PN HESI EXIT EXAM V4 (2025) Actual Exam Questions
and Answers A+ Graded.
1. The .nurse .is .caring .for .a .pre-adolescent .client .in .skeletal .Dunlop
.traction. .Which .nursing .intervention .is .appropriate .for .this .child?
A) Make .certain .the .child .is .maintained .in .correct .body .alignment.
B) Be .sure .the .traction .weights .touch .the .end .of .the .bed.
C) Adjust .the .head .and .foot .of .the .bed .for .the .child's .comfort
D) Release .the .traction .for .15-20 .minutes .every .6 .hours .PRN.
The .correct .answer .is .A: .Make .certain .the .child .is .maintained .in .correct .body .alignment.
2. The .nurse .is .assessing .a .healthy .child .at .the .2 .year .check .up. .Which .of
.the .following .should .the .nurse .report .immediately .to .the .health .care
.provider?
A) Height .and .weight .percentiles .vary .widely
B) Growth .pattern .appears .to .have .slowed
C) Recumbent .and .standing .height .are .different
D) Short .term .weight .changes .are .uneven
The .correct .answer .is .A: .Height .and .weight .percentiles .vary .widely
3. The .parents .of .a .2 .year-old .child .report .that .he .has .been .holding .his
.breath .whenever .he .has .temper .tantrums. .What .is .the .best .action .by .the
.nurse?
A) Teach .the .parents .how .to .perform .cardiopulmonary .resuscitation
B) Recommend .that .the .parents .give .in .when .he .holds .his .breath .to .prevent .anoxia
C) Advise .the .parents .to .ignore .breath .holding .because .breathing .will .begin .as .a .reflex
D) Instruct .the .parents .on .how .to .reason .with .the .child .about .possible .harmful
.effects .The .correct .answer .is .C: .Advise .the .parents .to .ignore .breath .holding .because
.breathing .will .begin .as .a .reflex
4. The .nurse .is .assessing .a .client .in .the .emergency .room. .Which .statement
.suggests .that .the .problem .is .acute .angina?
A) "My .pain .is .deep .in .my .chest .behind .my .sternum."
B) "When .I .sit .up .the .pain .gets .worse."
C) "As .I .take .a .deep .breath .the .pain .gets .worse."
D) "The .pain .is .right .here .in .my .stomach .area."
The .correct .answer .is .A: ."My .pain .is .deep .in .my .chest .behind .my .sternum."
.
,5. 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?
A) "Name .the .year." ."What .season .is .this?" .(pause .for .answer .after .each .question)
B) "Subtract .7 .from .100 .and .then .subtract .7 .from .that." .(pause .for
.answer) ."Now .continue .to .subtract .7 .from .the .new .number."
C) "I .am .going .to .say .the .names .of .three .things .and .I .want .you .to .repeat .them
.after .me: .blue, .ball, .pen."
D) "What .is .this .on .my .wrist?" .(point .to .your .watch) .Then .ask, ."What .is .the
.purpose .of .it?"
The .correct .answer .is .C: ."I .am .going .to .say .the .names .of .three .things .and .I .want .you .to
.repeat .them .after .me: .blue, .ball, .pen."
6. 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 .correct .answer .is .C: .Security
7. A .nurse .has .just .received .a .medication .order .which .is .not .legible. .Which .statement
.best .reflects .assertive .communication?
A) "I .cannot .give .this .medication .as .it .is .written. .I .have .no .idea .of .what .you .mean."
B) "Would .you .please .clarify .what .you .have .written .so .I .am .sure .I .am
.reading .it .correctly?"
C) "I .am .having .difficulty .reading .your .handwriting. .It .would .save .me .time .if
.you .would .be .more .careful."
D) "Please .print .in .the .future .so .I .do .not .have .to .spend .extra .time .attempting .to
.read .your .writing."
The .correct .answer .is .B) ."Would .you .please .clarify .what .you .have .written .so .I .am
.sure .I .am
reading .it .correctly?"
8. 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
The .correct .answer .is .D: .Age .of .children .in .the .home
, 9. 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
The .correct .answer .is .C: .Administer .the .prescribed .analgesia
10. While .caring .for .a .toddler .with .croup, .which .initial .sign .of .croup .requires
.the .nurse's .immediate .attention?
A) Respiratory .rate .of .42
B) Lethargy .for .the .past .hour
C) Apical .pulse .of .54
D) Coughing .up .copious .secretions
The .correct .answer .is .A: .Respiratory .rate .of .30
11. 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
The .correct .answer .is .A: .Lethargy
12. 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."
The .correct .answer .is .B: ."The .seizure .may .or .may .not .mean .your .child .has .epilepsy."
