RN HESI EXIT EXAM VERSION 1 WITH
QUESTIONS AND REVISED ANSWERS
FROM A VERIFIED SOURCE (2025 /
2026) 100% GUARANTEE PASS!!!
The nurse is giving preop instructions to a 14 yr old scheduled to
correct a spinal curvature. Which statement best demonstrates that
learning has taken place? - CORRECT ANSWER-I understand I will be
in a body cast and I will show you hoy you taught me to turn
To take the vital signs of a 4 month old child which order will give the
most accurate results? - CORRECT ANSWER-Respiratory rate, heart
rate, rectal temperature
AN otoscope exam of a child's ear reveals a tympanic membrane that is
pearly gray, slightly bulging and not movable. What action should the
nurse take next? - CORRECT ANSWER-Ask the child if he has has a
cold, runny nose or any ear pain lately
,Which restraint should be used for a toddler after a cleft palate
repair? - CORRECT ANSWER-elbow
What preoperative nursing intervention should be included in the plan
of care for an infant with pyloric stenosis? - CORRECT ANSWER-
Observe for projectile vomiting
A six month old returns from surgery with elbow restraints in place.
What nursing intervention should be included when caring for any
restrained child? - CORRECT ANSWER-remove restraints one at a
time and provide range of motion exercise
A two year old with Down Syndrome is brought to the clinic for his
regular physical exam. The nurse knows which problem is frequently
associated with Down Syndrome? - CORRECT ANSWER-Congenital
Heart Disease
When assessing a child with asthma the nurse should expect
intercostal retractions during - CORRECT ANSWER-inspiration
When planning the care for a child who has had a cleft lip repair, the
nurse knows that crying should be minimized because it - CORRECT
ANSWER-stresses the suture line
,A client with a productive cough has obtained a sputum specimen for
culture as instructed. What action is the best initial nursing action? -
CORRECT ANSWER-Administer the first dose of prescribed
antibiotic therapy
A client is brought to the Emergency Department by ambulance in
cardiac arrest with CPR in progress. The client is intubated and
receiving 100% O2 per ambu bag. The nurse determines the client is
cyanotic, cold, and diaphoretic. Which assessment is most important to
obtain? - CORRECT ANSWER-deep tendon reflexes
After a hospitalization for Syndrome of Inappropriate Antidiuretic
Hormone (SIADH), a client develops pontine myselinolysis. Which
intervention should the nurse implement first? - CORRECT ANSWER-
Reorientate client to his room
A male client with heart failure (HF) calls the clinic and reports he
cannot put his shoes on because they are too tight. Which additional
information should the nurse obtain? - CORRECT ANSWER-Has his
weight changed in the last several days
An older adult with a long hx of COPD is admitted with progressive
shortness of breath and a persistent cough. She is anxious and is
complaining of a dry mouth. Which intervention should the nurse
implement? - CORRECT ANSWER-Apply a high flow venturi mask
, A client with a hx of asthma and bronchitis arrives at the clinic with
SOB, productive cough with thickened tenacious mucous and the
inability to walk up a flight of stairs without experiencing
breathlessness. Which action is important for the nurse to instruct the
client about self care? - CORRECT ANSWER-Increase the daily
intake of oral fluids to to liquefy secretions
A cardiac catherization of a client with heart disease indicates the
following blockages 95% LAD 99% proximal circumflex and 95%
proximal RCA. The client later asks the nurse "what does all that mean
for me" - CORRECT ANSWER-3 main arteries have major blockages
with only 1 to 5% of blood flow getting through to the heart muscle
The nurse is caring for a client with a lower left pulmonary abscess
which position should the nurse instruct the client to maintain -
CORRECT ANSWER-left lateral
A client with cholelithiasis has a gallstone lodged in the common bile
duct and is unable to eat or drink without nausea and vomiting. Which
finding should the nurse report to the healthcare provider - CORRECT
ANSWER-yellow sclera
While caring for a client with Amyotrophic Lateral Sclerosis (ALS), the
nurse performs a neuro assessment every 4 hours. which assessment
QUESTIONS AND REVISED ANSWERS
FROM A VERIFIED SOURCE (2025 /
2026) 100% GUARANTEE PASS!!!
