HESI Exit RN V4 Test Questions and Answers Rated A
1. The nurse is caring for a pre-adolescent client the problem is acute angina?
in skeletal Dunlop traction. Which nursing
intervention is appropriate for this child? A) "My pain is deep in my chest behind my
A) Make certain the child is maintained in correct sternum."
body alignment. B) "When I sit up the pain gets worse."
B) Be sure the traction weights touch the end of C) "As I take a deep breath the pain gets worse."
the bed. D) "The pain is right here in my stomach area." -
C) Adjust the head and foot of the bed for the - A: "My pain is deep in my chest behind
child's comfort my sternum."
D) Release the traction for 15-20 minutes every 6
hours PRN. - - A: Make certain the child is
maintained in correct body alignment. 5. The nurse is assessing the mental status of a
client admitted with possible organic brain
disorder. Which of these questions will best
2. The nurse is assessing a healthy child at the 2 assess the function of the client's recent
year check up. Which of the following should the memory?
nurse report immediately to the health care
provider? A) "Name the year." "What season is this?"
(pause for answer after each question)
A) Height and weight percentiles vary widely B) "Subtract 7 from 100 and then subtract 7 from
B) Growth pattern appears to have slowed that." (pause for answer) "Now continue to
C) Recumbent and standing height are different subtract 7 from the new number."
D) Short term weight changes are uneven - C) "I am going to say the names of three things
- A: Height and weight percentiles vary and I want you to repeat them after me: blue,
widely ball, pen."
D) "What is this on my wrist?" (point to your
watch) Then ask, "What is the purpose of it?" -
3. The parents of a 2 year-old child report that he - C: "I am going to say the names of three
has been holding his breath whenever he has things and I want you to repeat them after me:
temper tantrums. What is the best action by the blue, ball, pen."
nurse?
A) Teach the parents how to perform 6. In planning care for a 6 month-old infant, what
cardiopulmonary resuscitation must the nurse provide to assist in the
B) Recommend that the parents give in when he development of trust?
holds his breath to prevent anoxia
C) Advise the parents to ignore breath holding A) Food
because breathing will begin as a reflex B) Warmth
D) Instruct the parents on how to reason with the C) Security
child about possible harmful effects - - C: D) Comfort - - C: Security
Advise the parents to ignore breath holding
because breathing will begin as a reflex
7. A nurse has just received a medication order
which is not legible. Which statement best
4. The nurse is assessing a client in the reflects assertive communication?
emergency room. Which statement suggests that
,HESI Exit RN V4 Test Questions and Answers Rated A
A) "I cannot give this medication as it is written. I Respiratory rate of 30
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?" 11. A client is admitted with low T3 and T4 levels
C) "I am having difficulty reading your and an elevated TSH level. On initial
handwriting. It would save me time if you would assessment, the nurse would anticipate which of
be more careful." the following assessment findings?
D) "Please print in the future so I do not have to
spend extra time attempting to read your writing." A) Lethargy
- - B) "Would you please clarify what you B) Heat intolerance
have written so I am sure I am reading it C) Diarrhea
correctly?" D) Skin eruptions - - A: Lethargy
8. What is the most important consideration 12. The emergency room nurse admits a child
when teaching parents how to reduce risks in the who experienced a seizure at school. The father
home? comments that this is the first occurrence, and
denies any family history of epilepsy. What is the
A) Age and knowledge level of the parents best response by the nurse?
B) Proximity to emergency services
C) Number of children in the home A) "Do not worry. Epilepsy can be treated with
D) Age of children in the home - - D: Age medications."
of children in the home B) "The seizure may or may not mean your child
has epilepsy."
C) "Since this was the first convulsion, it may not
9. A 35 year-old client with sickle cell crisis is happen again."
talking on the telephone but stops as the nurse D) "Long term treatment will prevent future
enters the room to request something for pain. seizures." - - B: "The seizure may or may
The nurse should not mean your child has epilepsy."
A) Administer a placebo
B) Encourage increased fluid intake 13. Alcohol and drug abuse impairs judgment
C) Administer the prescribed analgesia and increases risk taking behavior. What nursing
D) Recommend relaxation exercises for pain diagnosis best applies?
control - - C: Administer the prescribed
analgesia A) Risk for injury
B) Risk for knowledge deficit
C) Altered thought process
10. While caring for a toddler with croup, which D) Disturbance in self-esteem - - A: Risk
initial sign of croup requires the nurse's for injury
immediate attention?
A) Respiratory rate of 42 14. The nurse is caring for a 10 month-old infant
B) Lethargy for the past hour who is has oxygen via mask. It is important for
C) Apical pulse of 54 the nurse to maintain patency of which of these
D) Coughing up copious secretions - - A: areas?
