HESI Exit RN V4 EXAM 2025 LATEST UPDATED 160+ REAL EXAM
QUESTIONS WITH 100% RATED CORRECT ANSWERS 100%
ACCURATE GET IT CORRECT!!
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.
2. The nurse is assessing a healthy心的坚强决定了我们的命运。当
child at the 2 year check up. Which of the following should
the nurse report immediately to the health care provider?
我们面对挫折时，是一颗不屈的
心让我们勇敢前行
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
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
,4. The nurse is assessing a client in the emergency room. Which statement suggests that the
problem is 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." - (Correct Answer)A: "My pain is deep in my
chest behind my sternum."
5. The nurse is assessing the mental status of a client admitted with possible organic brain
disorder. Which of these questions will best assess the function of the client's recent memory?
A) "Name the year." "What season心的坚强决定了我们的命运。当
is this?" (pause for answer after each question)
B) "Subtract 7 from 100 and then 我们面对挫折时，是一颗不屈的
subtract 7 from that." (pause for answer) "Now continue to
subtract 7 from the new number." 心让我们勇敢前行
C) "I am going to say the names of three things and I want you to repeat them after me: blue,
ball, pen."
D) "What is this on my wrist?" (point to your watch) Then ask, "What is the purpose of it?" -
(Correct Answer)C: "I am going to say the names of three things and I want you to repeat them
after me: blue, ball, pen."
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 - (Correct Answer)C: Security
,7. 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 to read your
writing." - (Correct Answer)B) "Would you please clarify what you have written so I am sure I
am reading it correctly?"
8. What is the most important consideration when teaching parents how to reduce risks in the
home?
心的坚强决定了我们的命运。当
A) Age and knowledge level of the parents
我们面对挫折时，是一颗不屈的
B) Proximity to emergency services
心让我们勇敢前行
C) Number of children in the home
D) Age of children in the home - (Correct Answer)D: Age of children in the home
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 analgesia
D) Recommend relaxation exercises for pain control - (Correct Answer)C: Administer the
prescribed analgesia
10. While caring for a toddler with croup, which initial sign of croup requires the nurse's
immediate attention?
, A) Respiratory rate of 42
B) Lethargy for the past hour
C) Apical pulse of 54
D) Coughing up copious secretions - (Correct Answer)A: Respiratory rate of 30
11. 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
B) Heat intolerance
C) Diarrhea
D) Skin eruptions - (Correct Answer)A: Lethargy
心的坚强决定了我们的命运。当
我们面对挫折时，是一颗不屈的
12. The emergency room nurse admits a child who experienced a seizure at school. The father
心让我们勇敢前行
comments that this is the first occurrence, and denies any family history of epilepsy. What is the
best response by the nurse?
A) "Do not worry. Epilepsy can be treated with medications."
B) "The seizure may or may not mean your child has epilepsy."
C) "Since this was the first convulsion, it may not happen again."
D) "Long term treatment will prevent future seizures." - (Correct Answer)B: "The seizure may or
may not mean your child has epilepsy."
13. Alcohol and drug abuse impairs judgment and increases risk taking behavior. What nursing
diagnosis best applies?
A) Risk for injury
B) Risk for knowledge deficit
QUESTIONS WITH 100% RATED CORRECT ANSWERS 100%
ACCURATE GET IT CORRECT!!
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.
2. The nurse is assessing a healthy心的坚强决定了我们的命运。当
child at the 2 year check up. Which of the following should
the nurse report immediately to the health care provider?
我们面对挫折时，是一颗不屈的
心让我们勇敢前行
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
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
,4. The nurse is assessing a client in the emergency room. Which statement suggests that the
problem is 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." - (Correct Answer)A: "My pain is deep in my
chest behind my sternum."
5. The nurse is assessing the mental status of a client admitted with possible organic brain
disorder. Which of these questions will best assess the function of the client's recent memory?
A) "Name the year." "What season心的坚强决定了我们的命运。当
is this?" (pause for answer after each question)
B) "Subtract 7 from 100 and then 我们面对挫折时，是一颗不屈的
subtract 7 from that." (pause for answer) "Now continue to
subtract 7 from the new number." 心让我们勇敢前行
C) "I am going to say the names of three things and I want you to repeat them after me: blue,
ball, pen."
D) "What is this on my wrist?" (point to your watch) Then ask, "What is the purpose of it?" -
(Correct Answer)C: "I am going to say the names of three things and I want you to repeat them
after me: blue, ball, pen."
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 - (Correct Answer)C: Security
,7. 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 to read your
writing." - (Correct Answer)B) "Would you please clarify what you have written so I am sure I
am reading it correctly?"
8. What is the most important consideration when teaching parents how to reduce risks in the
home?
心的坚强决定了我们的命运。当
A) Age and knowledge level of the parents
我们面对挫折时，是一颗不屈的
B) Proximity to emergency services
心让我们勇敢前行
C) Number of children in the home
D) Age of children in the home - (Correct Answer)D: Age of children in the home
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 analgesia
D) Recommend relaxation exercises for pain control - (Correct Answer)C: Administer the
prescribed analgesia
10. While caring for a toddler with croup, which initial sign of croup requires the nurse's
immediate attention?
, A) Respiratory rate of 42
B) Lethargy for the past hour
C) Apical pulse of 54
D) Coughing up copious secretions - (Correct Answer)A: Respiratory rate of 30
11. 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
B) Heat intolerance
C) Diarrhea
D) Skin eruptions - (Correct Answer)A: Lethargy
心的坚强决定了我们的命运。当
我们面对挫折时，是一颗不屈的
12. The emergency room nurse admits a child who experienced a seizure at school. The father
心让我们勇敢前行
comments that this is the first occurrence, and denies any family history of epilepsy. What is the
best response by the nurse?
A) "Do not worry. Epilepsy can be treated with medications."
B) "The seizure may or may not mean your child has epilepsy."
C) "Since this was the first convulsion, it may not happen again."
D) "Long term treatment will prevent future seizures." - (Correct Answer)B: "The seizure may or
may not mean your child has epilepsy."
13. Alcohol and drug abuse impairs judgment and increases risk taking behavior. What nursing
diagnosis best applies?
A) Risk for injury
B) Risk for knowledge deficit
