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HESI PN FUNDAMENTALS EXIT TEST BANK VERSION 2/ HESI PN
FUNDAMENTALS EXIT EXAM LATEST 2025 ACTUAL EXAM WITH
COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS (100%
VERIFIED ANSWERS) |ALREADY GRADED A+| ||PROFESSOR
VERIFIED|| ||BRANDNEW!!!||
A patient has limited mobility as a result of a recent knee
replacement. The nurse identifies that he has altered balance and
assists him in ambulation. The patient uses a walker presently as
part of his therapy. the nurse notes how far the patient is able to
walk and then assists him back to his room. Which of the
following is an evaluative measure? [20]
1. Uses walker during ambulation
2. Presence of altered balance
3. Limited mobility in lower extremities
4. Observation of distance patient is able to walk - ANSWER-4
A patient is being discharged today. In preparation the nurse
removes the IV line from the right arm and documents that the
site was "clean and dry with no signs of redness or tenderness."
On discharge the nurse reviews the care plan for goals met.
Which of the following goals can be evaluated with what you know
about this patient? [20]
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1. Patient expresses acceptance of health status by day of
discharge
2. Patient's surgical would will remain free of infection
3. Patient's IV site will remain free of phlebitis
4. Patient understands when to call physician to report possible
complications - ANSWER-3
A nursing student is talking with one of the staff nurses who works
on a surgical unit. The student's care plan is to include nursing-
sensitive outcomes for the nursing diagnosis of "acute pain." A
nursing-sensitive outcome suitable for this diagnosis would be:
[20]
1. Patient will achieve pain relief by discharge
2. Patient will be free of a surgical wound infection by discharge
3. Patient will report reduced pain severity in 2 days
4. Patient will describe purpose of pain medicine by discharge -
ANSWER-3
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A client comes to the walk-in clinic with reports of abdominal pain
and diarrhea. While taking the client's vital signs, the nurse is
implementing which phase of the nursing process?
A. Assessment
B. Diagnosis
C. Planning
D. Implementation - ANSWER-A. Assessment
Rationale: The first step in the nursing process is assessment, the
process of collecting data. All subsequent phases of the nursing
process (options 2, 3, and 4) rely on accurate and complete data.
The nurse is measuring the client's urine output and straining the
urine to assess for stones. Which of the following should the
nurse record as objective data?
A. The client reports abdominal pain
B. The client's urine output was 450 mL
C. The client states, "I didn't see any stones in my urine."
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D. The client states, "I feel like I have passed a stone." -
ANSWER-B. The client's urine output was 450 mL.
Rationale: Objective data is measurable data that can be
seen, heard, or verified by the nurse. The objective data is
the measurement of the urine output. A client's statements
and reports of symptoms are documented as subjective data,
such as the data found in options 1, 3, and 4.
When evaluating an elderly client's blood pressure (BP) of 146/78
mmHg, the nurse does which of the following before determining
whether the BP is normal or represents hypertension?
A. Compare this reading against defined standards
B. Compare the reading with one taken in the opposite arm
C. Determine gaps in the vital signs in the client record
D. Compare the current measurement with previous ones -
ANSWER-A. Compare this reading against defined
Rationale: Analysis of the client's BP requires knowledge of
the normal BP range for an older adult. The nurse compares
the client's data against identified standards to determine
whether this reading is normal or abnormal. Measuring the
HESI PN FUNDAMENTALS EXIT TEST BANK VERSION 2/ HESI PN
FUNDAMENTALS EXIT EXAM LATEST 2025 ACTUAL EXAM WITH
COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS (100%
VERIFIED ANSWERS) |ALREADY GRADED A+| ||PROFESSOR
VERIFIED|| ||BRANDNEW!!!||
A patient has limited mobility as a result of a recent knee
replacement. The nurse identifies that he has altered balance and
assists him in ambulation. The patient uses a walker presently as
part of his therapy. the nurse notes how far the patient is able to
walk and then assists him back to his room. Which of the
following is an evaluative measure? [20]
1. Uses walker during ambulation
2. Presence of altered balance
3. Limited mobility in lower extremities
4. Observation of distance patient is able to walk - ANSWER-4
A patient is being discharged today. In preparation the nurse
removes the IV line from the right arm and documents that the
site was "clean and dry with no signs of redness or tenderness."
On discharge the nurse reviews the care plan for goals met.
Which of the following goals can be evaluated with what you know
about this patient? [20]
,2|Page
1. Patient expresses acceptance of health status by day of
discharge
2. Patient's surgical would will remain free of infection
3. Patient's IV site will remain free of phlebitis
4. Patient understands when to call physician to report possible
complications - ANSWER-3
A nursing student is talking with one of the staff nurses who works
on a surgical unit. The student's care plan is to include nursing-
sensitive outcomes for the nursing diagnosis of "acute pain." A
nursing-sensitive outcome suitable for this diagnosis would be:
[20]
1. Patient will achieve pain relief by discharge
2. Patient will be free of a surgical wound infection by discharge
3. Patient will report reduced pain severity in 2 days
4. Patient will describe purpose of pain medicine by discharge -
ANSWER-3
,3|Page
A client comes to the walk-in clinic with reports of abdominal pain
and diarrhea. While taking the client's vital signs, the nurse is
implementing which phase of the nursing process?
A. Assessment
B. Diagnosis
C. Planning
D. Implementation - ANSWER-A. Assessment
Rationale: The first step in the nursing process is assessment, the
process of collecting data. All subsequent phases of the nursing
process (options 2, 3, and 4) rely on accurate and complete data.
The nurse is measuring the client's urine output and straining the
urine to assess for stones. Which of the following should the
nurse record as objective data?
A. The client reports abdominal pain
B. The client's urine output was 450 mL
C. The client states, "I didn't see any stones in my urine."
, 4|Page
D. The client states, "I feel like I have passed a stone." -
ANSWER-B. The client's urine output was 450 mL.
Rationale: Objective data is measurable data that can be
seen, heard, or verified by the nurse. The objective data is
the measurement of the urine output. A client's statements
and reports of symptoms are documented as subjective data,
such as the data found in options 1, 3, and 4.
When evaluating an elderly client's blood pressure (BP) of 146/78
mmHg, the nurse does which of the following before determining
whether the BP is normal or represents hypertension?
A. Compare this reading against defined standards
B. Compare the reading with one taken in the opposite arm
C. Determine gaps in the vital signs in the client record
D. Compare the current measurement with previous ones -
ANSWER-A. Compare this reading against defined
Rationale: Analysis of the client's BP requires knowledge of
the normal BP range for an older adult. The nurse compares
the client's data against identified standards to determine
whether this reading is normal or abnormal. Measuring the
