HESI RN EXIT Exam Questions and Verified Answers
In planning care for a 6 month-old infant, what analgesia
must the nurse provide to assist in the
development of trust?
A) Food While caring for a toddler with croup, which initial
B) Warmth sign of croup requires the nurse's immediate
C) Security attention?
D) Comfort - - C) Security A) Respiratory rate of 42
B) Lethargy for the past hour
C) Apical pulse of 54
A nurse has just received a medication order D) Coughing up copious secretions - - A)
which is not legible. Which statement best Respiratory rate of 42
reflects assertive communication?
A) "I cannot give this medication as it is written. I
have no idea of what you mean." A client is admitted with low T3 and T4 levels and
B) "Would you please clarify what you have an elevated TSH level. On initial assessment, the
written so I am sure I am reading it nurse would anticipate which of the following
correctly?" assessment findings?
C) "I am having difficulty reading your A) Lethargy
handwriting. It would save me time if you would B) Heat intolerance
be more careful." C) Diarrhea
D) "Please print in the future so I do not have to D) Skin eruptions - - A) Lethargy
spend extra time attempting to read your writing."
- - B) "Would you please clarify what you
have written so I am sure I am reading it The emergency room nurse admits a child who
correctly?" experienced a seizure at school. The father
comments that this is the first occurrence, and
denies any family history of epilepsy. What is the
What is the most important consideration when best response by the nurse?
teaching parents how to reduce risks in the A) "Do not worry. Epilepsy can be treated with
home? medications."
A) Age and knowledge level of the parents B) "The seizure may or may not mean your child
B) Proximity to emergency services has epilepsy."
C) Number of children in the home C) "Since this was the first convulsion, it may not
D) Age of children in the home - - D) Age happen again."
of children in the home D) "Long term treatment will prevent future
seizures." - - B) "The seizure may or may
not mean your child has epilepsy."
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. Alcohol and drug abuse impairs judgment and
The nurse should increases risk taking behavior. What nursing
A) Administer a placebo diagnosis best applies?
B) Encourage increased fluid intake A) Risk for injury
C) Administer the prescribed analgesia B) Risk for knowledge deficit
D) Recommend relaxation exercises for pain C) Altered thought process
control - - C) Administer the prescribed D) Disturbance in self-esteem - - A) Risk
,HESI RN EXIT Exam Questions and Verified Answers
for injury D) Pale, thin arms and legs, uninterested in
surroundings - - D) Pale, thin arms and
legs, uninterested in surroundings
Which these findings would the nurse more
closely associate with anemia in a 10 month-old
infant? As the nurse is speaking with a group of teens
A) Hemoglobin level of 12 g/dI which of these side effects of chemotherapy for
B) Pale mucosa of the eyelids and lips cancer would the nurse expect this group to be
C) Hypoactivity more interested in during the discussion?
D) A heart rate between 140 to 160 - - B) A) Mouth sores
Pale mucosa of the eyelids and lips B) Fatigue
C) Diarrhea
D) Hair loss - - D) Hair loss
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 While caring for a client who was admitted with
A) Heart rate myocardial infarction (MI) 2 days ago, the nurse
B) Pedal pulses notes today's temperature is 101.1 degrees
C) Lung sounds Fahrenheit (38.5 degreesCelsius). The
D) Pupil responses - - D) Pupil responses appropriate nursing intervention is to
A) Call the health care provider immediately
B) Administer acetaminophen as ordered as this
Which of these clients who are all in the terminal is normal at this time
stage of cancer is least appropriate to suggest C) Send blood, urine and sputum for culture
the use of patient controlled analgesia (PCA) D) Increase the client's fluid intake - - B)
with a pump? Administer acetaminophen as ordered as this is
A) A young adult with a history of Down's normal at this time
syndrome
B) A teenager who reads at a 4th grade level
C) An elderly client with numerous arthritic A client is admitted for first and second degree
nodules on the hands burns on the face, neck, anterior chest and
D) A preschooler with intermittent episodes of hands. The nurse's priority should be
alertness - - D) A preschooler with A) Cover the areas with dry sterile dressings
intermittent episodes of alertness B) Assess for dyspnea or stridor
C) Initiate intravenous therapy
D) Administer pain medication - - B)
The nurse is about to assess a 6 month-old child Assess for dyspnea or stridor
with nonorganic failure-to thrive (NOFTT). Upon
entering the room, the nurse would expect the
baby to be Which of these clients who call the community
A) Irritable and "colicky" with no attempts to pull health clinic would the nurse ask to come in that
to standing day to be seen by the health care provider?
B) Alert, laughing and playing with a rattle, sitting A) I started my period and now my urine has
with support turned bright red.
C) Skin color dusky with poor skin turgor over B) I am an diabetic and today I have been going
abdomen to the bathroom every hour.