, HESI Exit RN V4 Test Questions and Answers Rated A
A) Mouth
B) Nasal passages 18. The nurse is talking by telephone with a
C) Back of throat parent of a 4 year-old child who has chickenpox.
D) Bronchials - - B: Nasal passages Which of the following demonstrates appropriate
teaching by the nurse?
15. The nurse is providing instructions for a client A) Chewable aspirin is the preferred analgesic
with pneumonia. What is the most important B) Topical cortisone ointment relieves itching
information to convey to the client? C) Papules, vesicles, and crusts will be present
at one time
A) "Take at least 2 weeks off from work." D) The illness is only contagious prior to lesion
B) "You will need another chest x-ray in 6 eruption - - C: Papules, vesicles, and
weeks." crusts will be present at one time
C) "Take your temperature every day."
D) "Complete all of the antibiotic even if your
findings decrease." - - D: "Complete all of 19. The nurse is assigned to a client who has
the antibiotic even if your findings decrease." heart failure . During the morning rounds the
nurse sees the client develop sudden anxiety,
diaphoresis and dyspnea. The nurse auscultates,
16. When counseling a 6 year old who is crackles bilaterally. Which nursing intervention
experiencing enuresis, what must the nurse should be performed first?
understand about the pathophysiological basis of
this disorder? A) Take the client's vital signs
B) Place the client in a sitting position with legs
A) Has no clear etiology dangling
B) May be associated with sleep phobia C) Contact the health care provider
C) Has a definite genetic link D) Administer the PRN anti anxiety agent -
D) Is a sign of willful misbehavior - - A: Has - B: Place the client in a sitting position with
no clear etiology legs dangling
17. The nurse is discussing negativism with the 20. The nurse is caring for a toddler with atopic
parents of a 30 month-old child. How should the dermatitis. The nurse should instruct the parents
nurse tell the parents to best respond to this to
behavior?
A) Dress the child warmly to avoid chilling
A) Reprimand the child and give a 15 minute B) Keep the child away from other children for the
"time out" duration of the rash
B) Maintain a permissive attitude for this C) Clean the affected areas with tepid water and
behavior detergent
C) Use patience and a sense of humor to deal D) Wrap the child's hand in mittens or socks to
with this behavior prevent scratching - - D: Wrap the child''s
D) Assert authority over the child through limit hand in mittens or socks to prevent scratching
setting - - C: Use patience and a sense of
humor to deal with this behavior
1. The nurse is caring for a pre-adolescent client the problem is acute angina?
in skeletal Dunlop traction. Which nursing
intervention is appropriate for this child? A) "My pain is deep in my chest behind my
A) Make certain the child is maintained in correct sternum."
body alignment. B) "When I sit up the pain gets worse."
B) Be sure the traction weights touch the end of C) "As I take a deep breath the pain gets worse."
the bed. D) "The pain is right here in my stomach area." -
C) Adjust the head and foot of the bed for the - A: "My pain is deep in my chest behind
child's comfort my sternum."
D) Release the traction for 15-20 minutes every 6
hours PRN. - - A: Make certain the child is
maintained in correct body alignment. 5. The nurse is assessing the mental status of a
client admitted with possible organic brain
disorder. Which of these questions will best
2. The nurse is assessing a healthy child at the 2 assess the function of the client's recent
year check up. Which of the following should the memory?
nurse report immediately to the health care
provider? A) "Name the year." "What season is this?"
(pause for answer after each question)
A) Height and weight percentiles vary widely B) "Subtract 7 from 100 and then subtract 7 from
B) Growth pattern appears to have slowed that." (pause for answer) "Now continue to
C) Recumbent and standing height are different subtract 7 from the new number."
D) Short term weight changes are uneven - C) "I am going to say the names of three things
- A: Height and weight percentiles vary and I want you to repeat them after me: blue,
widely ball, pen."
D) "What is this on my wrist?" (point to your
watch) Then ask, "What is the purpose of it?" -
3. The parents of a 2 year-old child report that he - C: "I am going to say the names of three
has been holding his breath whenever he has things and I want you to repeat them after me:
temper tantrums. What is the best action by the blue, ball, pen."
nurse?
A) Teach the parents how to perform 6. In planning care for a 6 month-old infant, what
cardiopulmonary resuscitation must the nurse provide to assist in the
B) Recommend that the parents give in when he development of trust?
holds his breath to prevent anoxia
C) Advise the parents to ignore breath holding A) Food
because breathing will begin as a reflex B) Warmth
D) Instruct the parents on how to reason with the C) Security
child about possible harmful effects - - C: D) Comfort - - C: Security
Advise the parents to ignore breath holding
because breathing will begin as a reflex
7. A nurse has just received a medication order
which is not legible. Which statement best
4. The nurse is assessing a client in the reflects assertive communication?
emergency room. Which statement suggests that
,HESI Exit RN V4 Test Questions and Answers Rated A
A) "I cannot give this medication as it is written. I Respiratory rate of 30
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?" 11. A client is admitted with low T3 and T4 levels
C) "I am having difficulty reading your and an elevated TSH level. On initial
handwriting. It would save me time if you would assessment, the nurse would anticipate which of
be more careful." the following assessment findings?
