EXIT HESI - Comprehensive PN Exam A
Practice 100Questions and Answers with
complete solution(Graded A+)
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 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.
EXIT HESI - Comprehensive PN Exam A Practice 100Questions and Answers
with complete solution(Graded A+)
,EXIT HESI - Comprehensive PN Exam A
Practice 100Questions and Answers with
complete solution(Graded A+)
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
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 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.
EXIT HESI - Comprehensive PN Exam A Practice 100Questions and Answers
with complete solution(Graded A+)
, EXIT HESI - Comprehensive PN Exam A
Practice 100Questions and Answers with
complete solution(Graded A+)
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
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. - CORRECT ANSWERS 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
EXIT HESI - Comprehensive PN Exam A Practice 100Questions and Answers
with complete solution(Graded A+)
Practice 100Questions and Answers with
complete solution(Graded A+)
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 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.
EXIT HESI - Comprehensive PN Exam A Practice 100Questions and Answers
with complete solution(Graded A+)
,EXIT HESI - Comprehensive PN Exam A
Practice 100Questions and Answers with
complete solution(Graded A+)
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
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 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.
EXIT HESI - Comprehensive PN Exam A Practice 100Questions and Answers
with complete solution(Graded A+)
, EXIT HESI - Comprehensive PN Exam A
Practice 100Questions and Answers with
complete solution(Graded A+)
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
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. - CORRECT ANSWERS 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
EXIT HESI - Comprehensive PN Exam A Practice 100Questions and Answers
with complete solution(Graded A+)
