NURSING 1 HESI RN V3 EXAM GRADED A+ 2023 UPDATE
1. The nurse is has just admitted a client with severe depression. From which focus should
the nurse identify a priority nursing diagnosis?
A)
Nutrition
B)
Elimination
C)
Activity
D)
Safety
The correct answer is D: Safety
2. While explaining an illness to a 10 year-old, what should the nurse keep in mind about
the cognitive development at this age?
A)
They are able to make simple association of ideas
B)
They are able to think logically in organizing facts
C)
Interpretation of events originate from their own perspective D) Conclusions are based
on previous experiences
The correct answer is B: Think logically in organizing facts
3. The nurse enters the room as a 3 year-old is having a generalized seizure.
Which intervention should the nurse do first?
A)
Clear the area of any hazards
B)
Place the child on the side
,NURSING 1 HESI RN V3 EXAM GRADED A+ 2023 UPDATE
C)
Restrain the child
D)
Give the prescribed anticonvulsant
The correct answer is B: Place the child on the side
4. The nurse is reviewing a depressed client's history from an earlier admission.
Documentation of anhedonia is noted. The nurse understands that this finding refers
to
A)
Reports of difficulty falling and staying asleep
B)
Expression of persistent suicidal thoughts
C)
Lack of enjoyment in usual pleasures
D)
Reduced senses of taste and smell
The correct answer is C: Lack of enjoyment in usual pleasures
5. A client has just returned to the medical-surgical unit following a segmental lung
resection. After assessing the client, the first nursing action would be to
A)
Administer pain medication
B)
Suction excessive tracheobronchial secretions
C)
Assist client to turn, deep breathe and cough
D)
Monitor oxygen saturation
The correct answer is B: Suction excessive tracheobronchial secretions
6. While assessing a client in an outpatient facility with a panic disorder, the nurse
completes a thorough health history and physical exam. Which finding is most significant
for this client?
A)
Compulsive behavior
,NURSING 1 HESI RN V3 EXAM GRADED A+ 2023 UPDATE
B)
Sense of impending doom
C)
Fear of flying
D)
Predictable episodes
The correct answer is B: Sense of impending doom
7. A 16 month-old child has just been admitted to the hospital. As the nurse assigned to this
child enters the hospital room for the first time, the toddler runs to the mother, clings to
her and begins to cry. What would be the initial action by the nurse?
A)
Arrange to change client care assignments
B)
Explain that this behavior is expected
C)
Discuss the appropriate use of "time-out"
D)
Explain that the child needs extra attention
The correct answer is B: Explain that this behavior is expected
8. A 15 year-old client with a lengthy confining illness is at risk for altered growth and
development of which task?
A)
Loss of control
B)
Insecurity
C)
Dependence
D)
Lack of trust
The correct answer is C: Dependence
9. Which playroom activities should the nurse organize for a small group of 7 year-
old hospitalized children? A) Sports and games with rules
, NURSING 1 HESI RN V3 EXAM GRADED A+ 2023 UPDATE
B)
Finger paints and water play
C)
"Dress-up" clothes and props
D)
Chess and television programs
The correct answer is A: Sports and games with rules
10. The nurse is discussing dietary intake with an adolescent who has acne. The
most appropriate statement for the nurse is A) "Eat a balanced diet for your age."
B)
"Increase your intake of protein and Vitamin A."
C)
"Decrease fatty foods from your diet."
D)
"Do not use caffeine in any form, including chocolate."
The correct answer is A: "Eat a balanced diet for your
age."
11. The nurse is assigned to a newly delivered woman with HIV/AIDS. The student asks
the nurse about how it is determined that a person has AIDS other than a positive HIV test.
The nurse responds
A)
"The complaints of at least 3 common findings."
B)
"The absence of any opportunistic infection."
C)
"CD4 lymphocyte count is less than 200."
D)
"Developmental delays in children."
The correct answer is C: "CD4 lymphocyte count is less than 200."
12. The nurse is caring for a child who has just returned from surgery following
a tonsillectomy and adenoidectomy. Which action by the nurse is appropriate?
