REVIEWED HESI RN EXIT
EXAM
QUESTIONS AND
ANSWERS
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 - CORRECT ANSWER -C) Security
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 2to 2read 2your
2writing." 2- 2CORRECT 2ANSWER 2-B) 2"Would 2you 2please 2clarify 2what 2you 2have
2written 2so 2I 2am 2sure 2I 2am 2reading 2it
correctly?"
What 2is 2the 2most 2important 2consideration 2when 2teaching 2parents 2how 2to 2reduce 2risks 2in
2the 2home?
A) Age 2and 2knowledge 2level 2of 2the 2parents
B) Proximity 2to 2emergency 2services
C)Number 2of 2children 2in 2the 2home
,D) Age 2of 2children 2in 2the 2home 2- 2CORRECT 2ANSWER 2-D) 2Age 2of 2children 2in 2the 2home
,A 235 2year-old 2client 2with 2sickle 2cell 2crisis 2is 2talking 2on 2the 2telephone 2but 2stops 2as 2the
2nurse 2enters 2the 2room 2to 2request 2something 2for 2pain. 2The 2nurse 2should
A) Administer 2a 2placebo
B) Encourage 2increased 2fluid 2intake
C)Administer 2the 2prescribed 2analgesia
D) Recommend 2relaxation 2exercises 2for 2pain 2control 2- 2CORRECT 2ANSWER 2-C)
2Administer 2the 2prescribed 2analgesia
While 2caring 2for 2a 2toddler 2with 2croup, 2which 2initial 2sign 2of 2croup 2requires 2the 2nurse's
2immediate 2attention?
A) Respiratory 2rate 2of 242
B) Lethargy 2for 2the 2past 2hour
C)Apical 2pulse 2of 254
D) Coughing 2up 2copious 2secretions 2- 2CORRECT 2ANSWER 2-A) 2Respiratory 2rate 2of 242
A 2client 2is 2admitted 2with 2low 2T3 2and 2T4 2levels 2and 2an 2elevated 2TSH 2level. 2On 2initial
2assessment, 2the 2nurse 2would 2anticipate 2which 2of 2the 2following 2assessment 2findings?
A) Lethargy
B) Heat 2intolerance
C)Diarrhea
D) Skin 2eruptions 2- 2CORRECT 2ANSWER 2-A) 2Lethargy
The 2emergency 2room 2nurse 2admits 2a 2child 2who 2experienced 2a 2seizure 2at 2school. 2The
2father 2comments 2that 2this 2is 2the 2first 2occurrence, 2and 2denies 2any 2family 2history 2of
2epilepsy. 2What 2is 2the 2best 2response 2by 2the 2nurse?
A) "Do 2not 2worry. 2Epilepsy 2can 2be 2treated 2with 2medications."
B) "The 2seizure 2may 2or 2may 2not 2mean 2your 2child 2has 2epilepsy."
, C)"Since 2this 2was 2the 2first 2convulsion, 2it 2may 2not 2happen 2again."
D) "Long 2term 2treatment 2will 2prevent 2future 2seizures." 2- 2CORRECT 2ANSWER 2-B) 2"The
2seizure 2may 2or 2may 2not 2mean 2your 2child 2has 2epilepsy."
Alcohol 2and 2drug 2abuse 2impairs 2judgment 2and 2increases 2risk 2taking 2behavior. 2What
2nursing 2diagnosis 2best 2applies?
A) Risk 2for 2injury
B) Risk 2for 2knowledge 2deficit
C)Altered 2thought 2process
D) Disturbance 2in 2self-esteem 2- 2CORRECT 2ANSWER 2-A) 2Risk 2for 2injury
Which 2these 2findings 2would 2the 2nurse 2more 2closely 2associate 2with 2anemia 2in 2a 210
2month-old 2infant?
A) Hemoglobin 2level 2of 212 2g/dI
B) Pale 2mucosa 2of 2the 2eyelids 2and 2lips
C)Hypoactivity
D) A 2heart 2rate 2between 2140 2to 2160 2- 2CORRECT 2ANSWER 2-B) 2Pale 2mucosa 2of 2the
2eyelids 2and 2lips
The 2nurse 2is 2caring 2for 2a 2client 2in 2hypertensive 2crisis 2in 2an 2intensive 2care 2unit. 2The
2priority 2assessment 2in 2the 2first 2hour 2of 2care 2is
A) Heart 2rate
B) Pedal 2pulses
C)Lung 2sounds
D) Pupil 2responses 2- 2CORRECT 2ANSWER 2-D) 2Pupil 2responses
Which 2of 2these 2clients 2who 2are 2all 2in 2the 2terminal 2stage 2of 2cancer 2is 2least 2appropriate
2to 2suggest 2the 2use 2of 2patient 2controlled 2analgesia 2(PCA) 2with 2a 2pump?
