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Exam (elaborations)

EXIT HESI

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Exam of 21 pages for the course EXIT HESI at EXIT HESI (EXIT HESI)

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EXIT HESI
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Institution
EXIT HESI
Course
EXIT HESI

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Uploaded on
February 24, 2025
Number of pages
21
Written in
2024/2025
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EXIT HESI - COMPREHENSIVE PN
EXAM A PRACTICE QUESTIONS WITH
CORRECT ANSWERS
AAnurseAwhoAhasArecentlyAcompletedAorientationAisAbeginningAworkAinAtheAlaborAandAdeliveryAunitAfor
AtheAfirstAtime.AWhenAmakingAassignments,AwhichAclientAshouldAtheAchargeAnurseAassignAtoAthisAnewAn

urse?A-AcorrectAanswersAAmultiparousAclientAwhoAisAdilatedA5AcmAandA50%Aeffaced

AAclientAwithAhumanAimmunodeficiencyAvirusA(HIV)AinfectionAhasAwhiteAlesionsAinAtheAoralAcavityAthatA
resembleAmilkAcurds.ANystatinA(Mycostatin)ApreparationAisAprescribedAasAaAswishAandAswallow.AWhichA
informationAisAmostAimportantAforAtheAnurseAtoAprovideAtheAclient?A-
AcorrectAanswersOralAhygieneAshouldAbeAperformedAbeforeAtheAmedication.



AAclientAwhoAisAadmittedAwithAemphysemaAisAhavingAdifficultyAbreathing.AInAwhichApositionAshouldAth
eAnurseAplaceAtheAclient?A-
AcorrectAanswersSittingAuprightAandAforwardAwithAbothAarmsAsupportedAonAanAoverAtheAbedAtable



AAclientAwithAchronicArenalAinsufficiencyA(CRI)AisAtakingA25AmgAofAhydrochlorothiazideA(HCTZ)APOAandA
40AmgAofAfurosemideA(Lasix)APOAdaily.AToday,AatAaAroutineAclinicAvisit,AtheAclient'sAserumApotassiumAlev
elAisA4AmEq/L.AWhatAisAtheAmostAlikelyAcauseAofAthisAclient'sApotassiumAlevel?A-
AcorrectAanswersTheAclient'sArenalAfunctionAhasAaffectedAhisApotassiumAlevel.



AAregisteredAnurseA(RN)AdeliversAtelehealthAservicesAtoAclientsAviaAelectronicAcommunication.AWhichAn
ursingAactionAcreatesAtheAgreatestAriskAforAprofessionalAliabilityAandAhasAtheApotentialAforAaAmalpractic
eAlawsuit?A-AcorrectAanswersSendingAmedicalArecordsAtoAhealthAcareAprovidersAviaAtheAInternet

WhichApathophysiologicAresponseAsupportsAtheAcontraindicationAforAopioids,AsuchAasAmorphine,AinAcli
entsAwithAincreasedAintracranialApressureA(ICP)?



A.SedationAproducedAbyAopioidsAisAaAresultAofAaAprolongedAhalf-lifeAwhenAtheAICPAisAelevated.

B.HigherAdosesAofAopioidsAareArequiredAwhenAcerebralAbloodAflowAisAreducedAbyAanAelevatedAICP.
A



C.DysphoriaAfromAopioidsAcontributesAtoAalteredAlevelsAofAconsciousnessAwithAanAelevatedAICP.
A



D.OpioidsAsuppressArespirations,AwhichAincreasesAPco2AandAcontributesAtoAanAelevatedAICP.A-
AcorrectAanswersD



TheAgreatestAriskAassociatedAwithAopioidsAsuchAasAmorphineA(D)AisArespiratoryAdepressionAthatAcausesA
anAincreaseAinAPco2,AwhichAincreasesAICPAandAmasksAtheAearlyAsignsAofAintracranialAbleedingAinAheadAi
njury.A(A,AB,AandAC)AdoAnotAsupportAtheArisksAassociatedAwithAopioidAuseAinAaAclientAwithAincreasedAICP.

TheAchargeAnurseAofAaAmedicalAsurgicalAunitAisAalertedAtoAanAimpendingAdisasterArequiringAimplement
ationAofAtheAhospital'sAdisasterAplan.ASpecificAfactsAaboutAtheAnatureAofAthisAdisasterAareAnotAyetAknow
n.AWhichAinstructionAshouldAtheAchargeAnurseAgiveAtoAtheAotherAstaffAmembersAatAthisAtime?



