HESI RN exam Questions with Answers Actual Exams
2021 Rated A+
• 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
• 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
• 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
• While caring for a toddler with croup, which initial sign of croup requires the
nurse's immediate attention?
A) Respiratory rate of 42
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HESI RN exam Questions with Answers Actual Exams
2021 Rated A+
B) Lethargy for the past hour
C) Apical pulse of 54
D) Coughing up copious secretions
• In planning care for a 6 month-old infant, what must the nurse provide to assist in
the development of trust?
A) Food
B) Warmth
C) Security
D) Comfort
• The emergency room nurse admits a child who experienced a seizure at school. The
father comments that this is the first occurrence, and denies any family history of
epilepsy. What is the best response by the nurse?
A) "Do not worry. Epilepsy can be treated with medications."
B) "The seizure may or may not mean your child has epilepsy."
C) "Since this was the first convulsion, it may not happen again."
D) "Long term treatment will prevent future seizures."
• Alcohol and drug abuse impairs judgment and increases risk taking behavior.
What nursing diagnosis best applies?
A) Risk for injury
B) Risk for knowledge deficit
C) Altered thought process
D) Disturbance in self-esteem
• Which these findings would the nurse more closely associate with anemia in a 10 month-
old infant?
A) Hemoglobin level of 12 g/dI
B) Pale mucosa of the eyelids and lips
C) Hypoactivity
D) A heart rate between 140 to 160
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HESI RN exam Questions with Answers Actual Exams
2021 Rated A+
C) Send blood, urine and sputum for culture
D) Increase the client's fluid intake
• A client is admitted for first and second degree burns on the face, neck, anterior chest and
hands. The nurse's priority should be
A) Cover the areas with dry sterile dressings
B) Assess for dyspnea or stridor
C) Initiate intravenous therapy
D) Administer pain medication
• Which of these clients who call the community health clinic would the nurse ask to come in
that day to be seen by the health care provider?
A) I started my period and now my urine has turned bright red.
B) I am an diabetic and today I have been going to the bathroom every hour.
C) I was started on medicine yesterday for a urine infection. Now my lower belly hurts when I
go to the bathroom.
D) I went to the bathroom and my urine looked very red and it didn’t hurt when I went.
• Which of these parents’ comment for a newborn would most likely reveal an initial finding
of a suspected pyloric stenosis?
A) I noticed a little lump a little above the belly button.
B) The baby seems hungry all the time.
C) Mild vomiting that progressed to vomiting shooting across the room.
D) Irritation and spitting up immediately after feedings.
• The nurse is assessing a child for clinical manifestations of iron deficiency
anemia. Which factor would the nurse recognize as cause for the findings?
A) Decreased cardiac output
B) Tissue hypoxia
C) Cerebral edema
D) Reduced oxygen saturation
• The nurse would expect the cystic fibrosis client to receive supplemental pancreatic
enzymes along with a diet
A) High in carbohydrates and proteins
B) Low in carbohydrates and proteins
C) High in carbohydrates, low in proteins