HESI EXIT RN V4 EXAM All 160 Questions & Answers
verified 2025-2026 Top Ranked for Grade A+,,
1. The nurse is caring for a pre-adolescent client in skeletal Dunlop traction. Which nursing
intervention is appropriate for this child?
A) Make certain the child is maintained in correct body alignment.
B) Be sure the traction weights touch the end of the bed.
C) Adjust the head and foot of the bed for the child's comfort
D) Release the traction for 15-20 minutes every 6 hours PRN. - A: Make certain the child
is maintained in correct body alignment.
2. The nurse is assessing a healthy child at the 2 year check up. Which of the following should
the nurse report immediately to the health care provider?
A) Height and weight percentiles vary widely
B) Growth pattern appears to have slowed
C) Recumbent and standing height are different
D) Short term weight changes are uneven - A: Height and weight percentiles vary widely
3. The parents of a 2 year-old child report that he has been holding his breath whenever he has
temper tantrums. What is the best action by the nurse?
A) Teach the parents how to perform cardiopulmonary resuscitation
B) Recommend that the parents give in when he holds his breath to prevent anoxia
C) Advise the parents to ignore breath holding because breathing will begin as a reflex
D) Instruct the parents on how to reason with the child about possible harmful effects -
C: Advise the parents to ignore breath holding because breathing will begin as a reflex
P a g e 1 | 53
,HESI EXIT RN V4 EXAM All 160 Questions & Answers
verified 2025-2026 Top Ranked for Grade A+,,
4. The nurse is assessing a client in the emergency room. Which statement suggests that the
problem is acute angina?
A) "My pain is deep in my chest behind my sternum."
B) "When I sit up the pain gets worse."
C) "As I take a deep breath the pain gets worse."
D) "The pain is right here in my stomach area." - A: "My pain is deep in my chest behind
my sternum."
5. The nurse is assessing the mental status of a client admitted with possible organic brain
disorder. Which of these questions will best assess the function of the client's recent memory?
A) "Name the year." "What season is this?" (pause for answer after each question)
B) "Subtract 7 from 100 and then subtract 7 from that." (pause for answer) "Now continue to
subtract 7 from the new number."
C) "I am going to say the names of three things and I want you to repeat them after me: blue,
ball, pen."
D) "What is this on my wrist?" (point to your watch) Then ask, "What is the purpose of it?" -
C: "I am going to say the names of three things and I want you to repeat them after me:
blue, ball, pen."
6. 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 - C: Security
P a g e 2 | 53
,HESI EXIT RN V4 EXAM All 160 Questions & Answers
verified 2025-2026 Top Ranked for Grade A+,,
7. A nurse has just received a medication order which is not legible. Which statement best
reflects assertive communication?
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." - B) "Would you please clarify what you have written so I am sure I am reading it
correctly?"
8. 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 - D: Age of children in the home
9. 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 - C: Administer the prescribed
analgesia
P a g e 3 | 53
, HESI EXIT RN V4 EXAM All 160 Questions & Answers
verified 2025-2026 Top Ranked for Grade A+,,
10. While ucaring ufor ua utoddler uwith ucroup, uwhich uinitial usign uof ucroup urequires uthe
unurse's uimmediate uattention?
A) Respiratory urate uof u42
B) Lethargy ufor uthe upast uhour
C) Apical upulse uof u54
D) Coughing uup ucopious usecretions u- u A: uRespiratory urate uof u30
11. A uclient uis uadmitted uwith ulow uT3 uand uT4 ulevels uand uan uelevated uTSH ulevel. uOn
uinitial uassessment, uthe unurse uwould uanticipate uwhich uof uthe ufollowing uassessment
ufindings?
A) Lethargy
B) Heat uintolerance
C) Diarrhea
D) Skin ueruptions u- u A: uLethargy
12. The uemergency uroom unurse uadmits ua uchild uwho uexperienced ua useizure uat uschool. uThe
ufather ucomments uthat uthis uis uthe ufirst uoccurrence, uand udenies uany ufamily uhistory uof uepilepsy.
uWhat uis uthe ubest uresponse uby uthe unurse?
A) "Do unot uworry. uEpilepsy ucan ube utreated uwith umedications."
B) "The useizure umay uor umay unot umean uyour uchild uhas uepilepsy."
C) "Since uthis uwas uthe ufirst uconvulsion, uit umay unot uhappen uagain."
D) "Long uterm utreatment uwill uprevent ufuture useizures." u- u B: u"The useizure umay uor umay
unot umean uyour uchild uhas uepilepsy."
