PN COMPREHENSIVE HESI EXIT/PN HESI
COMPREHENSIVE EXIT NEWEST EXAM QUESTIONS AND
100% CORRECT DETAILED ANSWERS LATEST UPDATES
2024-2025(VERIFIED ANSWERS) ALREADY GRADED A+
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. -
ANSWER-D
When faced with an impending disaster, hospital personnel may be alerted but
should continue with 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. - ANSWER-D
Because the client's condition is worsening, the nurse should remain with the
client and continue the assessment while calling for help from the charge nurse to
determine the client's resuscitative status (D). (A and B) are tasks that must be
completed by a nurse and cannot be delegated to the UAP. (C) is contraindicated.
The nurse is preparing a client for surgery scheduled in 2 hours. A UAP is helping
the nurse. Which task is important for the nurse to perform, rather than the UAP?
A.Remove the client's nail polish and dentures.
B.Assist the client to the restroom to void.
C.Obtain the client's height and weight.
D.Offer the client emotional support. - ANSWER-D
By using therapeutic techniques to offer support (D), the nurse can determine any
client concerns that need to be addressed. (A, B, and C) are all actions that can be
performed by the UAP under the supervision of the nurse.
,Until the census on the obstetrics (OB) unit increases, an unlicensed assistive
personnel (UAP) who usually works in labor and delivery and the newborn nursery
is assigned to work on the postoperative unit. Which client would be best for the
charge nurse to assign to this UAP?
A.An adolescent who was readmitted to the hospital because of a postoperative
infection
B.A woman with a new colostomy who requires discharge teaching
C.A woman who had a hip replacement and may be transferred to the home care
unit
D.A man who had a cholecystectomy and currently has a nasogastric tube set to
intermittent suction - ANSWER-C
The charge nurse will be responsible for providing a report to the home care unit
if the transfer occurs (A). The client is infected and an employee who works on an
OB unit should be assigned to clean cases in case the employee is required to
return to the OB unit (B). This requires the skills of a registered nurse (RN) to do
discharge teaching and provide emotional support (D). This may require skills
beyond the level of this UAP.
A male client is admitted for observation after being hit on the head with a
baseball bat. Six hours after admission, the client attempts to crawl out of bed and
asks the nurse why there are so many bugs in his bed. His vital signs are stable,
and the pulse oximeter reading is 98% on room air. Which intervention should the
nurse perform first?
A.Administer oxygen per nasal cannula at 2 L/min.
B.Plan to check his vital signs again in 30 minutes.
C.Notify the health care provider of the change in mental status.
D.Ask the client why he thinks there are bugs in the bed. - ANSWER-C
, One of the earliest signs of increased intracranial pressure (ICP) is a change in
mental status (C). It is important to act early and quickly when symptoms of
increased ICP occur. Because his oxygen saturation is normal, the administration
of oxygen (A) is not the top priority. Vital signs should be monitored frequently
(B), but the client's confusion should be reported immediately. (D) is not a useful
intervention.
The nurse is monitoring a client who is receiving bedside conscious sedation with
midazolam hydrochloride (Versed). In assessing the client, the nurse determines
that the client has slurred speech with diplopia. Based on this finding, what action
should the nurse take?
A.Open the airway with a chin lift-head tilt maneuver.
B.Obtain a fingerstick glucose reading.
C.Administer flumazenil (Romazicon).
D.Continue to monitor the client. - ANSWER-D
The desired level III in conscious sedation includes slurred speech, glazed eyes,
and marked diplopia. Because this is the desired outcome of the medication
regimen, no action is needed but continuing to monitor the client (D). The airway
is open if the client is able to talk (A). There are no signs of hypoglycemia (B). No
reversal is necessary for the benzodiazepine (Versed) without signs of
oversedation, such as respiratory depression (C).
The nurse is assessing a client using the Snellen chart and determines that the
client's visual acuity is the same as in a previous examination, which was recorded
as 20/100. When the client asks the meaning of this, which information should
the nurse provide?
