xxxxxxxxxxxxxxxxxxxxxx
HESIRN x
Exit V4 Exam Prep | Practice Questions, Answers &
xx x x x x x x x
x Detailed Rationales | RN Exit Exam Study Guide
x x x x x x x
This Exam Includes:x x
➢ HESI Exit RN V4 practice questions
x x x x x
➢ Correct answers and detailed rationales
x x x x
➢ Comprehensive RN exit exam review x x x x
, HESI RN Exit V4 Exam Prep | Practice x x xx x x x x
x Questions, Answers & Detailed Rationales x x x x
| RN Exit Exam Study Guide
x x x x x x
Question 1 x
The nurse is caring for a pre-adolescent client in skeletal
x x x x x x x x x
x Dunlop traction. Which nursing intervention is appropriate
x x x x x x
x for this child?
x x
A) Make certain the child is maintained in correct body alignment.
x x x x x x x x x x
B) Be sure the traction weights touch the end of the bed.
x x x x x x x x x x x
C) Adjust the head and foot of the bed for the child's comfort
x x x x x x x x x x x x
D) Release the traction for 15-20 minutes every 6 hours PRN.
x x x x x x x x x x
Correct Answer: A) Make certain the child is maintained in
x x x x x x x x x
x correct body alignment. x x
Rationale: Skeletal traction requires proper body alignment to
x x x x x x x
ensure effective traction and prevent complications such as skin
x x x x x x x x x
breakdown or improper bone healing. The weights should hang
x x x x x x x x x
freely and never touch the floor or bed (eliminating option B). The
x x x x x x x x x x x x
bed should not be adjusted in ways that alter the traction setup
x x x x x x x x x x x x
,(eliminating option C). Traction should never be released without a
x x x x x x x x x x
physician's order (eliminating option D).
x x x x x
Question 2 x
The nurse is assessing a healthy child at the 2 year check up.
x x x x x x x x x x x x
x Which of the following should the nurse report immediately
x x x x x x x x
x to the health care provider?
x x x x
A) Height and weight percentiles vary widely
x x x x x x
B) Growth pattern appears to have slowed
x x x x x x
C) Recumbent and standing height are different
x x x x x x
D) Short term weight changes are uneven
x x x x x x
Correct Answer: A) Height and weight percentiles vary widely
x x x x x x x x
Rationale: A wide variation between height and weight percentiles
x x x x x x x x
may indicate an underlying endocrine or nutritional problem that
x x x x x x x x x
requires immediate evaluation. Slowed growth patterns (option B)
x x x x x x x x
are normal as children approach toddlerhood. Recumbent and
x x x x x x x x
standing height differences (option C) are expected due to spinal
x x x x x x x x x x
curvature. Short-term weight changes (option D) are common in
x x x x x x x x x
toddlers due to activity levels and food intake variations.
x x x x x x x x x
Question 3 x
, The parents of a 2 year-old child report that he has been
x x x x x x x x x x x
x holding his breath whenever he has temper tantrums. What is
x x x x x x x x x
x the best action by the nurse?
x x x x x
A) Teach the parents how to perform cardiopulmonary resuscitation
x x x x x x x x
B) Recommend that the parents give in when he holds his breath to
x x x x x x x x x x x x
prevent anoxia
x x
C) Advise the parents to ignore breath holding because breathing
x x x x x x x x x
will begin as a reflex
x x x x x
D) Instruct the parents on how to reason with the child about
x x x x x x x x x x x
possible harmful effects
x x x
Correct Answer: C) Advise the parents to ignore breath holding
x x x x x x x x x
x because breathing will begin as a reflex
x x x x x x
Rationale: Breath-holding spells are a common behavioral
x x x x x x
response in toddlers and are self-limiting. The reflex to breathe will
x x x x x x x x x x x
automatically kick in, so parents should be reassured and advised to
x x x x x x x x x x x
ignore the behavior to avoid reinforcing it. Teaching CPR (option A)
x x x x x x x x x x x
is unnecessary and frightening. Giving in (option B) reinforces
x x x x x x x x x
negative behavior. Reasoning with a 2-year-old (option D) is
x x x x x x x x x
developmentally inappropriate.
