EXIT HESI

EXIT HESI - COMPREHENSIVE EXAM A
PRACTICE QUESTIONS VERIFIED QUESTIONS
AND CORRECT ANSWERS

ABnurseBwhoBhasBrecentlyBcompletedBorientationBisBbeginningBworkBinBtheBlaborBandBdeliveryBunit
BforBtheBfirstBtime.BWhenBmakingBassignments,BwhichBclientBshouldBtheBchargeBnurseBassignBtoBthi


sBnewBnurse?



A.ABprimigravidaBwhoBisB8BcmBdilatedBafterB14BhoursBofBlabor

B B.ABclientBscheduledBforBaBrepeatBcesareanBbirthBatB38Bweeks'Bgestation

B C.ABclientBbeingBinducedBforBfetalBdemiseBatB20Bweeks'Bgestation

B D.ABmultiparousBclientBwhoBisBdilatedB5BcmBandB50%BeffacedB-BCORRECTBANSWER-D

TheBnewBnurseBshouldBbeBassignedBtheBleastBcomplicatedBclientBtoBgainBexperienceBandBconfidenc
e,BasBwellBasBprotectBclientBsafety.BOfBtheBclientsBavailableBforBassignment,B(D)BisBprogressingBwellB
andBisBtheBleastBcomplicated.B(A,BBBandBC)BhaveBactualBorBpotentialBcomplicationsBandBshouldBbeBa
ssignedBtoBaBmoreBexperiencedBnurse.

ABclientBwithBhumanBimmunodeficiencyBvirusB(HIV)BinfectionBhasBwhiteBlesionsBinBtheBoralBcavityBt
hatBresembleBmilkBcurds.BNystatinB(Mycostatin)BpreparationBisBprescribedBasBaBswishBandBswallow.
BWhichBinformationBisBmostBimportantBforBtheBnurseBtoBprovideBtheBclient?




A.OralBhygieneBshouldBbeBperformedBbeforeBtheBmedication.BB.AntifungalBmedicationsBareBavaila
bleBinBtablet,Bsuppository,BandBliquidBforms.

B C.CandidaBalbicansBisBtheBorganismBthatBcausesBtheBwhiteBlesionsBinBtheBmouth.

B D.TheBdietaryBintakeBofBdairyBandBspicyBfoodsBshouldBbeBlimited.B-BCORRECTBANSWER-A

HIVBinfectionBcausesBdepressionBofBcell-
mediatedBimmunityBthatBallowsBanBovergrowthBofBCandidaBalbicansB(oralBmoniliasis),BwhichBappe
arsBasBwhite,BcheesyBplaqueBorBlesionsBthatBresembleBmilkBcurds.BToBensureBeffectiveBcontactBofBth
eBmedicationBwithBtheBoralBlesions,BoralBliquidsBshouldBbeBconsumedBandBoralBhygieneBperformedB

,beforeBswishingBtheBliquidBMycostatinB(A).B(BBandBC)BprovideBtheBclientBwithBadditionalBinformatio
nBaboutBtheBpathogenesisBandBtreatmentBofBopportunisticBinfections,BbutB(A)BallowsBtheBclientBtoB
participateBinBself-
careBofBtheBoralBinfection.BDietaryBrestrictionBofBspicyBfoodsBreducesBdiscomfortBassociatedBwithBs
tomatitis,BbutBrestrictionBofBdairyBproductsBisBnotBindicatedB(D).

ABclientBwhoBisBadmittedBwithBemphysemaBisBhavingBdifficultyBbreathing.BInBwhichBpositionBshould
BtheBnurseBplaceBtheBclient?




A.HighBFowler'sBpositionBwithoutBaBpillowBbehindBtheBhead

B B.Semi-Fowler'sBpositionBwithBaBsingleBpillowBbehindBtheBhead

B C.RightBside-lyingBpositionBwithBtheBheadBofBtheBbedBelevatedB45Bdegrees

BD.SittingBuprightBandBforwardBwithBbothBarmsBsupportedBonBanBoverBtheBbedBtableB-
BCORRECTBANSWER-D



