ADVANCED HESI RN Exit Exam Updated 2024-

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ADVANCED HESI RN Exit Exam / Updated 2024- 2025/ Actual Questions with Verified Answers.Graded A+

In planning care for a 6 month-old infant, what must the nurse provide to assist in the development of trust?

• Food
• Warmth
• Security
• Comfort - ANSWER - C) Security

A nurse has just received a medication order which is not legible. Which statement best reflects assertive communication?

• "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?"

• "I am having difficulty reading your handwriting. It would save me time if you would be more

careful."

• "Please 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?"

What is the most important consideration when teaching parents how to reduce risks in the home?

• Age and knowledge level of the parents
• Proximity to emergency services
• Number of children in the home 1 / 4

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• Age of children in the home - ANSWER - D) Age of children in the home

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

• Administer a placebo
• Encourage increased fluid intake
• Administer the prescribed analgesia
• Recommend relaxation exercises for pain control - ANSWER - C) Administer the prescribed analgesia

While caring for a toddler with croup, which initial sign of croup requires the nurse's immediate attention?

• Respiratory rate of 42
• Lethargy for the past hour
• Apical pulse of 54
• Coughing up copious secretions - ANSWER - A) Respiratory rate of 42

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?

• Lethargy
• Heat intolerance
• Diarrhea
• Skin eruptions - ANSWER - A) Lethargy

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?

• "Do not worry. Epilepsy can be treated with medications."
• "The seizure may or may not mean your child has epilepsy."
• "Since this was the first convulsion, it may not happen again."
• "Long term treatment will prevent future seizures." - ANSWER - B) "The seizure may or may not mean

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Alcohol and drug abuse impairs judgment and increases risk taking behavior. What nursing diagnosis best applies?

• Risk for injury
• Risk for knowledge deficit
• Altered thought process
• Disturbance in self-esteem - ANSWER - A) Risk for injury

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

• Hemoglobin level of 12 g/dI
• Pale mucosa of the eyelids and lips
• Hypoactivity
• A heart rate between 140 to 160 - ANSWER - B) Pale mucosa of the eyelids and lips

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

• Heart rate
• Pedal pulses
• Lung sounds
• Pupil responses - ANSWER - D) Pupil responses

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 young adult with a history of Down's syndrome
• A teenager who reads at a 4th grade level
• An elderly client with numerous arthritic nodules on the hands
• A preschooler with intermittent episodes of alertness - ANSWER - D) A preschooler with intermittent

episodes of alertness

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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

• Irritable and "colicky" with no attempts to pull to standing
• Alert, laughing and playing with a rattle, sitting with support
• Skin color dusky with poor skin turgor over abdomen
• Pale, thin arms and legs, uninterested in surroundings - ANSWER - D) Pale, thin arms and legs,

uninterested in surroundings

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?

• Mouth sores
• Fatigue
• Diarrhea
• Hair loss - ANSWER - D) Hair loss

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 degreesCelsius). The appropriate nursing intervention is to

• Call the health care provider immediately
• Administer acetaminophen as ordered as this is normal at this time
• Send blood, urine and sputum for culture
• Increase the client's fluid intake - ANSWER - B) Administer acetaminophen as ordered as this is normal

at this time

A client is admitted for first and second degree burns on the face, neck, anterior chest and hands. The nurse's priority should be

• Cover the areas with dry sterile dressings
• Assess for dyspnea or stridor
• Initiate intravenous therapy
• Administer pain medication - ANSWER - B) Assess for dyspnea or stridor
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