reflexively.
D) Instruct the parents on how to reason with the child about possible harmful
effects.
,C) Advise the parents to ignore breath-holding because breathing will resume
reflexively.
Rationale Breath-holding spells are benign and self-limiting; ignoring the behavior
prevents reinforcement. The child will start breathing again automatically.
4. The nurse is assessing a client in the emergency room. Which statement suggests
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."
A) "My pain is deep in my chest behind my sternum."
Rationale Anginal pain is classically described as deep, pressure-like, or
squeezing behind the sternum and not affected by breathing or position.
5. The nurse is assessing the mental status of a client admitted with possible
organic brain disorder. Which of these questions best assesses recent memory?
A) "Name the year." "What season is this?"
B) "Subtract 7 from 100 and continue subtracting 7."
C) "I’m going to say three things: blue, ball, pen. Please repeat them after me."
D) "What is this on my wrist?" (point to watch) "What is it used for?"
C) "I’m going to say three things: blue, ball, pen. Please repeat them after
me."
Rationale Immediate recall of three objects tests short-term (recent) memory
function.
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
,C) Security
Rationale According to Erikson, trust develops when caregivers provide consistent
care and security in meeting needs.
7. A nurse has just received a medication order that is not legible. Which statement
reflects assertive communication?
A) "I cannot give this medication as it is written. I have no idea what you mean."
B) "Would you please clarify what you have written so I’m sure I am reading it
correctly?"
C) "I am having difficulty reading your handwriting. It would save me time if you
were more careful."
D) "Please print in the future so I don’t waste time trying to read your writing."
B) "Would you please clarify what you have written so I’m sure I am reading
it correctly?"
Rationale Assertive communication is direct, respectful, and clear; it promotes
patient safety and interprofessional collaboration.
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
D) Age of children in the home
Rationale Safety teaching must be age-appropriate since developmental level
determines the type of hazards present.
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 analgesic.
D) Distract the client with conversation.
, C) Administer the prescribed analgesic.
Rationale Pain during sickle cell crisis is severe and must be managed promptly
with prescribed opioids. Placebo use is unethical.
10. A nurse is caring for a 10-year-old child following an appendectomy. Which
intervention promotes effective respiratory function postoperatively? A)
Encourage incentive spirometry every 2 hours while awake.
B) Maintain the child on strict bed rest for the first 48 hours.
C) Offer sips of water to prevent dehydration.
D) Administer antibiotics as prescribed.
A) Encourage incentive spirometry every 2 hours while awake. Rationale
Deep breathing prevents atelectasis and pneumonia after surgery, especially
in abdominal procedures.
11. The nurse is caring for a client receiving total parenteral nutrition (TPN).
Which finding requires immediate action?
A) Dry mucous membranes
B) Blood glucose of 380 mg/dL
C) Complaints of hunger
D) Weight gain of 1 lb in a week
B) Blood glucose of 380 mg/dL