A)
Offer ice cream every 2 hours B)
Place the child in a supine
position
C) Allow the child to drink through a straw
1. The nurse is has just admitted a client with severe depression. From which focus should
the nurse identify a priority nursing diagnosis?
A)
Nutrition
B)
Elimination
C)
Activity
D)
Safety
The correct answer is D: Safety
2. While explaining an illness to a 10 year-old, what should the nurse keep in mind about
the cognitive development at this age?
A)
They are able to make simple association of ideas
B)
They are able to think logically in organizing facts
C)
Interpretation of events originate from their own perspective D) Conclusions are based
on previous experiences
The correct answer is B: Think logically in organizing facts
3. The nurse enters the room as a 3 year-old is having a generalized seizure.
Which intervention should the nurse do first?
A)
Clear the area of any hazards
B)
Place the child on the side
,NURSING 1 HESI RN V3 EXAM GRADED A+ 2023 UPDATE
C)
Restrain the child
D)
Give the prescribed anticonvulsant
The correct answer is B: Place the child on the side
4. The nurse is reviewing a depressed client's history from an earlier admission.
Documentation of anhedonia is noted. The nurse understands that this finding refers
to
A)
Reports of difficulty falling and staying asleep
B)
Expression of persistent suicidal thoughts
C)
Lack of enjoyment in usual pleasures
D)
Reduced senses of taste and smell
The correct answer is C: Lack of enjoyment in usual pleasures
5. A client has just returned to the medical-surgical unit following a segmental lung
resection. After assessing the client, the first nursing action would be to
A)
Administer pain medication
B)
Suction excessive tracheobronchial secretions
C)
Assist client to turn, deep breathe and cough
D)
Monitor oxygen saturation
The correct answer is B: Suction excessive tracheobronchial secretions
6. While assessing a client in an outpatient facility with a panic disorder, the nurse
completes a thorough health history and physical exam. Which finding is most significant
for this client?
A)
Compulsive behavior
,NURSING 1 HESI RN V3 EXAM GRADED A+ 2023 UPDATE
B)
Sense of impending doom
C)
Fear of flying
D)
Predictable episodes
The correct answer is B: Sense of impending doom
7. A 16 month-old child has just been admitted to the hospital. As the nurse assigned to this
child enters the hospital room for the first time, the toddler runs to the mother, clings to
her and begins to cry. What would be the initial action by the nurse?
A)
Arrange to change client care assignments
B)
Explain that this behavior is expected
C)
Discuss the appropriate use of "time-out"
D)
Explain that the child needs extra attention
The correct answer is B: Explain that this behavior is expected
8. A 15 year-old client with a lengthy confining illness is at risk for altered growth and
development of which task?
A)
Loss of control
B)
Insecurity
C)
Dependence
D)
Lack of trust
The correct answer is C: Dependence
9. Which playroom activities should the nurse organize for a small group of 7 year-
old hospitalized children? A) Sports and games with rules
, NURSING 1 HESI RN V3 EXAM GRADED A+ 2023 UPDATE
B)
Finger paints and water play
C)
"Dress-up" clothes and props
D)
Chess and television programs
The correct answer is A: Sports and games with rules
10. The nurse is discussing dietary intake with an adolescent who has acne. The
most appropriate statement for the nurse is A) "Eat a balanced diet for your age."
B)
"Increase your intake of protein and Vitamin A."
C)
"Decrease fatty foods from your diet."
D)
"Do not use caffeine in any form, including chocolate."
The correct answer is A: "Eat a balanced diet for your
age."
11. The nurse is assigned to a newly delivered woman with HIV/AIDS. The student asks
the nurse about how it is determined that a person has AIDS other than a positive HIV test.
The nurse responds
A)
"The complaints of at least 3 common findings."
B)
"The absence of any opportunistic infection."
C)
"CD4 lymphocyte count is less than 200."
D)
"Developmental delays in children."
The correct answer is C: "CD4 lymphocyte count is less than 200."
12. The nurse is caring for a child who has just returned from surgery following
a tonsillectomy and adenoidectomy. Which action by the nurse is appropriate?
A)
Offer ice cream every 2 hours B)
Place the child in a supine
position
C) Allow the child to drink through a straw
