NURSING EXAM TEST
[Author name]
[COMPANY NAME] [Company address]
,1
2021 HESI EXIT
1. The nurse is caring for a pre-adolescent client in skeletalDunlop
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. The
correct answer is A: Make certain the child is maintained incorrect 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
The correct answer is A: Height and weight percentiles varywidely
3. The parents of a 2 year-old child report that he has beenholding
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 breathto
prevent anoxia
C) Advise the parents to ignore breath holding because breathingwill begin
as a reflex
D) Instruct the parents on how to reason with the child aboutpossible
harmful effects
The correct answer is C: Advise the parents to ignore breathholding
because breathing
will begin as a reflex
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."
,2
The correct answer is A: "My pain is deep in my chest behind mysternum."
.
5. The nurse is assessing the mental status of a client admittedwith
possible organic brain
disorder. Which of these questions will best assess the function ofthe client's
recentmemory?
, 3
A) "Name the year." "What season is this?" (pause for answerafter
each question)
B) "Subtract 7 from 100 and then subtract 7 from that." (pausefor
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 torepeat
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?"
The correct answer is C: "I am going to say the names of threethings 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 nurseprovide
to assist in the
development of trust?
A) Food
B) Warmth
C) Security
D) Comfort
The correct answer is C: Security
7. A nurse has just received a medication order which is notlegible.
Which statement best
reflects assertive communication?
A) "I cannot give this medication as it is written. I have no idea ofwhat you
mean."
B) "Would you please clarify what you have written so I am sure Iam
reading it
correctly?"
C) "I am having difficulty reading your handwriting. It would saveme 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."
The correct answer is B) "Would you please clarify what you havewritten so I
am sure I
am
[Author name]
[COMPANY NAME] [Company address]
,1
2021 HESI EXIT
1. The nurse is caring for a pre-adolescent client in skeletalDunlop
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. The
correct answer is A: Make certain the child is maintained incorrect 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
The correct answer is A: Height and weight percentiles varywidely
3. The parents of a 2 year-old child report that he has beenholding
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 breathto
prevent anoxia
C) Advise the parents to ignore breath holding because breathingwill begin
as a reflex
D) Instruct the parents on how to reason with the child aboutpossible
harmful effects
The correct answer is C: Advise the parents to ignore breathholding
because breathing
will begin as a reflex
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."
,2
The correct answer is A: "My pain is deep in my chest behind mysternum."
.
5. The nurse is assessing the mental status of a client admittedwith
possible organic brain
disorder. Which of these questions will best assess the function ofthe client's
recentmemory?
, 3
A) "Name the year." "What season is this?" (pause for answerafter
each question)
B) "Subtract 7 from 100 and then subtract 7 from that." (pausefor
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 torepeat
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?"
The correct answer is C: "I am going to say the names of threethings 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 nurseprovide
to assist in the
development of trust?
A) Food
B) Warmth
C) Security
D) Comfort
The correct answer is C: Security
7. A nurse has just received a medication order which is notlegible.
Which statement best
reflects assertive communication?
A) "I cannot give this medication as it is written. I have no idea ofwhat you
mean."
B) "Would you please clarify what you have written so I am sure Iam
reading it
correctly?"
C) "I am having difficulty reading your handwriting. It would saveme 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."
The correct answer is B) "Would you please clarify what you havewritten so I
am sure I
am
