HESI PN FINAL EXIT EXAM PRACTICE
QUESTIONS 2024 VERSION 2 (300 QUESTIONS
NGN) GRADED A+
A fnurse fwho fhas frecently fcompleted forientation fis fbeginning fwork fin fthe flabor fand
fdelivery funit ffor fthe ffirst ftime. fWhen fmaking fassignments, fwhich fclient fshould fthe
fcharge fnurse fassign fto fthis fnew fnurse? f- fAnswer fA fmultiparous fclient fwho fis fdilated
f5 fcm fand f50% feffaced
A fclient fwith fhuman fimmunodeficiency fvirus f(HIV) finfection fhas fwhite flesions fin fthe
foral fcavity fthat fresemble fmilk fcurds. fNystatin f(Mycostatin) fpreparation fis fprescribed
fas fa fswish fand fswallow. fWhich finformation fis fmost fimportant ffor fthe fnurse fto fprovide
fthe fclient? f- fAnswer fOral fhygiene fshould fbe fperformed fbefore fthe fmedication.
A fclient fwho fis fadmitted fwith femphysema fis fhaving fdifficulty fbreathing. fIn fwhich
fposition fshould fthe fnurse fplace fthe fclient? f- fAnswer fSitting fupright fand fforward fwith
fboth farms fsupported fon fan fover fthe fbed ftable
A fclient fwith fchronic frenal finsufficiency f(CRI) fis ftaking f25 fmg fof fhydrochlorothiazide
f(HCTZ) fPO fand f40 fmg fof ffurosemide f(Lasix) fPO fdaily. fToday, fat fa froutine fclinic fvisit,
fthe fclient's fserum fpotassium flevel fis f4 fmEq/L. fWhat fis fthe fmost flikely fcause fof fthis
fclient's fpotassium flevel? f- fAnswer fThe fclient's frenal ffunction fhas faffected fhis
fpotassium flevel.
A fregistered fnurse f(RN) fdelivers ftelehealth fservices fto fclients fvia felectronic
fcommunication. fWhich fnursing faction fcreates fthe fgreatest frisk ffor fprofessional
fliability fand fhas fthe fpotential ffor fa fmalpractice flawsuit? f- fAnswer fSending fmedical
frecords fto fhealth fcare fproviders fvia fthe fInternet
Which fpathophysiologic fresponse fsupports fthe fcontraindication ffor fopioids, fsuch fas
fmorphine, fin fclients fwith fincreased fintracranial fpressure f(ICP)?
A.Sedation fproduced fby fopioids fis fa fresult fof fa fprolonged fhalf-life fwhen fthe fICP fis
felevated.
fB.Higher fdoses fof fopioids fare frequired fwhen fcerebral fblood fflow fis freduced fby fan
felevated fICP.
fC.Dysphoria ffrom fopioids fcontributes fto faltered flevels fof fconsciousness fwith fan
felevated fICP.
D.Opioids fsuppress frespirations, fwhich fincreases fPco2 fand fcontributes fto fan
felevated fICP. f- fAnswer fD
The fgreatest frisk fassociated fwith fopioids fsuch fas fmorphine f(D) fis frespiratory
fdepression fthat fcauses fan fincrease fin fPco2, fwhich fincreases fICP fand fmasks fthe
fearly fsigns fof fintracranial fbleeding fin fhead finjury. f(A, fB, fand fC) fdo fnot fsupport fthe
frisks fassociated fwith fopioid fuse fin fa fclient fwith fincreased fICP.
,The fcharge fnurse fof fa fmedical fsurgical funit fis falerted fto fan fimpending fdisaster
frequiring fimplementation fof fthe fhospital's fdisaster fplan. fSpecific ffacts fabout fthe
fnature fof fthis fdisaster fare fnot fyet fknown. fWhich finstruction fshould fthe fcharge fnurse
fgive fto fthe fother fstaff fmembers fat fthis ftime?
A.Prepare fto fevacuate fthe funit, fstarting fwith fthe fbedridden fclients.
fB.UAPs fshould freport fto fthe femergency fcenter fto fhandle ftransports.
fC.The flicensed fstaff fshould fbegin fcounting fwheelchairs fand fIV fpoles fon fthe funit.
fD.Continue fwith fcurrent fassignments funtil fmore finstructions fare freceived. f- fAnswer
fD
When ffaced fwith fan fimpending fdisaster, fhospital fpersonnel fmay fbe falerted fbut
fshould fcontinue fwith fcurrent fclient fcare fassignments funtil ffurther finstructions fare
freceived f(D). fEvacuation fis ftypically fa fresponse fof flast fresort fthat fbegins fwith fclients
fwho fare fmost fable fto fambulate f(A). f(B) fis fpremature fand fis flikely fto fincrease fthe
fchaos fif fincoming fcasualties fare fanticipated. f(C) fis fpoor futilization fof fpersonnel.
