EXIT HESI COMPREHENSIVE PN EXAM A
PRACTICE QUESTIONS NEWEST 2025 WITH
100% CORRECT VERIFIED ANSWERS/WELL
GRADED A+//LATEST VERSION
The nurse is teaching the parents of a 10-year-old child with rheumatoid arthritis
measures to help reduce the pain associated with the disease. Which instruction should
the nurse provide to these parents?
.Administer a nonsteroidal anti-inflammatory drug (NSAID) to the child prior to getting
the child out of bed in the morning.
B.Apply ice packs to edematous or tender joints to reduce pain and swelling.
C.Warm the child with an electric blanket prior to getting the child out of bed.
D.Immobilize swollen joints during acute exacerbations until function returns. -
CORRECT ANSWERS -C
Early morning stiffness and pain are common symptoms of rheumatoid arthritis.
Warming the child (C) in the morning helps reduce these symptoms. Although moist
heat is best, an electric blanket could also be used to help relieve early morning
discomfort. (A) on an empty stomach is likely to cause gastric discomfort. Warm (not
cold) packs or baths are used to minimize joint inflammation and stiffness (B). (D) is
contraindicated, because joints should be exercised, not immobilized.
The health care provider prescribes 1000 mL of Ringer's lactate solution with 30 units of
oxytocin (Pitocin) to infuse over 4 hours for a client who has just delivered a 10-lb infant
by cesarean section. The tubing has been changed to a 20 gtt/mL administration set.
The nurse should set the flow rate at how many gtt/min?
A.42
B.83
C.125
D.250 - CORRECT ANSWERS -B
Use the following calculation (B):
20 gtt/mL × (1000 mL/4 hr) × (1 hr/60 min) = 83 gtt/min
The RN is caring for a client who is in skeletal traction. Which activity should the RN
assign to the PN?
A.Assess skeletal pins for infection.
B.Assist the client with toileting.
C.Establish thrombus prevention care.
D.Evaluate pain management plan. - CORRECT ANSWERS -B
,The PN can implement nursing care, such as (B). The PN assists the RN in the
development of a teaching plan and reinforces information to the client according to the
plan. (A, C, and D) are outside the scope of PN practice, but the PN can assist the RN
in gathering data, implementing nursing care, and contributing to the plan of care under
the supervision of the RN.
In conducting a routine assessment, which question should the nurse ask to determine
a client's risk for open-angle glaucoma?
A."Have you ever been told that you have hardening of the arteries?"
B."Do you frequently experience eye pain?"
C."Do you have high blood pressure or kidney problems?"
D."Does anyone in your family have glaucoma?" - CORRECT ANSWERS -D
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.
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.
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
PRACTICE QUESTIONS NEWEST 2025 WITH
100% CORRECT VERIFIED ANSWERS/WELL
GRADED A+//LATEST VERSION
The nurse is teaching the parents of a 10-year-old child with rheumatoid arthritis
measures to help reduce the pain associated with the disease. Which instruction should
the nurse provide to these parents?
.Administer a nonsteroidal anti-inflammatory drug (NSAID) to the child prior to getting
the child out of bed in the morning.
B.Apply ice packs to edematous or tender joints to reduce pain and swelling.
C.Warm the child with an electric blanket prior to getting the child out of bed.
D.Immobilize swollen joints during acute exacerbations until function returns. -
CORRECT ANSWERS -C
Early morning stiffness and pain are common symptoms of rheumatoid arthritis.
Warming the child (C) in the morning helps reduce these symptoms. Although moist
heat is best, an electric blanket could also be used to help relieve early morning
discomfort. (A) on an empty stomach is likely to cause gastric discomfort. Warm (not
cold) packs or baths are used to minimize joint inflammation and stiffness (B). (D) is
contraindicated, because joints should be exercised, not immobilized.
The health care provider prescribes 1000 mL of Ringer's lactate solution with 30 units of
oxytocin (Pitocin) to infuse over 4 hours for a client who has just delivered a 10-lb infant
by cesarean section. The tubing has been changed to a 20 gtt/mL administration set.
The nurse should set the flow rate at how many gtt/min?
A.42
B.83
C.125
D.250 - CORRECT ANSWERS -B
Use the following calculation (B):
20 gtt/mL × (1000 mL/4 hr) × (1 hr/60 min) = 83 gtt/min
The RN is caring for a client who is in skeletal traction. Which activity should the RN
assign to the PN?
A.Assess skeletal pins for infection.
B.Assist the client with toileting.
C.Establish thrombus prevention care.
D.Evaluate pain management plan. - CORRECT ANSWERS -B
,The PN can implement nursing care, such as (B). The PN assists the RN in the
development of a teaching plan and reinforces information to the client according to the
plan. (A, C, and D) are outside the scope of PN practice, but the PN can assist the RN
in gathering data, implementing nursing care, and contributing to the plan of care under
the supervision of the RN.
In conducting a routine assessment, which question should the nurse ask to determine
a client's risk for open-angle glaucoma?
A."Have you ever been told that you have hardening of the arteries?"
B."Do you frequently experience eye pain?"
C."Do you have high blood pressure or kidney problems?"
D."Does anyone in your family have glaucoma?" - CORRECT ANSWERS -D
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.
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.
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
