HESI EXIT RN ACTUAL EXAM QUESTIONS
AND ANSWERS TESTED AND APPROVED
STUDY EXAM NEWLY MODIFIED
The school nurse suspects that a third grade child might have Attention Deficit
Hyperactivity
Disorder. Prior to referring the child for further evaluation, the nurse should
A) Observe the child's behavior on at least 2 occasions
B) Consult with the teacher about how to control impulsivity
C) Compile a history of behavior patterns and developmental
accomplishments
D) Compare the child's behavior with classic signs and symptoms --
ANSWER--C) Compile a history of behavior patterns and developmental
accomplishments
Which of the actions suggested to the RN by the PN during a planning
conference for a 10 month-old infant admitted 2 hours ago with bacterial
meningitis would be acceptable to add to the plan of care?
A) Measure head circumference
B) Place in airborne isolation
C) Provide passive range of motion
D) Provide an over-the-crib protective top -- ANSWER--A) Measure head
circumference
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,A client is admitted with a diagnosis of hepatitis B. In reviewing the initial
laboratory results, the nurse would expect to find elevation in which of the
following values?
A) Blood urea nitrogen
B) Acid phosphatase
C) Bilirubin
D) Sedimentation Rate -- ANSWER--C) Bilirubin
The nurse is discussing nutritional requirements with the parents of an 18
month-old child. Which of these statements about milk consumption is correct?
A) May drink as much milk as desired
B) Can have milk mixed with other foods
C) Will benefit from fat-free cow's milk
D) Should be limited to 3-4 cups of milk daily -- ANSWER--D) Should be
limited to 3-4 cups of milk daily
The nurse is talking with a client. The client abruptly says to the nurse, "The
moon is full. Astronauts walk on the moon. Walking is a good health habit."
The client's behavior most likely indicates
A) Neologisms
B) Dissociation
C) Flight of ideas
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,D) Word salad -- ANSWER--C) Flight of ideas
A client with pneumococcal pneumonia had been started on antibiotics 16 hours
ago. During the nurse's initial evening rounds the nurse notices a foul smell in
the room. The client makes all of these statements during their conversation.
Which statement would alert the nurse to a complication?
A) "I have a sharp pain in my chest when I take a breath.
"B) "I have been coughing up foul-tasting, brown, thick sputum.
" C) "I have been sweating all day.
"D) "I feel hot off and on." -- ANSWER--"B) "I have been coughing up foul-
tasting, brown, thick sputum.
The nurse is performing an assessment on a client in congestive heart failure.
Auscultation of the heart is most likely to reveal
A) S3 ventricular gallop
B) Apical click
C) Systolic murmur
D) Split S2 -- ANSWER--A) S3 ventricular gallop
Which of these observations made by the nurse during an excretory urogram
indicate a complicaton?
A) The client complains of a salty taste in the mouth when the dye is injected
B) The client's entire body turns a bright red color
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, C) The client states "I have a feeling of getting warm."
D) The client gags and complains " I am getting sick." -- ANSWER--B) The
client's entire body turns a bright red color
A client is diagnosed with a spontaneous pneumothorax necessitating the
insertion of a chest tube. What is the best explanation for the nurse to provide
this client? A) "The tube will drain fluid from your chest.
"B) "The tube will remove excess air from your chest."
C) "The tube controls the amount of air that enters your chest.
" D) "The tube will seal the hole in your lung." -- ANSWER--"B) "The tube will
remove excess air from your chest."
The nurse is reviewing laboratory results on a client with acute renal failure.
Which one of the following should be reported immediately?
A) Blood urea nitrogen 50 mg/dl
B) Hemoglobin of 10.3 mg/dl
C) Venous blood pH 7.30
D) Serum potassium 6 mEq/L -- ANSWER--D) Serum potassium 6 mEq/L
The nurse is caring for a client undergoing the placement of a central venous
catheter line.
Which of the following would require the nurse's immediate attention?
