Download 2026 HESI RN PROCTORED EXAM /ACTUAL 160Qs&As |LATEST UPDATE|ALREADY GRADED A+ and more Exams Nursing in PDF only on Docsity!
2026 HESI RN PROCTORED EXAM /ACTUAL 160 Qs&As
|LATEST UPDATE|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. ✓ 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 thehealth 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 ✓ A: Height and weight percentiles vary widely 3. The parents of a 2 year-old child report that he has been holdinghis 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 toprevent anoxia C) Advise the parents to ignore breath holding because breathingwill begin as a reflex D) Instruct the parents on how to reason with the child about possible harmful effects ✓ 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." ✓ 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 willbest assess the function of the client's recent memory? A) "Name the year." "What season is this?" (pause for answer aftereach 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 torepeat 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?" ✓ 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 ✓ 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 ofwhat you mean." B) "Would you please clarify what you have written so I am sure Iam reading it correctly?" C) "I am having difficulty reading your handwriting. It would saveme 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." ✓ 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 parentshow to reduce risks in the home? A) Age and knowledge level of the parents
C) Number of children in the home D) Age of children in the home ✓ 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 ✓ 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 ✓ 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 whichof the following assessment findings? A) Lethargy B) Heat intolerance C) Diarrhea D) Skin eruptions ✓ 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 thebest 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." ✓ B: "The seizure may or may not mean your child has epilepsy." 13. Alcohol and drug abuse impairs judgment and increases risktaking behavior. What nursing diagnosis best applies?
A) Risk for injury 4 B) Risk for knowledge deficit C) Altered thought process D) Disturbance in self-esteem ✓ A: Risk for injury
14. The nurse is caring for a 10 month-old infant who is has oxygen via mask. It is important for the nurse to maintain patency of which of these areas? A) Mouth B) Nasal passages C) Back of throat D) Bronchials ✓ B: Nasal passages 15. The nurse is providing instructions for a client with pneumonia. What is the most important information to convey to the client? 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." ✓ 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 nurse understand 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 ✓ A: Has no clear etiology 17. The nurse is discussing negativism with the parents of a 30 month- old child. How should the 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 ✓ C: Use patience and a sense of humor to deal with this behavior 18. The nurse is talking by telephone with a parent of a 4 year-oldchild
C) Family history of breast cancer D) Uses cocaine on weekends ✓ D: Uses cocaine on weekends
23. A client is receiving nitroprusside IV for the treatment of acuteheart failure with pulmonary edema. What diagnostic lab value should the nurse monitor in relation to this medication? A) Potassium B) Arterial blood gasses C) Blood urea nitrogen D) Thiocyanate ✓ D: Thiocyanate 24. A victim of domestic violence tells the batterer she needs a littletime away. How would the nurse expect that the batterer might respond? A) With acceptance and views the victim's comment as an indication that their marriage is in trouble B) With fear of rejection causing increased rage toward the victim C) With a new commitment to seek counseling to assist with theirmarital problems D) With relief, and welcomes the separation as a means to havesome personal time ✓ B: With fear of rejection causing increased rage toward the victim 25. A postpartum mother is unwilling to allow the father to participate in the newborn's care, although he is interested in doingso. She states, "I am afraid the baby will be confused about who the mother is. Baby raising is for mothers, not fathers." The nurse'sinitial intervention should be what focus? A) Discuss with the mother sharing parenting responsibilities B) Set time aside to get the mother to express her feelings and concerns C) Arrange for the parents to attend infant care classes D) Talk with the father and help him accept the wife's decision ✓ B: Set time aside to get the mother to express her feelings and concerns 26. A client with emphysema visits the clinic. While teaching aboutproper nutrition, the nurse should emphasize that the client A) Eat foods high in sodium increases sputum liquefaction B) Use oxygen during meals improves gas exchange
C) Perform exercise after respiratory therapy enhances appetite D) Cleanse the mouth of dried secretions reduces risk of infection ✓ B: Use oxygen during meals improves gas exchange
27. Which of these parents' comment for a newborn would mostlikely 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 theroom. D) Irritation and spitting up immediately after feedings. ✓ C: Mild emesis progressing to projectile vomiting 28. 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 ✓ B: Tissue hypoxia 29. The nurse would expect the cystic fibrosis client to receive supplemental pancreatic enzymes along with a diet A) High in carbohydrates and proteins B) Low in carbohydrates and proteins C) High in carbohydrates, low in proteins D) Low in carbohydrates, high in proteins ✓ A: High in carbohydrates and proteins 30. In evaluating the growth of a 12 month-old child, which of these findings would the nurse expect to be present in the infant? A) Increased 10% in height B) 2 deciduous teeth C) Tripled the birth weight D) Head > chest circumference ✓ C: Tripled the birth weight 31. A Hispanic client in the postpartum period refuses the hospitalfood because it is "cold." The best initial action by the nurse is to A) Have the unlicensed assistive personnel (UAP) reheat the food ifthe client wishes B) Ask the client what foods are acceptable or bad