The fnurse fassesses fa fclient fwhile fthe fUAP fmeasures fthe fclient's fvital fsigns. fThe
fclient's fvital fsigns fchange fsuddenly, fand fthe fnurse fdetermines fthat fthe fclient's
fcondition fis fworsening. fThe fnurse fis funsure fof fthe fclient's fresuscitative fstatus fand
fneeds fto fcheck fthe fclient's fmedical frecord ffor fany fadvanced fdirectives. fWhich faction
fshould fthe fnurse fimplement?
A.Ask fthe fUAP fto fcheck ffor fthe fadvanced fdirective fwhile fthe fnurse fcompletes fthe
fassessment.
B.Assign fthe fUAP fto fcomplete fthe fassessment fwhile fthe fnurse fchecks ffor fthe
fadvanced fdirective.
C.Check fthe fmedical frecord ffor fthe fadvanced fdirective fand fthen fcomplete fthe fclient
fassessment.
fD.Call ffor fthe fcharge fnurse fto fcheck fthe fadvanced fdirective fwhile fcontinuing fto
fassess fthe fclient. f- fAnswer fD
Because fthe fclient's fcondition fis fworsening, fthe fnurse fshould fremain fwith fthe fclient
fand fcontinue fthe fassessment fwhile fcalling ffor fhelp ffrom fthe fcharge fnurse fto
fdetermine fthe fclient's fresuscitative fstatus f(D). f(A fand fB) fare ftasks fthat fmust fbe
fcompleted fby fa fnurse fand fcannot fbe fdelegated fto fthe fUAP. f(C) fis fcontraindicated.
The fnurse fis fpreparing fa fclient ffor fsurgery fscheduled fin f2 fhours. fA fUAP fis fhelping
fthe fnurse. fWhich ftask fis fimportant ffor fthe fnurse fto fperform, frather fthan fthe fUAP?
A.Remove fthe fclient's fnail fpolish fand fdentures.
fB.Assist fthe fclient fto fthe frestroom fto fvoid.
fC.Obtain fthe fclient's fheight fand fweight.
fD.Offer fthe fclient femotional fsupport. f- fAnswer fD
By fusing ftherapeutic ftechniques fto foffer fsupport f(D), fthe fnurse fcan fdetermine fany
fclient fconcerns fthat fneed fto fbe faddressed. f(A, fB, fand fC) fare fall factions fthat fcan fbe
fperformed fby fthe fUAP funder fthe fsupervision fof fthe fnurse.
, Until fthe fcensus fon fthe fobstetrics f(OB) funit fincreases, fan funlicensed fassistive
fpersonnel f(UAP) fwho fusually fworks fin flabor fand fdelivery fand fthe fnewborn fnursery fis
fassigned fto fwork fon fthe fpostoperative funit. fWhich fclient fwould fbe fbest ffor fthe
fcharge fnurse fto fassign fto fthis fUAP?
fA.An fadolescent fwho fwas freadmitted fto fthe fhospital fbecause fof fa fpostoperative
finfection
fB.A fwoman fwith fa fnew fcolostomy fwho frequires fdischarge fteaching
fC.A fwoman fwho fhad fa fhip freplacement fand fmay fbe ftransferred fto fthe fhome fcare
funit
fD.A fman fwho fhad fa fcholecystectomy fand fcurrently fhas fa fnasogastric ftube fset fto
fintermittent fsuction f- fAnswer fC
The fcharge fnurse fwill fbe fresponsible ffor fproviding fa freport fto fthe fhome fcare funit fif
fthe ftransfer foccurs f(A). fThe fclient fis finfected fand fan femployee fwho fworks fon fan fOB
funit fshould fbe fassigned fto fclean fcases fin fcase fthe femployee fis frequired fto freturn fto
fthe fOB funit f(B). fThis frequires fthe fskills fof fa fregistered fnurse f(RN) fto fdo fdischarge
fteaching fand fprovide femotional fsupport f(D). fThis fmay frequire fskills fbeyond fthe flevel
fof fthis fUAP.