A) Pallor
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AND ANSWERS TESTED AND APPROVED
STUDY EXAM NEWLY MODIFIED
The school nurse suspects that a third grade child might have Attention Deficit
Hyperactivity
Disorder. Prior to referring the child for further evaluation, the nurse should
A) Observe the child's behavior on at least 2 occasions
B) Consult with the teacher about how to control impulsivity
C) Compile a history of behavior patterns and developmental
accomplishments
D) Compare the child's behavior with classic signs and symptoms --
ANSWER--C) Compile a history of behavior patterns and developmental
accomplishments
Which of the actions suggested to the RN by the PN during a planning
conference for a 10 month-old infant admitted 2 hours ago with bacterial
meningitis would be acceptable to add to the plan of care?
A) Measure head circumference
B) Place in airborne isolation
C) Provide passive range of motion
D) Provide an over-the-crib protective top -- ANSWER--A) Measure head
circumference
Page 1 of 153
,A client is admitted with a diagnosis of hepatitis B. In reviewing the initial
laboratory results, the nurse would expect to find elevation in which of the
following values?
A) Blood urea nitrogen
B) Acid phosphatase
C) Bilirubin
D) Sedimentation Rate -- ANSWER--C) Bilirubin
The nurse is discussing nutritional requirements with the parents of an 18
month-old child. Which of these statements about milk consumption is correct?
A) May drink as much milk as desired
B) Can have milk mixed with other foods
C) Will benefit from fat-free cow's milk
D) Should be limited to 3-4 cups of milk daily -- ANSWER--D) Should be
limited to 3-4 cups of milk daily
The nurse is talking with a client. The client abruptly says to the nurse, "The
moon is full. Astronauts walk on the moon. Walking is a good health habit."
The client's behavior most likely indicates
A) Neologisms
B) Dissociation
C) Flight of ideas
Page 2 of 153
,D) Word salad -- ANSWER--C) Flight of ideas
A client with pneumococcal pneumonia had been started on antibiotics 16 hours
ago. During the nurse's initial evening rounds the nurse notices a foul smell in
the room. The client makes all of these statements during their conversation.
Which statement would alert the nurse to a complication?
A) "I have a sharp pain in my chest when I take a breath.
"B) "I have been coughing up foul-tasting, brown, thick sputum.
" C) "I have been sweating all day.
"D) "I feel hot off and on." -- ANSWER--"B) "I have been coughing up foul-
tasting, brown, thick sputum.
The nurse is performing an assessment on a client in congestive heart failure.
Auscultation of the heart is most likely to reveal
A) S3 ventricular gallop
B) Apical click
C) Systolic murmur
D) Split S2 -- ANSWER--A) S3 ventricular gallop
Which of these observations made by the nurse during an excretory urogram
indicate a complicaton?
A) The client complains of a salty taste in the mouth when the dye is injected
B) The client's entire body turns a bright red color
Page 3 of 153
, C) The client states "I have a feeling of getting warm."
D) The client gags and complains " I am getting sick." -- ANSWER--B) The
client's entire body turns a bright red color
A client is diagnosed with a spontaneous pneumothorax necessitating the
insertion of a chest tube. What is the best explanation for the nurse to provide
this client? A) "The tube will drain fluid from your chest.
"B) "The tube will remove excess air from your chest."
C) "The tube controls the amount of air that enters your chest.
" D) "The tube will seal the hole in your lung." -- ANSWER--"B) "The tube will
remove excess air from your chest."
The nurse is reviewing laboratory results on a client with acute renal failure.
Which one of the following should be reported immediately?
A) Blood urea nitrogen 50 mg/dl
B) Hemoglobin of 10.3 mg/dl
C) Venous blood pH 7.30
D) Serum potassium 6 mEq/L -- ANSWER--D) Serum potassium 6 mEq/L
The nurse is caring for a client undergoing the placement of a central venous
catheter line.
Which of the following would require the nurse's immediate attention?
A) Pallor
Page 4 of 153
