HESI EXIT Comprehensive PN Exam A
Practice Questions AND ANSWERS
LATEST 2023-2024 WITH CORRECT
QUESTIONS AND ANSWERS
, EXIT HESI - Comprehensive PN Exam A Practice Questions
Study online at https://quizlet.com/_89tlc7
1. A nurse who has recently complet-
A multiparous client who is dilated 5
ed orientation is beginning work
cm and 50% effaced
in the labor and delivery unit for
the first time. When making as-
signments, which client should the
charge nurse assign to this new
nurse?
2. A client with human immunode-
Oral hygiene should be performed be-
ficiency virus (HIV) infection has
fore the medication.
white lesions in the oral cavity that
resemble milk curds. Nystatin (My-
costatin) preparation is prescribed
as a swish and swallow. Which in-
formation is most important for the
nurse to provide the client?
3. A client who is admitted with
Sitting upright and forward with both
emphysema is having difficulty
arms supported on an over the bed
breathing. In which position should
table
the nurse place the client?
4. A client with chronic renal insuffi-
The client's renal function has affect-
ciency (CRI) is taking 25 mg of hy-
ed his potassium level.
drochlorothiazide (HCTZ) PO and
40 mg of furosemide (Lasix) PO dai-
ly. Today, at a routine clinic visit,
the client's serum potassium level
is 4 mEq/L. What is the most like-
ly cause of this client's potassium
level?
5. A registered nurse (RN) delivers
Sending medical records to health
telehealth services to clients via
care providers via the Internet
electronic communication. Which
nursing action creates the greatest
risk for professional liability and
has the potential for a malpractice
lawsuit?
, EXIT HESI - Comprehensive PN Exam A Practice Questions
Study online at https://quizlet.com/_89tlc7
6. Which pathophysiologic response D
supports the contraindication for The greatest risk associated with opi-
opioids, such as morphine, in oids such as morphine (D) is respi-
clients with increased intracranialratory depression that causes an in-
pressure (ICP)? crease in Pco2, which increases ICP
and masks the early signs of intracra-
A. Sedation produced by opioids is nial bleeding in head injury. (A, B, and
a result of a prolonged half-life C) do not support the risks associ-
when the ICP is elevated. ated with opioid use in a client with
B.Higher doses of opioids are re- increased ICP.
quired when cerebral blood flow is
reduced by an elevated ICP.
C.Dysphoria from opioids con-
tributes to altered levels of con-
sciousness with an elevated ICP.
D.Opioids suppress respirations,
which increases Pco2 and con-
tributes to an elevated ICP.
7. The charge nurse of a medical D
surgical unit is alerted to an im- When faced with an impending disas-
pending disaster requiring imple- ter, hospital personnel may be alerted
mentation of the hospital's disas- but should continue with current client
ter plan. Specific facts about the care assignments until further instruc-
nature of this disaster are not yet tions are received (D). Evacuation is
known. Which instruction should typically a response of last resort that
the charge nurse give to the other begins with clients who are most able
staff members at this time? to ambulate (A). (B) is premature and
is likely to increase the chaos if incom-
A. Prepare to evacuate the unit, ing casualties are anticipated. (C) is
starting with the bedridden clients. poor utilization of personnel.
B.UAPs should report to the emer-
gency center to handle transports.
C.The licensed staff should begin
counting wheelchairs and IV poles
on the unit.
D.Continue with current assign-
ments until more instructions are
received.
, EXIT HESI - Comprehensive PN Exam A Practice Questions
Study online at https://quizlet.com/_89tlc7
8. The nurse assesses a client while D
the UAP measures the client's vi- Because the client's condition is wors-
tal signs. The client's vital signs ening, the nurse should remain with
change suddenly, and the nurse de- the client and continue the assess-
termines that the client's condition ment while calling for help from the
is worsening. The nurse is unsure charge nurse to determine the client's
of the client's resuscitative status resuscitative status (D). (A and B) are
and needs to check the client's tasks that must be completed by a
medical record for any advanced nurse and cannot be delegated to the
directives. Which action should the UAP. (C) is contraindicated.
nurse implement?
A. Ask the UAP to check for the ad-
vanced 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 com-
plete the client assessment.
D.Call for the charge nurse to
check the advanced directive while
continuing to assess the client.
9. The nurse is preparing a client for D
surgery scheduled in 2 hours. A By using therapeutic techniques to of-
UAP is helping the nurse. Which fer support (D), the nurse can deter-
task is important for the nurse to mine any client concerns that need
perform, rather than the UAP? to be addressed. (A, B, and C) are
all actions that can be performed by
A. Remove the client's nail polish the UAP under the supervision of the
and dentures. nurse.
B. Assist the client to the restroom
to void.
C. Obtain the client's height and
weight.