A fmale fclient fis fadmitted ffor fobservation fafter fbeing fhit fon fthe fhead fwith fa fbaseball
fbat. fSix fhours fafter fadmission, fthe fclient fattempts fto fcrawl fout fof fbed fand fasks fthe
fnurse fwhy fthere fare fso fmany fbugs fin fhis fbed. fHis fvital fsigns fare fstable, fand fthe
fpulse foximeter freading fis f98% fon froom fair. fWhich fintervention fshould fthe fnurse
fperform ffirst?
A.Administer foxygen fper fnasal fcannula fat f2 fL/min.
B.Plan fto fcheck fhis fvital fsigns fagain fin f30 fminutes.
C.Notify fthe fhealth fcare fprovider fof fthe fchange fin fmental fstatus.
D.Ask fthe fclient fwhy fhe fthinks fthere fare fbugs fin fthe fbed. f- fAnswer fC
One fof fthe fearliest fsigns fof fincreased fintracranial fpressure f(ICP) fis fa fchange fin
fmental fstatus f(C). fIt fis fimportant fto fact fearly fand fquickly fwhen fsymptoms fof
fincreased fICP foccur. fBecause fhis foxygen fsaturation fis fnormal, fthe fadministration fof
foxygen f(A) fis fnot fthe ftop fpriority. fVital fsigns fshould fbe fmonitored ffrequently f(B), fbut
fthe fclient's fconfusion fshould fbe freported fimmediately. f(D) fis fnot fa fuseful fintervention.
The fnurse fis fmonitoring fa fclient fwho fis freceiving fbedside fconscious fsedation fwith
fmidazolam fhydrochloride f(Versed). fIn fassessing fthe fclient, fthe fnurse fdetermines fthat
fthe fclient fhas fslurred fspeech fwith fdiplopia. fBased fon fthis ffinding, fwhat faction fshould
fthe fnurse ftake?
fA.Open fthe fairway fwith fa fchin flift-head ftilt fmaneuver.
fB.Obtain fa ffingerstick fglucose freading.
fC.Administer fflumazenil f(Romazicon).
fD.Continue fto fmonitor fthe fclient. f- fAnswer fD
The fdesired flevel fIII fin fconscious fsedation fincludes fslurred fspeech, fglazed feyes, fand
fmarked fdiplopia. fBecause fthis fis fthe fdesired foutcome fof fthe fmedication fregimen, fno
QUESTIONS 2024 VERSION 2 (300 QUESTIONS
NGN) GRADED A+
A fnurse fwho fhas frecently fcompleted forientation fis fbeginning fwork fin fthe flabor fand
fdelivery funit ffor fthe ffirst ftime. fWhen fmaking fassignments, fwhich fclient fshould fthe
fcharge fnurse fassign fto fthis fnew fnurse? f- fAnswer fA fmultiparous fclient fwho fis fdilated
f5 fcm fand f50% feffaced
A fclient fwith fhuman fimmunodeficiency fvirus f(HIV) finfection fhas fwhite flesions fin fthe
foral fcavity fthat fresemble fmilk fcurds. fNystatin f(Mycostatin) fpreparation fis fprescribed
fas fa fswish fand fswallow. fWhich finformation fis fmost fimportant ffor fthe fnurse fto fprovide
fthe fclient? f- fAnswer fOral fhygiene fshould fbe fperformed fbefore fthe fmedication.
A fclient fwho fis fadmitted fwith femphysema fis fhaving fdifficulty fbreathing. fIn fwhich
fposition fshould fthe fnurse fplace fthe fclient? f- fAnswer fSitting fupright fand fforward fwith
fboth farms fsupported fon fan fover fthe fbed ftable
A fclient fwith fchronic frenal finsufficiency f(CRI) fis ftaking f25 fmg fof fhydrochlorothiazide
f(HCTZ) fPO fand f40 fmg fof ffurosemide f(Lasix) fPO fdaily. fToday, fat fa froutine fclinic fvisit,
fthe fclient's fserum fpotassium flevel fis f4 fmEq/L. fWhat fis fthe fmost flikely fcause fof fthis
fclient's fpotassium flevel? f- fAnswer fThe fclient's frenal ffunction fhas faffected fhis
fpotassium flevel.
A fregistered fnurse f(RN) fdelivers ftelehealth fservices fto fclients fvia felectronic
fcommunication. fWhich fnursing faction fcreates fthe fgreatest frisk ffor fprofessional
fliability fand fhas fthe fpotential ffor fa fmalpractice flawsuit? f- fAnswer fSending fmedical
frecords fto fhealth fcare fproviders fvia fthe fInternet
Which fpathophysiologic fresponse fsupports fthe fcontraindication ffor fopioids, fsuch fas
fmorphine, fin fclients fwith fincreased fintracranial fpressure f(ICP)?
