ACTUAL EXAM ACCURATE &
GRADED A+2024 UPDATED
What is the most important consideration when teaching parents how to reduce risks 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
C) Administer the prescribed analgesia
While caring for a toddler with croup, which initial sign of croup requires the nurse's immediate
attention?
A) Respiratory rate of 42
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
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?
,COMPLETE HESI RN EXIT
ACTUAL EXAM ACCURATE &
GRADED A+2024 UPDATED
B) "The seizure may or may not mean your child has epilepsy."
Alcohol and drug abuse impairs judgment and increases risk-taking behavior. What nursing diagnosis
best applies?
A) Risk for injury
Which of these findings would the nurse more closely associate with anemia in a 10-month-old infant?
B) Pale mucosa of the eyelids and lips
.
The nurse is caring for a client in a hypertensive crisis in an intensive care unit. The priority assessment
in the first hour of care is
D) Pupil responses
.
Which of these clients who are all in the terminal stage of cancer is least appropriate to suggest the use
of patient-controlled analgesia (PCA) with a pump?
D) A preschooler with intermittent episodes of alertness
.
,COMPLETE HESI RN EXIT
ACTUAL EXAM ACCURATE &
GRADED A+2024 UPDATED
The nurse is about to assess a 6-month-old child with nonorganic failure to thrive (NOFTT). Upon
entering the room, the nurse would expect the baby to be
D) Pale, thin arms and legs, uninterested in surroundings
.
As the nurse is speaking with a group of teens which of these side effects of chemotherapy for cancer
would the nurse expect this group to be more interested in during the discussion?
D) Hair loss
.
While caring for a client who was admitted with myocardial infarction (MI) 2 days ago, the nurse notes
today's temperature is 101.1 degrees Fahrenheit (38.5 degrees Celsius). The appropriate nursing
intervention is to
B) Administer acetaminophen as ordered as this is normal at this time
.
A client is admitted for first and second degree burns on the face, neck, anterior chest and hands. The
nurse's priority should be
B) Assess for dyspnea or stridor
.
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?
, COMPLETE HESI RN EXIT
ACTUAL EXAM ACCURATE &
GRADED A+2024 UPDATED
D) I went to the bathroom and my urine looked very red and it didn't hurt when I went.
.
Which of these parents' comments for a newborn would most likely reveal an initial finding of a
suspected pyloric stenosis?
C) Mild vomiting that progressed to vomiting shooting across the room.
The nurse is assessing a child for clinical manifestations of iron deficiency anemia.
Which factor would the nurse recognize as the cause for the findings?
B) Tissue hypoxia
The nurse would expect the cystic fibrosis client to receive supplemental pancreatic
enzymes along with a diet
A) High in carbohydrates and proteins
In evaluating the growth of a 12 month-old child, which of these findings would the
nurse expect to be present in the infant?
C) Tripled the birth weight
A Hispanic client in the postpartum period refuses the hospital food because it is