D) "Please print in the future so I do not have to
spend extra time attempting to read your writing." A) Lethargy
- - B) "Would you please clarify what you B) Heat intolerance
have written so I am sure I am reading it C) Diarrhea
correctly?" D) Skin eruptions - - A: Lethargy
8. What is the most important consideration 12. The emergency room nurse admits a child
when teaching parents how to reduce risks in the who experienced a seizure at school. The father
home? comments that this is the first occurrence, and
denies any family history of epilepsy. What is the
A) Age and knowledge level of the parents best response by the nurse?
B) Proximity to emergency services
C) Number of children in the home A) "Do not worry. Epilepsy can be treated with
D) Age of children in the home - - D: Age medications."
of children in the home B) "The seizure may or may not mean your child
has epilepsy."
C) "Since this was the first convulsion, it may not
9. A 35 year-old client with sickle cell crisis is happen again."
talking on the telephone but stops as the nurse D) "Long term treatment will prevent future
enters the room to request something for pain. seizures." - - B: "The seizure may or may
The nurse should not mean your child has epilepsy."
A) Administer a placebo
B) Encourage increased fluid intake 13. Alcohol and drug abuse impairs judgment
C) Administer the prescribed analgesia and increases risk taking behavior. What nursing
D) Recommend relaxation exercises for pain diagnosis best applies?
control - - C: Administer the prescribed
analgesia A) Risk for injury
B) Risk for knowledge deficit
C) Altered thought process
10. While caring for a toddler with croup, which D) Disturbance in self-esteem - - A: Risk
initial sign of croup requires the nurse's for injury
immediate attention?
A) Respiratory rate of 42 14. The nurse is caring for a 10 month-old infant
B) Lethargy for the past hour who is has oxygen via mask. It is important for
C) Apical pulse of 54 the nurse to maintain patency of which of these
D) Coughing up copious secretions - - A: areas?
, HESI Exit RN V4 Test Questions and Answers Rated A
A) Mouth
B) Nasal passages 18. The nurse is talking by telephone with a
C) Back of throat parent of a 4 year-old child who has chickenpox.
D) Bronchials - - B: Nasal passages Which of the following demonstrates appropriate
teaching by the nurse?
15. The nurse is providing instructions for a client A) Chewable aspirin is the preferred analgesic
with pneumonia. What is the most important B) Topical cortisone ointment relieves itching
information to convey to the client? C) Papules, vesicles, and crusts will be present
at one time
A) "Take at least 2 weeks off from work." D) The illness is only contagious prior to lesion
B) "You will need another chest x-ray in 6 eruption - - C: Papules, vesicles, and
weeks." crusts will be present at one time
C) "Take your temperature every day."
D) "Complete all of the antibiotic even if your
findings decrease." - - D: "Complete all of 19. The nurse is assigned to a client who has
the antibiotic even if your findings decrease." heart failure . During the morning rounds the
nurse sees the client develop sudden anxiety,
diaphoresis and dyspnea. The nurse auscultates,
16. When counseling a 6 year old who is crackles bilaterally. Which nursing intervention
experiencing enuresis, what must the nurse should be performed first?
understand about the pathophysiological basis of
this disorder? A) Take the client's vital signs
B) Place the client in a sitting position with legs
A) Has no clear etiology dangling
B) May be associated with sleep phobia C) Contact the health care provider
C) Has a definite genetic link D) Administer the PRN anti anxiety agent -
D) Is a sign of willful misbehavior - - A: Has - B: Place the client in a sitting position with
no clear etiology legs dangling
17. The nurse is discussing negativism with the 20. The nurse is caring for a toddler with atopic
parents of a 30 month-old child. How should the dermatitis. The nurse should instruct the parents
nurse tell the parents to best respond to this to
behavior?
A) Dress the child warmly to avoid chilling
A) Reprimand the child and give a 15 minute B) Keep the child away from other children for the
"time out" duration of the rash
B) Maintain a permissive attitude for this C) Clean the affected areas with tepid water and
behavior detergent
C) Use patience and a sense of humor to deal D) Wrap the child's hand in mittens or socks to
with this behavior prevent scratching - - D: Wrap the child''s
D) Assert authority over the child through limit hand in mittens or socks to prevent scratching
setting - - C: Use patience and a sense of
humor to deal with this behavior