AdequateBlungBexpansionBisBdependentBonBdeepBbreathsBthatBallowBtheBrespiratoryBmusclesBtoBin
creaseBtheBlongitudinalBandBanterior-
posteriorBsizeBofBtheBthoracicBcage.BSittingBuprightBandBleaningBforwardBwithBtheBarmsBsupportedB
onBanBoverBtheBbedBtableB(D)BallowsBtheBthoracicBcageBtoBexpandBinBallBfourBdirectionsBandBreduce
sBdyspnea.BABhighBFowler'sBpositionBdoesBnotBallowBmaximumBexpansionBofBtheBposteriorBlobesBof
BtheBlungsB(A).BABsemi-Fowler'sBpositionBrestrictsBexpansionBofBtheBanterior-


posteriorBdiameterBofBtheBthoracicBcageB(B).BPositioningBaBclientBonBtheBrightBsideBwithBtheBheadBo
fBtheBbedBelevatedB(C)BdoesBnotBfacilitateBlungBexpansion.

ABclientBwithBchronicBrenalBinsufficiencyB(CRI)BisBtakingB25BmgBofBhydrochlorothiazideB(HCTZ)BPOBa
ndB40BmgBofBfurosemideB(Lasix)BPOBdaily.BToday,BatBaBroutineBclinicBvisit,BtheBclient'sBserumBpotassi
umBlevelBisB4BmEq/L.BWhatBisBtheBmostBlikelyBcauseBofBthisBclient'sBpotassiumBlevel?



A.TheBclientBisBnoncompliantBwithBhisBmedications.

B B.TheBclientBrecentlyBconsumedBlargeBquantitiesBofBpearsBorBnuts.

B C.TheBclient'sBrenalBfunctionBhasBaffectedBhisBpotassiumBlevel.

B D.TheBclientBneedsBtoBbeBstartedBonBaBpotassiumBsupplement.B-BCORRECTBANSWER-C

TheBclientBhasBaBnormalizedBpotassiumBlevelBdespiteBdiureticBuseB(C).BTheBkidneyBautomaticallyBse
cretesB90%BofBpotassiumBconsumed,BbutBinBchronicBrenalBinsufficiencyB(CRI),BlessBpotassiumBisBexc

,retedBthanBnormal.BTherefore,BtheBtwoBpotassium-
wastingBdrugs,BaBthiazideBdiureticBandBloopBdiuretic,BareBnotBlikelyBtoBaffectBpotassiumBlevels.BTheB
normalBpotassiumBlevelBisB3.5BtoB5BmEq/L,BandBwithBaBpotassiumBlevelBofB4BmEq/L,BthereBisBnoBrea
sonBtoBbelieveBthatBtheBclientBisBnoncompliantBwithBhisBtreatmentB(A).BPearsBandBnutsBdoBnotBaffec
tBtheBserumBpotassiumBlevelB(B).BThereBisBnoBneedBforBaBpotassiumBsupplementB(D)BbecauseBtheBcl
ient'sBpotassiumBlevelBisBwithinBtheBnormalBrange.

ABregisteredBnurseB(RN)BdeliversBtelehealthBservicesBtoBclientsBviaBelectronicBcommunication.BWhi
chBnursingBactionBcreatesBtheBgreatestBriskBforBprofessionalBliabilityBandBhasBtheBpotentialBforBaBm
alpracticeBlawsuit?



A.ParticipatingBinBtelephoneBconsultationsBwithBclients

B B.IdentifyingBoneselfBbyBnameBandBtitleBtoBclientsBinBtelehealthBcommunications

B C.SendingBmedicalBrecordsBtoBhealthBcareBprovidersBviaBtheBInternet

B D.AnsweringBaBclient-initiatedBhealthBquestionBviaBelectronicBmailB-BCORRECTBANSWER-C

SendingBmedicalBrecordsBoverBtheBInternet,BevenBwithBtheBlatestBsecurityBprotection,BcreatesBtheB
greatestBriskBforBliabilityBbecauseBofBtheBhighBpotentialBofBbreachingBclientBconfidentialityBandBtheB
amountBofBinformationBbeingBtransferredB(C).BClientBconfidentialityBisBprotectedBbyBfederalBwireta
ppingBlawsBmakingBtelephoneBconsultationB(A)BaBprivateBandBprotectedBformBofBcommunication.B
ByBstatingBone'sBnameBandBcredentialsBinBtelehealthBcommunicationB(B),BoneBisBtakingBresponsibil
ityBforBtheBencounter.BE-
mailBinitiatedBbyBtheBclientB(D)BposesBlessBriskBthanBsendingBrecordsBviaBtheBInternet.

