HESI RN STUDY GUIDE
PRACTICE ACTUAL EXAM QUESTIONS AND
ANSWERS TESTED AND APPROVED
The father of an 8-month-old infant asks the nurse if his infant's vocalizations
are normal for his age. Which of the following would the nurse expect at this
age?
A) Cooing
B) Imitation of sounds
C) Throaty sounds
D) Laughter -- ANSWER--B) Imitation of sounds
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 -- ANSWER--C) Security
A nurse has just received a medication order which is not legible. Which
statement best reflects assertive communication?
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,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." -- ANSWER--B) "Would you please clarify what you
have written so I am sure I am reading it correctly?"
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 -- ANSWER--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 -- ANSWER--C)
Administer the prescribed analgesia
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,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 -- ANSWER--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
B) Heat intolerance
C) Diarrhea
D) Skin eruptions -- ANSWER--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?
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."
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, D) "Long term treatment will prevent future seizures." -- ANSWER--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
B) Risk for knowledge deficit
C) Altered thought process
D) Disturbance in self-esteem -- ANSWER--A) Risk for injury
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 -- ANSWER--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?
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.
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PRACTICE ACTUAL EXAM QUESTIONS AND
ANSWERS TESTED AND APPROVED
The father of an 8-month-old infant asks the nurse if his infant's vocalizations
are normal for his age. Which of the following would the nurse expect at this
age?
A) Cooing
B) Imitation of sounds
C) Throaty sounds
D) Laughter -- ANSWER--B) Imitation of sounds
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 -- ANSWER--C) Security
A nurse has just received a medication order which is not legible. Which
statement best reflects assertive communication?
Page 1 of 95
,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." -- ANSWER--B) "Would you please clarify what you
have written so I am sure I am reading it correctly?"
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 -- ANSWER--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 -- ANSWER--C)
Administer the prescribed analgesia
Page 2 of 95
,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 -- ANSWER--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
B) Heat intolerance
C) Diarrhea
D) Skin eruptions -- ANSWER--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?
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."
Page 3 of 95
, D) "Long term treatment will prevent future seizures." -- ANSWER--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
B) Risk for knowledge deficit
C) Altered thought process
D) Disturbance in self-esteem -- ANSWER--A) Risk for injury
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 -- ANSWER--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?
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.
Page 4 of 95