, HESI RN EXIT Exam Questions and Verified Answers
C) I was started on medicine yesterday for a nurse expect to be present in the infant?
urine infection. Now my lower belly hurts when I A) Increased 10% in height
go to the bathroom. B) 2 deciduous teeth
D) I went to the bathroom and my urine looked C) Tripled the birth weight
very red and it didn't hurt when I went. - - D) Head > chest circumference - - C)
D) I went to the bathroom and my urine looked Tripled the birth weight
very red and it didn't hurt when I went.
A Hispanic client in the postpartum period
Which of these parents' comment for a newborn refuses the hospital food because it is
would most likely reveal an initial finding of a "cold." The best initial action by the nurse is to
suspected pyloric stenosis? A) 1Have the unlicensed assistive personnel
A) I noticed a little lump a little above the belly (UAP) reheat the food if the client wishes
button. B) Ask the client what foods are acceptable or
B) The baby seems hungry all the time. bad
C) Mild vomiting that progressed to vomiting C) Encourage her to eat for healing and strength
shooting across the room. D) Schedule the dietitian to meet with the client
D) Irritation and spitting up immediately after as soon as possible - - B) Ask the client
feedings. - - C) Mild vomiting that what foods are acceptable or bad
progressed to vomiting shooting across the
room.
The father of an 8 month-old infant asks the
nurse if his infant's vocalizations are
The nurse is assessing a child for clinical normal for his age. Which of the following would
manifestations of iron deficiency anemia. the nurse expect at this age?
Which factor would the nurse recognize as cause A) Cooing
for the findings? B) Imitation of sounds
A) Decreased cardiac output C) Throaty sounds
B) Tissue hypoxia D) Laughter - - B) Imitation of sounds
C) Cerebral edema
D) Reduced oxygen saturation - - B)
Tissue hypoxia The nurse should recognize that physical
dependence is accompanied by what
findings when alcohol consumption is first
The nurse would expect the cystic fibrosis client reduced or ended?
to receive supplemental pancreatic A) Seizures
enzymes along with a diet B) Withdrawal
A) High in carbohydrates and proteins C) Craving
B) Low in carbohydrates and proteins D) Marked tolerance - - B) Withdrawal
C) High in carbohydrates, low in proteins
D) Low in carbohydrates, high in proteins -
- A) High in carbohydrates and proteins Immediately following an acute battering incident
in a violent relationship, the
batterer may respond to the partner's injuries by
In evaluating the growth of a 12 month-old child, A) Seeking medical help for the victim's injuries
which of these findings would the B) Minimizing the episode and underestimating
In planning care for a 6 month-old infant, what analgesia
must the nurse provide to assist in the
development of trust?
A) Food While caring for a toddler with croup, which initial
B) Warmth sign of croup requires the nurse's immediate
C) Security attention?
D) Comfort - - C) Security A) Respiratory rate of 42
B) Lethargy for the past hour
C) Apical pulse of 54
A nurse has just received a medication order D) Coughing up copious secretions - - A)
which is not legible. Which statement best Respiratory rate of 42
reflects assertive communication?
A) "I cannot give this medication as it is written. I
have no idea of what you mean." A client is admitted with low T3 and T4 levels and
B) "Would you please clarify what you have an elevated TSH level. On initial assessment, the
written so I am sure I am reading it nurse would anticipate which of the following
correctly?" assessment findings?
C) "I am having difficulty reading your A) Lethargy
handwriting. It would save me time if you would B) Heat intolerance
be more careful." C) Diarrhea
D) "Please print in the future so I do not have to D) Skin eruptions - - A) Lethargy
spend extra time attempting to read your writing."
- - B) "Would you please clarify what you
have written so I am sure I am reading it The emergency room nurse admits a child who
correctly?" experienced a seizure at school. The father
comments that this is the first occurrence, and
denies any family history of epilepsy. What is the
What is the most important consideration when best response by the nurse?
teaching parents how to reduce risks in the A) "Do not worry. Epilepsy can be treated with
home? medications."
A) Age and knowledge level of the parents B) "The seizure may or may not mean your child
B) Proximity to emergency services has epilepsy."
C) Number of children in the home C) "Since this was the first convulsion, it may not
D) Age of children in the home - - D) Age happen again."
of children in the home D) "Long term treatment will prevent future
seizures." - - B) "The seizure may or may
not mean your child has epilepsy."
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. Alcohol and drug abuse impairs judgment and
The nurse should increases risk taking behavior. What nursing
A) Administer a placebo diagnosis best applies?
B) Encourage increased fluid intake A) Risk for injury
C) Administer the prescribed analgesia B) Risk for knowledge deficit
D) Recommend relaxation exercises for pain C) Altered thought process
control - - C) Administer the prescribed D) Disturbance in self-esteem - - A) Risk
,HESI RN EXIT Exam Questions and Verified Answers
for injury D) Pale, thin arms and legs, uninterested in
surroundings - - D) Pale, thin arms and
legs, uninterested in surroundings
Which these findings would the nurse more
closely associate with anemia in a 10 month-old
infant? As the nurse is speaking with a group of teens
A) Hemoglobin level of 12 g/dI which of these side effects of chemotherapy for
B) Pale mucosa of the eyelids and lips cancer would the nurse expect this group to be
C) Hypoactivity more interested in during the discussion?
