HESI EXIT RN V4 EXAM ALL 160 QUESTIONS AND
ANSWERS VERIFIED 2023-2024 TOP RANKED FOR
GRADE A+
• The nurse is caring for a pre-adolescent client in skeletal Dunlop traction. Which
nursing intervention is appropriate for this child?
• Make certain the child is maintained in correct body alignment.
• Be sure the traction weights touch the end of the bed.
• Adjust the head and foot of the bed for the child's comfort
• Release the traction for 15-20 minutes every 6 hours PRN. - ✅✅A: Make certain the child
is maintained in correct body alignment.
• The nurse is assessing a healthy child at the 2 year check up. Which of the following
shouldthe nurse report immediately to the health care provider?
• Height and weight percentiles vary widely
• Growth pattern appears to have slowed
• Recumbent and standing height are different
• Short term weight changes are uneven - ✅✅A: Height and weight percentiles vary widely
• The parents of a 2 year-old child report that he has been holding his breath whenever he
hastemper tantrums. What is the best action by the nurse?
• Teach the parents how to perform cardiopulmonary resuscitation
• Recommend that the parents give in when he holds his breath to prevent anoxia
• Advise the parents to ignore breath holding because breathing will begin as a reflex
,• Instruct the parents on how to reason with the child about possible harmful effects -
✅✅C: Advise the parents to ignore breath holding because breathing will begin as a reflex
P a g e 1 | 53
HESI EXIT RN V4 EXAM All 160 Questions &
Answersverified 2023-2024 Top Ranked for Grade
A+,,
• The nurse is assessing a client in the emergency room. Which statement suggests that
theproblem is acute angina?
• "My pain is deep in my chest behind my sternum."
• "When I sit up the pain gets worse."
• "As I take a deep breath the pain gets worse."
• "The pain is right here in my stomach area." - ✅✅A: "My pain is deep in my chest behind
my sternum."
• 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?
• "Name the year." "What season is this?" (pause for answer after each question)
• "Subtract 7 from 100 and then subtract 7 from that." (pause for answer) "Now continue
tosubtract 7 from the new number."
• "I am going to say the names of three things and I want you to repeat them after me:
blue,ball, pen."
• "What is this on my wrist?" (point to your watch) Then ask, "What is the purpose of it?" -
✅✅C: "I am going to say the names of three things and I want you to repeat them after me:
blue, ball, pen."
,• In planning care for a 6 month-old infant, what must the nurse provide to assist in
thedevelopment of trust?
• Food
• Warmth
• Security
• Comfort - ✅✅C: Security
P a g e 2 | 53
HESI EXIT RN V4 EXAM All 160 Questions &
Answersverified 2023-2024 Top Ranked for Grade
A+,,
• A nurse has just received a medication order which is not legible. Which statement
bestreflects assertive communication?
• "I cannot give this medication as it is written. I have no idea of what you mean."
• "Would you please clarify what you have written so I am sure I am reading it correctly?"
• "I am having difficulty reading your handwriting. It would save me time if you would be
morecareful."
• "Please print in the future so I do not have to spend extra time attempting to read your
writing." - ✅✅B) "Would you please clarify what you have written so I am sure I am reading it
correctly?"
• What is the most important consideration when teaching parents how to reduce risks in
thehome?
• Age and knowledge level of the parents
, • Proximity to emergency services
• Number of children in the home
• Age of children in the home - ✅✅D: Age of children in the home
• A 35 year-old client with sickle cell crisis is talking on the telephone but stops as the
nurseenters the room to request something for pain. The nurse should
• Administer a placebo
• Encourage increased fluid intake
• Administer the prescribed analgesia
• Recommend relaxation exercises for pain control - ✅✅C: Administer the prescribed
analgesia
P a g e 3 | 53
HESI EXIT RN V4 EXAM All 160 Questions &
Answersverified 2023-2024 Top Ranked for Grade
A+,,
• While caring for a toddler with croup, which initial sign of croup requires the
nurse'simmediate attention?
