PN HESI Exit V1 Exam Questions With Answers | Latest Update Rated A+ (2023/2024)

PN HESI Exit V1 Exam Questions With Answers | Latest Update Rated A+ (2023/2024). A 9-year-old client is brought to the emergency department with a sutured wound with purulent drainage. The area around the wound is red and warm to the touch, and the child is febrile. The parents want to know the significance of the purulent drainage. What is the best response by the nurse? You Selected: • “The drainage is an indication that the sutures were not tight enough.” Correct response: • “If a wound heals on the surface but infection remains, it will open and drain.” Question 12 A 19-year-old primigravid client at 38 weeks' gestation is 7 cm dilated, and the presenting part is at +1 station. The client tells the nurse, "I need to push!" What should the nurse do next? You Selected: • Instruct the client to use a pant-blow pattern of breathing. Correct response: • Instruct the client to use a pant-blow pattern of breathing. Question 33 A client with cystic fibrosis develops pneumonia. To decrease the viscosity of respiratory secretions, the physician orders acetylcysteine. Before administering the first dose, the nurse checks the client's history for asthma. Acetylcysteine must be used cautiously in a client with asthma because it You Selected: • may induce bronchospasm. Correct response: • may induce bronchospasm. Question 34 Bone resorption is a possible complication of Cushing’s disease. To help the client prevent this complication, what should the nurse recommend to the client? You Selected: • Maintain a regular program of weight-bearing exercise. Correct response: • Maintain a regular program of weight-bearing exercise. Question 16 A nurse suspects that the laboring client may have been physically abused by her partner. What is the most appropriate intervention by the nurse? You Selected: • Collaborate with the interprofessional team to make a referral to social services. Correct response: • Collaborate with the interprofessional team to make a referral to social services. Question 17 A client is newly diagnosed with asthma. While learning to use a metered dose inhaler (MDI) for delivery of a short-term beta agonist, the client asks if a spacer is appropriate to use with this device. What is the nurse’s best response? You Selected: • “No, a spacer is not recommended because it can increase the risk of developing oropharyngeal candidiasis.” Correct response: • “Yes, a spacer is recommended because it increases the amount of medication that is delivered to the lungs.” Question 18 The nurse is planning care for a client who had surgery for abdominal aortic aneurysm repair 2 days ago. The pain medication and the use of relaxation and imagery techniques are not relieving the client’s pain, and the client refuses to get out of bed to ambulate as prescribed. The nurse contacts the health care provider (HCP), explains the situation, and provides information about drug dose, frequency of administration, the client’s vital signs, and the client’s score on the pain scale. The nurse requests a prescription for a different, or stronger, pain medication. The HCP tells the nurse that the current prescription for pain medication is sufficient for this client and that the client will feel better in several days. What should the nurse do next? You Selected: • Explain to the HCP that the current pain medication and other strategies are not helping the client and it is making it difficult for the client to ambulate as prescribed. Correct response: • Explain to the HCP that the current pain medication and other strategies are not helping the client and it is making it difficult for the client to ambulate as prescribed. Question 19 The nurse is making a room assignment for a client whose laboratory test result indicate pancytopenia. Which client should the nurse put into the same room with the client with pancytopenia? You Selected: • a client with digoxin toxicity Correct response: Question 20 An apartment fire spreads to seven apartment units. Victims suffer burns, minor injuries, and broken bones from jumping from windows. Which client should be transported first? You Selected: • a 10-year-old with a simple fracture of the humerus who is in severe pain Correct response: • a middle-aged man with no injuries who has rapid respirations and coughs Question 21 A 26-year-old primigravida visiting the prenatal clinic for her regular visit at 34 weeks’ gestation tells the nurse that she takes mineral oil for occasional constipation. What should the nurse should instruct the client to do? You Selected: • Avoid mineral oil because it interferes with the absorption of fat-soluble vitamins. Correct response: • Avoid mineral oil because it interferes with the absorption of fat-soluble vitamins. Question22 A client is receiving chemotherapy that has the potential to cause pulmonary toxicity. Which signs or symptoms indicates a toxic response to the chemotherapy? You Selected: • cough and shortness of breath Correct response: • cough and shortness of breath Question 23 A nurse observes a physician providing care to an infectious client without the use of personal protective equipment. What should the nurse do first? You Selected: • Notify the unit manager. Correct response: • Discuss the breach of practice with the physician. Question24 The nurse observes a client in a group who is reminiscing about his past. Which effect should the nurse expect reminiscing to have on the client's functioning in the hospital? You Selected: • Decrease the client's feelings of isolation and loneliness. Correct response: • Decrease the client's feelings of isolation and loneliness. Question 25 A nurse, a licensed practical nurse (LPN), and a nursing assistant are caring for a group of clients. The nurse asks the nursing assistant to check the pulse oximetry level of a client who underwent laminectomy. The nursing assistant reports that the pulse oximetry reading is 89%. The client Kardex contains an order for oxygen application at 2 L/min should the pulse oximetry level fall below 92%. The nurse is currently assessing a postoperative client who just returned from the postanesthesia care unit. How should the nurse proceed? You Selected: • Ask the LPN to obtain vital signs and administer oxygen at 2 L/min to the client who underwent laminectomy. Correct response: • Ask the LPN to obtain vital signs and administer oxygen at 2 L/min to the client who underwent laminectomy. • a client with digoxin toxicity Question 26 While shopping, a nurse meets a neighbor who asks about a friend receiving treatment at the nurse's clinic. What is the nurse's most appropriate response? You Selected: • "I'm sorry, I can't disclose client information." Correct response: • "I'm sorry, I can't disclose client information." Question 27 When assessing an 18-year-old primipara who gave birth under epidural anesthesia 24 hours ago, the nurse determines that the fundus is firm but to the right of midline. Based on this finding, the nurse should further assess for which complication? You Selected: • urinary retention Correct response: • urinary retention Question 28 Which situation demonstrates correct principles of confidentiality? You Selected: • Two nurses alone in an elevator are discussing a client's status. Correct response: • An emergency department nurse reports suspected child abuse. Question 29 The nurse in a psychiatric unit has formed a therapeutic relationship with a client with a borderline personality disorder. When the client is readmitted to the unit for a suicide attempt, the nurse exclaims to another staff nurse, “Why? Everything was going well. How could they do this to me?” What response by the staff nurse reflects an understanding of the client’s borderline disorder? You Selected: • “Clients with borderline disorder act out to relieve anxiety, and something must have provoked a great deal of anxiety.” Correct response: • “Clients with borderline disorder act out to relieve anxiety, and something must have provoked a great deal of anxiety.” Question 30 A child is receiving total parenteral nutrition (TPN). During TPN therapy, the most important nursing action is: You Selected: • monitoring the blood glucose level closely. Correct response: • monitoring the blood glucose level closely. When a client returns from the recovery room postmastectomy, an initial postoperative assessment is performed by the nurse. What is the nurse’s priority assessment? You Selected: • checking the dressing, drain, and amount of drainage Correct response: • assessing the vital signs and oxygen saturation levels Question 31 A client with an uncomplicated term pregnancy arrives at the laborand-delivery unit in early labor saying that she thinks her water has broken. What is the nurse’s best action? You Selected: • Ask what time this happened and note the color, amount, and odor of the fluid. Correct response: • Ask what time this happened and note the color, amount, and odor of the fluid.