2021 HESI EXIT V2 EXAM WITH
NGN QUESTIONS AND VERIFIED
ANSWERS UPDATED LATEST
RATED A+
1. The practicing nurse is caring for a pre-adolescent patient in skeletal Dunlop
traction. Whichnursing 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.
2. The practicing nurse is assessing a healthy child at the 2-year checkup. Which of the
followingshould the practicing 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
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 practicing 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
4. The practicing nurse is assessing a patient in the emergency room. Which statement
suggests thatthe 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."
.
5. The practicing nurse is assessing the mental status of a patient admitted with possible
organic braindisorder. Which of these questions will best assess the function of the
patient'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?"
6. In planning care for a 6 month-old infant, what must the practicing nurse provide to
assist in thedevelopment of trust?
A) Food
B) Warmth
C) Security
D) Comfort
7. A practicing nurse has just received a medication order which is not legible. Which
statement bestreflects 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."
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
,9. A 35 year-old patient with sickle cell crisis is talking on the telephone but stops as
thepracticing nurse enters the room to request something for pain. The practicing
nurse should
A) Administer a placebo
B) Encourage increased fluid intake
C) Administer the prescribed analgesia
D) Recommend relaxation exercises for pain control
10. While caring for a toddler with croup, which initial sign of croup requires the
practicing nurse'simmediate attention?
A) Respiratory rate of 42
B) Lethargy for the past hour
C) Apical pulse of 54
D) Coughing up copious secretions
11. A patient is admitted with low T3 and T4 levels and an elevated TSH level. On
initialassessment, the practicing nurse would anticipate which of the following
assessment findings? A) Lethargy
B) Heat intolerance
C) Diarrhea
D) Skin eruptions
12. The emergency room practicing nurse admits a child who experienced a seizure at
school. Thefather comments that this is the first occurrence, and denies any family
history of epilepsy. What is the best response by the practicing 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."
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 deficit
, C) Altered thought process
D) Disturbance in self-esteem
14. The practicing nurse is caring for a 10 month-old infant who is has oxygen via
mask. It isimportant for the practicing nurse to maintain patency of which of these
areas?
A) Mouth
B) Nasal passages
C) Back of throat
D) Bronchials
15. The practicing nurse is providing instructions for a patient with pneumonia.
What is the mostimportant information to convey to the patient?
A) "Take at least 2 weeks off from work."
B) "You will need another chest x-ray in 6 weeks."
C) "Take your temperature every day."
D) "Complete all of the antibiotic even if your findings decrease."
16. When counseling a 6 year old who is experiencing enuresis, what must the
practicing nurseunderstand about the pathophysiological basis of this disorder?
A) Has no clear etiology
B) May be associated with sleep phobia
C) Has a definite genetic link
D) Is a sign of willful misbehavior
17. The practicing nurse is discussing negativism with the parents of a 30 month-old
child. Howshould the practicing nurse tell the parents to best respond to this
behavior?
A) Reprimand the child and give a 15 minute "time out"
B) Maintain a permissive attitude for this behavior
C) Use patience and a sense of humor to deal with this behavior
D) Assert authority over the child through limit setting
18. The practicing nurse is talking by telephone with a parent of a 4 year-old child
who has chickenpox. Which of the following demonstrates appropriate teaching by
the practicing nurse?
A) Chewable aspirin is the preferred analgesic
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