HESI RN EXIT EXAM LEGACY V1
QUESTIONS&ANSWERS
LATEST EXAMS 2026-2027
1. Thenurseiscaringforapre-
adolescentclientinskeletalDunloptraction.Whichnursinginterventionisappropriatefort
hischild?
A) Makecertainthechildismaintainedincorrectbodyalignment.
B) Besurethetractionweightstouchtheendofthebed.
C) Adjusttheheadandfootofthebedforthechild'scomfort
D) Releasethetractionfor15-20minutesevery6hoursPRN.
ThecorrectanswerisA:Makecertainthechildismaintainedincorrectbodyalignment.
2. Thenurseisassessingahealthychildatthe2yearcheckup.Whichofthefollowingshouldthen
ursereportimmediatelytothehealthcareprovider?
A) Heightandweightpercentilesvarywidely
B) Growthpatternappearstohaveslowed
C) Recumbentandstandingheightaredifferent
D) Shorttermweightchangesareuneven
ThecorrectanswerisA:Heightandweightpercentilesvarywidely
3. Theparentsofa2year-
oldchildreportthathehasbeenholdinghisbreathwheneverhehastempertantrums.
Whatisthebestactionbythenurse?
A) Teachtheparentshowtoperformcardiopulmonaryresuscitation
B) Recommendthattheparentsgiveinwhenheholdshisbreathtopreventanoxia
C) Advisetheparentstoignorebreathholdingbecausebreathingwillbeginasareflex
D) InstructtheparentsonhowtoreasonwiththechildaboutpossibleharmfuleffectsThecorrect
answerisC:Advisetheparentstoignorebreathholdingbecausebreathingwillbeginasareflex
4. Thenurseisassessingaclientintheemergencyroom.Whichstatementsuggeststhattheprobl
emisacuteangina?
A) "Mypainisdeepinmychestbehindmysternum."
B) "WhenIsitupthepaingetsworse."
C) "AsItakeadeepbreaththepaingetsworse."
D) "Thepainisrighthereinmystomacharea."
ThecorrectanswerisA:"Mypainisdeepinmychestbehindmysternum."
.
5. Thenurseisassessingthementalstatusofaclientadmittedwithpossibleorganicbraindisorder.
Whichofthesequestionswillbestassessthefunctionoftheclient'srecent
,memory?
A) "Nametheyear.""Whatseasonisthis?"(pauseforansweraftereachquestion)
B) "Subtract7from100andthensubtract7fromthat."(pauseforanswer)"Nowcontinuet
osubtract7from thenewnumber."
C) "IamgoingtosaythenamesofthreethingsandIwantyoutorepeatthemafterme:blue,ball,pe
n."
D) "Whatisthisonmywrist?"(pointtoyourwatch)Thenask,"Whatisthepurposeofit?"
ThecorrectanswerisC:"IamgoingtosaythenamesofthreethingsandIwantyoutorepeatthem
afterme:blue,ball,pen."
6. Inplanningcarefora6month-
oldinfant,whatmustthenurseprovidetoassistinthedevelopmentoftrust?
A) Food
B) Warmth
C) Security
D) Comfort
ThecorrectanswerisC:Security
7. Anursehasjustreceivedamedicationorderwhichisnotlegible.Whichstatementbestreflectsas
sertivecommunication?
A) "Icannotgivethismedicationasitiswritten.Ihavenoideaofwhatyoumean."
B) "WouldyoupleaseclarifywhatyouhavewrittensoIamsureIamreadingitcorrectly?
"
C) "Iamhavingdifficultyreadingyourhandwriting.Itwouldsavemetimeifyouwouldbemoreca
reful."
D) "PleaseprintinthefuturesoIdonothavetospendextratimeattemptingtoreadyourwriting."
ThecorrectanswerisB)"WouldyoupleaseclarifywhatyouhavewrittensoIamsureIam
readingitcorrectly?"
8. Whatisthemostimportantconsiderationwhenteachingparentshowtoreducerisksinthehome
?
