ATI PN Hesi Exit Exam Graded A+ 2025

ATI PN Hesi Exit Exam Graded A+ 2025 1 The nurse is preparing a community education program on osteoporosis. Which instruction is helpful in preventing bone loss formation? Ans. Recommend weight bearing physical activity 2. The nurse is caring for a client who tests positive for the sexually transmitted infection (STI) trichomoniasis after experiencing a recent sexual assault response should the nurse provide? Ans. Explain how the infection is transmitted and the health risks involved 3. The nurse is planning the preoperative teaching plan for a 12-year-old child who is scheduled for surgery. To help reduce this child's anxiety, which action is best for the nurse to implement? Ans: Provide a family tour of the preoperative unit one week before the surgery 4. An older male client is admitted to mental health with a sudden onset of global disorientation and is continuously with mother, who died 50 years ago. The nurse reviews the multiple prescriptions the client is currently taking and assesses his urine specimen, which is cloudy, dark yellow, and has a foul odor. These findings suggest that this client is experiencing which condition? Ans: Delirium 5. The nurse is preparing a teaching plan for an older female client diagnosed with osteoporosis. Which expected outcome has the highest priority for this client? Ans: Names 3 home safety hazards to be resolved immediately. 6. The family of an older woman reports that they are no longer capable of caring for at home. While performing admission assessment at a long-term care facility, the nurse determines that the client is incontinent of urine, has dry mucous membranes, and has a large bruise on coccyx Which Interventions should the nurse include in the plan care? (Select all that apply.) Ans: Implement toileting programing; Apply a barrier cream to the perianal area; offer beverages at frequent intervals. 7. A client develops urticaria on the trunk and neck shortly after a secondary infusion of is initiated In what order should the nurse implement these Interventions the actions in order of priority, with the highest priority first, and least priority task or at the bottom.) Answer 1. Stop the infusion. 2. Assess vital signs. 3. Contact the healthcare provider. 4. Document reaction to the drug. 5. Initiate adverse event report 8. The nurse is assessing an adolescent female diagnosed with anorexia nervosa who is admitted to the unit with severe malnutrition and electrolyte imbalance. pathological process results from the adolescent's consistent maladaptive behavior? Ans: Amenorrhea 9. A female client who has a borderline personality disorder is being discharged today. When the nurse begins about the aloofness of the night shift nurse and expresses joy to see that “My favorite nurse is on duty now. Which response is best for the nurse to provide to this client's dichotomous tendency? a. Ans I am happy that you are getting better and will be able to go home 10. An adult who has recurrent episodes of depression tells the nurse that the prescribed antidepressant should be discontinued because the client is feeling better after taking the medication for the past couple of weeks and does not like the side effects. Is the response best for the nurse to provide? Ans: Tell the client to discuss the medication side effects with the HCP 11. A client with a history of a bilateral adrenalectomy is admitted with a weak pulse, and hypotension. Which assessment finding warrants immediate Intervention by the nurse? Ans: Ventricular arrhythmias 12. A female client who is admitted to the mental health unit for opiate dependency is receiving clonidine mg for withdrawal symptoms. The client begins to complain of feeling nervous and the nurse that her bones are itching. Which finding should the nurse identify as a contraindication for administering the medication? Ans: Blood pressure 90/76 mm Hg 13. The mother of a 12-month-old with cystic fibrosis reports that her child is experiencing increasing congestion despite the use of chest physical therapy (CPT ) twice a day , and has also experienced a loss of appetite . Which instruction should the nurse provide ? Ans: CPT should be performed more frequently, but at least an hour before meals 14. After receiving a report, the nurse can most safely plan to assess which client last? Answer: An adult with no postoperative drainage in the Jackson-Pratt drain with the bulb compression 15. After an unsuccessful resuscitation attempt, the nurse calls the family of the deceased. The family wish to see the body before it is taken to the funeral home. Which interventions should the nurse take to prepare the body before the family enters the room? (Select all that apply.) Ans: Place a small pillow under the head; gently close the eye; remove resuscitation equipment from the room. 16. A client with rapid respirations and audible is admitted to the intensive care unit because of a pulmonary embolism (PE). -oxygen nasal cannula and weight-based heparin protocol is initiated. Which intervention is most important for the nurse to include this plan of care? Ans: Evaluate daily blood clotting factors. 