HESI RN EXIT EXAM LEGACY V1
2022-2023 QUESTIONS&ANSWERS
GRADED A
WRITTEN BY ALKERSELTZER
1. Thenurseiscaringforapre-
adolescentclientinskeletalDunloptraction.Whichnursinginterventionisappropriatef
ort hischild?
A) Makecertainthechildismaintainedincorrectbodyalignment.
B) Besurethetractionweightstouchtheendofthebed.
C) Adjusttheheadandfootofthebedforthechild'scomfort
D) Releasethetractionfor15-20minutesevery6hoursPRN.
ThecorrectanswerisA:Makecertainthechildismaintainedincorrectbodyalignment.
2.
Thenurseisassessingahealthychildatthe2yearcheckup.Whichofthefollowingshouldt
hen ursereportimmediatelytothehealthcareprovider?
A) Heightandweightpercentilesvarywidely
B) Growthpatternappearstohaveslowed
C) Recumbentandstandingheightaredifferent
D) Shorttermweightchangesareuneven
ThecorrectanswerisA:Heightandweightpercentilesvarywidely
3.
Theparentsofa2yearoldchildreportthathehasbeenholdinghisbreathwheneverhehaste
mpertantrums.
Whatisthebestactionbythenurse?
A) Teachtheparentshowtoperformcardiopulmonaryresuscitation
B) Recommendthattheparentsgiveinwhenheholdshisbreathtopreventanoxia
C) Advisetheparentstoignorebreathholdingbecausebreathingwillbeginasareflex
D) InstructtheparentsonhowtoreasonwiththechildaboutpossibleharmfuleffectsThec
orrect
answerisC:Advisetheparentstoignorebreathholdingbecausebreathingwillbeginas
areflex
,4.
Thenurseisassessingaclientintheemergencyroom.Whichstatementsuggeststhatthepr
obl emisacuteangina?
A) "Mypainisdeepinmychestbehindmysternum."
B) "WhenIsitupthepaingetsworse."
C) "AsItakeadeepbreaththepaingetsworse."
D) "Thepainisrighthereinmystomacharea."
ThecorrectanswerisA:"Mypainisdeepinmychestbehindmysternum."
.
5.
Thenurseisassessingthementalstatusofaclientadmittedwithpossibleorganicbraindis
order. Whichofthesequestionswillbestassessthefunctionoftheclient'srecent
memory?
A) "Nametheyear.""Whatseasonisthis?"(pauseforansweraftereachquestion)
B) "Subtract7from100andthensubtract7fromthat."(pauseforanswer)"Nowcontinuet
osubtract7from thenewnumber."
C) "IamgoingtosaythenamesofthreethingsandIwantyoutorepeatthemafterme:blue,b
all,pe n."
D) "Whatisthisonmywrist?"(pointtoyourwatch)Thenask,"Whatisthepurposeofit?"
ThecorrectanswerisC:"IamgoingtosaythenamesofthreethingsandIwantyoutorepeatt
hem afterme:blue,ball,pen."
6.
Inplanningcarefora6montholdinfant,whatmustthenurseprovidetoassistinthedevelop
mentoftrust?
A) Food
B) Warmth
C) Security
D) Comfort
ThecorrectanswerisC:Security
7.
Anursehasjustreceivedamedicationorderwhichisnotlegible.Whichstatementbestrefl
ectsas sertivecommunication?
A)
"Icannotgivethismedicationasitiswritten.Ihavenoideaofwhatyoumean."
B)
"WouldyoupleaseclarifywhatyouhavewrittensoIamsureIamreadingitcorr
ectly?
"
8.
Whatisthemostimportantconsiderationwhenteachingparentshowtoreducerisksinthe
home
?
A) Ageandknowledgeleveloftheparents
B) Proximitytoemergencyservices
C) Numberofchildreninthehome
D) Ageofchildreninthehome
ThecorrectanswerisD:Ageofchildreninthehome
9.
A35yearoldclientwithsicklecellcrisisistalkingonthetelephonebutstopsasthenurseent
erstheroomtor equestsomethingforpain.Thenurseshould
A) Administeraplacebo
B) Encourageincreasedfluidintake
C) Administertheprescribedanalgesia
D) Recommendrelaxationexercisesforpaincontrol
ThecorrectanswerisC:Administertheprescribedanalgesia
10.
Whilecaringforatoddlerwithcroup,whichinitialsignofcrouprequiresthenurse'simme
diat eattention?
A) Respiratoryrateof42
B) Lethargyforthepasthour
C) Apicalpulseof54
D) Coughingupcopioussecretions ThecorrectanswerisA:Respiratoryrateof30
11.
AclientisadmittedwithlowT3andT4levelsandanelevatedTSHlevel.Oninitialassessm
en t,thenursewouldanticipatewhichofthefollowingassessmentfindings?
A) Lethargy
B) Heatintolerance
, C) Diarrhea
D) Skineruptions
ThecorrectanswerisA:Lethargy
12.
Theemergencyroomnurseadmitsachildwhoexperiencedaseizureatschool.Thefatherc
o
mmentsthatthisisthefirstoccurrence,anddeniesanyfamilyhistoryofepilepsy.Whatist
hebest responsebythenurse?
A) "Donotworry.Epilepsycanbetreatedwithmedications."
B) "Theseizuremayormaynotmeanyourchildhasepilepsy."
C) "Sincethiswasthefirstconvulsion,itmaynothappenagain."
D) "Longtermtreatmentwillpreventfutureseizures."
ThecorrectanswerisB:"Theseizuremayormaynotmeanyourchildhasepilepsy."
13.
Alcoholanddrugabuseimpairsjudgmentandincreasesrisktakingbehavior.Whatnursin
g diagnosisbestapplies?
A) Riskforinjury
B) Riskforknowledgedeficit
C) Alteredthoughtprocess
D) Disturbanceinself-esteem ThecorrectanswerisA:Riskforinjury
14.
Thenurseiscaringfora10montholdinfantwhoishasoxygenviamask.Itisimpor
tantforthenursetomaintainpatencyofwhi choftheseareas? A) Mouth
B) Nasalpassages
C) Backofthroat
D) Bronchials
ThecorrectanswerisB:Nasalpassages
15.
Thenurseisprovidinginstructionsforaclientwithpneumonia.Whatisthemostim
portan tinformationtoconvey totheclient? A) "Take atleast2weeksofffrom
work."
B) "You willneedanotherchestx-rayin6weeks."
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