2025 UPDATE NURSE 6401 HESI EXIT V2
QUESTIONS AND ANSWERS
The school nurse suspects that a third grade child might have
Attention Deficit Hyperactivity Disorder. Prior to referring the child for
further evaluation,the nurse should
A) Observe the child's behavior on at least 2 occasions
B) Consult with the teacher about how to control impulsivity
C) Compile a history of behavior patterns and developmental
accomplishments
D) Compare the child's behavior with classic signs and symptoms
ANSWER IS C: COMPILE A HISTORY OF BEHAVIOR PATTERNS AND
DEVELOPMENTAL ACCOMPLISHMENTS
Which of the actions suggested to the RN by the PN during a
planning conference for a 10 month-old infant admitted 2 hours
ago with bacterial meningitis would be acceptable to add to the
plan of care?
A) Measure head circumference
B) Place in airborne isolation
C) Provide passive range of motion
D) Provide an over-the-crib protective top
ANSWER IS A: MEASURE HEAD CIRCUMFERENCE
, A client is admitted with a diagnosis of hepatitis B. In reviewing
the initiallaboratory results, the nurse would expect to find
elevation in which of the following values?
A) Blood urea nitrogen
B) Acid phosphatase
C) Bilirubin
,D) Sedimentation rate
ANSWER IS C: BILIRUBIN
The nurse is discussing nutritional requirements with the parents of
an 18 month-old child. Which of these statements about milk
consumption is correct?
A) May drink as much milk as desired
B) Can have milk mixed with other foods
C) Will benefit from fat-free cow's milk
D) Should be limited to 3-4 cups of milk daily
ANSWER IS D: SHOULD BE LIMITED TO THREE TO FOUR CUPS OF MILK
DAILY
The nurse is talking with a client. The client abruptly says to the
nurse, "Themoon is full. Astronauts walk on the moon. Walking is a
good health habit." The client’s behavior most likely indicates?
A) Neologisms
B) Dissociation
C) Flight of ideas
D) Word salad
ANSWER IS C: FLIGHT OF IDEAS
A mother asks about expected motor skills for a 3 year-old child.
Which ofthe following would the nurse emphasize as normal at this
age?
A) Jumping rope
, B) Tying shoelaces
C) Riding a tricycle
D) Playing hopscotch
ANSWER IS C: RIDING A TRICYCLE
A home health nurse is caring for a client with a pressure sore
that is red, with serous drainage, is 2 inches in diameter with loss of
subcutaneous tissue.The appropriate dressing for this wound is
A) A transparent film dressing
B) Wet dressing with debridement granules
C) Wet to dry with hydrogen peroxide
D) Moist saline dressing
ANSWER IS D: MOIST SALINE DRESSING
The nurse enters a 2 year-old child's hospital room in order to
administer anoral medication. When the child is asked if he is ready
to take his medicine, he immediately says, "No!". What would be
the most appropriate next action?
A) Leave the room and return five minutes later and give the medicine
B) Explain to the child that the medicine must be taken now
C) Give the medication to the father and ask him to give it
D) Mix the medication with ice cream or applesauce
ANSWER IS A: LEAVE THE ROOM AND RETURN FIVE MINUTES LATER
AND GIVETHE MEDICINE
A nurse is doing pre conceptual counseling with a woman who is
QUESTIONS AND ANSWERS
The school nurse suspects that a third grade child might have
Attention Deficit Hyperactivity Disorder. Prior to referring the child for
further evaluation,the nurse should
A) Observe the child's behavior on at least 2 occasions
B) Consult with the teacher about how to control impulsivity
C) Compile a history of behavior patterns and developmental
accomplishments
D) Compare the child's behavior with classic signs and symptoms
ANSWER IS C: COMPILE A HISTORY OF BEHAVIOR PATTERNS AND
DEVELOPMENTAL ACCOMPLISHMENTS
Which of the actions suggested to the RN by the PN during a
planning conference for a 10 month-old infant admitted 2 hours
ago with bacterial meningitis would be acceptable to add to the
plan of care?
A) Measure head circumference
B) Place in airborne isolation
C) Provide passive range of motion
D) Provide an over-the-crib protective top
ANSWER IS A: MEASURE HEAD CIRCUMFERENCE
, A client is admitted with a diagnosis of hepatitis B. In reviewing
the initiallaboratory results, the nurse would expect to find
elevation in which of the following values?
A) Blood urea nitrogen
B) Acid phosphatase
C) Bilirubin
,D) Sedimentation rate
ANSWER IS C: BILIRUBIN
The nurse is discussing nutritional requirements with the parents of
an 18 month-old child. Which of these statements about milk
consumption is correct?
A) May drink as much milk as desired
B) Can have milk mixed with other foods
C) Will benefit from fat-free cow's milk
D) Should be limited to 3-4 cups of milk daily
ANSWER IS D: SHOULD BE LIMITED TO THREE TO FOUR CUPS OF MILK
DAILY
The nurse is talking with a client. The client abruptly says to the
nurse, "Themoon is full. Astronauts walk on the moon. Walking is a
good health habit." The client’s behavior most likely indicates?
A) Neologisms
B) Dissociation
C) Flight of ideas
D) Word salad
ANSWER IS C: FLIGHT OF IDEAS
A mother asks about expected motor skills for a 3 year-old child.
Which ofthe following would the nurse emphasize as normal at this
age?
A) Jumping rope
, B) Tying shoelaces
C) Riding a tricycle
D) Playing hopscotch
ANSWER IS C: RIDING A TRICYCLE
A home health nurse is caring for a client with a pressure sore
that is red, with serous drainage, is 2 inches in diameter with loss of
subcutaneous tissue.The appropriate dressing for this wound is
A) A transparent film dressing
B) Wet dressing with debridement granules
C) Wet to dry with hydrogen peroxide
D) Moist saline dressing
ANSWER IS D: MOIST SALINE DRESSING
The nurse enters a 2 year-old child's hospital room in order to
administer anoral medication. When the child is asked if he is ready
to take his medicine, he immediately says, "No!". What would be
the most appropriate next action?
A) Leave the room and return five minutes later and give the medicine
B) Explain to the child that the medicine must be taken now
C) Give the medication to the father and ask him to give it
D) Mix the medication with ice cream or applesauce
ANSWER IS A: LEAVE THE ROOM AND RETURN FIVE MINUTES LATER
AND GIVETHE MEDICINE
A nurse is doing pre conceptual counseling with a woman who is
