EXIT HESI - COMPREHENSIVE PN EXAM A PRACTICE QUESTIONS AND ANSWERS WITH SOLUTIONS 2024

EXIT HESI - COMPREHENSIVE PN EXAM
A PRACTICE QUESTIONS AND
ANSWERS WITH SOLUTIONS 2024
AJnurseJwhoJhasJrecentlyJcompletedJorientationJisJbeginningJworkJinJtheJlaborJandJdeliveryJunitJforJtheJfirstJ
time.JWhenJmakingJassignments,JwhichJclientJshouldJtheJchargeJnurseJassignJtoJthisJnewJnurse?J-
JANSWERJAJmultiparousJclientJwhoJisJdilatedJ5JcmJandJ50%Jeffaced




AJclientJwithJhumanJimmunodeficiencyJvirusJ(HIV)JinfectionJhasJwhiteJlesionsJinJtheJoralJcavityJthatJresembl
eJmilkJcurds.JNystatinJ(Mycostatin)JpreparationJisJprescribedJasJaJswishJandJswallow.JWhichJinformationJisJm
ostJimportantJforJtheJnurseJtoJprovideJtheJclient?J-
JANSWERJOralJhygieneJshouldJbeJperformedJbeforeJtheJmedication.




AJclientJwhoJisJadmittedJwithJemphysemaJisJhavingJdifficultyJbreathing.JInJwhichJpositionJshouldJtheJnurseJp
laceJtheJclient?J-JANSWERJSittingJuprightJandJforwardJwithJbothJarmsJsupportedJonJanJoverJtheJbedJtable



AJclientJwithJchronicJrenalJinsufficiencyJ(CRI)JisJtakingJ25JmgJofJhydrochlorothiazideJ(HCTZ)JPOJandJ40JmgJofJ
furosemideJ(Lasix)JPOJdaily.JToday,JatJaJroutineJclinicJvisit,JtheJclient'sJserumJpotassiumJlevelJisJ4JmEq/L.JWha
tJisJtheJmostJlikelyJcauseJofJthisJclient'sJpotassiumJlevel?J-
JANSWERJTheJclient'sJrenalJfunctionJhasJaffectedJhisJpotassiumJlevel.




AJregisteredJnurseJ(RN)JdeliversJtelehealthJservicesJtoJclientsJviaJelectronicJcommunication.JWhichJnursingJ
actionJcreatesJtheJgreatestJriskJforJprofessionalJliabilityJandJhasJtheJpotentialJforJaJmalpracticeJlawsuit?J-
JANSWERJSendingJmedicalJrecordsJtoJhealthJcareJprovidersJviaJtheJInternet




WhichJpathophysiologicJresponseJsupportsJtheJcontraindicationJforJopioids,JsuchJasJmorphine,JinJclientsJwi
thJincreasedJintracranialJpressureJ(ICP)?



A.SedationJproducedJbyJopioidsJisJaJresultJofJaJprolongedJhalf-lifeJwhenJtheJICPJisJelevated.

B.HigherJdosesJofJopioidsJareJrequiredJwhenJcerebralJbloodJflowJisJreducedJbyJanJelevatedJICP.
J



C.DysphoriaJfromJopioidsJcontributesJtoJalteredJlevelsJofJconsciousnessJwithJanJelevatedJICP.
J



D.OpioidsJsuppressJrespirations,JwhichJincreasesJPco2JandJcontributesJtoJanJelevatedJICP.J-JANSWERJD

,TheJgreatestJriskJassociatedJwithJopioidsJsuchJasJmorphineJ(D)JisJrespiratoryJdepressionJthatJcausesJanJincre
aseJinJPco2,JwhichJincreasesJICPJandJmasksJtheJearlyJsignsJofJintracranialJbleedingJinJheadJinjury.J(A,JB,JandJC
)JdoJnotJsupportJtheJrisksJassociatedJwithJopioidJuseJinJaJclientJwithJincreasedJICP.



TheJchargeJnurseJofJaJmedicalJsurgicalJunitJisJalertedJtoJanJimpendingJdisasterJrequiringJimplementationJofJt
heJhospital'sJdisasterJplan.JSpecificJfactsJaboutJtheJnatureJofJthisJdisasterJareJnotJyetJknown.JWhichJinstructi
onJshouldJtheJchargeJnurseJgiveJtoJtheJotherJstaffJmembersJatJthisJtime?



A.PrepareJtoJevacuateJtheJunit,JstartingJwithJtheJbedriddenJclients.

B.UAPsJshouldJreportJtoJtheJemergencyJcenterJtoJhandleJtransports.
J



C.TheJlicensedJstaffJshouldJbeginJcountingJwheelchairsJandJIVJpolesJonJtheJunit.
J



D.ContinueJwithJcurrentJassignmentsJuntilJmoreJinstructionsJareJreceived.J-JANSWERJD
J



WhenJfacedJwithJanJimpendingJdisaster,JhospitalJpersonnelJmayJbeJalertedJbutJshouldJcontinueJwithJcurren
tJclientJcareJassignmentsJuntilJfurtherJinstructionsJareJreceivedJ(D).JEvacuationJisJtypicallyJaJresponseJofJlastJ
resortJthatJbeginsJwithJclientsJwhoJareJmostJableJtoJambulateJ(A).J(B)JisJprematureJandJisJlikelyJtoJincreaseJth
eJchaosJifJincomingJcasualtiesJareJanticipated.J(C)JisJpoorJutilizationJofJpersonnel.