A.Sedation fproduced fby fopioids fis fa fresult fof fa fprolonged fhalf-life fwhen fthe fICP fis
felevated.
fB.Higher fdoses fof fopioids fare frequired fwhen fcerebral fblood fflow fis freduced fby fan
felevated fICP.
fC.Dysphoria ffrom fopioids fcontributes fto faltered flevels fof fconsciousness fwith fan
felevated fICP.
D.Opioids fsuppress frespirations, fwhich fincreases fPco2 fand fcontributes fto fan
felevated fICP. f- fAnswer fD
The fgreatest frisk fassociated fwith fopioids fsuch fas fmorphine f(D) fis frespiratory
fdepression fthat fcauses fan fincrease fin fPco2, fwhich fincreases fICP fand fmasks fthe
fearly fsigns fof fintracranial fbleeding fin fhead finjury. f(A, fB, fand fC) fdo fnot fsupport fthe
frisks fassociated fwith fopioid fuse fin fa fclient fwith fincreased fICP.
,The fcharge fnurse fof fa fmedical fsurgical funit fis falerted fto fan fimpending fdisaster
frequiring fimplementation fof fthe fhospital's fdisaster fplan. fSpecific ffacts fabout fthe
fnature fof fthis fdisaster fare fnot fyet fknown. fWhich finstruction fshould fthe fcharge fnurse
fgive fto fthe fother fstaff fmembers fat fthis ftime?
A.Prepare fto fevacuate fthe funit, fstarting fwith fthe fbedridden fclients.
fB.UAPs fshould freport fto fthe femergency fcenter fto fhandle ftransports.
fC.The flicensed fstaff fshould fbegin fcounting fwheelchairs fand fIV fpoles fon fthe funit.
fD.Continue fwith fcurrent fassignments funtil fmore finstructions fare freceived. f- fAnswer
fD
When ffaced fwith fan fimpending fdisaster, fhospital fpersonnel fmay fbe falerted fbut
fshould fcontinue fwith fcurrent fclient fcare fassignments funtil ffurther finstructions fare
freceived f(D). fEvacuation fis ftypically fa fresponse fof flast fresort fthat fbegins fwith fclients
fwho fare fmost fable fto fambulate f(A). f(B) fis fpremature fand fis flikely fto fincrease fthe
fchaos fif fincoming fcasualties fare fanticipated. f(C) fis fpoor futilization fof fpersonnel.
The fnurse fassesses fa fclient fwhile fthe fUAP fmeasures fthe fclient's fvital fsigns. fThe
fclient's fvital fsigns fchange fsuddenly, fand fthe fnurse fdetermines fthat fthe fclient's
fcondition fis fworsening. fThe fnurse fis funsure fof fthe fclient's fresuscitative fstatus fand
fneeds fto fcheck fthe fclient's fmedical frecord ffor fany fadvanced fdirectives. fWhich faction
fshould fthe fnurse fimplement?
A.Ask fthe fUAP fto fcheck ffor fthe fadvanced fdirective fwhile fthe fnurse fcompletes fthe
fassessment.
B.Assign fthe fUAP fto fcomplete fthe fassessment fwhile fthe fnurse fchecks ffor fthe
fadvanced fdirective.
C.Check fthe fmedical frecord ffor fthe fadvanced fdirective fand fthen fcomplete fthe fclient
fassessment.
fD.Call ffor fthe fcharge fnurse fto fcheck fthe fadvanced fdirective fwhile fcontinuing fto
fassess fthe fclient. f- fAnswer fD
Because fthe fclient's fcondition fis fworsening, fthe fnurse fshould fremain fwith fthe fclient
fand fcontinue fthe fassessment fwhile fcalling ffor fhelp ffrom fthe fcharge fnurse fto
fdetermine fthe fclient's fresuscitative fstatus f(D). f(A fand fB) fare ftasks fthat fmust fbe
fcompleted fby fa fnurse fand fcannot fbe fdelegated fto fthe fUAP. f(C) fis fcontraindicated.
The fnurse fis fpreparing fa fclient ffor fsurgery fscheduled fin f2 fhours. fA fUAP fis fhelping
fthe fnurse. fWhich ftask fis fimportant ffor fthe fnurse fto fperform, frather fthan fthe fUAP?
