HESI PEDIATRIC RN EXIT EXAM VERSION 2 COMPREHENSIVE EXAM SCRIPT 2026 SOLVED QUESTIONS FULL SOLUTION

HESI PEDIATRIC RN EXIT EXAM VERSION 2
COMPREHENSIVE EXAM SCRIPT 2026 SOLVED
QUESTIONS FULL SOLUTION

◉ The nurse is counting a client's respiratory rate. During a 30-
second interval, the nurse counts six respirations and the client
coughs three times. In repeating the count for a second 30-second
interval, the nurse counts eight respirations. Which respiratory rate
will the nurse document?
A. 15
B. 16
C. 17
D. 28 Answer: B
Rationale: The most accurate respiratory rate is the second count
obtained by the nurse, which was not interrupted by coughing.
Because it was counted for 30 seconds, the rate should be doubled.
Options A, C, and D are inaccurate recordings.


◉ The nurse is preparing to administer a bolus tube feeding. What
steps must the nurse include prior to administering the feeding?
(Select all that apply.)
A.
Aspirate the stomach contents.

,B.
Assess bowel sounds.
C.
Position the client in semi-Fowler's position.
D.
Irrigate the lumen after the contents are replaced.
E.
Warm the feeding to room temperature.
F.
Assess the pH of the stomach contents. Answer: A, B, E, F
Rationale: The client needs to be in high Fowler's position to
decrease the risk of aspiration. Irrigation of the lumen is only
necessary if there is an obstruction. The contents were replaced, so
there is no suspicion of obstruction. The remaining steps are correct.


◉ Ten minutes after signing an operative permit for a fractured hip,
an older client states, "The aliens will be coming to get me soon!"
and falls asleep. Which action should the nurse take next?
A.
Make the client comfortable and allow the client to sleep.
B.
Assess the client's neurologic status.
C.

,Notify the surgeon about the comment.
D.
Ask the client's family to co-sign the operative permit. Answer: B
Rationale: This statement may indicate that the client is confused.
Informed consent must be provided by a mentally competent
individual, so the nurse should further assess the client's neurologic
status to be sure that the client understands and can legally provide
consent for surgery. Option A does not provide sufficient follow-up.
If the nurse determines that the client is confused, the surgeon must
be notified and permission obtained from the next of kin.


◉ When turning an immobile bedridden client without assistance,
which action by the nurse best ensures client safety?
A.
Securely grasp the client's arm and leg.
B.
Put bed rails up on the side of bed opposite from the nurse.
C.
Correctly position and use a turn sheet.
D.
Lower the head of the client's bed slowly. Answer: B
Rationale: Because the nurse can only stand on one side of the bed,
bed rails should be up on the opposite side to ensure that the client
does not fall out of bed. Option A can cause client injury to the skin

, or joint. Options C and D are useful techniques while turning a client
but have less priority in terms of safety than use of the bed rails.


◉ A community hospital is opening a mental health services
department. Which document should the nurse use to develop the
unit's nursing guidelines?
A.
Americans with Disabilities Act of 1990
B.
ANA Code of Ethics with Interpretative Statements
C.
ANA's Scope and Standards of Nursing Practice
D.
Patient's Bill of Rights of 1990 Answer: C
Rationale: The ANA Scope of Standards of Practice for Psychiatric-
Mental Health Nursing serves to direct the philosophy and standards
of psychiatric nursing practice. Options A and D define the client's
rights. Option B provides ethical guidelines for nursing.


◉ The nurse is preparing to initiate parenteral nutrition (PN) for a
client. What actions will the nurse consider when administering PN?
(Select all that apply.)
A.
Remove the PN from the refrigerator 30 minutes before infusing.