A) A 2young 2adult 2with 2a 2history 2of 2Down's 2syndrome
EXAM
QUESTIONS AND
ANSWERS
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 - CORRECT ANSWER -C) Security
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 2to 2read 2your
2writing." 2- 2CORRECT 2ANSWER 2-B) 2"Would 2you 2please 2clarify 2what 2you 2have
2written 2so 2I 2am 2sure 2I 2am 2reading 2it
correctly?"
What 2is 2the 2most 2important 2consideration 2when 2teaching 2parents 2how 2to 2reduce 2risks 2in
2the 2home?
A) Age 2and 2knowledge 2level 2of 2the 2parents
B) Proximity 2to 2emergency 2services
C)Number 2of 2children 2in 2the 2home
,D) Age 2of 2children 2in 2the 2home 2- 2CORRECT 2ANSWER 2-D) 2Age 2of 2children 2in 2the 2home
,A 235 2year-old 2client 2with 2sickle 2cell 2crisis 2is 2talking 2on 2the 2telephone 2but 2stops 2as 2the
2nurse 2enters 2the 2room 2to 2request 2something 2for 2pain. 2The 2nurse 2should
A) Administer 2a 2placebo
B) Encourage 2increased 2fluid 2intake
C)Administer 2the 2prescribed 2analgesia
D) Recommend 2relaxation 2exercises 2for 2pain 2control 2- 2CORRECT 2ANSWER 2-C)
2Administer 2the 2prescribed 2analgesia
While 2caring 2for 2a 2toddler 2with 2croup, 2which 2initial 2sign 2of 2croup 2requires 2the 2nurse's
2immediate 2attention?
A) Respiratory 2rate 2of 242
B) Lethargy 2for 2the 2past 2hour
C)Apical 2pulse 2of 254
D) Coughing 2up 2copious 2secretions 2- 2CORRECT 2ANSWER 2-A) 2Respiratory 2rate 2of 242
A 2client 2is 2admitted 2with 2low 2T3 2and 2T4 2levels 2and 2an 2elevated 2TSH 2level. 2On 2initial
2assessment, 2the 2nurse 2would 2anticipate 2which 2of 2the 2following 2assessment 2findings?
A) Lethargy
B) Heat 2intolerance
C)Diarrhea
D) Skin 2eruptions 2- 2CORRECT 2ANSWER 2-A) 2Lethargy
The 2emergency 2room 2nurse 2admits 2a 2child 2who 2experienced 2a 2seizure 2at 2school. 2The
2father 2comments 2that 2this 2is 2the 2first 2occurrence, 2and 2denies 2any 2family 2history 2of
2epilepsy. 2What 2is 2the 2best 2response 2by 2the 2nurse?
A) "Do 2not 2worry. 2Epilepsy 2can 2be 2treated 2with 2medications."
B) "The 2seizure 2may 2or 2may 2not 2mean 2your 2child 2has 2epilepsy."
, C)"Since 2this 2was 2the 2first 2convulsion, 2it 2may 2not 2happen 2again."
D) "Long 2term 2treatment 2will 2prevent 2future 2seizures." 2- 2CORRECT 2ANSWER 2-B) 2"The
2seizure 2may 2or 2may 2not 2mean 2your 2child 2has 2epilepsy."
Alcohol 2and 2drug 2abuse 2impairs 2judgment 2and 2increases 2risk 2taking 2behavior. 2What
2nursing 2diagnosis 2best 2applies?
A) Risk 2for 2injury
B) Risk 2for 2knowledge 2deficit
C)Altered 2thought 2process
D) Disturbance 2in 2self-esteem 2- 2CORRECT 2ANSWER 2-A) 2Risk 2for 2injury
Which 2these 2findings 2would 2the 2nurse 2more 2closely 2associate 2with 2anemia 2in 2a 210
2month-old 2infant?
A) Hemoglobin 2level 2of 212 2g/dI
B) Pale 2mucosa 2of 2the 2eyelids 2and 2lips
C)Hypoactivity
D) A 2heart 2rate 2between 2140 2to 2160 2- 2CORRECT 2ANSWER 2-B) 2Pale 2mucosa 2of 2the
2eyelids 2and 2lips
The 2nurse 2is 2caring 2for 2a 2client 2in 2hypertensive 2crisis 2in 2an 2intensive 2care 2unit. 2The
2priority 2assessment 2in 2the 2first 2hour 2of 2care 2is
A) Heart 2rate
B) Pedal 2pulses
C)Lung 2sounds
D) Pupil 2responses 2- 2CORRECT 2ANSWER 2-D) 2Pupil 2responses
Which 2of 2these 2clients 2who 2are 2all 2in 2the 2terminal 2stage 2of 2cancer 2is 2least 2appropriate
2to 2suggest 2the 2use 2of 2patient 2controlled 2analgesia 2(PCA) 2with 2a 2pump?
A) A 2young 2adult 2with 2a 2history 2of 2Down's 2syndrome
