HESI RN EXIT EXAM 202 1 - $120

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

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) "Please print in the future so I do not have to spend extra time attempting to read your

writing."

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

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 intake

C) Administer the prescribed analgesia

D) Recommend relaxation exercises for pain control

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

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 intolerance

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C) Diarrhea

D) Skin eruptions

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 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."

8. 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

9. Which these findings would the nurse more closely associate with anemia in a 10 month-old

infant?

A) Hemoglobin level of 12 g/dI

B) Pale mucosa of the eyelids and lips

C) Hypoactivity

D) A heart rate between 140 to 160

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) Lung sounds

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 young 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

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 surroundings

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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

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

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

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 an 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 my urine looked very red and it didn’t hurt when I went.

17. Which of these parents’ comment 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) Irritation and spitting up immediately after feedings.

18. The nurse is assessing a child for clinical manifestations of iron deficiency anemia.

Which factor would the nurse recognize as cause for the findings?

A) Decreased cardiac output

B) Tissue hypoxia

C) Cerebral edema

D) Reduced oxygen saturation

19. The nurse would expect the cystic fibrosis client to receive supplemental pancreatic

enzymes along with a diet

A) High in carbohydrates and proteins

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