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HESI RN EXIT EXAM 2024 PREDICTIONS
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HESI RN EXIT EXAM 2024 PREDICTIONS
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ESTUDY HESI RN EXIT EXAM 2024 PREDICTION S 1. **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** 2. **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) "Pl ease 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?"** 3. **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 chil dren in the home** 4. **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 int ake - C) Administer the prescribed analgesia - D) Recommend relaxation exercises for pain control **ANSWER: C) Administer the prescribed analgesia** ESTUDY 5. **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 42** 6. **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 intol erance - C) Diarrhea - D) Skin eruptions **ANSWER: A) Lethargy** 7. **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 epi lepsy. 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."** 8. **Alcohol and drug abuse impairs judgment and increases risk -taking behavior. What nursing diagnosis best a pplies?** - A) Risk for injury - B) Risk for knowledge deficit - C) Altered thought process - D) Disturbance in self -esteem **ANSWER: A) Risk for injury** 9. **Which of these findings would the nurse more closely associate with anemia in a 10 -month -old infant?** - A) Hemoglobin level of 12 g/dL - B) Pale mucosa of the eyelids and lips ESTUDY - C) Hypoactivity - D) A heart rate between 140 to 160 **ANSWER: B) Pale mucosa of the eyelids and lips** 10. **The nurse is caring for a client in hypertensive crisis in an intensive care unit. The priority assessment in the first hour of care is:** - A) Heart rate - B) Pedal pulses - C) Lu ng sounds - D) Pupil responses **ANSWER: D) Pupil responses** 11. **Which of these clients who are all in the terminal stage of cancer is least appropriate to suggest the use of patient -controlled analgesia (PCA) with a pump?** - A) A you ng adult with a history of Down's syndrome - B) A teenager who reads at a 4th grade level - C) An elderly client with numerous arthritic nodules on the hands - D) A preschooler with intermittent episodes of alertness **ANSWER: D) A pre schooler with intermittent episodes of alertness** 12. **The nurse is about to assess a 6 -month -old child with nonorganic failure -to-thrive (NOFTT). Upon entering the room, the nurse would expect the baby to be:** - A) Irritable and "colicky" with no attempts to pull to standing - B) Alert, laughing and playing with a rattle, sitting with support - C) Skin color dusky with poor skin turgor over abdomen - D) Pale, thin arms and legs, uninterested in s urroundings **ANSWER: D) Pale, thin arms and legs, uninterested in surroundings** 13. **As the nurse is speaking with a group of teens, which of these side effects of chemotherapy for cancer would the nurse expect this group to be more interested in during the discussion?** - A) Mouth sores - B) Fatigue - C) Diarrhea - D) Hair loss **ANSWER: D) Hair loss** ESTUDY 14. **While caring for a client who was admitted with myocardial infarction (MI) 2 days ago, the nurse notes today's temperature is 101.1 degrees Fahrenheit (38.5 degrees Celsius). The appropriate nursing intervention is to:** - A) Call the health care provider immediately - B) Administer acetaminophen as ordered as this is normal at this time - C) Send blood , urine, and sputum for culture - D) Increase the client's fluid intake **ANSWER: B) Administer acetaminophen as ordered as this is normal at this time** 15. **A client is admitted for first and second degree burns on the face, neck, anterior chest, and hands. The nurse's priority should be:** - A) Cover the areas with dry sterile dressings - B) Assess for dyspnea or stridor - C) Initiate intravenous therapy - D) Administer pain medication **ANSWER: B) Assess for dyspnea or stridor** 16. **Which of these clients who call the community health clinic would the nurse ask to come in that day to be seen by the health care provider?** - A) "I started my period and now my urine has turned bright red." - B) "I am a diabetic and today I have been going to the bathroom every hour." - C) "I was started on medicine yesterday for a urine infection. Now my lower belly hurts when I go to the bathroom." - D) "I went to the bathroom and m y urine looked very red and it didn't hurt when I went." **ANSWER: D) "I went to the bathroom and my urine looked very red and it didn't hurt when I went."** 17. **Which of these parents' comments for a newborn would most likely reveal an initial finding of a suspected pyloric stenosis?** - A) "I noticed a little lump a little above the belly button." - B) "The baby seems hungry all the time." - C) "Mild vomiting that progressed to vomiting shooting across the room." - D) "Irritati on and spitting up immediately after feedings." **ANSWER: C) "Mild vomiting that progressed to vomiting shooting across the room."** 18. **The nurse is assessing a child for clinical manifestations of iron deficiency anemia. Which factor would th e nurse recognize as a cause for the findings?** - A) Decreased cardiac outputThe benefits of buying summaries with Stuvia:
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