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2021/2022 HESI RN EXIT EXAM V4 FULL 160 QUESTIONS AND ANSWERS.
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[Year]2021/2022 HESI RN
EXIT EXAM V4 FULL
160 QUESTIONS AND
ANSWERS.
[DOCUMENT SUBTITLE]
GIFT
,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.
The correct answer is 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
The correct answer is 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
The correct answer is 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."
The correct answer is 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 recentmemory?
,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?"
The correct answer is 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
The correct answer is 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."
The correct answer is 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
, The correct answer is D: Age of children in the home9. 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
The correct answer is 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
The correct answer is 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
The correct answer is 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."
The correct answer is B: "The seizure may or may not mean your
child has epilepsy."
13. Alcohol and drug abuse impairs judgment and increases risk
taking behavior. What
nursing diagnosis best applies?
A) Risk for injury
B) Risk for knowledge deficitC) Altered thought process
D) Disturbance in self-esteem
The correct answer is A: Risk for injury
14. The nurse is caring for a 10 month-old infant who is has
oxygen via mask. It is
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