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HESI RN EXIT Exam 2024 la
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la
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In planning care for a 6 month-old infant, what must the nurse provide to assist in the
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development of trust?
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A) Food
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Sp
B) Warmth
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C) Security
D) Comfort - ANS-C) Security
la
tz
sh
Sp
A nurse has just received a medication order which is not legible. Which statement best
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reflects assertive communication?
A) "I cannot give this medication as it is written. I have no idea of what you mean."
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B) "Would you please clarify what you have written so I am sure I am reading it
tz
sh
correctly?"
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C) "I am having difficulty reading your handwriting. It would save me time if you would
be more careful."
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D) "Please print in the future so I do not have to spend extra time attempting to read
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sh
your writing." - ANS-B) "Would you please clarify what you have written so I am sure I
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am reading it
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correctly?"
la
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sh
What is the most important consideration when teaching parents how to reduce risks in
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the home?
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A) Age and knowledge level of the parents
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B) Proximity to emergency services
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sh
C) Number of children in the home
Sp
D) Age of children in the home - ANS-D) Age of children in the home
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la
A 35 year-old client with sickle cell crisis is talking on the telephone but stops as the
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nurse enters the room to request something for pain. The nurse should
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Sp
A) Administer a placebo
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B) Encourage increased fluid intake
la
C) Administer the prescribed analgesia
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D) Recommend relaxation exercises for pain control - ANS-C) Administer the prescribed
sh
Sp
analgesia
ne
la
While caring for a toddler with croup, which initial sign of croup requires the nurse's
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immediate attention?
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Sp
A) Respiratory rate of 42
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B) Lethargy for the past hour
la
sh
Sp
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Sp
, ne
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sh
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C) Apical pulse of 54 la
D) Coughing up copious secretions - ANS-A) Respiratory rate of 42
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sh
Sp
A client is admitted with low T3 and T4 levels and an elevated TSH level. On initial
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assessment, the nurse would anticipate which of the following assessment findings?
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A) Lethargy
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B) Heat intolerance
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Sp
C) Diarrhea
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D) Skin eruptions - ANS-A) Lethargy
la
tz
The emergency room nurse admits a child who experienced a seizure at school. The
sh
Sp
father comments that this is the first occurrence, and denies any family history of
ne
epilepsy. What is the best response by the nurse?
A) "Do not worry. Epilepsy can be treated with medications."
la
tz
B) "The seizure may or may not mean your child has epilepsy."
sh
Sp
C) "Since this was the first convulsion, it may not happen again."
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D) "Long term treatment will prevent future seizures." - ANS-B) "The seizure may or
may not mean your child has epilepsy."
la
tz
sh
Alcohol and drug abuse impairs judgment and increases risk taking behavior. What
Sp
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nursing diagnosis best applies?
A) Risk for injury
la
B) Risk for knowledge deficit
tz
sh
C) Altered thought process
Sp
D) Disturbance in self-esteem - ANS-A) Risk for injury
ne
la
Which these findings would the nurse more closely associate with anemia in a 10
tz
month-old infant?
sh
Sp
A) Hemoglobin level of 12 g/dI
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B) Pale mucosa of the eyelids and lips
la
C) Hypoactivity
tz
sh
D) A heart rate between 140 to 160 - ANS-B) Pale mucosa of the eyelids and lips
Sp
ne
The nurse is caring for a client in hypertensive crisis in an intensive care unit. The
la
priority assessment in the first hour of care is
tz
A) Heart rate
sh
Sp
B) Pedal pulses
ne
C) Lung sounds
la
D) Pupil responses - ANS-D) Pupil responses
tz
sh
Sp
Which of these clients who are all in the terminal stage of cancer is least appropriate to
ne
suggest the use of patient controlled analgesia (PCA) with a pump?
la
A) A young adult with a history of Down's syndrome
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B) A teenager who reads at a 4th grade level
sh
Sp
C) An elderly client with numerous arthritic nodules on the hands
ne
la
sh
Sp
la
Sp
, ne
tz
sh
ne
D) A preschooler with intermittent episodes of alertness - ANS-D) A preschooler with
la
intermittent episodes of alertness
tz
sh
Sp
The nurse is about to assess a 6 month-old child with nonorganic failure-to thrive
ne
(NOFTT). Upon entering the room, the nurse would expect the baby to be
la
A) Irritable and "colicky" with no attempts to pull to standing
tz
B) Alert, laughing and playing with a rattle, sitting with support
sh
Sp
C) Skin color dusky with poor skin turgor over abdomen
ne
D) Pale, thin arms and legs, uninterested in surroundings - ANS-D) Pale, thin arms and
la
legs, uninterested in surroundings
tz
sh
Sp
As the nurse is speaking with a group of teens which of these side effects of
ne
chemotherapy for cancer would the nurse expect this group to be more interested in
during the discussion?
