EXIT HESI - Comprehensive PN Exam
A Practice Questions & Answers
(Latest 2025 )
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? - CORRECT
ANSWERS ✅A multiparous client who is dilated 5 cm
and 50% effaced
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? -
CORRECT ANSWERS ✅Oral hygiene should be
performed before the medication.
A client who is admitted with emphysema is having
difficulty breathing. In which position should the nurse
place the client? - CORRECT ANSWERS ✅Sitting
upright and forward with both arms supported on an over
the bed table
A client with chronic renal insufficiency (CRI) is taking 25
mg of hydrochlorothiazide (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
,EXIT HESI - Comprehensive PN Exam
A Practice Questions & Answers
(Latest 2025 )
most likely cause of this client's potassium level? -
CORRECT ANSWERS ✅The client's renal function has
affected his potassium level.
A registered nurse (RN) delivers telehealth services to
clients via electronic communication. Which nursing
action creates the greatest risk for professional liability
and has the potential for a malpractice lawsuit? -
CORRECT ANSWERS ✅Sending medical records to
health care providers via the Internet
Which pathophysiologic response supports the
contraindication for opioids, such as morphine, in clients
with increased intracranial pressure (ICP)?
A.Sedation produced by opioids is a result of a prolonged
half-life when the ICP is elevated.
B.Higher doses of opioids are required when cerebral
blood flow is reduced by an elevated ICP.
C.Dysphoria from opioids contributes to altered levels of
consciousness with an elevated ICP.
D.Opioids suppress respirations, which increases Pco2
and contributes to an elevated ICP. - CORRECT
ANSWERS ✅D
,EXIT HESI - Comprehensive PN Exam
A Practice Questions & Answers
(Latest 2025 )
The greatest risk associated with opioids such as
morphine (D) is respiratory depression that causes an
increase in Pco2, which increases ICP and masks the early
signs of intracranial bleeding in head injury. (A, B, and C)
do not support the risks associated with opioid use in a
client with increased ICP.
The charge nurse of a medical surgical unit is alerted to
an impending disaster requiring implementation of the
hospital's disaster plan. Specific facts about the nature of
this disaster are not yet known. Which instruction should
the charge nurse give to the other staff members at this
time?
A.Prepare to evacuate the unit, starting with the
bedridden clients.
B.UAPs should report to the emergency center to handle
transports.
C.The licensed staff should begin counting wheelchairs
and IV poles on the unit.
D.Continue with current assignments until more
instructions are received. - CORRECT ANSWERS ✅D
When faced with an impending disaster, hospital
personnel may be alerted but should continue with
, EXIT HESI - Comprehensive PN Exam
A Practice Questions & Answers
(Latest 2025 )
current client care assignments until further instructions
are received (D). Evacuation is typically a response of last
resort that begins with clients who are most able to
ambulate (A). (B) is premature and is likely to increase
the chaos if incoming casualties are anticipated. (C) is
poor utilization of personnel.
The nurse assesses a client while the UAP measures the
client's vital signs. The client's vital signs change
suddenly, and the nurse determines that the client's
condition is worsening. The nurse is unsure of the client's
resuscitative status and needs to check the client's
medical record for any advanced directives. Which action
should the nurse implement?
A.Ask the UAP to check for the advanced 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 complete the client assessment.
D.Call for the charge nurse to check the advanced
directive while continuing to assess the client. -
CORRECT ANSWERS ✅D
A Practice Questions & Answers
(Latest 2025 )
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? - CORRECT
ANSWERS ✅A multiparous client who is dilated 5 cm
and 50% effaced
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? -
CORRECT ANSWERS ✅Oral hygiene should be
performed before the medication.
A client who is admitted with emphysema is having
difficulty breathing. In which position should the nurse
place the client? - CORRECT ANSWERS ✅Sitting
upright and forward with both arms supported on an over
the bed table
A client with chronic renal insufficiency (CRI) is taking 25
mg of hydrochlorothiazide (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
,EXIT HESI - Comprehensive PN Exam
A Practice Questions & Answers
(Latest 2025 )
most likely cause of this client's potassium level? -
CORRECT ANSWERS ✅The client's renal function has
affected his potassium level.
A registered nurse (RN) delivers telehealth services to
clients via electronic communication. Which nursing
action creates the greatest risk for professional liability
and has the potential for a malpractice lawsuit? -
CORRECT ANSWERS ✅Sending medical records to
health care providers via the Internet
Which pathophysiologic response supports the
contraindication for opioids, such as morphine, in clients
with increased intracranial pressure (ICP)?
A.Sedation produced by opioids is a result of a prolonged
half-life when the ICP is elevated.
B.Higher doses of opioids are required when cerebral
blood flow is reduced by an elevated ICP.
C.Dysphoria from opioids contributes to altered levels of
consciousness with an elevated ICP.
D.Opioids suppress respirations, which increases Pco2
and contributes to an elevated ICP. - CORRECT
ANSWERS ✅D
,EXIT HESI - Comprehensive PN Exam
A Practice Questions & Answers
(Latest 2025 )
The greatest risk associated with opioids such as
morphine (D) is respiratory depression that causes an
increase in Pco2, which increases ICP and masks the early
signs of intracranial bleeding in head injury. (A, B, and C)
do not support the risks associated with opioid use in a
client with increased ICP.
The charge nurse of a medical surgical unit is alerted to
an impending disaster requiring implementation of the
hospital's disaster plan. Specific facts about the nature of
this disaster are not yet known. Which instruction should
the charge nurse give to the other staff members at this
time?
A.Prepare to evacuate the unit, starting with the
bedridden clients.
B.UAPs should report to the emergency center to handle
transports.
C.The licensed staff should begin counting wheelchairs
and IV poles on the unit.
D.Continue with current assignments until more
instructions are received. - CORRECT ANSWERS ✅D
When faced with an impending disaster, hospital
personnel may be alerted but should continue with
, EXIT HESI - Comprehensive PN Exam
A Practice Questions & Answers
(Latest 2025 )
current client care assignments until further instructions
are received (D). Evacuation is typically a response of last
resort that begins with clients who are most able to
ambulate (A). (B) is premature and is likely to increase
the chaos if incoming casualties are anticipated. (C) is
poor utilization of personnel.
The nurse assesses a client while the UAP measures the
client's vital signs. The client's vital signs change
suddenly, and the nurse determines that the client's
condition is worsening. The nurse is unsure of the client's
resuscitative status and needs to check the client's
medical record for any advanced directives. Which action
should the nurse implement?
A.Ask the UAP to check for the advanced 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 complete the client assessment.
D.Call for the charge nurse to check the advanced
directive while continuing to assess the client. -
CORRECT ANSWERS ✅D