C) Fluid shift from interstitial spaces into the vascular space D) Reduced tubular reabsorption of sodium and water ✓ B: Decreased colloidal osmotic pressure in the capillaries
37. An eighteen month-old has been brought to the emergency room with irritability, lethargy over 2 days, dry skin and increased pulse. Based upon the evaluation of these initial findings, the nursewould assess the child for additional findings of A) Septicemia B) Dehydration C) Hypokalemia D) Hypercalcemia ✓ B: Dehydration 38. A client who has been drinking for five years states that he drinks when he gets upset about "things" such as being unemployed or feeling like life is not leading anywhere. The nurseunderstands that the client is using alcohol as a way to deal with A) Recreational and social needs B) Feelings of anger C) Life's stressors D) Issues of guilt and disappointment ✓ C: Life's stressors 39. The nurse is monitoring the contractions of a woman in labor. A contraction is recorded as beginning at 10:00 A.M. and ending at 10: A.M. Another begins at 10:15 A.M. What is the frequency of the contractions? A) 14 minutes B) 10 minutes C) 15 minutes D) Nine minutes ✓ C: 15 minutes 40. The nurse is performing an assessment on a child with severeairway obstruction. Which finding would the nurse anticipate finding? A) Retractions in the intercostal tissues of the thorax B) Chest pain aggravated by respiratory movement C) Cyanosis and mottling of the skin D) Rapid, shallow respirations ✓ A: Retractions in the soft tissues of the thorax
41. During the evaluation phase for a client, the nurse should focuson A) All finding of physical and psychosocial stressors of the clientand in the family B) The client's status, progress toward goal achievement, and ongoing re-evaluation C) Setting short and long-term goals to insure continuity of carefrom hospital to home D) Select interventions that are measurable and achievable within selected timeframes ✓ B: The client''s status, progress toward goal achievement, and ongoing re evaluation 42. The school nurse suspects that a third grade child might have Attention Deficit Hyperactivity Disorder. Prior to referring the child for further evaluation, the nurse should A) Observe the child's behavior on at least 2 occasions B) Consult with the teacher about how to control impulsivity C) Compile a history of behavior patterns and developmental accomplishments D) Compare the child's behavior with classic signs and symptoms ✓ C: Compile a history of behavior patterns and developmental accomplishments 43. Which of the actions suggested to the RN by the PN during a planning conference for a 10 month-old infant admitted 2 hours agowith bacterial meningitis would be acceptable to add to the plan of care? A) Measure head circumference B) Place in airborne isolation C) Provide passive range of motion D) Provide an over-the-crib protective top ✓ A: Measure head circumference 44. A client is admitted with a diagnosis of hepatitis B. In reviewingthe initial laboratory results, the nurse would expect to find elevation in which of the following values? A) Blood urea nitrogen B) Acid phosphatase C) Bilirubin D) Sedimentation rate ✓ C: Bilirubin
B) Explain to the child that the medicine must be taken now C) Give the medication to the father and ask him to give it D) Mix the medication with ice cream or applesauce ✓ A: Leave the room and return five minutes later and give the medicine
50. A nurse is doing pre conceptual counseling with a woman whois planning a pregnancy. Which of the following statements suggests that the client understands the connection between alcohol consumption and fetal alcohol syndrome? A) "I understand that a glass of wine with dinner is healthy." B) "Beer is not really hard alcohol, so I guess I can drink some." C) "If I drink, my baby may be harmed before I know I am pregnant." D) "Drinking with meals reduces the effects of alcohol." ✓ C: "If I drink, my baby may be harmed before I know I am pregnant." 51. The client who is receiving enteral nutrition through a gastrostomy tube has had 4 diarrhea stools in the past 24 hours.The nurse should A) Review the medications the client is receiving B) Increase the formula infusion rate C) Increase the amount of water used to flush the tube D) Attach a rectal bag to protect the skin ✓ A: Review the medications the client is receiving 52. A nurse is assigned to a client who is a new admission for the treatment of a frontal lobe brain tumor. Which history offered by thefamily members would be anticipated by the nurse as associated with the diagnosis and communicated? A) "My partner's breathing rate is usually below 12." B) "I find the mood swings and the change from a calm person tobeing angry all the time hard to deal with." C) "It seems our sex life is non existant over the past 6 months." D) "In the morning and evening I hear complaints that reading isnext to impossible from blurred print." ✓ B: "I find the mood swings and the change from a calm person to being angry all the time hard to deal with." 53. The nurse prepares for a Denver Screening test with a 3 year-old child in the clinic. The mother asks the nurse to explain the purpose of the test. What is the nurse's best response about thepurpose of the Denver?
