EXIT HESI -PN Exam A PRACTICE QUESTION
1. 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?
A.A primigravida who is 8 cm dilated after 14 hours of labor
B.A client scheduled for a repeat cesarean birth at 38 weeks' gestation
C.A client being induced for fetal demise at 20 weeks' gestation
D.A multiparous client who is dilated 5 cm and 50% effaced: D
The new nurse should be assigned the least complicated client to gain
experience and confidence, as well as protect client safety. Of the clients
available for assign- ment, (D) is progressing well and is the least
complicated. (A, B and C) have actual or potential complications and
should be assigned to a more experienced nurse.
2. 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?
A. Oral hygiene should be performed before the medication. B.Antifungal
, EXIT HESI -PN Exam A PRACTICE QUESTION
med- ications are available in tablet, suppository, and liquid forms.
C.Candida albicans is the organism that causes the white lesions in the
mouth.
D.The dietary intake of dairy and spicy foods should be limited.: A
HIV infection causes depression of cell-mediated immunity that allows
an over- growth of Candida albicans (oral moniliasis), which appears as
white, cheesy plaque or lesions that resemble milk curds. To ensure
effective contact of the medication with the oral lesions, oral liquids
should be consumed and oral hygiene performed before swishing the
liquid Mycostatin (A). (B and C) provide the client with additional
information about the pathogenesis and treatment of opportunistic
infections, but (A) allows the client to participate in self-care of the oral
infection. Dietary restriction of spicy foods reduces discomfort
associated with stomatitis, but restriction of dairy products is not
indicated (D).
3. A client who is admitted with emphysema is having difficulty breathing.
In which position should the nurse place the client?
A.High Fowler's position without a pillow behind the head
, EXIT HESI -PN Exam A PRACTICE QUESTION
B.Semi-Fowler's position with a single pillow behind the
head
C.Right side-lying position with the head of the bed elevated 45 degrees
D.Sitting upright and forward with both arms supported on an over the bed
table: D
, EXIT HESI -PN Exam A PRACTICE QUESTION
Adequate lung expansion is dependent on deep breaths that allow the
respiratory muscles to increase the longitudinal and anterior-posterior
size of the thoracic cage. Sitting upright and leaning forward with the
arms supported on an over the bed table
(D) allows the thoracic cage to expand in all four directions and reduces
dyspnea. A high Fowler's position does not allow maximum expansion of
the posterior lobes of the lungs (A). A semi-Fowler's position restricts
expansion of the anterior-posterior diameter of the thoracic cage (B).
Positioning a client on the right side with the head of the bed elevated
(C) does not facilitate lung expansion.
4. A client with chronic renal insufficiency (CRI) is taking 25 mg of hy-
drochlorothiazide (HCTZ) PO and 40 mg of furosemide (Lasix) PO daily.
Today, at a routine clinic visit, the client's serum potassium level is 4 mEq/L.
What is the most likely cause of this client's potassium level?
A. The client is noncompliant with his medications.
B. The client recently consumed large quantities of pears or nuts.
C. The client's renal function has affected his potassium level.
D. The client needs to be started on a potassium supplement.: C
1. 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?
A.A primigravida who is 8 cm dilated after 14 hours of labor
B.A client scheduled for a repeat cesarean birth at 38 weeks' gestation
C.A client being induced for fetal demise at 20 weeks' gestation
D.A multiparous client who is dilated 5 cm and 50% effaced: D
The new nurse should be assigned the least complicated client to gain
experience and confidence, as well as protect client safety. Of the clients
available for assign- ment, (D) is progressing well and is the least
complicated. (A, B and C) have actual or potential complications and
should be assigned to a more experienced nurse.
2. 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?
A. Oral hygiene should be performed before the medication. B.Antifungal
, EXIT HESI -PN Exam A PRACTICE QUESTION
med- ications are available in tablet, suppository, and liquid forms.
C.Candida albicans is the organism that causes the white lesions in the
mouth.
D.The dietary intake of dairy and spicy foods should be limited.: A
HIV infection causes depression of cell-mediated immunity that allows
an over- growth of Candida albicans (oral moniliasis), which appears as
white, cheesy plaque or lesions that resemble milk curds. To ensure
effective contact of the medication with the oral lesions, oral liquids
should be consumed and oral hygiene performed before swishing the
liquid Mycostatin (A). (B and C) provide the client with additional
information about the pathogenesis and treatment of opportunistic
infections, but (A) allows the client to participate in self-care of the oral
infection. Dietary restriction of spicy foods reduces discomfort
associated with stomatitis, but restriction of dairy products is not
indicated (D).
3. A client who is admitted with emphysema is having difficulty breathing.
In which position should the nurse place the client?
A.High Fowler's position without a pillow behind the head
, EXIT HESI -PN Exam A PRACTICE QUESTION
B.Semi-Fowler's position with a single pillow behind the
head
C.Right side-lying position with the head of the bed elevated 45 degrees
D.Sitting upright and forward with both arms supported on an over the bed
table: D
, EXIT HESI -PN Exam A PRACTICE QUESTION
Adequate lung expansion is dependent on deep breaths that allow the
respiratory muscles to increase the longitudinal and anterior-posterior
size of the thoracic cage. Sitting upright and leaning forward with the
arms supported on an over the bed table
(D) allows the thoracic cage to expand in all four directions and reduces
dyspnea. A high Fowler's position does not allow maximum expansion of
the posterior lobes of the lungs (A). A semi-Fowler's position restricts
expansion of the anterior-posterior diameter of the thoracic cage (B).
Positioning a client on the right side with the head of the bed elevated
(C) does not facilitate lung expansion.
4. A client with chronic renal insufficiency (CRI) is taking 25 mg of hy-
drochlorothiazide (HCTZ) PO and 40 mg of furosemide (Lasix) PO daily.
Today, at a routine clinic visit, the client's serum potassium level is 4 mEq/L.
What is the most likely cause of this client's potassium level?
A. The client is noncompliant with his medications.
B. The client recently consumed large quantities of pears or nuts.
C. The client's renal function has affected his potassium level.
D. The client needs to be started on a potassium supplement.: C
