HESI RN
Exit V4 Exam Prep | Practice Questions, Answers &
Detailed Rationales | RN Exit Exam Study Guide
This Exam Includes:
➢ HESI Exit RN V4 practice questions
➢ Correct answers and detailed rationales
➢ Comprehensive RN exit exam review
, HESI RN Exit V4 Exam Prep | Practice
Questions, Answers & Detailed
Rationales | RN Exit Exam Study Guide
Question 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.
Correct Answer: A) Make certain the child is maintained in
correct body alignment.
Rationale: Skeletal traction requires proper body alignment to
ensure effective traction and prevent complications such as skin
breakdown or improper bone healing. The weights should hang
freely and never touch the floor or bed (eliminating option B). The
bed should not be adjusted in ways that alter the traction setup
,(eliminating option C). Traction should never be released without
a physician's order (eliminating option D).
Question 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
Correct Answer: A) Height and weight percentiles vary widely
Rationale: A wide variation between height and weight
percentiles may indicate an underlying endocrine or nutritional
problem that requires immediate evaluation. Slowed growth
patterns (option B) are normal as children approach toddlerhood.
Recumbent and standing height differences (option C) are
expected due to spinal curvature. Short-term weight changes
(option D) are common in toddlers due to activity levels and food
intake variations.
, Question 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
Correct Answer: C) Advise the parents to ignore breath
holding because breathing will begin as a reflex
Rationale: Breath-holding spells are a common behavioral
response in toddlers and are self-limiting. The reflex to breathe
will automatically kick in, so parents should be reassured and
advised to ignore the behavior to avoid reinforcing it. Teaching
CPR (option A) is unnecessary and frightening. Giving in (option
Exit V4 Exam Prep | Practice Questions, Answers &
Detailed Rationales | RN Exit Exam Study Guide
This Exam Includes:
➢ HESI Exit RN V4 practice questions
➢ Correct answers and detailed rationales
➢ Comprehensive RN exit exam review
, HESI RN Exit V4 Exam Prep | Practice
Questions, Answers & Detailed
Rationales | RN Exit Exam Study Guide
Question 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.
Correct Answer: A) Make certain the child is maintained in
correct body alignment.
Rationale: Skeletal traction requires proper body alignment to
ensure effective traction and prevent complications such as skin
breakdown or improper bone healing. The weights should hang
freely and never touch the floor or bed (eliminating option B). The
bed should not be adjusted in ways that alter the traction setup
,(eliminating option C). Traction should never be released without
a physician's order (eliminating option D).
Question 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
Correct Answer: A) Height and weight percentiles vary widely
Rationale: A wide variation between height and weight
percentiles may indicate an underlying endocrine or nutritional
problem that requires immediate evaluation. Slowed growth
patterns (option B) are normal as children approach toddlerhood.
Recumbent and standing height differences (option C) are
expected due to spinal curvature. Short-term weight changes
(option D) are common in toddlers due to activity levels and food
intake variations.
, Question 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
Correct Answer: C) Advise the parents to ignore breath
holding because breathing will begin as a reflex
Rationale: Breath-holding spells are a common behavioral
response in toddlers and are self-limiting. The reflex to breathe
will automatically kick in, so parents should be reassured and
advised to ignore the behavior to avoid reinforcing it. Teaching
CPR (option A) is unnecessary and frightening. Giving in (option
