HESI Exit RN V4 Exam 2026 | Latest Exam
Questions And Verified Answers
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Terms in this set (160)
1. The nurse is caring for a pre- A: Make certain the child is maintained in correct
adolescent client in skeletal Dunlop body alignment.
traction. Which nursing intervention
is appropriate for this child?
A) Make certain the child is
maintained in correct body
alignment.
B) Be sure the traction weights touch
the end of the bed.
C) Adjust the head and foot of the
bed for the child's comfort
D) Release the traction for 15-20
minutes every 6 hours PRN.
,2. The nurse is assessing a healthy A: Height and weight percentiles vary widely
child at the 2 year check up. Which of
the following should the nurse
report immediately to the health care
provider?
A) Height and weight percentiles
vary widely
B) Growth pattern appears to have
slowed
C) Recumbent and standing height
are different
D) Short term weight changes are
uneven
3. The parents of a 2 year-old child C: Advise the parents to ignore breath holding
report that he has been holding his because breathing will begin as a reflex
breath whenever he has temper
tantrums. What is the best action by
the nurse?
A) Teach the parents how to perform
cardiopulmonary resuscitation
B) Recommend that the parents give
in when he holds his breath to
prevent anoxia
C) Advise the parents to ignore
breath holding because breathing
will begin as a reflex
D) Instruct the parents on how to
reason with the child about possible
harmful effects
,4. The nurse is assessing a client in A: "My pain is deep in my chest behind my
the emergency room. Which sternum."
statement suggests that the problem
is acute angina?
A) "My pain is deep in my chest
behind my sternum."
B) "When I sit up the pain gets
worse."
C) "As I take a deep breath the pain
gets worse."
D) "The pain is right here in my
stomach area."
5. The nurse is assessing the mental C: "I am going to say the names of three things and
status of a client admitted with I want you to repeat them after me: blue, ball, pen."
possible organic brain disorder.
Which of these questions will best
assess the function of the client's
recent memory?
A) "Name the year." "What season is
this?" (pause for answer after each
question)
B) "Subtract 7 from 100 and then
subtract 7 from that." (pause for
answer) "Now continue to subtract 7
from the new number."
C) "I am going to say the names of
three things and I want you to repeat
them after me: blue, ball, pen."
D) "What is this on my wrist?" (point
to your watch) Then ask, "What is the
purpose of it?"
, 6. In planning care for a 6 month-old C: Security
infant, what must the nurse provide
to assist in the development of trust?
A) Food
B) Warmth
C) Security
D) Comfort
7. A nurse has just received a B) "Would you please clarify what you have written
medication order which is not so I am sure I am reading it correctly?"
legible. Which statement best
reflects assertive communication?
A) "I cannot give this medication as it
is written. I have no idea of what you
mean."
B) "Would you please clarify what
you have written so I am sure I am
reading it correctly?"
C) "I am having difficulty reading
your handwriting. It would save me
time if you would be more careful."
D) "Please print in the future so I do
not have to spend extra time
attempting to read your writing."
Questions And Verified Answers
Save
Terms in this set (160)
1. The nurse is caring for a pre- A: Make certain the child is maintained in correct
adolescent client in skeletal Dunlop body alignment.
traction. Which nursing intervention
is appropriate for this child?
A) Make certain the child is
maintained in correct body
alignment.
B) Be sure the traction weights touch
the end of the bed.
C) Adjust the head and foot of the
bed for the child's comfort
D) Release the traction for 15-20
minutes every 6 hours PRN.
,2. The nurse is assessing a healthy A: Height and weight percentiles vary widely
child at the 2 year check up. Which of
the following should the nurse
report immediately to the health care
provider?
A) Height and weight percentiles
vary widely
B) Growth pattern appears to have
slowed
C) Recumbent and standing height
are different
D) Short term weight changes are
uneven
3. The parents of a 2 year-old child C: Advise the parents to ignore breath holding
report that he has been holding his because breathing will begin as a reflex
breath whenever he has temper
tantrums. What is the best action by
the nurse?
A) Teach the parents how to perform
cardiopulmonary resuscitation
B) Recommend that the parents give
in when he holds his breath to
prevent anoxia
C) Advise the parents to ignore
breath holding because breathing
will begin as a reflex
D) Instruct the parents on how to
reason with the child about possible
harmful effects
,4. The nurse is assessing a client in A: "My pain is deep in my chest behind my
the emergency room. Which sternum."
statement suggests that the problem
is acute angina?
A) "My pain is deep in my chest
behind my sternum."
B) "When I sit up the pain gets
worse."
C) "As I take a deep breath the pain
gets worse."
D) "The pain is right here in my
stomach area."
5. The nurse is assessing the mental C: "I am going to say the names of three things and
status of a client admitted with I want you to repeat them after me: blue, ball, pen."
possible organic brain disorder.
Which of these questions will best
assess the function of the client's
recent memory?
A) "Name the year." "What season is
this?" (pause for answer after each
question)
B) "Subtract 7 from 100 and then
subtract 7 from that." (pause for
answer) "Now continue to subtract 7
from the new number."
C) "I am going to say the names of
three things and I want you to repeat
them after me: blue, ball, pen."
D) "What is this on my wrist?" (point
to your watch) Then ask, "What is the
purpose of it?"
, 6. In planning care for a 6 month-old C: Security
infant, what must the nurse provide
to assist in the development of trust?
A) Food
B) Warmth
C) Security
D) Comfort
7. A nurse has just received a B) "Would you please clarify what you have written
medication order which is not so I am sure I am reading it correctly?"
legible. Which statement best
reflects assertive communication?
A) "I cannot give this medication as it
is written. I have no idea of what you
mean."
B) "Would you please clarify what
you have written so I am sure I am
reading it correctly?"
C) "I am having difficulty reading
your handwriting. It would save me
time if you would be more careful."
D) "Please print in the future so I do
not have to spend extra time
attempting to read your writing."
