RN mix hesi 3 , TEST & HESI Comprehensive NCLEX-RN
Practice (Pediatrics) C0MBINATION EXAMINATION
2025 – 2026 WITH QUESTIONS WITH CORRECT
ANSWERS VERIFIED 100% GRADED A+
RN mix hesi 3
Which action should the nurse take when caring for clients through a
Community-Based Care Transition Program (CCTP)?
Multiple choice question
Asking a pharmacist to review expected effects of a medication to a client
Contacting the client and physician through a conference call line to discuss
medication issues
Reporting that a client's temperature has increased while receiving a unit of
packed red blood cells
Directing unlicensed assistive personnel (UAP) to measure vital signs and
pass linen on an assigned group of clients
Contacting the client and physician through a conference call line to discuss
medication issues
One activity within a Community-Based Care Transition Program (CCTP) is assisting
with communication between the client and primary and specialty caregivers.
Contacting the client and physician through a conference call line to discuss
medication issues would be an example of this activity. Asking a pharmacist to
review medication effects would be a part of the client-focused care delivery system.
Reporting a client's change in vital signs would be an activity conducted by a nurse
providing care in a variety of delivery systems. Directing unlicensed assistive
personnel (UAP) to measure vital signs and pass linen would be direction provided
by a team leader.
,The nurse is planning discharge instructions for a client who had a
thyroidectomy. What signs/symptoms will the client exhibit with surgically
induced hypothyroidism?
Multiple selection question
Fatigue
Dry skin
Insomnia
Excitability
Weight loss
Intolerance to heat
Fatigue
Dry skin
Fatigue results from the decreased metabolic rate associated with hypothyroidism.
Dry skin is caused by decreased glandular function. Insomnia is associated with
hyperthyroidism because of the increased metabolic rate. Lethargy, not excitability,
is associated with hypothyroidism because of the decreased metabolic rate. Weight
gain, not loss, is associated with hypothyroidism because of the decreased
metabolic rate. Intolerance to heat is associated with hyperthyroidism.
Which drug may lead to bruxism?
Multiple choice question
Vilazodone
Isocarboxazid
Clomipramine
Levomilnacipran
Serotonin reuptake inhibitors and serotonin/epinephrine reuptake inhibitors may lead
to bruxism. Levomilnacipran is a serotonin/epinephrine reuptake inhibitor that may
cause bruxism. Vilazodone is an atypical antidepressant that does not cause
bruxism. Isocarboxazid is a monoamine oxidase inhibitor that does not cause
bruxism. Clomipramine is a tricyclic antidepressant that does not cause bruxism.
,A client with the diagnosis of personality disorder with antisocial behavior is
hospitalized. The client is openly discussing interpersonal difficulties with
family members and the boss at work from whom the client has stolen money.
The client is facing criminal charges. Which behavior indicates that the client
is meeting treatment outcomes?
Multiple choice question
Expression of feelings of resentment toward the employer
Discussion of plans for each of the possible outcomes of a trial
Expression of resignation about difficult relationships with the spouse and
children
Discussion of the decision to file a grievance against the employer after
discharge from the hospital
Because the legal difficulties were a precipitating event for hospitalization, if the
client can realistically examine the possible outcomes of the trial, then some benefit
has been gained from the therapy. Freely expressing resentment and claiming
victimization by the employer and authority figures do not show improvement or
insight. The client has been discussing the problems since admission, so expressing
resignation does not indicate the development of insight. Deciding to file a grievance
indicates unrealistic planning and does not demonstrate the development of insight.
A nursing student is recalling the various stages of health behavior change.
What are the characteristics of the preparation stage?
Multiple selection question
The client requires assistance to plan changes in health behavior.
The client intends to make changes in health behavior in the next 6 months.
The client becomes actively engaged in strategies to change health behavior.
The client understands that the advantages of health behavior change exceed
the disadvantages.
The client makes small changes in health behavior in preparation for major
changes in the next month.
The client requires assistance to plan changes in health behavior.
The client understands that the advantages of health behavior change exceed the
disadvantages.
, The client makes small changes in health behavior in preparation for major changes
in the next month.
In the preparation stage, the client may need assistance in planning for the health
behavior change. At this stage, the client understands that advantages of health
behavior change exceed the disadvantages. The client, therefore, makes small
changes to prepare for major health behavior change in the next month. In the
contemplation stage of health behavior change, the client intends to make changes
in health behavior in the next 6 months. In the preparation stage, the client becomes
actively engaged in strategies to change his or her health behavior.
What manifestations does the nurse expect to identify when taking a health
history from a client with moderate dementia?
Multiple selection question
Sundowning
Hypervigilance
Increased inhibition
Exaggeration of premorbid traits
Inability to recognize family members
Sundowning
Exaggeration of premorbid traits
A young adult sustained a spinal cord injury at the level of T5 a week ago and
is now incontinent of feces. When the nurse tries to give a bath and change
the linens, the client says, "Leave me alone. It's worse having you change me
than it is to lie in this mess." What is the best response by the nurse?
Multiple choice question
"Do you want me to get someone else to change you?"
"You shouldn't be embarrassed; this is part of my job."
"I'll be back in a little while; why don't you rest until then?"