P ua ug ue u 4 u| u53
verified 2025-2026 Top Ranked for Grade A+,,
1. The nurse is caring for a pre-adolescent client in skeletal Dunlop traction. Which nursing
intervention is appropriate for this child?
A) Make certain the child is maintained in correct body alignment.
B) Be sure the traction weights touch the end of the bed.
C) Adjust the head and foot of the bed for the child's comfort
D) Release the traction for 15-20 minutes every 6 hours PRN. - A: Make certain the child
is maintained in correct body alignment.
2. The nurse is assessing a healthy child at the 2 year check up. Which of the following should
the nurse report immediately to the health care provider?
A) Height and weight percentiles vary widely
B) Growth pattern appears to have slowed
C) Recumbent and standing height are different
D) Short term weight changes are uneven - A: Height and weight percentiles vary widely
3. The parents of a 2 year-old child report that he has been holding his breath whenever he has
temper tantrums. What is the best action by the nurse?
A) Teach the parents how to perform cardiopulmonary resuscitation
B) Recommend that the parents give in when he holds his breath to prevent anoxia
C) Advise the parents to ignore breath holding because breathing will begin as a reflex
D) Instruct the parents on how to reason with the child about possible harmful effects -
C: Advise the parents to ignore breath holding because breathing will begin as a reflex
P a g e 1 | 53
,HESI EXIT RN V4 EXAM All 160 Questions & Answers
verified 2025-2026 Top Ranked for Grade A+,,
4. The nurse is assessing a client in the emergency room. Which statement suggests that the
problem is acute angina?
A) "My pain is deep in my chest behind my sternum."
B) "When I sit up the pain gets worse."
C) "As I take a deep breath the pain gets worse."
D) "The pain is right here in my stomach area." - A: "My pain is deep in my chest behind
my sternum."
5. The nurse is assessing the mental status of a client admitted with possible organic brain
disorder. Which of these questions will best assess the function of the client's recent memory?
A) "Name the year." "What season is this?" (pause for answer after each question)
B) "Subtract 7 from 100 and then subtract 7 from that." (pause for answer) "Now continue to
subtract 7 from the new number."
C) "I am going to say the names of three things and I want you to repeat them after me: blue,
ball, pen."
D) "What is this on my wrist?" (point to your watch) Then ask, "What is the purpose of it?" -
C: "I am going to say the names of three things and I want you to repeat them after me:
blue, ball, pen."
6. 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 - C: Security
P a g e 2 | 53
,HESI EXIT RN V4 EXAM All 160 Questions & Answers
verified 2025-2026 Top Ranked for Grade A+,,
7. A nurse has just received a medication order which is not legible. Which statement best
reflects assertive communication?
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." - B) "Would you please clarify what you have written so I am sure I am reading it
correctly?"
8. 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 - D: Age of children in the home
9. 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 - C: Administer the prescribed
analgesia
P a g e 3 | 53
, HESI EXIT RN V4 EXAM All 160 Questions & Answers
verified 2025-2026 Top Ranked for Grade A+,,
10. While ucaring ufor ua utoddler uwith ucroup, uwhich uinitial usign uof ucroup urequires uthe
unurse's uimmediate uattention?
A) Respiratory urate uof u42
B) Lethargy ufor uthe upast uhour
C) Apical upulse uof u54
D) Coughing uup ucopious usecretions u- u A: uRespiratory urate uof u30
11. A uclient uis uadmitted uwith ulow uT3 uand uT4 ulevels uand uan uelevated uTSH ulevel. uOn
uinitial uassessment, uthe unurse uwould uanticipate uwhich uof uthe ufollowing uassessment
ufindings?
A) Lethargy
B) Heat uintolerance
C) Diarrhea
D) Skin ueruptions u- u A: uLethargy
12. The uemergency uroom unurse uadmits ua uchild uwho uexperienced ua useizure uat uschool. uThe
ufather ucomments uthat uthis uis uthe ufirst uoccurrence, uand udenies uany ufamily uhistory uof uepilepsy.
uWhat uis uthe ubest uresponse uby uthe unurse?
A) "Do unot uworry. uEpilepsy ucan ube utreated uwith umedications."
B) "The useizure umay uor umay unot umean uyour uchild uhas uepilepsy."
C) "Since uthis uwas uthe ufirst uconvulsion, uit umay unot uhappen uagain."
D) "Long uterm utreatment uwill uprevent ufuture useizures." u- u B: u"The useizure umay uor umay
unot umean uyour uchild uhas uepilepsy."
P ua ug ue u 4 u| u53
