HESI Exit V4 Exam with NGN Questions and Answers

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HESI Exit V4 Exam with NGN Questions and Answers (Verified by Expert)

• 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.

ANS: A: Make certain the child is maintained in correct body alignment.

• The nurse is assessing a healthy child at the 2 year check up. 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

ANS: A: Height and weight percentiles vary widely

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• 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

ANS: C: Advise the parents to ignore breath holding because breathing will begin as a reflex

• 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."

ANS: A: "My pain is deep in my chest behind my sternum."

• 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? 2 / 4

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• "Name the year." "What season is this?" (pause for answer after each 3 / 4

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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?"

ANS: C: "I am going to say the names of three things and I want you to repeat them

after me: blue, ball, pen."

• 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

ANS: 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."

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