HESI RN EXIT V1 EXAM-NGN 160 QUESTIONS AND 100

HESI RN EXIT V1 EXAM-NGN 160 QUESTIONS AND 100%

VERIFIED ANSWERS 2024

• The nurse is caring for a pre-adolescent client in skeletal Dunlop traction.

Which nursing intervention is appropriate for this child?

• Make certain the child is maintained in correct body alignment.
• Be sure the traction weights touch the end of the bed.
• Adjust the head and foot of the bed for the child's comfort
• Release the traction for 15-20 minutes every 6 hours PRN.

• The nurse is assessing a healthy child at the 2-year checkup. Which of the

following should the nurse report immediately to the health care provider?

• Height and weight percentiles vary widely
• Growth pattern appears to have slowed
• Recumbent and standing height are different
• Short term weight changes are uneven

• 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 nurse?

• Teach the parents how to perform cardiopulmonary resuscitation
• Recommend that the parents give in when he holds his breath to

prevent anoxia

• Advise the parents to ignore breath holding because breathing will

begin as a reflex

• Instruct the parents on how to reason with the child about possible

harmful effects 1 / 4

• The nurse is assessing a client in the emergency room. Which statement

suggests that the problem is acute angina?

• "My pain is deep in my chest behind my sternum."
• "When I sit up the pain gets worse."
• "As I take a deep breath the pain gets worse."
• "The pain is right here in my stomach area."

• The nurse is assessing the mental status of a client admitted with possible

organic brain disorder. Which of these questions will best assess the function of the client's recent memory?

• "Name the year." "What season is this?" (Pause for answer after each

question)

• "Subtract 7 from 100 and then subtract 7 from that." (Pause for

answer) "Now continue to subtract 7 from the new number."

• "I am going to say the names of three things and I want you to repeat

them after me: blue, ball, pen."

• "What is this on my wrist?" (Point to your watch) Then ask, "What is

the purpose of it?"

• 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

• 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."

• "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."

• What is the most important consideration when teaching parents how to

reduce risks in the home? 2 / 4

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

• While caring for a toddler with croup, which initial sign of croup requires the

nurse's immediate attention?

• Respiratory rate of 30
• Lethargy for the past hour
• Apical pulse of 54
• Coughing up copious secretions

• 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

• 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."

• Alcohol and drug abuse impairs judgment and increases risk taking behavior.

What nursing diagnosis best applies?

• Risk for injury 3 / 4

• Risk for knowledge deficit
• Altered thought process
• Disturbance in self-esteem

• 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?

• Mouth
• Nasal passages
• Back of throat
• Bronchial

• The nurse is providing instructions for a client with pneumonia. What is the

most important information to convey to the client?

• "Take at least 2 weeks off from work."
• "You will need another chest x-ray in 6 weeks."
• "Take your temperature every day."
• "Complete all of the antibiotic even if your findings decrease."

• When counseling a 6-year-old who is experiencing enuresis, what must the

nurse understand about the pathophysiological basis of this disorder?

• Has no clear etiology
• May be associated with sleep phobia
• Has a definite genetic link
• Is a sign of willful misbehavior

• 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?

• Reprimand the child and give a 15 minute "time out"
• Maintain a permissive attitude for this behavior
• Use patience and a sense of humor to deal with this behavior
• Assert authority over the child through limit setting

• The 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 nurse?

• Chewable aspirin is the preferred analgesic
• Topical cortisone ointment relieves itching
• / 4