x x
Question 4 x
HESIRN x
Exit V4 Exam Prep | Practice Questions, Answers &
xx x x x x x x x
x Detailed Rationales | RN Exit Exam Study Guide
x x x x x x x
This Exam Includes:x x
➢ HESI Exit RN V4 practice questions
x x x x x
➢ Correct answers and detailed rationales
x x x x
➢ Comprehensive RN exit exam review x x x x
, HESI RN Exit V4 Exam Prep | Practice x x xx x x x x
x Questions, Answers & Detailed Rationales x x x x
| RN Exit Exam Study Guide
x x x x x x
Question 1 x
The nurse is caring for a pre-adolescent client in skeletal
x x x x x x x x x
x Dunlop traction. Which nursing intervention is appropriate
x x x x x x
x for this child?
x x
A) Make certain the child is maintained in correct body alignment.
x x x x x x x x x x
B) Be sure the traction weights touch the end of the bed.
x x x x x x x x x x x
C) Adjust the head and foot of the bed for the child's comfort
x x x x x x x x x x x x
D) Release the traction for 15-20 minutes every 6 hours PRN.
x x x x x x x x x x
Correct Answer: A) Make certain the child is maintained in
x x x x x x x x x
x correct body alignment. x x
Rationale: Skeletal traction requires proper body alignment to
x x x x x x x
ensure effective traction and prevent complications such as skin
x x x x x x x x x
breakdown or improper bone healing. The weights should hang
x x x x x x x x x
freely and never touch the floor or bed (eliminating option B). The
x x x x x x x x x x x x
bed should not be adjusted in ways that alter the traction setup
x x x x x x x x x x x x
,(eliminating option C). Traction should never be released without a
x x x x x x x x x x
physician's order (eliminating option D).
x x x x x
Question 2 x
The nurse is assessing a healthy child at the 2 year check up.
x x x x x x x x x x x x
x Which of the following should the nurse report immediately
x x x x x x x x
x to the health care provider?
x x x x
A) Height and weight percentiles vary widely
x x x x x x
B) Growth pattern appears to have slowed
x x x x x x
C) Recumbent and standing height are different
x x x x x x
D) Short term weight changes are uneven
x x x x x x
Correct Answer: A) Height and weight percentiles vary widely
x x x x x x x x
Rationale: A wide variation between height and weight percentiles
x x x x x x x x
may indicate an underlying endocrine or nutritional problem that
x x x x x x x x x
requires immediate evaluation. Slowed growth patterns (option B)
x x x x x x x x
are normal as children approach toddlerhood. Recumbent and
x x x x x x x x
standing height differences (option C) are expected due to spinal
x x x x x x x x x x
curvature. Short-term weight changes (option D) are common in
x x x x x x x x x
toddlers due to activity levels and food intake variations.
x x x x x x x x x
Question 3 x
, The parents of a 2 year-old child report that he has been
x x x x x x x x x x x
x holding his breath whenever he has temper tantrums. What is
x x x x x x x x x
x the best action by the nurse?
x x x x x
A) Teach the parents how to perform cardiopulmonary resuscitation
x x x x x x x x
B) Recommend that the parents give in when he holds his breath to
x x x x x x x x x x x x
prevent anoxia
x x
C) Advise the parents to ignore breath holding because breathing
x x x x x x x x x
will begin as a reflex
x x x x x
D) Instruct the parents on how to reason with the child about
x x x x x x x x x x x
possible harmful effects
x x x
Correct Answer: C) Advise the parents to ignore breath holding
x x x x x x x x x
x because breathing will begin as a reflex
x x x x x x
Rationale: Breath-holding spells are a common behavioral
x x x x x x
response in toddlers and are self-limiting. The reflex to breathe will
x x x x x x x x x x x
automatically kick in, so parents should be reassured and advised to
x x x x x x x x x x x
ignore the behavior to avoid reinforcing it. Teaching CPR (option A)
x x x x x x x x x x x
is unnecessary and frightening. Giving in (option B) reinforces
x x x x x x x x x
negative behavior. Reasoning with a 2-year-old (option D) is
x x x x x x x x x
developmentally inappropriate.
x x
Question 4 x