A.PrepareAtoAevacuateAtheAunit,AstartingAwithAtheAbedriddenAclients.

B.UAPsAshouldAreportAtoAtheAemergencyAcenterAtoAhandleAtransports.
A

,C.TheAlicensedAstaffAshouldAbeginAcountingAwheelchairsAandAIVApolesAonAtheAunit.
A



D.ContinueAwithAcurrentAassignmentsAuntilAmoreAinstructionsAareAreceived.A-AcorrectAanswersD
A



WhenAfacedAwithAanAimpendingAdisaster,AhospitalApersonnelAmayAbeAalertedAbutAshouldAcontinueAwit
hAcurrentAclientAcareAassignmentsAuntilAfurtherAinstructionsAareAreceivedA(D).AEvacuationAisAtypicallyAaA
responseAofAlastAresortAthatAbeginsAwithAclientsAwhoAareAmostAableAtoAambulateA(A).A(B)AisAprematureA
andAisAlikelyAtoAincreaseAtheAchaosAifAincomingAcasualtiesAareAanticipated.A(C)AisApoorAutilizationAofAper
sonnel.

TheAnurseAassessesAaAclientAwhileAtheAUAPAmeasuresAtheAclient'sAvitalAsigns.ATheAclient'sAvitalAsignsAch
angeAsuddenly,AandAtheAnurseAdeterminesAthatAtheAclient'sAconditionAisAworsening.ATheAnurseAisAunsu
reAofAtheAclient'sAresuscitativeAstatusAandAneedsAtoAcheckAtheAclient'sAmedicalArecordAforAanyAadvance
dAdirectives.AWhichAactionAshouldAtheAnurseAimplement?



A.AskAtheAUAPAtoAcheckAforAtheAadvancedAdirectiveAwhileAtheAnurseAcompletesAtheAassessment.

B.AssignAtheAUAPAtoAcompleteAtheAassessmentAwhileAtheAnurseAchecksAforAtheAadvancedAdirective.

C.CheckAtheAmedicalArecordAforAtheAadvancedAdirectiveAandAthenAcompleteAtheAclientAassessment.

AD.CallAforAtheAchargeAnurseAtoAcheckAtheAadvancedAdirectiveAwhileAcontinuingAtoAassessAtheAclient.A-
AcorrectAanswersD



BecauseAtheAclient'sAconditionAisAworsening,AtheAnurseAshouldAremainAwithAtheAclientAandAcontinueAth
eAassessmentAwhileAcallingAforAhelpAfromAtheAchargeAnurseAtoAdetermineAtheAclient'sAresuscitativeAsta
tusA(D).A(AAandAB)AareAtasksAthatAmustAbeAcompletedAbyAaAnurseAandAcannotAbeAdelegatedAtoAtheAUAP.
A(C)AisAcontraindicated.



TheAnurseAisApreparingAaAclientAforAsurgeryAscheduledAinA2Ahours.AAAUAPAisAhelpingAtheAnurse.AWhichAt
askAisAimportantAforAtheAnurseAtoAperform,AratherAthanAtheAUAP?



A.RemoveAtheAclient'sAnailApolishAandAdentures.

B.AssistAtheAclientAtoAtheArestroomAtoAvoid.
A



C.ObtainAtheAclient'sAheightAandAweight.
A



D.OfferAtheAclientAemotionalAsupport.A-AcorrectAanswersD
A



ByAusingAtherapeuticAtechniquesAtoAofferAsupportA(D),AtheAnurseAcanAdetermineAanyAclientAconcernsAt
hatAneedAtoAbeAaddressed.A(A,AB,AandAC)AareAallAactionsAthatAcanAbeAperformedAbyAtheAUAPAunderAtheA
supervisionAofAtheAnurse.

UntilAtheAcensusAonAtheAobstetricsA(OB)AunitAincreases,AanAunlicensedAassistiveApersonnelA(UAP)AwhoA
usuallyAworksAinAlaborAandAdeliveryAandAtheAnewbornAnurseryAisAassignedAtoAworkAonAtheApostoperati
veAunit.AWhichAclientAwouldAbeAbestAforAtheAchargeAnurseAtoAassignAtoAthisAUAP?



