HESI RN EXIT EXAM
1. 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?
I understand I will be in a body cast and I will show you how you taught me to turn
2. To take the vital signs of a 4-month-old child which order will give the most
accurate results?
Respiratory rate, heart rate, rectal temperature
3. AN otoscope exam of a child's ear reveals a tympanic membrane that is pearly
gray, slightly bulging and not movable. What action should the nurse take next?
Ask the child if he has a cold, runny nose or any ear pain lately
4. Which restraint should be used for a toddler after a cleft palate repair?
elbow
5. What preoperative nursing intervention should be included in the plan of
care for an infant with pyloric stenosis?
Observe for projectile vomiting
6. A six-month-old returns from surgery with elbow restraints in place. What
nursing intervention should be included when caring for any restrained child?
remove restraints one at a time and provide range of motion exercise
7. A two-year-old with Down Syndrome is brought to the clinic for his regular
physical exam. The nurse knows which problem is frequently associated with
Down Syndrome?
Congenital Heart Disease
8. When assessing a child with asthma the nurse should expect intercostal
retractions during
inspiration
, 9. When planning the care for a child who has had a cleft lip repair, the nurse
knows that crying should be minimized because it
stresses the suture line
10. A client with a productive cough has obtained a sputum specimen for culture
as instructed. What action is the best initial nursing action?
Administer the first dose of prescribed antibiotic therapy
11. 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 the client is cyanotic, cold, and diaphoretic.
Which assessment is most important to obtain?
deep tendon reflexes
12. After a hospitalization for Syndrome of Inappropriate Antidiuretic
Hormone (SIADH), a client develops pontine myelinolysis. Which intervention
should the nurse implement first?
Reorientate client to his room
13. 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?
Has his weight changed in the last several days
14. 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 should the nurse implement?
Apply a high flow venturi mask
15. A client with a hx of asthma and bronchitis arrives at the clinic with SOB,
productive cough with thickened tenacious mucous and the inability to walk up
a flight of stairs without experiencing breathlessness. Which action is important
for the nurse to instruct the client about self-care?
Increase the daily intake of oral fluids to liquefy secretions
1. 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?
I understand I will be in a body cast and I will show you how you taught me to turn
2. To take the vital signs of a 4-month-old child which order will give the most
accurate results?
Respiratory rate, heart rate, rectal temperature
3. AN otoscope exam of a child's ear reveals a tympanic membrane that is pearly
gray, slightly bulging and not movable. What action should the nurse take next?
Ask the child if he has a cold, runny nose or any ear pain lately
4. Which restraint should be used for a toddler after a cleft palate repair?
elbow
5. What preoperative nursing intervention should be included in the plan of
care for an infant with pyloric stenosis?
Observe for projectile vomiting
6. A six-month-old returns from surgery with elbow restraints in place. What
nursing intervention should be included when caring for any restrained child?
remove restraints one at a time and provide range of motion exercise
7. A two-year-old with Down Syndrome is brought to the clinic for his regular
physical exam. The nurse knows which problem is frequently associated with
Down Syndrome?
Congenital Heart Disease
8. When assessing a child with asthma the nurse should expect intercostal
retractions during
inspiration
, 9. When planning the care for a child who has had a cleft lip repair, the nurse
knows that crying should be minimized because it
stresses the suture line
10. A client with a productive cough has obtained a sputum specimen for culture
as instructed. What action is the best initial nursing action?
Administer the first dose of prescribed antibiotic therapy
11. 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 the client is cyanotic, cold, and diaphoretic.
Which assessment is most important to obtain?
deep tendon reflexes
12. After a hospitalization for Syndrome of Inappropriate Antidiuretic
Hormone (SIADH), a client develops pontine myelinolysis. Which intervention
should the nurse implement first?
Reorientate client to his room
13. 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?
Has his weight changed in the last several days
14. 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 should the nurse implement?
Apply a high flow venturi mask
15. A client with a hx of asthma and bronchitis arrives at the clinic with SOB,
productive cough with thickened tenacious mucous and the inability to walk up
a flight of stairs without experiencing breathlessness. Which action is important
for the nurse to instruct the client about self-care?
Increase the daily intake of oral fluids to liquefy secretions
