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EXIT HESI - Comprehensive PN Exam A
Practice Questions with Correct Answers |
Updated (100% Correct Answers)
A nurse who has recently completed orientation is beginning work
in the labor and delivery unit for the first time. When making
assignments, which client should the charge nurse assign to this
new nurse? Answer: A multiparous client who is dilated 5 cm and
50% effaced
A client with human immunodeficiency virus (HIV) infection has
white lesions in the oral cavity that resemble milk curds. Nystatin
(Mycostatin) preparation is prescribed as a swish and swallow.
Which information is most important for the nurse to provide the
client? Answer: Oral hygiene should be performed before the
medication.
A client who is admitted with emphysema is having difficulty
breathing. In which position should the nurse place the client?
Answer: Sitting upright and forward with both arms supported on
an over the bed table
A client with chronic renal insufficiency (CRI) is taking 25 mg of
hydrochlorothiazide (HCTZ) PO and 40 mg of furosemide (Lasix) PO
daily. Today, at a routine clinic visit, the client's serum potassium
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,2
level is 4 mEq/L. What is the most likely cause of this client's
potassium level? Answer: The client's renal function has affected his
potassium level.
A registered nurse (RN) delivers telehealth services to clients via
electronic communication. Which nursing action creates the greatest
risk for professional liability and has the potential for a malpractice
lawsuit? Answer: Sending medical records to health care providers
via the Internet
Which pathophysiologic response supports the contraindication for
opioids, such as morphine, in clients with increased intracranial
pressure (ICP)?
A.Sedation produced by opioids is a result of a prolonged half-life
when the ICP is elevated.
B.Higher doses of opioids are required when cerebral blood flow is
reduced by an elevated ICP.
C.Dysphoria from opioids contributes to altered levels of
consciousness with an elevated ICP.
D.Opioids suppress respirations, which increases Pco2 and
contributes to an elevated ICP. Answer: D
The greatest risk associated with opioids such as morphine (D) is
respiratory depression that causes an increase in Pco2, which
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,3
increases ICP and masks the early signs of intracranial bleeding in
head injury. (A, B, and C) do not support the risks associated with
opioid use in a client with increased ICP.
The charge nurse of a medical surgical unit is alerted to an
impending disaster requiring implementation of the hospital's
disaster plan. Specific facts about the nature of this disaster are not
yet known. Which instruction should the charge nurse give to the
other staff members at this time?
A.Prepare to evacuate the unit, starting with the bedridden clients.
B.UAPs should report to the emergency center to handle transports.
C.The licensed staff should begin counting wheelchairs and IV poles
on the unit.
D.Continue with current assignments until more instructions are
received. Answer: D
When faced with an impending disaster, hospital personnel may be
alerted but should continue with current client care assignments
until further instructions are received (D). Evacuation is typically a
response of last resort that begins with clients who are most able to
ambulate (A). (B) is premature and is likely to increase the chaos if
incoming casualties are anticipated. (C) is poor utilization of
personnel.
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, 4
The nurse assesses a client while the UAP measures the client's vital
signs. The client's vital signs change suddenly, and the nurse
determines that the client's condition is worsening. The nurse is
unsure of the client's resuscitative status and needs to check the
client's medical record for any advanced directives. Which action
should the nurse implement?
A.Ask the UAP to check for the advanced directive while the nurse
completes the assessment.
B.Assign the UAP to complete the assessment while the nurse
checks for the advanced directive.
C.Check the medical record for the advanced directive and then
complete the client assessment.
D.Call for the charge nurse to check the advanced directive while
continuing to assess the client. Answer: D
Because the client's condition is worsening, the nurse should remain
with the client and continue the assessment while calling for help
from the charge nurse to determine the client's resuscitative status
(D). (A and B) are tasks that must be completed by a nurse and
cannot be delegated to the UAP. (C) is contraindicated.
