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 foo...
2023 RN HESI EXIT EXAM NEXT GENERATION V4
ACTUAL EXAM ALL 160 QUESTIONS AND CORRECT
DETAILED ANSWERS|ALREADY GRADED 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. -
ANSWER >>>>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 - ANSWER >>>>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 - ANSWER >>>>C: Advise the parents to
ignore breath holding 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." - ANSWER
>>>>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?" - ANSWER >>>>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 - ANSWER >>>>C: Security
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." - ANSWER >>>>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 - ANSWER >>>>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 - ANSWER
>>>>C: Administer the prescribed analgesia
10. While caring for a toddler with croup, which initial sign of
croup requires the nurse's immediate attention?
A) Respiratory rate of 42
B) Lethargy for the past hour
C) Apical pulse of 54
D) Coughing up copious secretions - ANSWER >>>>A:
Respiratory rate of 30
11. A client is admitted with low T3 and T4 levels and an elevated
TSH level. On initial assessment, the nurse would anticipate
which of the following assessment findings?
A) Lethargy
B) Heat intolerance
C) Diarrhea
D) Skin eruptions - ANSWER >>>>A: Lethargy
12. The emergency room nurse admits a child who experienced a
seizure at school. The father comments that this is the first
occurrence, and denies any family history of epilepsy. What is the
best response by the nurse?
A) "Do not worry. Epilepsy can be treated with medications."
B) "The seizure may or may not mean your child has epilepsy."
C) "Since this was the first convulsion, it may not happen again."
D) "Long term treatment will prevent future seizures." - ANSWER
>>>>B: "The seizure may or may not mean your child has
epilepsy."
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