A.This visual acuity result is five times worse that of a normal finding.
COMPREHENSIVE EXIT NEWEST EXAM QUESTIONS AND
100% CORRECT DETAILED ANSWERS LATEST UPDATES
2024-2025(VERIFIED ANSWERS) ALREADY GRADED A+
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. -
ANSWER-D
When faced with an impending disaster, hospital personnel may be alerted but
should continue with 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. - ANSWER-D
Because the client's condition is worsening, the nurse should remain with the
client and continue the assessment while calling for help from the charge nurse to
determine the client's resuscitative status (D). (A and B) are tasks that must be
completed by a nurse and cannot be delegated to the UAP. (C) is contraindicated.
The nurse is preparing a client for surgery scheduled in 2 hours. A UAP is helping
the nurse. Which task is important for the nurse to perform, rather than the UAP?
A.Remove the client's nail polish and dentures.
B.Assist the client to the restroom to void.
C.Obtain the client's height and weight.
D.Offer the client emotional support. - ANSWER-D
By using therapeutic techniques to offer support (D), the nurse can determine any
client concerns that need to be addressed. (A, B, and C) are all actions that can be
performed by the UAP under the supervision of the nurse.
,Until the census on the obstetrics (OB) unit increases, an unlicensed assistive
personnel (UAP) who usually works in labor and delivery and the newborn nursery
is assigned to work on the postoperative unit. Which client would be best for the
charge nurse to assign to this UAP?
A.An adolescent who was readmitted to the hospital because of a postoperative
infection
B.A woman with a new colostomy who requires discharge teaching
C.A woman who had a hip replacement and may be transferred to the home care
unit
D.A man who had a cholecystectomy and currently has a nasogastric tube set to
intermittent suction - ANSWER-C
The charge nurse will be responsible for providing a report to the home care unit
if the transfer occurs (A). The client is infected and an employee who works on an
OB unit should be assigned to clean cases in case the employee is required to
return to the OB unit (B). This requires the skills of a registered nurse (RN) to do
discharge teaching and provide emotional support (D). This may require skills
beyond the level of this UAP.
A male client is admitted for observation after being hit on the head with a
baseball bat. Six hours after admission, the client attempts to crawl out of bed and
asks the nurse why there are so many bugs in his bed. His vital signs are stable,
and the pulse oximeter reading is 98% on room air. Which intervention should the
nurse perform first?
A.Administer oxygen per nasal cannula at 2 L/min.
B.Plan to check his vital signs again in 30 minutes.
C.Notify the health care provider of the change in mental status.
D.Ask the client why he thinks there are bugs in the bed. - ANSWER-C
, One of the earliest signs of increased intracranial pressure (ICP) is a change in
mental status (C). It is important to act early and quickly when symptoms of
increased ICP occur. Because his oxygen saturation is normal, the administration
of oxygen (A) is not the top priority. Vital signs should be monitored frequently
(B), but the client's confusion should be reported immediately. (D) is not a useful
intervention.
The nurse is monitoring a client who is receiving bedside conscious sedation with
midazolam hydrochloride (Versed). In assessing the client, the nurse determines
that the client has slurred speech with diplopia. Based on this finding, what action
should the nurse take?
A.Open the airway with a chin lift-head tilt maneuver.
B.Obtain a fingerstick glucose reading.
C.Administer flumazenil (Romazicon).
D.Continue to monitor the client. - ANSWER-D
The desired level III in conscious sedation includes slurred speech, glazed eyes,
and marked diplopia. Because this is the desired outcome of the medication
regimen, no action is needed but continuing to monitor the client (D). The airway
is open if the client is able to talk (A). There are no signs of hypoglycemia (B). No
reversal is necessary for the benzodiazepine (Versed) without signs of
oversedation, such as respiratory depression (C).
The nurse is assessing a client using the Snellen chart and determines that the
client's visual acuity is the same as in a previous examination, which was recorded
as 20/100. When the client asks the meaning of this, which information should
the nurse provide?
A.This visual acuity result is five times worse that of a normal finding.