13. 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
and Answers A+ Graded.
1. The .nurse .is .caring .for .a .pre-adolescent .client .in .skeletal .Dunlop
.traction. .Which .nursing .intervention .is .appropriate .for .this .child?
A) Make .certain .the .child .is .maintained .in .correct .body .alignment.
B) Be .sure .the .traction .weights .touch .the .end .of .the .bed.
C) Adjust .the .head .and .foot .of .the .bed .for .the .child's .comfort
D) Release .the .traction .for .15-20 .minutes .every .6 .hours .PRN.
The .correct .answer .is .A: .Make .certain .the .child .is .maintained .in .correct .body .alignment.
2. The .nurse .is .assessing .a .healthy .child .at .the .2 .year .check .up. .Which .of
.the .following .should .the .nurse .report .immediately .to .the .health .care
.provider?
A) Height .and .weight .percentiles .vary .widely
B) Growth .pattern .appears .to .have .slowed
C) Recumbent .and .standing .height .are .different
D) Short .term .weight .changes .are .uneven
The .correct .answer .is .A: .Height .and .weight .percentiles .vary .widely
3. The .parents .of .a .2 .year-old .child .report .that .he .has .been .holding .his
.breath .whenever .he .has .temper .tantrums. .What .is .the .best .action .by .the
.nurse?
A) Teach .the .parents .how .to .perform .cardiopulmonary .resuscitation
B) Recommend .that .the .parents .give .in .when .he .holds .his .breath .to .prevent .anoxia
C) Advise .the .parents .to .ignore .breath .holding .because .breathing .will .begin .as .a .reflex
D) Instruct .the .parents .on .how .to .reason .with .the .child .about .possible .harmful
.effects .The .correct .answer .is .C: .Advise .the .parents .to .ignore .breath .holding .because
.breathing .will .begin .as .a .reflex
4. The .nurse .is .assessing .a .client .in .the .emergency .room. .Which .statement
.suggests .that .the .problem .is .acute .angina?
A) "My .pain .is .deep .in .my .chest .behind .my .sternum."
B) "When .I .sit .up .the .pain .gets .worse."
C) "As .I .take .a .deep .breath .the .pain .gets .worse."
D) "The .pain .is .right .here .in .my .stomach .area."
The .correct .answer .is .A: ."My .pain .is .deep .in .my .chest .behind .my .sternum."
.
,5. 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?
A) "Name .the .year." ."What .season .is .this?" .(pause .for .answer .after .each .question)
B) "Subtract .7 .from .100 .and .then .subtract .7 .from .that." .(pause .for
.answer) ."Now .continue .to .subtract .7 .from .the .new .number."
C) "I .am .going .to .say .the .names .of .three .things .and .I .want .you .to .repeat .them
.after .me: .blue, .ball, .pen."
D) "What .is .this .on .my .wrist?" .(point .to .your .watch) .Then .ask, ."What .is .the
.purpose .of .it?"
The .correct .answer .is .C: ."I .am .going .to .say .the .names .of .three .things .and .I .want .you .to
.repeat .them .after .me: .blue, .ball, .pen."
6. 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 .correct .answer .is .C: .Security
7. A .nurse .has .just .received .a .medication .order .which .is .not .legible. .Which .statement
.best .reflects .assertive .communication?
A) "I .cannot .give .this .medication .as .it .is .written. .I .have .no .idea .of .what .you .mean."
B) "Would .you .please .clarify .what .you .have .written .so .I .am .sure .I .am
.reading .it .correctly?"
C) "I .am .having .difficulty .reading .your .handwriting. .It .would .save .me .time .if
.you .would .be .more .careful."
D) "Please .print .in .the .future .so .I .do .not .have .to .spend .extra .time .attempting .to
.read .your .writing."
The .correct .answer .is .B) ."Would .you .please .clarify .what .you .have .written .so .I .am
.sure .I .am
reading .it .correctly?"
8. 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
The .correct .answer .is .D: .Age .of .children .in .the .home
, 9. 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
The .correct .answer .is .C: .Administer .the .prescribed .analgesia
10. While .caring .for .a .toddler .with .croup, .which .initial .sign .of .croup .requires
.the .nurse's .immediate .attention?
A) Respiratory .rate .of .42
B) Lethargy .for .the .past .hour
C) Apical .pulse .of .54
D) Coughing .up .copious .secretions
The .correct .answer .is .A: .Respiratory .rate .of .30
11. 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
The .correct .answer .is .A: .Lethargy
12. 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."
The .correct .answer .is .B: ."The .seizure .may .or .may .not .mean .your .child .has .epilepsy."
13. 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
