ANSWERS)
HESI RN EXIT EXAM
1. Ino.planningo.careo.foro.ao.6o.month-
oldo.infant,o.whato.musto.theo.nurseo.provideo.too.assisto.ino.theo.developmento.ofo.trust?o.-
o.✔✔ANSo.C)o.Security
2. Ao.nurseo.haso.justo.receivedo.ao.medicationo.ordero.whicho.iso.noto.legible.o.Whicho.statemento
.besto.reflects o.assertiveo.communication?o.-
o.✔✔ANSo.B)o."Wouldo.youo.pleaseo.clarifyo.whato.youo.haveo.written o.soo.Io.amo.sureo.Io.amo.readin
go.ito.correctly?"
3. Whato.iso.theo.mosto.importanto.considerationo.wheno.teachingo.parentso.howo.too.reduceo.risk
so.ino.theo.home?o.-o.✔✔ANSo.D)o.Ageo.ofo.childreno.ino.theo.home
4. Ao.35o.year-
oldo.cliento.witho.sickleo.cello.crisiso.iso.talkingo.ono.theo.telephoneo.buto.stopso.aso.theo.nurseo.ent
erso.theo.roomo.too.requesto.somethingo.foro.pain.o.Theo.nurseo.shouldo.-
o.✔✔ANSo.C)o.Administero.theo.prescribedo.analgesia
5. Whileo.caringo.foro.ao.toddlero.witho.croup,o.whicho.initialo.signo.ofo.croupo.requireso.theo.nurse
'so.immediateo.attention?o.-o.✔✔ANSo.A)o.Respiratoryo.rateo.ofo.42
6. Ao.cliento.iso.admittedo.witho.lowo.T3o.ando.T4o.levelso.ando.ano.elevatedo.TSHo.level.o.Ono.initi
alo.assessment,o.theo.nurseo.wouldo.anticipateo.whicho.ofo.theo.followingo.assessmento.finding
s?o.-
✔✔ANSo.A)o.Lethargy
7. Theo.emergencyo.roomo.nurseo.admitso.ao.childo.whoo.experiencedo.ao.seizureo.ato.school.o.Th
eo.fathero.commentso.thato.thiso.iso.theo.firsto.occurrence,o.ando.denieso.anyo.familyo.historyo.of
,epilepsy.o.Whato.iso.theo.besto.responseo.byo.theo.nurse?o.-
o.✔✔ANSo.B)o."Theo.seizureo.mayo.oro.mayo.noto.meano.youro.childo.haso.epilepsy."
8. Alcoholo.ando.drugo.abuseo.impairso.judgmento.ando.increaseso.risko.takingo.behavior.o.Wha
to.nursingo.diagnosiso.besto.applies?o.-o.✔✔ANSo.A)o.Risko.foro.injury
9. Whicho.theseo.findingso.wouldo.theo.nurseo.moreo.closelyo.associateo.witho.anemiao.ino.ao.1
0o.month-oldo.infant?o.-o.✔✔ANSo.B)o.Paleo.mucosao.ofo.theo.eyelidso.ando.lips
10. Theo.nurseo.iso.caringo.foro.ao.cliento.ino.hypertensiveo.crisiso.ino.ano.intensiveo.careo.unit.o.Th
eo.priorityo.assessmento.ino.theo.firsto.houro.ofo.careo.iso.-o.✔✔ANSo.D)o.Pupilo.responses
11. Whicho.ofo.theseo.clientso.whoo.areo.allo.ino.theo.terminalo.stageo.ofo.cancero.iso.leasto.appropria
teo.too.suggesto.theo.useo.ofo.patiento.controlledo.analgesiao.(PCA)o.witho.ao.pump?o.-
o.✔✔ANSo.D)o.Ao.preschooler o.witho.intermittento.episodeso.ofo.alertness
12. Theo.nurseo.iso.abouto.too.assesso.ao.6o.month-oldo.childo.witho.nonorganico.failure-too.thrive
(NOFTT).o.Upono.enteringo.theo.room,o.theo.nurseo.wouldo.expecto.theo.babyo.too.beo.-
o.✔✔ANSo.D)o.Pale,o.thino.armso.ando.legs,o.uninterestedo.ino.surroundings
13. Aso.theo.nurseo.iso.speakingo.witho.ao.groupo.ofo.teenso.whicho.ofo.theseo.sideo.effectso.ofo.ch
emotherapyo.foro.cancero.wouldo.theo.nurseo.expecto.thiso.groupo.too.beo.moreo.interestedo.ino.
duringo.theo.discussion?o.-o.✔✔ANSo.D)o.Hairo.loss
14. Whileo.caringo.foro.ao.cliento.whoo.waso.admittedo.witho.myocardialo.infarctiono.(MI)o.2o.day
so.ago,o.theo.nurseo.noteso.today'so.temperatureo.iso.101.1o.degreeso.Fahrenheito.(38.5o.degr
ees
Celsius).o.Theo.appropriateo.nursingo.interventiono.iso.too.-
✔✔ANSo.B)o.Administero.acetaminopheno.aso.orderedo.aso.thiso.iso.normalo.ato.thiso.time
o.
