HESI EXIT V4 EXAM
PRESRIBING 2022 update QUESTIONS WITH
ANSWERS
1. The nurse is caring for a pre-adolescent client in skeletal
Dunlop 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.
The correct answer is A: Make certain the child is maintained in correct body
alignment.
2. The nurse is assessing a healthy 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
The correct answer is A: Height and weight percentiles vary widely
3. The parents of a 2 year-old child report that he has been holding his
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
HESI EXIT V4 EXAM
PRESRIBING 2022 update QUESTIONS WITH
ANSWERS
, HESI EXIT V4 EXAM
PRESRIBING 2022 update QUESTIONS WITH
ANSWERS
The correct answer is C: Advise the parents to ignore breath holding because
breathing
will begin as a reflex
4. The nurse is assessing a client in the emergency room.
Which 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."
The correct answer is A: "My pain is deep in my chest behind my sternum."
5. The nurse is assessing the mental status of a client admitted
with 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?"
The correct answer is C: "I am going to say the names of three things and I
want you to
repeat them after me: blue, ball, pen."
6. In planning care for a 6 month-old infant, what must the nurse
provide to assist in the development of trust?
A) Food
HESI EXIT V4 EXAM
PRESRIBING 2022 update QUESTIONS WITH
ANSWERS
, HESI EXIT V4 EXAM
PRESRIBING 2022 update QUESTIONS WITH
ANSWERS
B) Warmth
C) Security
D) Comfort
The correct answer is C: Security
7. A nurse has just received a medication order which is not
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."
The correct answer is B) "Would you please clarify what you have written so I
am sure I am reading it correctly?"
8. What is the most important consideration when teaching parents
how to reduce risks in the home?
A) Age and knowledge level of the parents
B) Proximity to emergency services
C) Number of children in the
home D) Age of children in the
home
HESI EXIT V4 EXAM
PRESRIBING 2022 update QUESTIONS WITH
ANSWERS
, HESI EXIT V4 EXAM
PRESRIBING 2022 update QUESTIONS WITH
ANSWERS
The correct answer is D: Age of children in the home
9. A 35 year-old client with sickle cell crisis is talking on the
telephone but stops as the nurse enters the room to request
something for pain. The nurse should
A) Administer a placebo
B) Encourage increased fluid intake
C) Administer the prescribed analgesia
D) Recommend relaxation exercises for pain control
The correct answer is C: Administer the prescribed analgesia
10. While caring for a toddler with croup, which initial sign of
croup requires the nurse's immediate attention?
A) Respiratory rate of 42
B) Lethargy for the past hour
C) Apical pulse of 54
D) Coughing up copious secretions
The correct answer is A: Respiratory rate of 30
11. A client is admitted with low T3 and T4 levels and an elevated
TSH level. On initial assessment, the nurse would anticipate which of
the following assessment findings?
A) Lethargy
B) Heat intolerance
C) Diarrhea
D) Skin eruptions
HESI EXIT V4 EXAM
PRESRIBING 2022 update QUESTIONS WITH
ANSWERS
PRESRIBING 2022 update QUESTIONS WITH
ANSWERS
1. The nurse is caring for a pre-adolescent client in skeletal
Dunlop 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.
The correct answer is A: Make certain the child is maintained in correct body
alignment.
2. The nurse is assessing a healthy 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
The correct answer is A: Height and weight percentiles vary widely
3. The parents of a 2 year-old child report that he has been holding his
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
HESI EXIT V4 EXAM
PRESRIBING 2022 update QUESTIONS WITH
ANSWERS
, HESI EXIT V4 EXAM
PRESRIBING 2022 update QUESTIONS WITH
ANSWERS
The correct answer is C: Advise the parents to ignore breath holding because
breathing
will begin as a reflex
4. The nurse is assessing a client in the emergency room.
Which 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."
The correct answer is A: "My pain is deep in my chest behind my sternum."
5. The nurse is assessing the mental status of a client admitted
with 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?"
The correct answer is C: "I am going to say the names of three things and I
want you to
repeat them after me: blue, ball, pen."
6. In planning care for a 6 month-old infant, what must the nurse
provide to assist in the development of trust?
A) Food
HESI EXIT V4 EXAM
PRESRIBING 2022 update QUESTIONS WITH
ANSWERS
, HESI EXIT V4 EXAM
PRESRIBING 2022 update QUESTIONS WITH
ANSWERS
B) Warmth
C) Security
D) Comfort
The correct answer is C: Security
7. A nurse has just received a medication order which is not
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."
The correct answer is B) "Would you please clarify what you have written so I
am sure I am reading it correctly?"
8. What is the most important consideration when teaching parents
how to reduce risks in the home?
A) Age and knowledge level of the parents
B) Proximity to emergency services
C) Number of children in the
home D) Age of children in the
home
HESI EXIT V4 EXAM
PRESRIBING 2022 update QUESTIONS WITH
ANSWERS
, HESI EXIT V4 EXAM
PRESRIBING 2022 update QUESTIONS WITH
ANSWERS
The correct answer is D: Age of children in the home
9. A 35 year-old client with sickle cell crisis is talking on the
telephone but stops as the nurse enters the room to request
something for pain. The nurse should
A) Administer a placebo
B) Encourage increased fluid intake
C) Administer the prescribed analgesia
D) Recommend relaxation exercises for pain control
The correct answer is C: Administer the prescribed analgesia
10. While caring for a toddler with croup, which initial sign of
croup requires the nurse's immediate attention?
A) Respiratory rate of 42
B) Lethargy for the past hour
C) Apical pulse of 54
D) Coughing up copious secretions
The correct answer is A: Respiratory rate of 30
11. A client is admitted with low T3 and T4 levels and an elevated
TSH level. On initial assessment, the nurse would anticipate which of
the following assessment findings?
A) Lethargy
B) Heat intolerance
C) Diarrhea
D) Skin eruptions
HESI EXIT V4 EXAM
PRESRIBING 2022 update QUESTIONS WITH
ANSWERS