A) Ageandknowledgeleveloftheparents
B) Proximitytoemergencyservices
C) Numberofchildreninthehome
D) Ageofchildreninthehome
ThecorrectanswerisD:Ageofchildreninthehome
,9. A35year-
oldclientwithsicklecellcrisisistalkingonthetelephonebutstopsasthenurseenterstheroomtor
equestsomethingforpain.Thenurseshould
A) Administeraplacebo
B) Encourageincreasedfluidintake
C) Administertheprescribedanalgesia
D) Recommendrelaxationexercisesforpaincontrol
ThecorrectanswerisC:Administertheprescribedanalgesia
10. Whilecaringforatoddlerwithcroup,whichinitialsignofcrouprequiresthenurse'simmediat
eattention?
A) Respiratoryrateof42
B) Lethargyforthepasthour
C) Apicalpulseof54
D) Coughingupcopioussecretions
ThecorrectanswerisA:Respiratoryrateof30
11. AclientisadmittedwithlowT3andT4levelsandanelevatedTSHlevel.Oninitialassessmen
t,thenursewouldanticipatewhichofthefollowingassessmentfindings?
A) Lethargy
B) Heatintolerance
C) Diarrhea
D) Skineruptions
ThecorrectanswerisA:Lethargy
12. Theemergencyroomnurseadmitsachildwhoexperiencedaseizureatschool.Thefatherco
mmentsthatthisisthefirstoccurrence,anddeniesanyfamilyhistoryofepilepsy.Whatisthebest
responsebythenurse?
A) "Donotworry.Epilepsycanbetreatedwithmedications."
B) "Theseizuremayormaynotmeanyourchildhasepilepsy."
C) "Sincethiswasthefirstconvulsion,itmaynothappenagain."
D) "Longtermtreatmentwillpreventfutureseizures."
ThecorrectanswerisB:"Theseizuremayormaynotmeanyourchildhasepilepsy."
13. Alcoholanddrugabuseimpairsjudgmentandincreasesrisktakingbehavior.Whatnursing
diagnosisbestapplies?
A) Riskforinjury
B) Riskforknowledgedeficit
, C) Alteredthoughtprocess
D) Disturbanceinself-esteem
ThecorrectanswerisA:Riskforinjury
14. Thenurseiscaringfora10month-
oldinfantwhoishasoxygenviamask.Itisimportantforthenursetomaintainpatencyofwhi
choftheseareas?
A) Mouth
B) Nasalpassages
C) Backofthroat
D) Bronchials
ThecorrectanswerisB:Nasalpassages
15. Thenurseisprovidinginstructionsforaclientwithpneumonia.Whatisthemostimportan
tinformationtoconvey totheclient?
A) "Take atleast2weeksofffrom work."
B) "You willneedanotherchestx-rayin6weeks."
C) "Takeyourtemperatureevery day."
D) "Completealloftheantibioticevenifyourfindingsdecrease."
ThecorrectanswerisD:"Completealloftheantibioticevenifyourfindingsdecrease."
16. Whencounselinga6yearoldwhoisexperiencingenuresis,whatmustthenurseundersta
ndaboutthepathophysiologicalbasisofthisdisorder?
A) Hasnoclearetiology
B) Maybeassociatedwithsleepphobia
C) Hasadefinitegeneticlink
D) Isasignofwillfulmisbehavior
ThecorrectanswerisA:Hasnoclearetiology
17. Thenurseisdiscussingnegativismwiththeparentsofa30month-
oldchild.Howshouldthenursetelltheparentstobestrespondtothis behavior?
A) Reprimandthechildandgivea15minute"timeout"
B) Maintainapermissiveattitudeforthisbehavior
C) Usepatienceandasenseofhumortodealwiththisbehavior
D) Assertauthorityoverthechildthroughlimitsetting
ThecorrectanswerisC:Usepatienceandasenseofhumortodealwiththisbehavior
18. Thenurseistalkingbytelephonewithaparentofa4year-
oldchildwhohaschickenpox.Whichofthefollowingdemonstratesappropriateteachingbyt
henurse?