• Respiratory rate of 42
• Lethargy for the past hour
• Apical pulse of 54
• Coughing up copious secretions - ✅✅A: Respiratory rate of 30
ANSWERS VERIFIED 2023-2024 TOP RANKED FOR
GRADE A+
• The nurse is caring for a pre-adolescent client in skeletal Dunlop traction. Which
nursing intervention is appropriate for this child?
• Make certain the child is maintained in correct body alignment.
• Be sure the traction weights touch the end of the bed.
• Adjust the head and foot of the bed for the child's comfort
• Release the traction for 15-20 minutes every 6 hours PRN. - ✅✅A: Make certain the child
is maintained in correct body alignment.
• The nurse is assessing a healthy child at the 2 year check up. Which of the following
shouldthe nurse report immediately to the health care provider?
• Height and weight percentiles vary widely
• Growth pattern appears to have slowed
• Recumbent and standing height are different
• Short term weight changes are uneven - ✅✅A: Height and weight percentiles vary widely
• The parents of a 2 year-old child report that he has been holding his breath whenever he
hastemper tantrums. What is the best action by the nurse?
• Teach the parents how to perform cardiopulmonary resuscitation
• Recommend that the parents give in when he holds his breath to prevent anoxia
• Advise the parents to ignore breath holding because breathing will begin as a reflex
,• Instruct the parents on how to reason with the child about possible harmful effects -
✅✅C: Advise the parents to ignore breath holding because breathing will begin as a reflex
P a g e 1 | 53
HESI EXIT RN V4 EXAM All 160 Questions &
Answersverified 2023-2024 Top Ranked for Grade
A+,,
• The nurse is assessing a client in the emergency room. Which statement suggests that
theproblem is acute angina?
• "My pain is deep in my chest behind my sternum."
• "When I sit up the pain gets worse."
• "As I take a deep breath the pain gets worse."
• "The pain is right here in my stomach area." - ✅✅A: "My pain is deep in my chest behind
my sternum."
• 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?
• "Name the year." "What season is this?" (pause for answer after each question)
• "Subtract 7 from 100 and then subtract 7 from that." (pause for answer) "Now continue
tosubtract 7 from the new number."
• "I am going to say the names of three things and I want you to repeat them after me:
blue,ball, pen."
• "What is this on my wrist?" (point to your watch) Then ask, "What is the purpose of it?" -
✅✅C: "I am going to say the names of three things and I want you to repeat them after me:
blue, ball, pen."
,• In planning care for a 6 month-old infant, what must the nurse provide to assist in
thedevelopment of trust?
• Food
• Warmth
• Security
• Comfort - ✅✅C: Security
P a g e 2 | 53
HESI EXIT RN V4 EXAM All 160 Questions &
Answersverified 2023-2024 Top Ranked for Grade
A+,,
• A nurse has just received a medication order which is not legible. Which statement
bestreflects assertive communication?
• "I cannot give this medication as it is written. I have no idea of what you mean."
• "Would you please clarify what you have written so I am sure I am reading it correctly?"
• "I am having difficulty reading your handwriting. It would save me time if you would be
morecareful."
• "Please print in the future so I do not have to spend extra time attempting to read your
writing." - ✅✅B) "Would you please clarify what you have written so I am sure I am reading it
correctly?"
• What is the most important consideration when teaching parents how to reduce risks in
thehome?
• Age and knowledge level of the parents
, • Proximity to emergency services
• Number of children in the home
• Age of children in the home - ✅✅D: Age of children in the home
• A 35 year-old client with sickle cell crisis is talking on the telephone but stops as the
nurseenters the room to request something for pain. The nurse should
• Administer a placebo
• Encourage increased fluid intake
• Administer the prescribed analgesia
• Recommend relaxation exercises for pain control - ✅✅C: Administer the prescribed
analgesia
P a g e 3 | 53
HESI EXIT RN V4 EXAM All 160 Questions &
Answersverified 2023-2024 Top Ranked for Grade
A+,,
• While caring for a toddler with croup, which initial sign of croup requires the
nurse'simmediate attention?
• Respiratory rate of 42
• Lethargy for the past hour
• Apical pulse of 54
• Coughing up copious secretions - ✅✅A: Respiratory rate of 30