© 2025 All rights reserved
EXIT HESI - Comprehensive PN Exam A
Practice Questions with Correct Answers |
Updated (100% Correct Answers)
A nurse who has recently completed orientation is beginning work
in the labor and delivery unit for the first time. When making
assignments, which client should the charge nurse assign to this
new nurse? Answer: A multiparous client who is dilated 5 cm and
50% effaced
A client with human immunodeficiency virus (HIV) infection has
white lesions in the oral cavity that resemble milk curds. Nystatin
(Mycostatin) preparation is prescribed as a swish and swallow.
Which information is most important for the nurse to provide the
client? Answer: Oral hygiene should be performed before the
medication.
A client who is admitted with emphysema is having difficulty
breathing. In which position should the nurse place the client?
Answer: Sitting upright and forward with both arms supported on
an over the bed table
A client with chronic renal insufficiency (CRI) is taking 25 mg of
hydrochlorothiazide (HCTZ) PO and 40 mg of furosemide (Lasix) PO
daily. Today, at a routine clinic visit, the client's serum potassium
© 2025 All rights reserved
,2
level is 4 mEq/L. What is the most likely cause of this client's
potassium level? Answer: The client's renal function has affected his
potassium level.
A registered nurse (RN) delivers telehealth services to clients via
electronic communication. Which nursing action creates the greatest
risk for professional liability and has the potential for a malpractice
lawsuit? Answer: Sending medical records to health care providers
via the Internet
Which pathophysiologic response supports the contraindication for
opioids, such as morphine, in clients with increased intracranial
pressure (ICP)?
A.Sedation produced by opioids is a result of a prolonged half-life
when the ICP is elevated.
B.Higher doses of opioids are required when cerebral blood flow is
reduced by an elevated ICP.
C.Dysphoria from opioids contributes to altered levels of
consciousness with an elevated ICP.
D.Opioids suppress respirations, which increases Pco2 and
contributes to an elevated ICP. Answer: D
The greatest risk associated with opioids such as morphine (D) is
respiratory depression that causes an increase in Pco2, which
© 2025 All rights reserved
,3
increases ICP and masks the early signs of intracranial bleeding in
head injury. (A, B, and C) do not support the risks associated with
opioid use in a client with increased ICP.
The charge nurse of a medical surgical unit is alerted to an
impending disaster requiring implementation of the hospital's
disaster plan. Specific facts about the nature of this disaster are not
yet known. Which instruction should the charge nurse give to the
other staff members at this time?
A.Prepare to evacuate the unit, starting with the bedridden clients.
B.UAPs should report to the emergency center to handle transports.
C.The licensed staff should begin counting wheelchairs and IV poles
on the unit.
D.Continue with current assignments until more instructions are
received. Answer: D
When faced with an impending disaster, hospital personnel may be
alerted but should continue with current client care assignments
until further instructions are received (D). Evacuation is typically a
response of last resort that begins with clients who are most able to
ambulate (A). (B) is premature and is likely to increase the chaos if
incoming casualties are anticipated. (C) is poor utilization of
personnel.
© 2025 All rights reserved
, 4
The nurse assesses a client while the UAP measures the client's vital
signs. The client's vital signs change suddenly, and the nurse
determines that the client's condition is worsening. The nurse is
unsure of the client's resuscitative status and needs to check the
client's medical record for any advanced directives. Which action
should the nurse implement?
A.Ask the UAP to check for the advanced directive while the nurse
completes the assessment.
B.Assign the UAP to complete the assessment while the nurse
checks for the advanced directive.
C.Check the medical record for the advanced directive and then
complete the client assessment.
D.Call for the charge nurse to check the advanced directive while
continuing to assess the client. Answer: D
Because the client's condition is worsening, the nurse should remain
with the client and continue the assessment while calling for help
from the charge nurse to determine the client's resuscitative status
(D). (A and B) are tasks that must be completed by a nurse and
cannot be delegated to the UAP. (C) is contraindicated.
© 2025 All rights reserved