The nurse is giving preop instructions to a 14 yr old scheduled to
correct a spinal curvature. Which statement best demonstrates that
learning has taken place? - CORRECT ANSWER-I understand I will be
in a body cast and I will show you hoy you taught me to turn
To take the vital signs of a 4 month old child which order will give the
most accurate results? - CORRECT ANSWER-Respiratory rate, heart
rate, rectal temperature
AN otoscope exam of a child's ear reveals a tympanic membrane that is
pearly gray, slightly bulging and not movable. What action should the
nurse take next? - CORRECT ANSWER-Ask the child if he has has a
cold, runny nose or any ear pain lately
,Which restraint should be used for a toddler after a cleft palate
repair? - CORRECT ANSWER-elbow
What preoperative nursing intervention should be included in the plan
of care for an infant with pyloric stenosis? - CORRECT ANSWER-
Observe for projectile vomiting
A six month old returns from surgery with elbow restraints in place.
What nursing intervention should be included when caring for any
restrained child? - CORRECT ANSWER-remove restraints one at a
time and provide range of motion exercise
A two year old with Down Syndrome is brought to the clinic for his
regular physical exam. The nurse knows which problem is frequently
associated with Down Syndrome? - CORRECT ANSWER-Congenital
Heart Disease
When assessing a child with asthma the nurse should expect
intercostal retractions during - CORRECT ANSWER-inspiration
When planning the care for a child who has had a cleft lip repair, the
nurse knows that crying should be minimized because it - CORRECT
ANSWER-stresses the suture line
,A client with a productive cough has obtained a sputum specimen for
culture as instructed. What action is the best initial nursing action? -
CORRECT ANSWER-Administer the first dose of prescribed
antibiotic therapy
A client is brought to the Emergency Department by ambulance in
cardiac arrest with CPR in progress. The client is intubated and
receiving 100% O2 per ambu bag. The nurse determines the client is
cyanotic, cold, and diaphoretic. Which assessment is most important to
obtain? - CORRECT ANSWER-deep tendon reflexes
After a hospitalization for Syndrome of Inappropriate Antidiuretic
Hormone (SIADH), a client develops pontine myselinolysis. Which
intervention should the nurse implement first? - CORRECT ANSWER-
Reorientate client to his room
A male client with heart failure (HF) calls the clinic and reports he
cannot put his shoes on because they are too tight. Which additional
information should the nurse obtain? - CORRECT ANSWER-Has his
weight changed in the last several days
An older adult with a long hx of COPD is admitted with progressive
shortness of breath and a persistent cough. She is anxious and is
complaining of a dry mouth. Which intervention should the nurse
implement? - CORRECT ANSWER-Apply a high flow venturi mask
, A client with a hx of asthma and bronchitis arrives at the clinic with
SOB, productive cough with thickened tenacious mucous and the
inability to walk up a flight of stairs without experiencing
breathlessness. Which action is important for the nurse to instruct the
client about self care? - CORRECT ANSWER-Increase the daily
intake of oral fluids to to liquefy secretions
A cardiac catherization of a client with heart disease indicates the
following blockages 95% LAD 99% proximal circumflex and 95%
proximal RCA. The client later asks the nurse "what does all that mean
for me" - CORRECT ANSWER-3 main arteries have major blockages
with only 1 to 5% of blood flow getting through to the heart muscle
The nurse is caring for a client with a lower left pulmonary abscess
which position should the nurse instruct the client to maintain -
CORRECT ANSWER-left lateral
A client with cholelithiasis has a gallstone lodged in the common bile
duct and is unable to eat or drink without nausea and vomiting. Which
finding should the nurse report to the healthcare provider - CORRECT
ANSWER-yellow sclera
While caring for a client with Amyotrophic Lateral Sclerosis (ALS), the
nurse performs a neuro assessment every 4 hours. which assessment
