HESI RN EXIT EXAM LEGACY V1 2022/2025 QUESTIONS & ANSWERS GRADED A.

HESI bRN bEXIT bEXAM bLEGACY bV1
b2022-2023 bQUESTIONS&ANSWERS
bGRADED bA
1. Thenurseiscaringforapre-
badolescentclientinskeletalDunloptraction.Whichnursinginterventionisappropriatefort
bhischild?
A) Makecertainthechildismaintainedincorrectbodyalignment.
B) Besurethetractionweightstouchtheendofthebed.
C) Adjusttheheadandfootofthebedforthechild'scomfort
D) Releasethetractionfor15-20minutesevery6hoursPRN.
bThecorrectanswerisA:Makecertainthechildismaintainedincorrectbodyalignment.


2. Thenurseisassessingahealthychildatthe2yearcheckup.Whichofthefollowingshouldthen
bursereportimmediatelytothehealthcareprovider?
A) Heightandweightpercentilesvarywidely
B) Growthpatternappearstohaveslowed
C) Recumbentandstandingheightaredifferent
D) Shorttermweightchangesareuneven
bThecorrectanswerisA:Heightandweightpercentilesvarywidel
y


3. Theparentsofa2year-
boldchildreportthathehasbeenholdinghisbreathwheneverhehastempertantrums.
bWhatisthebestactionbythenurse?
A) Teachtheparentshowtoperformcardiopulmonaryresuscitation
B) Recommendthattheparentsgiveinwhenheholdshisbreathtopreventanoxia
C) Advisetheparentstoignorebreathholdingbecausebreathingwillbeginasareflex
D) InstructtheparentsonhowtoreasonwiththechildaboutpossibleharmfuleffectsThecorrect
banswerisC:Advisetheparentstoignorebreathholdingbecausebreathingwillbeginasareflex


4. Thenurseisassessingaclientintheemergencyroom.Whichstatementsuggeststhattheprobl
bemisacuteangina?
A) "Mypainisdeepinmychestbehindmysternum."
B) "WhenIsitupthepaingetsworse."
C) "AsItakeadeepbreaththepaingetsworse."
D) "Thepainisrighthereinmystomacharea."
bThecorrectanswerisA:"Mypainisdeepinmychestbehindmysternum.
"
.

5. Thenurseisassessingthementalstatusofaclientadmittedwithpossibleorganicbraindisorder.
bWhichofthesequestionswillbestassessthefunctionoftheclient'srecent

,memory?
A) "Nametheyear.""Whatseasonisthis?"(pauseforansweraftereachquestion)
B) "Subtract7from100andthensubtract7fromthat."(pauseforanswer)"Nowcontinuet
bosubtract7from bthenewnumber."
C) "IamgoingtosaythenamesofthreethingsandIwantyoutorepeatthemafterme:blue,ball,pe
bn."
D) "Whatisthisonmywrist?"(pointtoyourwatch)Thenask,"Whatisthepurposeofit?"
bThecorrectanswerisC:"IamgoingtosaythenamesofthreethingsandIwantyoutorepeatthem
bafterme:blue,ball,pen."


6. Inplanningcarefora6month-
boldinfant,whatmustthenurseprovidetoassistinthedevelopmentoftrust?
A) Food
B) Warmth
C) Security
D) Comfort
bThecorrectanswerisC:Securit
y


7. Anursehasjustreceivedamedicationorderwhichisnotlegible.Whichstatementbestreflectsas
bsertivecommunication?
A) "Icannotgivethismedicationasitiswritten.Ihavenoideaofwhatyoumean."
B) "WouldyoupleaseclarifywhatyouhavewrittensoIamsureIamreadingitcorrectly?
b"
C) "Iamhavingdifficultyreadingyourhandwriting.Itwouldsavemetimeifyouwouldbemoreca
breful."
D) "PleaseprintinthefuturesoIdonothavetospendextratimeattemptingtoreadyourwriting."
bThecorrectanswerisB)"WouldyoupleaseclarifywhatyouhavewrittensoIamsureIam
breadingitcorrectly?"