D) A heart rate between 140 to 160 - - B) A) Mouth sores
Pale mucosa of the eyelids and lips B) Fatigue
C) Diarrhea
D) Hair loss - - D) Hair loss
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 While caring for a client who was admitted with
A) Heart rate myocardial infarction (MI) 2 days ago, the nurse
B) Pedal pulses notes today's temperature is 101.1 degrees
C) Lung sounds Fahrenheit (38.5 degreesCelsius). The
D) Pupil responses - - D) Pupil responses appropriate nursing intervention is to
A) Call the health care provider immediately
B) Administer acetaminophen as ordered as this
Which of these clients who are all in the terminal is normal at this time
stage of cancer is least appropriate to suggest C) Send blood, urine and sputum for culture
the use of patient controlled analgesia (PCA) D) Increase the client's fluid intake - - B)
with a pump? Administer acetaminophen as ordered as this is
A) A young adult with a history of Down's normal at this time
syndrome
B) A teenager who reads at a 4th grade level
C) An elderly client with numerous arthritic A client is admitted for first and second degree
nodules on the hands burns on the face, neck, anterior chest and
D) A preschooler with intermittent episodes of hands. The nurse's priority should be
alertness - - D) A preschooler with A) Cover the areas with dry sterile dressings
intermittent episodes of alertness B) Assess for dyspnea or stridor
C) Initiate intravenous therapy
D) Administer pain medication - - B)
The nurse is about to assess a 6 month-old child Assess for dyspnea or stridor
with nonorganic failure-to thrive (NOFTT). Upon
entering the room, the nurse would expect the
baby to be Which of these clients who call the community
A) Irritable and "colicky" with no attempts to pull health clinic would the nurse ask to come in that
to standing day to be seen by the health care provider?
B) Alert, laughing and playing with a rattle, sitting A) I started my period and now my urine has
with support turned bright red.
C) Skin color dusky with poor skin turgor over B) I am an diabetic and today I have been going
abdomen to the bathroom every hour.
, HESI RN EXIT Exam Questions and Verified Answers
C) I was started on medicine yesterday for a nurse expect to be present in the infant?
urine infection. Now my lower belly hurts when I A) Increased 10% in height
go to the bathroom. B) 2 deciduous teeth
D) I went to the bathroom and my urine looked C) Tripled the birth weight
very red and it didn't hurt when I went. - - D) Head > chest circumference - - C)
D) I went to the bathroom and my urine looked Tripled the birth weight
very red and it didn't hurt when I went.
A Hispanic client in the postpartum period
Which of these parents' comment for a newborn refuses the hospital food because it is
would most likely reveal an initial finding of a "cold." The best initial action by the nurse is to
suspected pyloric stenosis? A) 1Have the unlicensed assistive personnel
A) I noticed a little lump a little above the belly (UAP) reheat the food if the client wishes
button. B) Ask the client what foods are acceptable or
B) The baby seems hungry all the time. bad
C) Mild vomiting that progressed to vomiting C) Encourage her to eat for healing and strength
shooting across the room. D) Schedule the dietitian to meet with the client
D) Irritation and spitting up immediately after as soon as possible - - B) Ask the client
feedings. - - C) Mild vomiting that what foods are acceptable or bad
progressed to vomiting shooting across the
room.
The father of an 8 month-old infant asks the
nurse if his infant's vocalizations are
The nurse is assessing a child for clinical normal for his age. Which of the following would
manifestations of iron deficiency anemia. the nurse expect at this age?
Which factor would the nurse recognize as cause A) Cooing
for the findings? B) Imitation of sounds
A) Decreased cardiac output C) Throaty sounds
B) Tissue hypoxia D) Laughter - - B) Imitation of sounds
C) Cerebral edema
D) Reduced oxygen saturation - - B)
Tissue hypoxia The nurse should recognize that physical
dependence is accompanied by what
findings when alcohol consumption is first
The nurse would expect the cystic fibrosis client reduced or ended?
to receive supplemental pancreatic A) Seizures
enzymes along with a diet B) Withdrawal
A) High in carbohydrates and proteins C) Craving
B) Low in carbohydrates and proteins D) Marked tolerance - - B) Withdrawal
C) High in carbohydrates, low in proteins
D) Low in carbohydrates, high in proteins -
- A) High in carbohydrates and proteins Immediately following an acute battering incident
in a violent relationship, the
batterer may respond to the partner's injuries by
In evaluating the growth of a 12 month-old child, A) Seeking medical help for the victim's injuries
which of these findings would the B) Minimizing the episode and underestimating