A.Remove fthe fclient's fnail fpolish fand fdentures.
fB.Assist fthe fclient fto fthe frestroom fto fvoid.
fC.Obtain fthe fclient's fheight fand fweight.
fD.Offer fthe fclient femotional fsupport. f- fAnswer fD
By fusing ftherapeutic ftechniques fto foffer fsupport f(D), fthe fnurse fcan fdetermine fany
fclient fconcerns fthat fneed fto fbe faddressed. f(A, fB, fand fC) fare fall factions fthat fcan fbe
fperformed fby fthe fUAP funder fthe fsupervision fof fthe fnurse.
, Until fthe fcensus fon fthe fobstetrics f(OB) funit fincreases, fan funlicensed fassistive
fpersonnel f(UAP) fwho fusually fworks fin flabor fand fdelivery fand fthe fnewborn fnursery fis
fassigned fto fwork fon fthe fpostoperative funit. fWhich fclient fwould fbe fbest ffor fthe
fcharge fnurse fto fassign fto fthis fUAP?
fA.An fadolescent fwho fwas freadmitted fto fthe fhospital fbecause fof fa fpostoperative
finfection
fB.A fwoman fwith fa fnew fcolostomy fwho frequires fdischarge fteaching
fC.A fwoman fwho fhad fa fhip freplacement fand fmay fbe ftransferred fto fthe fhome fcare
funit
fD.A fman fwho fhad fa fcholecystectomy fand fcurrently fhas fa fnasogastric ftube fset fto
fintermittent fsuction f- fAnswer fC
The fcharge fnurse fwill fbe fresponsible ffor fproviding fa freport fto fthe fhome fcare funit fif
fthe ftransfer foccurs f(A). fThe fclient fis finfected fand fan femployee fwho fworks fon fan fOB
funit fshould fbe fassigned fto fclean fcases fin fcase fthe femployee fis frequired fto freturn fto
fthe fOB funit f(B). fThis frequires fthe fskills fof fa fregistered fnurse f(RN) fto fdo fdischarge
fteaching fand fprovide femotional fsupport f(D). fThis fmay frequire fskills fbeyond fthe flevel
fof fthis fUAP.
A fmale fclient fis fadmitted ffor fobservation fafter fbeing fhit fon fthe fhead fwith fa fbaseball
fbat. fSix fhours fafter fadmission, fthe fclient fattempts fto fcrawl fout fof fbed fand fasks fthe
fnurse fwhy fthere fare fso fmany fbugs fin fhis fbed. fHis fvital fsigns fare fstable, fand fthe
fpulse foximeter freading fis f98% fon froom fair. fWhich fintervention fshould fthe fnurse
fperform ffirst?
A.Administer foxygen fper fnasal fcannula fat f2 fL/min.
B.Plan fto fcheck fhis fvital fsigns fagain fin f30 fminutes.
C.Notify fthe fhealth fcare fprovider fof fthe fchange fin fmental fstatus.
D.Ask fthe fclient fwhy fhe fthinks fthere fare fbugs fin fthe fbed. f- fAnswer fC
One fof fthe fearliest fsigns fof fincreased fintracranial fpressure f(ICP) fis fa fchange fin
fmental fstatus f(C). fIt fis fimportant fto fact fearly fand fquickly fwhen fsymptoms fof
fincreased fICP foccur. fBecause fhis foxygen fsaturation fis fnormal, fthe fadministration fof
foxygen f(A) fis fnot fthe ftop fpriority. fVital fsigns fshould fbe fmonitored ffrequently f(B), fbut
fthe fclient's fconfusion fshould fbe freported fimmediately. f(D) fis fnot fa fuseful fintervention.
The fnurse fis fmonitoring fa fclient fwho fis freceiving fbedside fconscious fsedation fwith
fmidazolam fhydrochloride f(Versed). fIn fassessing fthe fclient, fthe fnurse fdetermines fthat
fthe fclient fhas fslurred fspeech fwith fdiplopia. fBased fon fthis ffinding, fwhat faction fshould
fthe fnurse ftake?
fA.Open fthe fairway fwith fa fchin flift-head ftilt fmaneuver.
fB.Obtain fa ffingerstick fglucose freading.
fC.Administer fflumazenil f(Romazicon).
fD.Continue fto fmonitor fthe fclient. f- fAnswer fD
The fdesired flevel fIII fin fconscious fsedation fincludes fslurred fspeech, fglazed feyes, fand
fmarked fdiplopia. fBecause fthis fis fthe fdesired foutcome fof fthe fmedication fregimen, fno