TheJnurseJassessesJaJclientJwhileJtheJUAPJmeasuresJtheJclient'sJvitalJsigns.JTheJclient'sJvitalJsignsJchangeJsud
denly,JandJtheJnurseJdeterminesJthatJtheJclient'sJconditionJisJworsening.JTheJnurseJisJunsureJofJtheJclient'sJr
esuscitativeJstatusJandJneedsJtoJcheckJtheJclient'sJmedicalJrecordJforJanyJadvancedJdirectives.JWhichJactionJ
shouldJtheJnurseJimplement?



A.AskJtheJUAPJtoJcheckJforJtheJadvancedJdirectiveJwhileJtheJnurseJcompletesJtheJassessment.

B.AssignJtheJUAPJtoJcompleteJtheJassessmentJwhileJtheJnurseJchecksJforJtheJadvancedJdirective.

C.CheckJtheJmedicalJrecordJforJtheJadvancedJdirectiveJandJthenJcompleteJtheJclientJassessment.

D.CallJforJtheJchargeJnurseJtoJcheckJtheJadvancedJdirectiveJwhileJcontinuingJtoJassessJtheJclient.J-
J

ANSWERJD
J



BecauseJtheJclient'sJconditionJisJworsening,JtheJnurseJshouldJremainJwithJtheJclientJandJcontinueJtheJassess
mentJwhileJcallingJforJhelpJfromJtheJchargeJnurseJtoJdetermineJtheJclient'sJresuscitativeJstatusJ(D).J(AJandJB)J
areJtasksJthatJmustJbeJcompletedJbyJaJnurseJandJcannotJbeJdelegatedJtoJtheJUAP.J(C)JisJcontraindicated.



TheJnurseJisJpreparingJaJclientJforJsurgeryJscheduledJinJ2Jhours.JAJUAPJisJhelpingJtheJnurse.JWhichJtaskJisJimp
ortantJforJtheJnurseJtoJperform,JratherJthanJtheJUAP?

, A.RemoveJtheJclient'sJnailJpolishJandJdentures.

B.AssistJtheJclientJtoJtheJrestroomJtoJvoid.
J



C.ObtainJtheJclient'sJheightJandJweight.
J



D.OfferJtheJclientJemotionalJsupport.J-JANSWERJD
J



ByJusingJtherapeuticJtechniquesJtoJofferJsupportJ(D),JtheJnurseJcanJdetermineJanyJclientJconcernsJthatJneedJ
toJbeJaddressed.J(A,JB,JandJC)JareJallJactionsJthatJcanJbeJperformedJbyJtheJUAPJunderJtheJsupervisionJofJtheJ
nurse.



UntilJtheJcensusJonJtheJobstetricsJ(OB)JunitJincreases,JanJunlicensedJassistiveJpersonnelJ(UAP)JwhoJusuallyJ
worksJinJlaborJandJdeliveryJandJtheJnewbornJnurseryJisJassignedJtoJworkJonJtheJpostoperativeJunit.JWhichJcl
ientJwouldJbeJbestJforJtheJchargeJnurseJtoJassignJtoJthisJUAP?



A.AnJadolescentJwhoJwasJreadmittedJtoJtheJhospitalJbecauseJofJaJpostoperativeJinfection
J



B.AJwomanJwithJaJnewJcolostomyJwhoJrequiresJdischargeJteaching
J



C.AJwomanJwhoJhadJaJhipJreplacementJandJmayJbeJtransferredJtoJtheJhomeJcareJunit
J



JD.AJmanJwhoJhadJaJcholecystectomyJandJcurrentlyJhasJaJnasogastricJtubeJsetJtoJintermittentJsuctionJ-
JANSWERJC



TheJchargeJnurseJwillJbeJresponsibleJforJprovidingJaJreportJtoJtheJhomeJcareJunitJifJtheJtransferJoccursJ(A).JT
heJclientJisJinfectedJandJanJemployeeJwhoJworksJonJanJOBJunitJshouldJbeJassignedJtoJcleanJcasesJinJcaseJtheJ
employeeJisJrequiredJtoJreturnJtoJtheJOBJunitJ(B).JThisJrequiresJtheJskillsJofJaJregisteredJnurseJ(RN)JtoJdoJdisc
hargeJteachingJandJprovideJemotionalJsupportJ(D).JThisJmayJrequireJskillsJbeyondJtheJlevelJofJthisJUAP.



AJmaleJclientJisJadmittedJforJobservationJafterJbeingJhitJonJtheJheadJwithJaJbaseballJbat.JSixJhoursJafterJadmi
ssion,JtheJclientJattemptsJtoJcrawlJoutJofJbedJandJasksJtheJnurseJwhyJthereJareJsoJmanyJbugsJinJhisJbed.JHisJvi
talJsignsJareJstable,JandJtheJpulseJoximeterJreadingJisJ98%JonJroomJair.JWhichJinterventionJshouldJtheJnurseJ
performJfirst?



A.AdministerJoxygenJperJnasalJcannulaJatJ2JL/min.

B.PlanJtoJcheckJhisJvitalJsignsJagainJinJ30Jminutes.

C.NotifyJtheJhealthJcareJproviderJofJtheJchangeJinJmentalJstatus.

D.AskJtheJclientJwhyJheJthinksJthereJareJbugsJinJtheJbed.J-JANSWERJC

OneJofJtheJearliestJsignsJofJincreasedJintracranialJpressureJ(ICP)JisJaJchangeJinJmentalJstatusJ(C).JItJisJimporta
ntJtoJactJearlyJandJquicklyJwhenJsymptomsJofJincreasedJICPJoccur.JBecauseJhisJoxygenJsaturationJisJnormal,Jt