HESI RN EXIT EXAM 2022/2023

1. In planning care for a 6 month-old infant, what must the nurse provide to assist in the development of trust? - C) Security 2. A nurse has just received a medication order which is not legible. Which statement best reflects assertive communication? -B) "Would you please clarify what you have written so I am sure I am reading it correctly?" 3. What is the most important consideration when teaching parents how to reduce risks in the home -D) Age of children in the home. 4. 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 Answer - C) Administer the prescribed analgesia 5. While caring for a toddler with croup, which initial sign of croup requires the nurse's immediate attention? - A) Respiratory rate of 42 6. A client is admitted with low T3 and T4 levels and an elevated TSH level. On initial assessment, the nurse would anticipate which of the following assessment findings? - A) Lethargy 7. The emergency room nurse admits a child who experienced a seizure at school. The father comments that this is the first occurrence, and denies any family history of epilepsy. What is the best response by the nurse? - B) "The seizure may or may not mean your child has epilepsy." 8. Alcohol and drug abuse impairs judgment and increases risk taking behavior. What nursing diagnosis best applies? - A) Risk for injury 9. Which these findings would the nurse more closely associate with anemia in a 10 month-old infant? - B) Pale mucosa of the eyelids and lips 10. The nurse is caring for a client in hypertensive crisis in an intensive care unit. The priority assessment in the first hour of care is - D) Pupil responses 11. Which of these clients who are all in the terminal stage of cancer is least appropriate to suggest the use of patient controlled analgesia (PCA) with a pump? - D) A preschooler with intermittent episodes of alertness 12. The nurse is about to assess a 6 month-old child with nonorganic failure-to thrive (NOFTT). Upon entering the room, the nurse would expect the baby to be - D) Pale, thin arms and legs, uninterested in surroundings 13. As the nurse is speaking with a group of teens which of these side effects of chemotherapy for cancer would the nurse expect this group to be more interested in during the discussion? - D) Hair loss 14. While caring for a client who was admitted with myocardial infarction (MI) 2 days ago, the nurse notes today's temperature is 101.1 degrees Fahrenheit (38.5 degrees Celsius). The appropriate nursing intervention is to - B) Administer acetaminophen as ordered as this is normal at this time 15. A client is admitted for first and second degree burns on the face, neck, anterior chest and hands. The nurse's priority should be - B) Assess for dyspnea or stridor 16. Which of these clients who call the community health clinic would the nurse ask to come in that day to be seen by the health care provider? - D) I went to the bathroom and my urine looked very red and it didn't hurt when I went. 17. Which of these parents' comment for a newborn would most likely reveal an initial finding of a suspected pyloric stenosis? - C) Mild vomiting that progressed to vomiting shooting across the room. 18. The nurse is assessing a child for clinical manifestations of iron deficiency anemia. Which factor would the nurse recognize as cause for the findings? - B) Tissue hypoxia 19. The nurse would expect the cystic fibrosis client to receive supplemental pancreatic enzymes along with a diet - A) High in carbohydrates and proteins