17. A client with an asymptomatic abdominal aneurysm visits the health clinic for a routine visit. Which action is most important for the nurse to include in assessing the client? Ans: Auscultate bowel sound 18. A client with metastatic cancer who was taking hydromorphone by mouth at home is now receiving the medication intravenously while in hospital to evaluate if the client is receiving an equianalgesic dose of the hydromorphone, which assessment should the nurse complete? Ans: Pain scale 19. Which client will benefit most from the application of pneumatic compression devices to the lower? The client who? Ans: Is immobile on prescribed bed rest. 20. A client arrives at the clinic experiencing shortness of breath and possible spontaneous pneumothorax. lung sounds should the nurse expect auscultate. Ans: Diminish to absent breath sounds from the apex to the base of right lung fields. 21. The nurse is admitting a client from the post anesthesia unit to the postoperative surgical care. Which prescription should the nurse implement first? Ans: complete blood count CBC 22: The healthcare provider prescribes a low dose heparin protocol at 18 units/ for a client with possible pulmonary embolism. This Client weight 144 pounds. The available solution is labeled , Heparin sodium 25,000 units in 5 % dextrose injection 250 ml. The nurse should program the pump to deliver how many ml/hr- 12 23. The nurse identifies an electrolyte imbalance, an elevated pulse rate, and an elevated blood pressure for a client with chronic kidney disease. Which is the most important action for the nurse to take? Ans: Auscultate for irregular heart rate 24. Which client should the nurse assess frequently because of the risk for overflow incontinence? A client. Ans. Who is confused and frequently forgets to go the bathroom 25. An older resident of an extended care facility has recurrent urinary infections. The nursing care plan includes the goal: increase daily intake of fluids. What nursing intervention is most useful in assisting the resident to meet this goal? Ans: Maintain a full pitcher of water at the bedside 26. An adult client with a history of schizophrenia is admitted with diabetic ketoacidosis (DKA) Which nursing interventions should the nurse implement during the admission process for this client? (Select all that apply) Ans: Obtain psychiatric and medical admission records; review list of home medications including dosages; determine the client’s understanding of how to manage their diabetes 27. The nurse is developing a teaching plan for a client with acute gastritis caused by drinking contaminated water. The nurse should emphasize the need to report the onset of which problem? Ans. Bloody emesis 28. . A client with chronic renal insufficiency is preparing for discharge from the hospital, information most important for the nurse to include in this client's discharge teaching. Ans: Instructions regarding a restricted protein diet 29. A 4-year-old child with acute lymphocytic leukemia (ALL) is receiving a chemotherapy protocol that includes methotrexate, an antimetabolite. Which information should the nurse provide the parents about care for their child? Ans. Obtain any childhood vaccination that is not up to date. 30. A client who is receiving filgrastim has an absolute neutrophil count of 11.000 / m m ^ 3 (11.000 * 10 ^ 8 / L) Which action should the nurse take? Ans: Recommend the medication be discontinued 31. The charge nurse observes a new nurse preparing to insert (IV) catheter. The nurse gathered supplies, including intravenous catheters, an intravenous insertion kit, and a 4*4 sterile gauze dressing to cover and secure the insertion site. What action should the charge nurse take? Ans. Instruct the nurse to use a transparent dressing over the site 32. The nurse is assessing a male client with a history of Addison’s disease. The client has flu- like symptoms and nausea with vomiting over the past week. The client's spouse reports that he acted confused and was extremely weak when he awoke this morning. The client is febrile and has tachycardia. The healthcare provider diagnosed acute adrenal insufficiency. Which medication will most likely be prescribed? Ans. Hydrocortisone 100 mg iv every 6 hours until systolic BP reaches 110 mm Hg 33. In Preparing a nursing care plan for a client admitted with a diagnosis Guillain-syndrome, which nursing problem has the highest priority? Ans: Ineffective breathing pattern related to ascending paralysis. 34. When assessing a newborn girl with salt-wasting congenital adrenal hyperplasia due to 21 hydroxylase deficiency, the nurse notes that the Infant has an enlarged clitoris. Which intervention should the nurse implement? Ans: Explain to the mother that the finding is due to increased androgen. 35. While caring for a client with a full thickness bum covering 40% of the body surface area (BSA), the nurse observes purulent drainage at the wound. Before reporting this finding to the healthcare provider, the nurse should note which of the client's laboratory values? Ans: Neutrophil count 36. A client at 42-weeks’ gestation arrives at the labor and delivery unit for a scheduled Induction but refuses the prescribed oxytocin infusion because she wants to have a ‘natural’ delivery. Which action is most important for the nurse to implement? Ans: Discuss alternative ways to support the client’s birth plan