A) Chewableaspirinisthepreferredanalgesic
QUESTIONS&ANSWERS
LATEST EXAMS 2026-2027
1. Thenurseiscaringforapre-
adolescentclientinskeletalDunloptraction.Whichnursinginterventionisappropriatefort
hischild?
A) Makecertainthechildismaintainedincorrectbodyalignment.
B) Besurethetractionweightstouchtheendofthebed.
C) Adjusttheheadandfootofthebedforthechild'scomfort
D) Releasethetractionfor15-20minutesevery6hoursPRN.
ThecorrectanswerisA:Makecertainthechildismaintainedincorrectbodyalignment.
2. Thenurseisassessingahealthychildatthe2yearcheckup.Whichofthefollowingshouldthen
ursereportimmediatelytothehealthcareprovider?
A) Heightandweightpercentilesvarywidely
B) Growthpatternappearstohaveslowed
C) Recumbentandstandingheightaredifferent
D) Shorttermweightchangesareuneven
ThecorrectanswerisA:Heightandweightpercentilesvarywidely
3. Theparentsofa2year-
oldchildreportthathehasbeenholdinghisbreathwheneverhehastempertantrums.
Whatisthebestactionbythenurse?
A) Teachtheparentshowtoperformcardiopulmonaryresuscitation
B) Recommendthattheparentsgiveinwhenheholdshisbreathtopreventanoxia
C) Advisetheparentstoignorebreathholdingbecausebreathingwillbeginasareflex
D) InstructtheparentsonhowtoreasonwiththechildaboutpossibleharmfuleffectsThecorrect
answerisC:Advisetheparentstoignorebreathholdingbecausebreathingwillbeginasareflex
4. Thenurseisassessingaclientintheemergencyroom.Whichstatementsuggeststhattheprobl
emisacuteangina?
A) "Mypainisdeepinmychestbehindmysternum."
B) "WhenIsitupthepaingetsworse."
C) "AsItakeadeepbreaththepaingetsworse."
D) "Thepainisrighthereinmystomacharea."
ThecorrectanswerisA:"Mypainisdeepinmychestbehindmysternum."
.
5. Thenurseisassessingthementalstatusofaclientadmittedwithpossibleorganicbraindisorder.
Whichofthesequestionswillbestassessthefunctionoftheclient'srecent
,memory?
A) "Nametheyear.""Whatseasonisthis?"(pauseforansweraftereachquestion)
B) "Subtract7from100andthensubtract7fromthat."(pauseforanswer)"Nowcontinuet
osubtract7from thenewnumber."
C) "IamgoingtosaythenamesofthreethingsandIwantyoutorepeatthemafterme:blue,ball,pe
n."
D) "Whatisthisonmywrist?"(pointtoyourwatch)Thenask,"Whatisthepurposeofit?"
ThecorrectanswerisC:"IamgoingtosaythenamesofthreethingsandIwantyoutorepeatthem
afterme:blue,ball,pen."
6. Inplanningcarefora6month-
oldinfant,whatmustthenurseprovidetoassistinthedevelopmentoftrust?
A) Food
B) Warmth
C) Security
D) Comfort
ThecorrectanswerisC:Security
7. Anursehasjustreceivedamedicationorderwhichisnotlegible.Whichstatementbestreflectsas
sertivecommunication?
A) "Icannotgivethismedicationasitiswritten.Ihavenoideaofwhatyoumean."
B) "WouldyoupleaseclarifywhatyouhavewrittensoIamsureIamreadingitcorrectly?
"
C) "Iamhavingdifficultyreadingyourhandwriting.Itwouldsavemetimeifyouwouldbemoreca
reful."
D) "PleaseprintinthefuturesoIdonothavetospendextratimeattemptingtoreadyourwriting."
ThecorrectanswerisB)"WouldyoupleaseclarifywhatyouhavewrittensoIamsureIam
readingitcorrectly?"
8. Whatisthemostimportantconsiderationwhenteachingparentshowtoreducerisksinthehome
?