WhichBpathophysiologicBresponseBsupportsBtheBcontraindicationBforBopioids,BsuchBasBmorphine,Bi
nBclientsBwithBincreasedBintracranialBpressureB(ICP)?



A.SedationBproducedBbyBopioidsBisBaBresultBofBaBprolongedBhalf-lifeBwhenBtheBICPBisBelevated.

B B.HigherBdosesBofBopioidsBareBrequiredBwhenBcerebralBbloodBflowBisBreducedBbyBanBelevatedBICP.

B C.DysphoriaBfromBopioidsBcontributesBtoBalteredBlevelsBofBconsciousnessBwithBanBelevatedBICP.

D.OpioidsBsuppressBrespirations,BwhichBincreasesBPco2BandBcontributesBtoBanBelevatedBICP.B-
BCORRECTBANSWER-D



TheBgreatestBriskBassociatedBwithBopioidsBsuchBasBmorphineB(D)BisBrespiratoryBdepressionBthatBcau
sesBanBincreaseBinBPco2,BwhichBincreasesBICPBandBmasksBtheBearlyBsignsBofBintracranialBbleedingBin

, headBinjury.B(A,BB,BandBC)BdoBnotBsupportBtheBrisksBassociatedBwithBopioidBuseBinBaBclientBwithBincr
B


easedBICP.

TheBchargeBnurseBofBaBmedicalBsurgicalBunitBisBalertedBtoBanBimpendingBdisasterBrequiringBimplem
entationBofBtheBhospital'sBdisasterBplan.BSpecificBfactsBaboutBtheBnatureBofBthisBdisasterBareBnotBye
tBknown.BWhichBinstructionBshouldBtheBchargeBnurseBgiveBtoBtheBotherBstaffBmembersBatBthisBtime
?



A.PrepareBtoBevacuateBtheBunit,BstartingBwithBtheBbedriddenBclients.

B B.UAPsBshouldBreportBtoBtheBemergencyBcenterBtoBhandleBtransports.

B C.TheBlicensedBstaffBshouldBbeginBcountingBwheelchairsBandBIVBpolesBonBtheBunit.

D.ContinueBwithBcurrentBassignmentsBuntilBmoreBinstructionsBareBreceived.B-BCORRECTBANSWER-
B


D

WhenBfacedBwithBanBimpendingBdisaster,BhospitalBpersonnelBmayBbeBalertedBbutBshouldBcontinueB
withBcurrentBclientBcareBassignmentsBuntilBfurtherBinstructionsBareBreceivedB(D).BEvacuationBisBtyp
icallyBaBresponseBofBlastBresortBthatBbeginsBwithBclientsBwhoBareBmostBableBtoBambulateB(A).B(B)BisB
prematureBandBisBlikelyBtoBincreaseBtheBchaosBifBincomingBcasualtiesBareBanticipated.B(C)BisBpoorBut
ilizationBofBpersonnel.

TheBnurseBassessesBaBclientBwhileBtheBUAPBmeasuresBtheBclient'sBvitalBsigns.BTheBclient'sBvitalBsigns
BchangeBsuddenly,BandBtheBnurseBdeterminesBthatBtheBclient'sBconditionBisBworsening.BTheBnurseBi


sBunsureBofBtheBclient'sBresuscitativeBstatusBandBneedsBtoBcheckBtheBclient'sBmedicalBrecordBforBan
yBadvancedBdirectives.BWhichBactionBshouldBtheBnurseBimplement?



A.AskBtheBUAPBtoBcheckBforBtheBadvancedBdirectiveBwhileBtheBnurseBcompletesBtheBassessment.

B.AssignBtheBUAPBtoBcompleteBtheBassessmentBwhileBtheBnurseBchecksBforBtheBadvancedBdirective
.

C.CheckBtheBmedicalBrecordBforBtheBadvancedBdirectiveBandBthenBcompleteBtheBclientBassessment.

BD.CallBforBtheBchargeBnurseBtoBcheckBtheBadvancedBdirectiveBwhileBcontinuingBtoBassessBtheBclient
.B-BCORRECTBANSWER-D

BecauseBtheBclient'sBconditionBisBworsening,BtheBnurseBshouldBremainBwithBtheBclientBandBcontinu
eBtheBassessmentBwhileBcallingBforBhelpBfromBtheBchargeBnurseBtoBdetermineBtheBclient'sBresuscita