A) It measures a child's intelligence. B) It assesses a child's development. C) It evaluates psychological responses. D) It helps to determine problems. ✓ B: It assesses a child''s development.
54. The nurse is preparing a 5 year-old for a scheduled tonsillectomy and adenoidectomy. The parents are anxious and concerned about the child's reaction to impending surgery. Whichnursing intervention would be best to prepare the child? A) Introduce the child to all staff the day before surgery B) Explain the surgery 1 week prior to the procedure C) Arrange a tour of the operating and recovery rooms D) Encourage the child to bring a favorite toy to the hospital ✓ B: Explain the surgery 1 week prior to the procedure 55. The nurse, assisting in applying a cast to a client with a brokenarm, knows that A) The cast material should be dipped several times into the warmwater B) The cast should be covered until it dries C) The wet cast should be handled with the palms of hands D) The casted extremity should be placed on a cloth-coveredsurface ✓ C: The wet cast should be handled with the palms of hands 56. Based on principles of teaching and learning, what is the bestinitial approach to pre- op teaching for a client scheduled for coronary artery bypass? A) Touring the coronary intensive unit B) Mailing a video tape to the home C) Assessing the client's learning style D) Administering a written pre-test ✓ C: Assessing the client''s learning style 57. A 4 year-old child is recovering from chicken pox (varicella). The parents would like to have the child return to day care as soonas possible. In order to ensure that the illness is no longer communicable, what should the nurse assess for in this child? A) All lesions crusted B) Elevated temperature C) Rhinorrhea and coryza D) Presence of vesicles
about which statement by the mother? A) My child has lost 3 pounds in the last month. B) Urinary output seemed to be less over the past 2 days. C) All the pants have become tight around the waist. D) The child prefers some salty foods more than others. ✓ C: Clothing has become tight around the waist
63. What is the most important aspect to include when developing ahome care plan for a client with severe arthritis? A) Maintaining and preserving function B) Anticipating side effects of therapy C) Supporting coping with limitations D) Ensuring compliance with medications ✓ A: Maintaining and preserving function 64. A mother asks the nurse if she should be concerned about the tendency of her child to stutter. What assessment data will be mostuseful in counseling the parent? A) Age of the child B) Sibling position in family C) Stressful family events D) Parental discipline strategies ✓ A: Age of the child 65. A pre-term newborn is to be fed breast milk through nasogastrictube. Why is breast milk preferred over formula for premature infants? A) Contains less lactose B) Is higher in calories/ounce C) Provides antibodies D) Has less fatty acid ✓ C: Provides antibodies 66. Which of the following nursing assessments in an infant is mostvaluable in identifying serious visual defects? A) Red reflex test B) Visual acuity C) Pupil response to light D) Cover test ✓ A: Red reflex test 67. A client is admitted with a pressure ulcer in the sacral area. Thepartial thickness wound is 4cm by 7cm, the wound base is red and
moist with no exudate and the surrounding skin is intact. Which ofthe following coverings is most appropriate for this wound? A) Transparent dressing B) Dry sterile dressing with antibiotic ointment C) Wet to dry dressing D) Occlusive moist dressing ✓ D: Occlusive moist dressing
68. A 30 month-old child is admitted to the hospital unit. Which of the following toys would be appropriate for the nurse to select fromthe toy room for this child? A) Cartoon stickers B) Large wooden puzzle C) Blunt scissors and paper D) Beach ball B: Large wooden puzzle 69. A nurse is to present information about Chinese folk medicineto a group of student nurses. Based on this cultural belief, the nurse would explain that illness is attributed to the A) Yang, the positive force that represents light, warmth, and fullness B) Yin, the negative force that represents darkness, cold, and emptiness C) Use of improper hot foods, herbs and plants D) A failure to keep life in balance with nature and others ✓ B: Yin, the negative force that represents darkness, cold, and emptiness 70. A 2 year-old child has just been diagnosed with cystic fibrosis.The child's father asks the nurse "What is our major concern now,and what will we have to deal with in the future?" Which of the following is the best response? A) "There is a probability of life-long complications." B) "Cystic fibrosis results in nutritional concerns that can be dealtwith." C) "Thin, tenacious secretions from the lungs are a constant struggle in cystic fibrosis." D) "You will work with a team of experts and also have access to asupport group that the family can attend." ✓ C: "Thin, tenacious secretions from the lungs are a constant struggle in cystic fibrosis."