D. Offer the client emotional sup-
port.
Practice Questions AND ANSWERS
LATEST 2023-2024 WITH CORRECT
QUESTIONS AND ANSWERS
, EXIT HESI - Comprehensive PN Exam A Practice Questions
Study online at https://quizlet.com/_89tlc7
1. A nurse who has recently complet-
A multiparous client who is dilated 5
ed orientation is beginning work
cm and 50% effaced
in the labor and delivery unit for
the first time. When making as-
signments, which client should the
charge nurse assign to this new
nurse?
2. A client with human immunode-
Oral hygiene should be performed be-
ficiency virus (HIV) infection has
fore the medication.
white lesions in the oral cavity that
resemble milk curds. Nystatin (My-
costatin) preparation is prescribed
as a swish and swallow. Which in-
formation is most important for the
nurse to provide the client?
3. A client who is admitted with
Sitting upright and forward with both
emphysema is having difficulty
arms supported on an over the bed
breathing. In which position should
table
the nurse place the client?
4. A client with chronic renal insuffi-
The client's renal function has affect-
ciency (CRI) is taking 25 mg of hy-
ed his potassium level.
drochlorothiazide (HCTZ) PO and
40 mg of furosemide (Lasix) PO dai-
ly. Today, at a routine clinic visit,
the client's serum potassium level
is 4 mEq/L. What is the most like-
ly cause of this client's potassium
level?
5. A registered nurse (RN) delivers
Sending medical records to health
telehealth services to clients via
care providers via the Internet
electronic communication. Which
nursing action creates the greatest
risk for professional liability and
has the potential for a malpractice
lawsuit?
, EXIT HESI - Comprehensive PN Exam A Practice Questions
Study online at https://quizlet.com/_89tlc7
6. Which pathophysiologic response D
supports the contraindication for The greatest risk associated with opi-
opioids, such as morphine, in oids such as morphine (D) is respi-
clients with increased intracranialratory depression that causes an in-
pressure (ICP)? crease in Pco2, which increases ICP
and masks the early signs of intracra-
A. Sedation produced by opioids is nial bleeding in head injury. (A, B, and
a result of a prolonged half-life C) do not support the risks associ-
when the ICP is elevated. ated with opioid use in a client with
B.Higher doses of opioids are re- increased ICP.
quired when cerebral blood flow is
reduced by an elevated ICP.
C.Dysphoria from opioids con-
tributes to altered levels of con-
sciousness with an elevated ICP.
D.Opioids suppress respirations,
which increases Pco2 and con-
tributes to an elevated ICP.
7. The charge nurse of a medical D
surgical unit is alerted to an im- When faced with an impending disas-
pending disaster requiring imple- ter, hospital personnel may be alerted
mentation of the hospital's disas- but should continue with current client
ter plan. Specific facts about the care assignments until further instruc-
nature of this disaster are not yet tions are received (D). Evacuation is
known. Which instruction should typically a response of last resort that
the charge nurse give to the other begins with clients who are most able
staff members at this time? to ambulate (A). (B) is premature and
is likely to increase the chaos if incom-
A. Prepare to evacuate the unit, ing casualties are anticipated. (C) is
starting with the bedridden clients. poor utilization of personnel.
B.UAPs should report to the emer-
gency center to handle transports.
C.The licensed staff should begin
counting wheelchairs and IV poles
on the unit.
D.Continue with current assign-
ments until more instructions are
received.
, EXIT HESI - Comprehensive PN Exam A Practice Questions
Study online at https://quizlet.com/_89tlc7
8. The nurse assesses a client while D
the UAP measures the client's vi- Because the client's condition is wors-
tal signs. The client's vital signs ening, the nurse should remain with
change suddenly, and the nurse de- the client and continue the assess-
termines that the client's condition ment while calling for help from the
is worsening. The nurse is unsure charge nurse to determine the client's
of the client's resuscitative status resuscitative status (D). (A and B) are
and needs to check the client's tasks that must be completed by a
medical record for any advanced nurse and cannot be delegated to the
directives. Which action should the UAP. (C) is contraindicated.
nurse implement?
A. Ask the UAP to check for the ad-
vanced 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 com-
plete the client assessment.
D.Call for the charge nurse to
check the advanced directive while
continuing to assess the client.
9. The nurse is preparing a client for D
surgery scheduled in 2 hours. A By using therapeutic techniques to of-
UAP is helping the nurse. Which fer support (D), the nurse can deter-
task is important for the nurse to mine any client concerns that need
perform, rather than the UAP? to be addressed. (A, B, and C) are
all actions that can be performed by
A. Remove the client's nail polish the UAP under the supervision of the
and dentures. nurse.
B. Assist the client to the restroom
to void.
C. Obtain the client's height and
weight.
D. Offer the client emotional sup-
port.
