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Exam (elaborations)

HESI RN EXIT Exam Questions and Verified Answers 2024

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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 A nurse has just received a medication order which is not legible. Which statement best reflects assertive communication? A) "...

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  • September 2, 2024
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D) "Please print in the future so I do
not have to spend extra time
HESI RN EXIT attempting to read your writing." - B)
"Would you please clarify what you
Exam Questions have written so I am sure I am reading
and Verified it

Answers 2024 correctly?"


What is the most important
In planning care for a 6 month-old consideration when teaching parents
infant, what must the nurse provide to how to reduce risks in the home?
assist in the development of trust? A) Age and knowledge level of the
A) Food parents

B) Warmth B) Proximity to emergency services

C) Security C) Number of children in the home

D) Comfort - C) Security D) Age of children in the home - D)
Age of children in the home

A nurse has just received a medication
order which is not legible. Which A 35 year-old client with sickle cell
statement best reflects assertive crisis is talking on the telephone but
communication? stops as the nurse enters the room to
request something for pain. The nurse
A) "I cannot give this medication as it should
is written. I have no idea of what you
mean." A) Administer a placebo

B) "Would you please clarify what B) Encourage increased fluid intake
you have written so I am sure I am C) Administer the prescribed
reading it analgesia
correctly?" D) Recommend relaxation exercises
C) "I am having difficulty reading for pain control - C) Administer the
your handwriting. It would save me prescribed analgesia
time if you would be more careful."

, C) "Since this was the first
convulsion, it may not happen again."
While caring for a toddler with croup,
which initial sign of croup requires D) "Long term treatment will prevent
the nurse's immediate attention? future seizures." - B) "The seizure
may or may not mean your child has
A) Respiratory rate of 42
epilepsy."
B) Lethargy for the past hour
C) Apical pulse of 54
Alcohol and drug abuse impairs
D) Coughing up copious secretions - judgment and increases risk taking
A) Respiratory rate of 42 behavior. What nursing diagnosis best
applies?

A client is admitted with low T3 and A) Risk for injury
T4 levels and an elevated TSH level. B) Risk for knowledge deficit
On initial assessment, the nurse would
C) Altered thought process
anticipate which of the following
assessment findings? D) Disturbance in self-esteem - A)
Risk for injury
A) Lethargy
B) Heat intolerance
Which these findings would the nurse
C) Diarrhea
more closely associate with anemia in
D) Skin eruptions - A) Lethargy a 10 month-old infant?
A) Hemoglobin level of 12 g/dI
The emergency room nurse admits a B) Pale mucosa of the eyelids and lips
child who experienced a seizure at
C) Hypoactivity
school. The father comments that this
is the first occurrence, and denies any D) A heart rate between 140 to 160 -
family history of epilepsy. What is the B) Pale mucosa of the eyelids and lips
best response by the nurse?
A) "Do not worry. Epilepsy can be
The nurse is caring for a client in
treated with medications."
hypertensive crisis in an intensive
B) "The seizure may or may not mean care unit. The priority assessment in
your child has epilepsy." the first hour of care is

,A) Heart rate C) Skin color dusky with poor skin
turgor over abdomen
B) Pedal pulses
D) Pale, thin arms and legs,
C) Lung sounds
uninterested in surroundings - D)
D) Pupil responses - D) Pupil Pale, thin arms and legs, uninterested
responses in surroundings


Which of these clients who are all in As the nurse is speaking with a group
the terminal stage of cancer is least of teens which of these side effects of
appropriate to suggest the use of chemotherapy for cancer would the
patient controlled analgesia (PCA) nurse expect this group to be more
with a pump? interested in during the discussion?
A) A young adult with a history of A) Mouth sores
Down's syndrome
B) Fatigue
B) A teenager who reads at a 4th
C) Diarrhea
grade level
D) Hair loss - D) Hair loss
C) An elderly client with numerous
arthritic nodules on the hands
D) A preschooler with intermittent While caring for a client who was
episodes of alertness - D) A admitted with myocardial infarction
preschooler with intermittent episodes (MI) 2 days ago, the nurse notes
of alertness today's temperature is 101.1 degrees
Fahrenheit (38.5 degreesCelsius). The
appropriate nursing intervention is to
The nurse is about to assess a 6
A) Call the health care provider
month-old child with nonorganic
immediately
failure-to thrive (NOFTT). Upon
entering the room, the nurse would B) Administer acetaminophen as
expect the baby to be ordered as this is normal at this time
A) Irritable and "colicky" with no C) Send blood, urine and sputum for
attempts to pull to standing culture
B) Alert, laughing and playing with a
rattle, sitting with support

, D) Increase the client's fluid intake - bathroom and my urine looked very
B) Administer acetaminophen as red and it didn't hurt when I went.
ordered as this is normal at this time

Which of these parents' comment for
A client is admitted for first and a newborn would most likely reveal
second degree burns on the face, an initial finding of a suspected
neck, anterior chest and hands. The pyloric stenosis?
nurse's priority should be
A) I noticed a little lump a little above
A) Cover the areas with dry sterile the belly button.
dressings
B) The baby seems hungry all the
B) Assess for dyspnea or stridor time.
C) Initiate intravenous therapy C) Mild vomiting that progressed to
vomiting shooting across the room.
D) Administer pain medication - B)
Assess for dyspnea or stridor D) Irritation and spitting up
immediately after feedings. - C) Mild
vomiting that progressed to vomiting
Which of these clients who call the shooting across the room.
community health clinic would the
nurse ask to come in that day to be
seen by the health care provider? The nurse is assessing a child for
clinical manifestations of iron
A) I started my period and now my
deficiency anemia.
urine has turned bright red.
Which factor would the nurse
B) I am an diabetic and today I have
recognize as cause for the findings?
been going to the bathroom every
hour. A) Decreased cardiac output
C) I was started on medicine B) Tissue hypoxia
yesterday for a urine infection. Now
C) Cerebral edema
my lower belly hurts when I go to the
bathroom. D) Reduced oxygen saturation - B)
Tissue hypoxia
D) I went to the bathroom and my
urine looked very red and it didn't hurt
when I went. - D) I went to the

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