la
tz
A) Mouth sores
sh
Sp
B) Fatigue
ne
C) Diarrhea
D) Hair loss - ANS-D) Hair loss
la
tz
sh
While caring for a client who was admitted with myocardial infarction (MI) 2 days ago,
Sp
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the nurse notes today's temperature is 101.1 degrees Fahrenheit (38.5
degreesCelsius). The appropriate nursing intervention is to
la
A) Call the health care provider immediately
tz
sh
B) Administer acetaminophen as ordered as this is normal at this time
Sp
C) Send blood, urine and sputum for culture
ne
D) Increase the client's fluid intake - ANS-B) Administer acetaminophen as ordered as
la
this is normal at this time
tz
sh
Sp
A client is admitted for first and second degree burns on the face, neck, anterior chest
ne
and hands. The nurse's priority should be
la
A) Cover the areas with dry sterile dressings
tz
sh
B) Assess for dyspnea or stridor
Sp
C) Initiate intravenous therapy
ne
D) Administer pain medication - ANS-B) Assess for dyspnea or stridor
la
tz
Which of these clients who call the community health clinic would the nurse ask to come
sh
Sp
in that day to be seen by the health care provider?
ne
A) I started my period and now my urine has turned bright red.
la
B) I am an diabetic and today I have been going to the bathroom every hour.
tz
C) I was started on medicine yesterday for a urine infection. Now my lower belly hurts
sh
Sp
when I go to the bathroom.
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D) I went to the bathroom and my urine looked very red and it didn't hurt when I went. -
la
ANS-D) I went to the bathroom and my urine looked very red and it didn't hurt when I
tz
went.
sh
Sp
ne
la
sh
Sp
la
Sp
tz
sh
ne
HESI RN EXIT Exam 2024 la
tz
sh
Sp
ne
la
tz
sh
Sp
ne
In planning care for a 6 month-old infant, what must the nurse provide to assist in the
la
development of trust?
tz
A) Food
sh
Sp
B) Warmth
ne
C) Security
D) Comfort - ANS-C) Security
la
tz
sh
Sp
A nurse has just received a medication order which is not legible. Which statement best
ne
reflects assertive communication?
A) "I cannot give this medication as it is written. I have no idea of what you mean."
la
B) "Would you please clarify what you have written so I am sure I am reading it
tz
sh
correctly?"
Sp
ne
C) "I am having difficulty reading your handwriting. It would save me time if you would
be more careful."
la
D) "Please print in the future so I do not have to spend extra time attempting to read
tz
sh
your writing." - ANS-B) "Would you please clarify what you have written so I am sure I
Sp
am reading it
ne
correctly?"
la
tz
sh
What is the most important consideration when teaching parents how to reduce risks in
Sp
the home?
ne
A) Age and knowledge level of the parents
la
B) Proximity to emergency services
tz
sh
C) Number of children in the home
Sp
D) Age of children in the home - ANS-D) Age of children in the home
ne
la
A 35 year-old client with sickle cell crisis is talking on the telephone but stops as the
tz
nurse enters the room to request something for pain. The nurse should
sh
Sp
A) Administer a placebo
ne
B) Encourage increased fluid intake
la
C) Administer the prescribed analgesia
tz
D) Recommend relaxation exercises for pain control - ANS-C) Administer the prescribed
sh
Sp
analgesia
ne
la
While caring for a toddler with croup, which initial sign of croup requires the nurse's
tz
immediate attention?
sh
Sp
A) Respiratory rate of 42
ne
B) Lethargy for the past hour
la
sh
Sp
la
Sp
, ne
tz
sh
ne
C) Apical pulse of 54 la
D) Coughing up copious secretions - ANS-A) Respiratory rate of 42
tz
sh
Sp
A client is admitted with low T3 and T4 levels and an elevated TSH level. On initial
ne
assessment, the nurse would anticipate which of the following assessment findings?
la
A) Lethargy
tz
B) Heat intolerance
sh
Sp
C) Diarrhea
ne
D) Skin eruptions - ANS-A) Lethargy
la
tz
The emergency room nurse admits a child who experienced a seizure at school. The
sh
Sp
father comments that this is the first occurrence, and denies any family history of
ne
epilepsy. What is the best response by the nurse?