,15. Ao.cliento.iso.admittedo.foro.firsto.ando.secondo.degreeo.burnso.ono.theo.face,o.neck,o.anteri
oro.chesto.ando.hands.o.Theo.nurse'so.priorityo.shouldo.beo.-
o.✔✔ANSo.B)o.Assesso.foro.dyspnea o.oro.stridor
16. Whicho.ofo.theseo.clientso.whoo.callo.theo.communityo.healtho.clinico.wouldo.theo.nurseo.asko.t
oo.comeo.ino.thato.dayo.too.beo.seeno.byo.theo.healtho.careo.provider?o.-
o.✔✔ANSo.D)o.Io.wento.too.theo.bathroomo.ando.myo. urineo.lookedo.very o.redo.ando.ito.didn'to.hurto
.wheno.Io.went.
17. Whicho.ofo.theseo.parents'o.commento.foro.ao.newborno.wouldo.mosto.likelyo.revealo.ano.initi
alo.findingo.ofo.ao.suspectedo.pylorico.stenosis?o.-
o.✔✔ANSo.C)o.Mildo.vomitingo.thato.progressed o.too. vomitingo.shootingo.acrosso.theo.room.
18. Theo.nurseo.iso.assessingo.ao.childo.foro.clinicalo.manifestationso.ofo.irono.deficiencyo.anemi
a.o.Whicho.factoro.wouldo.theo.nurseo.recognizeo.aso.causeo.foro.theo.findings?o.-
o.✔✔ANSo.B)o.Tissueo.hypoxia
19. Theo.nurseo.wouldo.expecto.theo.cystico.fibrosiso.cliento.too.receiveo.supplementalo.pancreati
co.enzymeso.alongo.witho.ao.dieto.-o.✔✔ANSo.A)o.Higho.ino.carbohydrateso.ando.proteins
20. Ino.evaluatingo.theo.growtho.ofo.ao.12o.month-
oldo.child,o.whicho.ofo.theseo.findingso.wouldo.theo.nurseo.expecto.too.beo.presento.ino.theo.infant?o.
-o.✔✔ANSo.C)o.Tripledo.theo.birtho.weight
21. Ao.Hispanico.cliento.ino.theo.postpartumo.periodo.refuseso.theo.hospitalo.foodo.becauseo.ito.i
so."cold."o.Theo.besto.initialo.actiono.byo.theo.nurseo.iso.too.-
o.✔✔ANSo.B)o.Asko.theo.cliento.whato.foodso.areo.acceptableo.oro.bad
, 22. Theo.fathero.ofo.ano.8o.month-
oldo.infanto.askso.theo.nurseo.ifo.hiso.infant'so.vocalizationso.areo.normalo.foro.hiso.age.o.Whicho.ofo.th
eo.followingo.wouldo.theo.nurseo.expecto.ato.thiso.age?o.-o.✔✔ANS
B)o.Imitationo.ofo.sounds
23. Theo.nurseo.shouldo.recognizeo.thato.physicalo.dependenceo.iso.accompaniedo.byo.whato.fi
ndingso.wheno.alcoholo.consumptiono.iso.firsto.reducedo.oro.ended?o.-o.✔✔ANSo.B)o.Withdrawal
24. Immediatelyo.followingo.ano.acuteo.batteringo.incidento.ino.ao.violento.relationship,o.theo.b
atterero.mayo.respondo.too.theo.partner'so.injurieso.byo.-
o. ✔✔ANSo.B)o.Minimizingo.theo.episodeo.ando.underestimatingo.theo.victim'so.injuries
*
25. Ao.cliento.witho.pneumococcalo.pneumoniao.hado.beeno.startedo.ono.antibioticso.16o.hour
so.ago.
Duringo.theo.nurse'so.initialo.eveningo.roundso.theo.nurseo.noticeso.ao.foulo.smello.ino.theo.room.o.The
o.cliento.makeso.allo.ofo.these o.statements o.duringo.theiro.conversation.o.Whicho.statemento.would
o.alerto.theo.nurseo.too.ao.complication? o.-o.✔✔ANSo.B)o."Io.haveo.beeno.coughingo.upo.foul-
tasting,o.brown,o.thicko.sputum."
26. Theo.nurseo.iso.performingo.ano.assessmento.ono.ao.cliento.ino.congestiveo.hearto.failur
e.o.Auscultationo.ofo.theo.hearto.iso.mosto.likelyo.too.revealo.-
✔✔ANSo.A)o.S3o.ventricularo.gallop
o.
27. Whicho.ofo.theseo.observationso.madeo.byo.theo.nurseo.duringo.ano.excretoryo.urogramo.i
ndicateo.ao.complicaton?o.-
o.✔✔ANSo.B)o.Theo.client'so.entireo.body o.turnso.ao.brighto.redo.color