A) Ageandknowledgeleveloftheparents
B) Proximitytoemergencyservices
C) Numberofchildreninthehome
D) Ageofchildreninthehome
ThecorrectanswerisD:Ageofchildreninthehome
,9. A35year-
oldclientwithsicklecellcrisisistalkingonthetelephonebutstopsasthenurseenterstheroomtor
equestsomethingforpain.Thenurseshould
A) Administeraplacebo
B) Encourageincreasedfluidintake
C) Administertheprescribedanalgesia
D) Recommendrelaxationexercisesforpaincontrol
ThecorrectanswerisC:Administertheprescribedanalgesia
10. Whilecaringforatoddlerwithcroup,whichinitialsignofcrouprequiresthenurse'simmediat
eattention?
A) Respiratoryrateof42
B) Lethargyforthepasthour
C) Apicalpulseof54
D) Coughingupcopioussecretions
ThecorrectanswerisA:Respiratoryrateof30
11. AclientisadmittedwithlowT3andT4levelsandanelevatedTSHlevel.Oninitialassessmen
t,thenursewouldanticipatewhichofthefollowingassessmentfindings?
A) Lethargy
B) Heatintolerance
C) Diarrhea
D) Skineruptions
ThecorrectanswerisA:Lethargy
12. Theemergencyroomnurseadmitsachildwhoexperiencedaseizureatschool.Thefatherco
mmentsthatthisisthefirstoccurrence,anddeniesanyfamilyhistoryofepilepsy.Whatisthebest
responsebythenurse?
A) "Donotworry.Epilepsycanbetreatedwithmedications."
B) "Theseizuremayormaynotmeanyourchildhasepilepsy."
C) "Sincethiswasthefirstconvulsion,itmaynothappenagain."
D) "Longtermtreatmentwillpreventfutureseizures."
ThecorrectanswerisB:"Theseizuremayormaynotmeanyourchildhasepilepsy."
13. Alcoholanddrugabuseimpairsjudgmentandincreasesrisktakingbehavior.Whatnursing
diagnosisbestapplies?
A) Riskforinjury
B) Riskforknowledgedeficit
, C) Alteredthoughtprocess
D) Disturbanceinself-esteem
ThecorrectanswerisA:Riskforinjury
14. Thenurseiscaringfora10month-
oldinfantwhoishasoxygenviamask.Itisimportantforthenursetomaintainpatencyofwhi
choftheseareas?
A) Mouth
B) Nasalpassages
C) Backofthroat
D) Bronchials
ThecorrectanswerisB:Nasalpassages
15. Thenurseisprovidinginstructionsforaclientwithpneumonia.Whatisthemostimportan
tinformationtoconvey totheclient?
A) "Take atleast2weeksofffrom work."
B) "You willneedanotherchestx-rayin6weeks."
C) "Takeyourtemperatureevery day."
D) "Completealloftheantibioticevenifyourfindingsdecrease."
ThecorrectanswerisD:"Completealloftheantibioticevenifyourfindingsdecrease."
16. Whencounselinga6yearoldwhoisexperiencingenuresis,whatmustthenurseundersta
ndaboutthepathophysiologicalbasisofthisdisorder?
A) Hasnoclearetiology
B) Maybeassociatedwithsleepphobia
C) Hasadefinitegeneticlink
D) Isasignofwillfulmisbehavior
ThecorrectanswerisA:Hasnoclearetiology
17. Thenurseisdiscussingnegativismwiththeparentsofa30month-
oldchild.Howshouldthenursetelltheparentstobestrespondtothis behavior?
A) Reprimandthechildandgivea15minute"timeout"
B) Maintainapermissiveattitudeforthisbehavior
C) Usepatienceandasenseofhumortodealwiththisbehavior
D) Assertauthorityoverthechildthroughlimitsetting
ThecorrectanswerisC:Usepatienceandasenseofhumortodealwiththisbehavior
18. Thenurseistalkingbytelephonewithaparentofa4year-
oldchildwhohaschickenpox.Whichofthefollowingdemonstratesappropriateteachingbyt
henurse?
A) Chewableaspirinisthepreferredanalgesic