A) "Do not worry. Epilepsy can be treated with medications."
la
tz
B) "The seizure may or may not mean your child has epilepsy."
sh
Sp
C) "Since this was the first convulsion, it may not happen again."
ne
D) "Long term treatment will prevent future seizures." - ANS-B) "The seizure may or
may not mean your child has epilepsy."
la
tz
sh
Alcohol and drug abuse impairs judgment and increases risk taking behavior. What
Sp
ne
nursing diagnosis best applies?
A) Risk for injury
la
B) Risk for knowledge deficit
tz
sh
C) Altered thought process
Sp
D) Disturbance in self-esteem - ANS-A) Risk for injury
ne
la
Which these findings would the nurse more closely associate with anemia in a 10
tz
month-old infant?
sh
Sp
A) Hemoglobin level of 12 g/dI
ne
B) Pale mucosa of the eyelids and lips
la
C) Hypoactivity
tz
sh
D) A heart rate between 140 to 160 - ANS-B) Pale mucosa of the eyelids and lips
Sp
ne
The nurse is caring for a client in hypertensive crisis in an intensive care unit. The
la
priority assessment in the first hour of care is
tz
A) Heart rate
sh
Sp
B) Pedal pulses
ne
C) Lung sounds
la
D) Pupil responses - ANS-D) Pupil responses
tz
sh
Sp
Which of these clients who are all in the terminal stage of cancer is least appropriate to
ne
suggest the use of patient controlled analgesia (PCA) with a pump?
la
A) A young adult with a history of Down's syndrome
tz
B) A teenager who reads at a 4th grade level
sh
Sp
C) An elderly client with numerous arthritic nodules on the hands
ne
la
sh
Sp
la
Sp
, ne
tz
sh
ne
D) A preschooler with intermittent episodes of alertness - ANS-D) A preschooler with
la
intermittent episodes of alertness
tz
sh
Sp
The nurse is about to assess a 6 month-old child with nonorganic failure-to thrive
ne
(NOFTT). Upon entering the room, the nurse would expect the baby to be
la
A) Irritable and "colicky" with no attempts to pull to standing
tz
B) Alert, laughing and playing with a rattle, sitting with support
sh
Sp
C) Skin color dusky with poor skin turgor over abdomen
ne
D) Pale, thin arms and legs, uninterested in surroundings - ANS-D) Pale, thin arms and
la
legs, uninterested in surroundings
tz
sh
Sp
As the nurse is speaking with a group of teens which of these side effects of
ne
chemotherapy for cancer would the nurse expect this group to be more interested in
during the discussion?
la
tz
A) Mouth sores
sh
Sp
B) Fatigue
ne
C) Diarrhea
D) Hair loss - ANS-D) Hair loss
la
tz
sh
While caring for a client who was admitted with myocardial infarction (MI) 2 days ago,
Sp
ne
the nurse notes today's temperature is 101.1 degrees Fahrenheit (38.5
degreesCelsius). The appropriate nursing intervention is to
la
A) Call the health care provider immediately
tz
sh
B) Administer acetaminophen as ordered as this is normal at this time
Sp
C) Send blood, urine and sputum for culture
ne
D) Increase the client's fluid intake - ANS-B) Administer acetaminophen as ordered as
la
this is normal at this time
tz
sh
Sp
A client is admitted for first and second degree burns on the face, neck, anterior chest
ne
and hands. The nurse's priority should be
la
A) Cover the areas with dry sterile dressings
tz
sh
B) Assess for dyspnea or stridor
Sp
C) Initiate intravenous therapy
ne
D) Administer pain medication - ANS-B) Assess for dyspnea or stridor
la
tz
Which of these clients who call the community health clinic would the nurse ask to come
sh
Sp
in that day to be seen by the health care provider?
ne
A) I started my period and now my urine has turned bright red.
la
B) I am an diabetic and today I have been going to the bathroom every hour.
tz
C) I was started on medicine yesterday for a urine infection. Now my lower belly hurts
sh
Sp
when I go to the bathroom.
ne
D) I went to the bathroom and my urine looked very red and it didn't hurt when I went. -
la
ANS-D) I went to the bathroom and my urine looked very red and it didn't hurt when I
tz
went.
sh
Sp
ne
la
sh
Sp
la
Sp