A.AnAadolescentAwhoAwasAreadmittedAtoAtheAhospitalAbecauseAofAaApostoperativeAinfection
A



B.AAwomanAwithAaAnewAcolostomyAwhoArequiresAdischargeAteaching
A

, C.AAwomanAwhoAhadAaAhipAreplacementAandAmayAbeAtransferredAtoAtheAhomeAcareAunit
A



AD.AAmanAwhoAhadAaAcholecystectomyAandAcurrentlyAhasAaAnasogastricAtubeAsetAtoAintermittentAsuctio
nA-AcorrectAanswersC

TheAchargeAnurseAwillAbeAresponsibleAforAprovidingAaAreportAtoAtheAhomeAcareAunitAifAtheAtransferAocc
ursA(A).ATheAclientAisAinfectedAandAanAemployeeAwhoAworksAonAanAOBAunitAshouldAbeAassignedAtoAclea
nAcasesAinAcaseAtheAemployeeAisArequiredAtoAreturnAtoAtheAOBAunitA(B).AThisArequiresAtheAskillsAofAaAreg
isteredAnurseA(RN)AtoAdoAdischargeAteachingAandAprovideAemotionalAsupportA(D).AThisAmayArequireAski
llsAbeyondAtheAlevelAofAthisAUAP.

AAmaleAclientAisAadmittedAforAobservationAafterAbeingAhitAonAtheAheadAwithAaAbaseballAbat.ASixAhoursAa
fterAadmission,AtheAclientAattemptsAtoAcrawlAoutAofAbedAandAasksAtheAnurseAwhyAthereAareAsoAmanyAb
ugsAinAhisAbed.AHisAvitalAsignsAareAstable,AandAtheApulseAoximeterAreadingAisA98%AonAroomAair.AWhichAi
nterventionAshouldAtheAnurseAperformAfirst?



A.AdministerAoxygenAperAnasalAcannulaAatA2AL/min.

B.PlanAtoAcheckAhisAvitalAsignsAagainAinA30Aminutes.

C.NotifyAtheAhealthAcareAproviderAofAtheAchangeAinAmentalAstatus.

D.AskAtheAclientAwhyAheAthinksAthereAareAbugsAinAtheAbed.A-AcorrectAanswersC

OneAofAtheAearliestAsignsAofAincreasedAintracranialApressureA(ICP)AisAaAchangeAinAmentalAstatusA(C).AItAis
AimportantAtoAactAearlyAandAquicklyAwhenAsymptomsAofAincreasedAICPAoccur.ABecauseAhisAoxygenAsatu

rationAisAnormal,AtheAadministrationAofAoxygenA(A)AisAnotAtheAtopApriority.AVitalAsignsAshouldAbeAmonit
oredAfrequentlyA(B),AbutAtheAclient'sAconfusionAshouldAbeAreportedAimmediately.A(D)AisAnotAaAusefulAin
tervention.

TheAnurseAisAmonitoringAaAclientAwhoAisAreceivingAbedsideAconsciousAsedationAwithAmidazolamAhydroc
hlorideA(Versed).AInAassessingAtheAclient,AtheAnurseAdeterminesAthatAtheAclientAhasAslurredAspeechAwit
hAdiplopia.ABasedAonAthisAfinding,AwhatAactionAshouldAtheAnurseAtake?



A.OpenAtheAairwayAwithAaAchinAlift-headAtiltAmaneuver.
A



B.ObtainAaAfingerstickAglucoseAreading.
A



C.AdministerAflumazenilA(Romazicon).
A



D.ContinueAtoAmonitorAtheAclient.A-AcorrectAanswersD
A



TheAdesiredAlevelAIIIAinAconsciousAsedationAincludesAslurredAspeech,AglazedAeyes,AandAmarkedAdiplopia
.ABecauseAthisAisAtheAdesiredAoutcomeAofAtheAmedicationAregimen,AnoAactionAisAneededAbutAcontinuin
gAtoAmonitorAtheAclientA(D).ATheAairwayAisAopenAifAtheAclientAisAableAtoAtalkA(A).AThereAareAnoAsignsAofAh
ypoglycemiaA(B).ANoAreversalAisAnecessaryAforAtheAbenzodiazepineA(Versed)AwithoutAsignsAofAoverseda
tion,AsuchAasArespiratoryAdepressionA(C).

TheAnurseAisAassessingAaAclientAusingAtheASnellenAchartAandAdeterminesAthatAtheAclient'sAvisualAacuityAi
sAtheAsameAasAinAaApreviousAexamination,AwhichAwasArecordedAasA20/100.AWhenAtheAclientAasksAtheA
meaningAofAthis,AwhichAinformationAshouldAtheAnurseAprovide?
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