8. Whatisthemostimportantconsiderationwhenteachingparentshowtoreducerisksinthehome
?
A) Ageandknowledgeleveloftheparents
B) Proximitytoemergencyservices
C) Numberofchildreninthehome
D) Ageofchildreninthehome
bThecorrectanswerisD:Ageofchildreninthehom
e

,9. A35year-
boldclientwithsicklecellcrisisistalkingonthetelephonebutstopsasthenurseenterstheroomtor
bequestsomethingforpain.Thenurseshould
A) Administeraplacebo
B) Encourageincreasedfluidintake
C) Administertheprescribedanalgesia
D) Recommendrelaxationexercisesforpaincontrol
bThecorrectanswerisC:Administertheprescribedanalgesi
a


10. Whilecaringforatoddlerwithcroup,whichinitialsignofcrouprequiresthenurse'simmediat
beattention?
A) Respiratoryrateof42
B) Lethargyforthepasthour
C) Apicalpulseof54
D) Coughingupcopioussecretions
bThecorrectanswerisA:Respiratoryrateof3
0


11. AclientisadmittedwithlowT3andT4levelsandanelevatedTSHlevel.Oninitialassessmen
bt,thenursewouldanticipatewhichofthefollowingassessmentfindings?
A) Lethargy
B) Heatintolerance
C) Diarrhea
D) Skineruptions
bThecorrectanswerisA:Letharg
y


12. Theemergencyroomnurseadmitsachildwhoexperiencedaseizureatschool.Thefatherco
bmmentsthatthisisthefirstoccurrence,anddeniesanyfamilyhistoryofepilepsy.Whatisthebest
bresponsebythenurse?
A) "Donotworry.Epilepsycanbetreatedwithmedications."
B) "Theseizuremayormaynotmeanyourchildhasepilepsy."
C) "Sincethiswasthefirstconvulsion,itmaynothappenagain."
D) "Longtermtreatmentwillpreventfutureseizures."
bThecorrectanswerisB:"Theseizuremayormaynotmeanyourchildhasepilepsy."


13. Alcoholanddrugabuseimpairsjudgmentandincreasesrisktakingbehavior.Whatnursing
bdiagnosisbestapplies?
A) Riskforinjury
B) Riskforknowledgedeficit

, C) Alteredthoughtprocess
D) Disturbanceinself-esteem
bThecorrectanswerisA:Riskforinjur
y


14. Thenurseiscaringfora10month-
boldinfantwhoishasoxygenviamask.Itisimportantforthenursetomaintainpatencyofwhi
bchoftheseareas?
A) Mouth
B) Nasalpassages
C) Backofthroat
D) Bronchials
bThecorrectanswerisB:Nasalpassage
s


15. Thenurseisprovidinginstructionsforaclientwithpneumonia.Whatisthemostimportan
btinformationtoconvey btotheclient?
A) "Take batleast2weeksofffrom bwork."
B) "You b willneedanotherchestx-rayin6weeks."
C) "Takeyourtemperatureevery bday."
D) "Completealloftheantibioticevenifyourfindingsdecrease."
bThecorrectanswerisD:"Completealloftheantibioticevenifyourfindingsdecrease."

16. Whencounselinga6yearoldwhoisexperiencingenuresis,whatmustthenurseundersta
bndaboutthepathophysiologicalbasisofthisdisorder?
A) Hasnoclearetiology
B) Maybeassociatedwithsleepphobia
C) Hasadefinitegeneticlink
D) Isasignofwillfulmisbehavior
bThecorrectanswerisA:Hasnoclearetiolog
y


17. Thenurseisdiscussingnegativismwiththeparentsofa30month-
boldchild.Howshouldthenursetelltheparentstobestrespondtothis
bbehavior?
A) Reprimandthechildandgivea15minute"timeout"
B) Maintainapermissiveattitudeforthisbehavior
C) Usepatienceandasenseofhumortodealwiththisbehavior
D) Assertauthorityoverthechildthroughlimitsetting
bThecorrectanswerisC:Usepatienceandasenseofhumortodealwiththisbehavior

18. Thenurseistalkingbytelephonewithaparentofa4year-
boldchildwhohaschickenpox.Whichofthefollowingdemonstratesappropriateteachingbyt
bhenurse?
A) Chewableaspirinisthepreferredanalgesic