age 1 of 95
HESI RN EXIT EXAM WITH NGN LATEST VERSION B
/HESI EXIT RN NEXT GENERATION EXAM ALL 160
QUESTIONS AND CORRECT DETAILED ANSWERS
The nurse is giving preop instructions to a 14 yr old scheduled to
correct a spinal curvature. Which statement best demonstrates
that learning has taken place? ......ANSWER........I understand I
will be in a body cast and I will show you hoy you taught me to
turn
To take the vital signs of a 4 month old child which order will
give the most accurate results? ......ANSWER........Respiratory
rate, heart rate, rectal temperature
AN otoscope exam of a child's ear reveals a tympanic
membrane that is pearly gray, slightly bulging and not movable.
,age 2 of 95
What action should the nurse take next? ......ANSWER........Ask the
child if he has has a cold, runny nose or any ear pain lately
Which restraint should be used for a toddler after a cleft palate
repair? ......ANSWER........elbow
What preoperative nursing intervention should be included in the
plan of care for an infant with pyloric stenosis?
......ANSWER........Observe for projectile vomiting
A six month old returns from surgery with elbow restraints in
place. What nursing intervention should be included when caring
for any restrained child? ......ANSWER........remove restraints one
at a time and provide range of motion exercise
A two year old with Down Syndrome is brought to the clinic for
his regular physical exam. The nurse knows which problem is
,age 3 of 95
frequently associated with Down Syndrome?
......ANSWER........Congenital Heart Disease
When assessing a child with asthma the nurse should expect
intercostal retractions during ......ANSWER........inspiration
When planning the care for a child who has had a cleft lip
repair, the nurse knows that crying should be minimized because
it ......ANSWER........stresses the suture line
A client with a productive cough has obtained a sputum specimen
for culture as instructed. What action is the best initial nursing
action? ......ANSWER........Administer the first dose of prescribed
antibiotic therapy
A client is brought to the Emergency Department by ambulance
in cardiac arrest with CPR in progress. The client is intubated
and receiving 100% O2 per ambu bag. The nurse determines
, age 4 of 95
the client is cyanotic, cold, and diaphoretic. Which assessment is
most important to obtain? ......ANSWER........deep tendon reflexes
After a hospitalization for Syndrome of Inappropriate
Antidiuretic Hormone (SIADH), a client develops pontine
myselinolysis. Which intervention should the nurse implement
first? ......ANSWER........Reorientate client to his room
A male client with heart failure (HF) calls the clinic and reports
he cannot put his shoes on because they are too tight. Which
additional information should the nurse obtain?
......ANSWER........Has his weight changed in the last several days
An older adult with a long hx of COPD is admitted with
progressive shortness of breath and a persistent cough. She is
anxious and is complaining of a dry mouth. Which intervention
HESI RN EXIT EXAM WITH NGN LATEST VERSION B
/HESI EXIT RN NEXT GENERATION EXAM ALL 160
QUESTIONS AND CORRECT DETAILED ANSWERS
The nurse is giving preop instructions to a 14 yr old scheduled to
correct a spinal curvature. Which statement best demonstrates
that learning has taken place? ......ANSWER........I understand I
will be in a body cast and I will show you hoy you taught me to
turn
To take the vital signs of a 4 month old child which order will
give the most accurate results? ......ANSWER........Respiratory
rate, heart rate, rectal temperature
AN otoscope exam of a child's ear reveals a tympanic
membrane that is pearly gray, slightly bulging and not movable.
,age 2 of 95
What action should the nurse take next? ......ANSWER........Ask the
child if he has has a cold, runny nose or any ear pain lately
Which restraint should be used for a toddler after a cleft palate
repair? ......ANSWER........elbow
What preoperative nursing intervention should be included in the
plan of care for an infant with pyloric stenosis?
......ANSWER........Observe for projectile vomiting
A six month old returns from surgery with elbow restraints in
place. What nursing intervention should be included when caring
for any restrained child? ......ANSWER........remove restraints one
at a time and provide range of motion exercise
A two year old with Down Syndrome is brought to the clinic for
his regular physical exam. The nurse knows which problem is
,age 3 of 95
frequently associated with Down Syndrome?
......ANSWER........Congenital Heart Disease
When assessing a child with asthma the nurse should expect
intercostal retractions during ......ANSWER........inspiration
When planning the care for a child who has had a cleft lip
repair, the nurse knows that crying should be minimized because
it ......ANSWER........stresses the suture line
A client with a productive cough has obtained a sputum specimen
for culture as instructed. What action is the best initial nursing
action? ......ANSWER........Administer the first dose of prescribed
antibiotic therapy
A client is brought to the Emergency Department by ambulance
in cardiac arrest with CPR in progress. The client is intubated
and receiving 100% O2 per ambu bag. The nurse determines
, age 4 of 95
the client is cyanotic, cold, and diaphoretic. Which assessment is
most important to obtain? ......ANSWER........deep tendon reflexes
After a hospitalization for Syndrome of Inappropriate
Antidiuretic Hormone (SIADH), a client develops pontine
myselinolysis. Which intervention should the nurse implement
first? ......ANSWER........Reorientate client to his room
A male client with heart failure (HF) calls the clinic and reports
he cannot put his shoes on because they are too tight. Which
additional information should the nurse obtain?
......ANSWER........Has his weight changed in the last several days
An older adult with a long hx of COPD is admitted with
progressive shortness of breath and a persistent cough. She is
anxious and is complaining of a dry mouth. Which intervention
