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HESI PN LEADERSHIP EXIT EXAM NEWEST
VERSION 2025 WITH COMPLETE 100
QUESTIONS AND SOLUTION 100% VERIFIED
ANSWERS A+ GRADED/ BRAND NEW!!!
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?
A.A primigravida who is 8 cm dilated after 14 hours
of labor
B.A client scheduled for a repeat cesarean birth at
38 weeks' gestation
C.A client being induced for fetal demise at 20
weeks' gestation
D.A multiparous client who is dilated 5 cm and 50%
effaced - Answer-D
The new nurse should be assigned the least
complicated client to gain experience and
confidence, as well as protect client safety. Of the
clients available for assignment, (D) is progressing
,2|Page
well and is the least complicated. (A, B and C) have
actual or potential complications and should be
assigned to a more experienced nurse.
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?
A.Oral hygiene should be performed before the
medication. B.Antifungal medications are available
in tablet, suppository, and liquid forms.
C.Candida albicans is the organism that causes the
white lesions in the mouth.
D.The dietary intake of dairy and spicy foods should
be limited. - Answer-A
HIV infection causes depression of cell-mediated
immunity that allows an overgrowth of Candida
albicans (oral moniliasis), which appears as white,
cheesy plaque or lesions that resemble milk curds.
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To ensure effective contact of the medication with
the oral lesions, oral liquids should be consumed
and oral hygiene performed before swishing the
liquid Mycostatin (A). (B and C) provide the client
with additional information about the pathogenesis
and treatment of opportunistic infections, but (A)
allows the client to participate in self-care of the oral
infection. Dietary restriction of spicy foods reduces
discomfort associated with stomatitis, but restriction
of dairy products is not indicated (D).
A client who is admitted with emphysema is having
difficulty breathing. In which position should the
nurse place the client?
A.High Fowler's position without a pillow behind the
head
B.Semi-Fowler's position with a single pillow behind
the head
C.Right side-lying position with the head of the bed
elevated 45 degrees
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D.Sitting upright and forward with both arms
supported on an over the bed table - Answer-D
Adequate lung expansion is dependent on deep
breaths that allow the respiratory muscles to
increase the longitudinal and anterior-posterior size
of the thoracic cage. Sitting upright and leaning
forward with the arms supported on an over the bed
table (D) allows the thoracic cage to expand in all
four directions and reduces dyspnea. A high Fowler's
position does not allow maximum expansion of the
posterior lobes of the lungs (A). A semi-Fowler's
position restricts expansion of the anterior-posterior
diameter of the thoracic cage (B). Positioning a
client on the right side with the head of the bed
elevated (C) does not facilitate lung expansion.
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?
HESI PN LEADERSHIP EXIT EXAM NEWEST
VERSION 2025 WITH COMPLETE 100
QUESTIONS AND SOLUTION 100% VERIFIED
ANSWERS A+ GRADED/ BRAND NEW!!!
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?
A.A primigravida who is 8 cm dilated after 14 hours
of labor
B.A client scheduled for a repeat cesarean birth at
38 weeks' gestation
C.A client being induced for fetal demise at 20
weeks' gestation
D.A multiparous client who is dilated 5 cm and 50%
effaced - Answer-D
The new nurse should be assigned the least
complicated client to gain experience and
confidence, as well as protect client safety. Of the
clients available for assignment, (D) is progressing
,2|Page
well and is the least complicated. (A, B and C) have
actual or potential complications and should be
assigned to a more experienced nurse.
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?
A.Oral hygiene should be performed before the
medication. B.Antifungal medications are available
in tablet, suppository, and liquid forms.
C.Candida albicans is the organism that causes the
white lesions in the mouth.
D.The dietary intake of dairy and spicy foods should
be limited. - Answer-A
HIV infection causes depression of cell-mediated
immunity that allows an overgrowth of Candida
albicans (oral moniliasis), which appears as white,
cheesy plaque or lesions that resemble milk curds.
,3|Page
To ensure effective contact of the medication with
the oral lesions, oral liquids should be consumed
and oral hygiene performed before swishing the
liquid Mycostatin (A). (B and C) provide the client
with additional information about the pathogenesis
and treatment of opportunistic infections, but (A)
allows the client to participate in self-care of the oral
infection. Dietary restriction of spicy foods reduces
discomfort associated with stomatitis, but restriction
of dairy products is not indicated (D).
A client who is admitted with emphysema is having
difficulty breathing. In which position should the
nurse place the client?
A.High Fowler's position without a pillow behind the
head
B.Semi-Fowler's position with a single pillow behind
the head
C.Right side-lying position with the head of the bed
elevated 45 degrees
, 4|Page
D.Sitting upright and forward with both arms
supported on an over the bed table - Answer-D
Adequate lung expansion is dependent on deep
breaths that allow the respiratory muscles to
increase the longitudinal and anterior-posterior size
of the thoracic cage. Sitting upright and leaning
forward with the arms supported on an over the bed
table (D) allows the thoracic cage to expand in all
four directions and reduces dyspnea. A high Fowler's
position does not allow maximum expansion of the
posterior lobes of the lungs (A). A semi-Fowler's
position restricts expansion of the anterior-posterior
diameter of the thoracic cage (B). Positioning a
client on the right side with the head of the bed
elevated (C) does not facilitate lung expansion.
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?