C) Confine the percussion to the rib cage area D) Place the child in a prone position for the therapy ✓ C: Confine the percussion to the rib cage area
76. A polydrug user has been in recovery for 8 months. The clienthas began skipping breakfast and not eating regular dinners. Theclient has also started frequenting bars to "see old buddies." Thenurse understands that the client's behavior is a warning sign to indicate that the client may be A) headed for relapse B) feeling hopeless C) approaching recovery D) in need of increased socialization ✓ A: headed for relapse 77. A client was admitted to the psychiatric unit with major depression after a suicide attempt. In addition to feeling sad andhopeless, the nurse would assess for A) Anxiety, unconscious anger, and hostility B) Guilt, indecisiveness, poor self-concept C) Psychomotor retardation or agitation D) Meticulous attention to grooming and hygiene ✓ C: Psychomotor retardation or agitation 78. A client is experiencing hallucinations that are markedly increased at night. The client is very frightened by the hallucinations. The client's partner asked to stay a few hours beyond the visiting time, in the client's private room. What wouldbe the best response by the nurse demonstrating emotional support for the client? A) "No, it would be best if you brought the client some reading material that she could read at night." B) "No, your presence may cause the client to become more anxious." C) "Yes, staying with the client and orienting her to her surroundings may decrease her anxiety." D) "Yes, would you like to spend the night when the client's behavior indicates that she is frightened?" ✓ C: "Yes, staying with the client and orienting her to her surroundings may decrease her anxiety." 79. At a well baby clinic the nurse is assigned to assess an 8 month-old child. Which of these developmental achievements would the nurse anticipate that the child would be able to perform?
A) Say 2 words B) Pull up to stand C) Sit without support D) Drink from a cup ✓ C: Sit without support
80. The nurse is talking to parents about nutrition in school aged children. Which of the following is the most common nutritional disorder in this age group? A) Bulimia B) Anorexia ***** C) Obesity D) Malnutrition ✓ C: Obesity 81. At the geriatric day care program a client is crying and repeating "I want to go home. Call my daddy to come for me." Thenurse should A) Invite the client to join the exercise group B) Tell the client you will call someone to come for her C) Give the client simple information about what she will be doing D) Firmly direct the client to her assigned group activity ✓ C: Give the client simple information about what she will be doing 82. A victim of domestic violence states to the nurse, "If only I could change and be how my companion wants me to be, I knowthings would be different." Which would be the best response bythe nurse? A) "The violence is temporarily caused by unusual circumstances,don't stop hoping for a change." B) "Perhaps, if you understood the need to abuse, you could stopthe violence." C) "No one deserves to be beaten. Are you doing anything to provoke your spouse into beating you?" D) "Batterers lose self-control because of their own internal reasons, not because of what their partner did or did not do." ✓ D: "Batterers lose self control because of their own internal reasons, not because of what their partner did or did not do." 83. A 38 year-old female client is admitted to the hospital with anacute exacerbation of asthma. This is her third admission for asthma in 7 months. She describes how she doesn't really like having to use her medications all the time. Which explanation by