"While I'm bathing you I'll start teaching you about bowel training."
Practice (Pediatrics) C0MBINATION EXAMINATION
2025 – 2026 WITH QUESTIONS WITH CORRECT
ANSWERS VERIFIED 100% GRADED A+
RN mix hesi 3
Which action should the nurse take when caring for clients through a
Community-Based Care Transition Program (CCTP)?
Multiple choice question
Asking a pharmacist to review expected effects of a medication to a client
Contacting the client and physician through a conference call line to discuss
medication issues
Reporting that a client's temperature has increased while receiving a unit of
packed red blood cells
Directing unlicensed assistive personnel (UAP) to measure vital signs and
pass linen on an assigned group of clients
Contacting the client and physician through a conference call line to discuss
medication issues
One activity within a Community-Based Care Transition Program (CCTP) is assisting
with communication between the client and primary and specialty caregivers.
Contacting the client and physician through a conference call line to discuss
medication issues would be an example of this activity. Asking a pharmacist to
review medication effects would be a part of the client-focused care delivery system.
Reporting a client's change in vital signs would be an activity conducted by a nurse
providing care in a variety of delivery systems. Directing unlicensed assistive
personnel (UAP) to measure vital signs and pass linen would be direction provided
by a team leader.
,The nurse is planning discharge instructions for a client who had a
thyroidectomy. What signs/symptoms will the client exhibit with surgically
induced hypothyroidism?
Multiple selection question
Fatigue
Dry skin
Insomnia
Excitability
Weight loss
Intolerance to heat
Fatigue
Dry skin
Fatigue results from the decreased metabolic rate associated with hypothyroidism.
Dry skin is caused by decreased glandular function. Insomnia is associated with
hyperthyroidism because of the increased metabolic rate. Lethargy, not excitability,
is associated with hypothyroidism because of the decreased metabolic rate. Weight
gain, not loss, is associated with hypothyroidism because of the decreased
metabolic rate. Intolerance to heat is associated with hyperthyroidism.
Which drug may lead to bruxism?
Multiple choice question
Vilazodone
Isocarboxazid
Clomipramine
Levomilnacipran
Serotonin reuptake inhibitors and serotonin/epinephrine reuptake inhibitors may lead
to bruxism. Levomilnacipran is a serotonin/epinephrine reuptake inhibitor that may
cause bruxism. Vilazodone is an atypical antidepressant that does not cause
bruxism. Isocarboxazid is a monoamine oxidase inhibitor that does not cause
bruxism. Clomipramine is a tricyclic antidepressant that does not cause bruxism.
,A client with the diagnosis of personality disorder with antisocial behavior is
hospitalized. The client is openly discussing interpersonal difficulties with
family members and the boss at work from whom the client has stolen money.
The client is facing criminal charges. Which behavior indicates that the client
is meeting treatment outcomes?
Multiple choice question
Expression of feelings of resentment toward the employer
Discussion of plans for each of the possible outcomes of a trial
Expression of resignation about difficult relationships with the spouse and
children
Discussion of the decision to file a grievance against the employer after
discharge from the hospital
Because the legal difficulties were a precipitating event for hospitalization, if the
client can realistically examine the possible outcomes of the trial, then some benefit
has been gained from the therapy. Freely expressing resentment and claiming
victimization by the employer and authority figures do not show improvement or
insight. The client has been discussing the problems since admission, so expressing
resignation does not indicate the development of insight. Deciding to file a grievance
indicates unrealistic planning and does not demonstrate the development of insight.
A nursing student is recalling the various stages of health behavior change.
What are the characteristics of the preparation stage?
Multiple selection question
The client requires assistance to plan changes in health behavior.
The client intends to make changes in health behavior in the next 6 months.
The client becomes actively engaged in strategies to change health behavior.
The client understands that the advantages of health behavior change exceed
the disadvantages.
The client makes small changes in health behavior in preparation for major
changes in the next month.
The client requires assistance to plan changes in health behavior.
The client understands that the advantages of health behavior change exceed the
disadvantages.
, The client makes small changes in health behavior in preparation for major changes
in the next month.
In the preparation stage, the client may need assistance in planning for the health
behavior change. At this stage, the client understands that advantages of health
behavior change exceed the disadvantages. The client, therefore, makes small
changes to prepare for major health behavior change in the next month. In the
contemplation stage of health behavior change, the client intends to make changes
in health behavior in the next 6 months. In the preparation stage, the client becomes
actively engaged in strategies to change his or her health behavior.
What manifestations does the nurse expect to identify when taking a health
history from a client with moderate dementia?
Multiple selection question
Sundowning
Hypervigilance
Increased inhibition
Exaggeration of premorbid traits
Inability to recognize family members
Sundowning
Exaggeration of premorbid traits
A young adult sustained a spinal cord injury at the level of T5 a week ago and
is now incontinent of feces. When the nurse tries to give a bath and change
the linens, the client says, "Leave me alone. It's worse having you change me
than it is to lie in this mess." What is the best response by the nurse?
Multiple choice question
"Do you want me to get someone else to change you?"
"You shouldn't be embarrassed; this is part of my job."
"I'll be back in a little while; why don't you rest until then?"
"While I'm bathing you I'll start teaching you about bowel training."
