EXIT HESI - COMPREHENSIVE PN
EXAM WITH CORRECT
ANSWERS 2025
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
A client with human immunodeficiency virus (HIV) infection has white
who is dilated 5 cm and 50%
lesions
oral cavity
in the
that resemble milk curds. Nystatin (Mycostatin) preparation is
effaced
as a swish and swallow. Which information is most important for the nurse
prescribed
to provide
the client? ( correct answers ) Oral hygiene should be performed
before the
medicatio
n.
A client who is admitted with emphysema is having difficulty
breathing.
position should
In which
the nurse place the client? ( correct answers )
Sitting upright
forward with bothandarms 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,
client's serumthe potassium level is 4 mEq/L. What is the most likely cause of
this client'slevel? ( correct answers ) The client's renal function has
potassium
affected his
potassium
level.
A registered nurse (RN) delivers telehealth services to clients via
communication. Which nursing action creates the greatest risk for
electronic
professional
and has the potential
liability for a malpractice lawsuit? ( correct
answers records
medical ) Sending to health care providers via the
Internet
Which pathophysiologic response supports the contraindication for
opioids, such
morphine, in clients
as with increased intracranial
pressure (ICP)?
A.Sedation produced by opioids is a result of a prolonged half-life when
the ICP is
elevate
d.
B.Higher doses of opioids are required when cerebral blood flow is
elevated
reduced by an
ICP.
C.Dysphoria from opioids contributes to altered levels of
elevated
consciousness with an
D.Opioids suppress respirations, which increases Pco2 and contributes to
ICP.
an elevated
ICP. ( correct answers )
D
GRADED
A+
,The greatest risk associated with opioids such as morphine (D) is
depression that causes an increase in Pco2, which increases ICP and
respiratory
masksofthe
signs intracranial
early bleeding in head injury. (A, B, and C) do not
support thewith
associated risksopioid use in a client with increased ICP.
The charge nurse of a medical surgical unit is alerted to an
impendingimplementation
requiring disaster of the hospital's disaster plan. Specific facts about
thethis
of nature
disaster are not yet known. Which instruction should the charge
nurse
the other
givestaff
to 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
C.The licensed staff should begin counting wheelchairs and IV poles
transports.
on the unit. with current assignments until more instructions are received.
D.Continue
answers )
W
D( hen
correct
faced with an impending disaster, hospital personnel may be
alerted but
continue withshould
current client care assignments until further instructions
are received
(D). Evacuation is typically a response of last resort that begins with
clientsable
most whotoareambulate (A). (B) is premature and is likely to increase
the chaoscasualties
incoming if are anticipated. (C) is poor utilization of
personnel.
The nurse
client's assesses
vital a client
signs change while theand
suddenly, UAP measures
the the client'sthat
nurse determines vital
signs.
the Theis worsening. The nurse is unsure of the client's resuscitative
client's
condition
status to
needs andcheck 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
assessmen
B.Assign the UAP to complete the assessment while the nurse
t.
checks for the
advanced
C.Check the medical record for the advanced directive and then
directive.
complete the client
assessmen
t.D.Call for the charge nurse to check the advanced directive while
the
continuing
client. ( to
correct
assessanswers )
Because
D the client's condition is worsening, the nurse should remain
with continue
and the clientthe assessment while calling for help from the
charge nurse
determine thetoclient'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 thanthe
A.Remove theclient's
UAP? nail polish and
dentures.
GRADED
A+
, B.Assist the client to the restroom to
C.Obtain the client's height and
void.
D.Offer the client emotional support.
weight. ( correct
By
answers
using therapeutic
) D techniques to offer support (D), the nurse can
determine
client any that need to be addressed. (A, B, and C) are all actions
concerns
that can beby the UAP under the supervision of the nurse.
performed
Until the census on the obstetrics (OB) unit increases, an
unlicensed(UAP)
personnel assistive
who usually works in labor and delivery and the newborn
nursery isto work on the postoperative unit. Which client would be best
assigned
for thetocharge
nurse assign to this UAP?
A.An adolescent who was readmitted to the hospital because of a
infectio
postoperative
nB.A woman with a new colostomy who requires discharge
C.A woman who had a hip replacement and may be transferred to the
teaching
home
D.A mancarewhounithad a cholecystectomy and currently has a nasogastric
tube set to suction
intermittent ( correct
answers
The charge) C nurse will be responsible for providing a report to the home
care unitoccurs
transfer if the (A). The client is infected and an employee who works on
an OB unit
should be assigned to clean cases in case the employee is required to
return
unit to This
(B). the requires
OB the skills of a registered nurse (RN) to do
discharge
and provide teaching
emotional support (D). This may require skills beyond the level
of this UAP.
A male
bat. Six client
hours isafter
admitted for observation
admission, after being
the client attempts to hit on out
crawl the of
head
bedwith a
baseball
and
nurse asks
whythethere are so many bugs in his bed. His vital signs are stable,
and the pulse
oximeter reading is 98% on room air. Which intervention should the
nurse perform
first
?
A.Administer oxygen per nasal cannula at 2
L/min.
B.Plan to check his vital signs again in 30
minutes.
C.Notify the health care provider of the change in
mentalthe
D.Ask status.
client why he thinks there are bugs in the bed. ( correct
answers
One of the
) earliest
C signs of increased intracranial pressure (ICP) is a
change(C).
status in mental
It is important to act early and quickly when symptoms of
increased
occur. Because
ICP his oxygen saturation is normal, the administration of
oxygen
the top (A)
priority.
is notVital signs should be monitored frequently (B), but
the client'sshould be reported immediately. (D) is not a useful intervention.
confusion
The nurse is monitoring a client who is receiving bedside conscious
sedation with midazolam hydrochloride (Versed). In assessing the client,
the nurse determines that the client has slurred speech with diplopia.
Based on this finding, what action should the nurse take?
GRADED
A+
EXAM WITH CORRECT
ANSWERS 2025
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
A client with human immunodeficiency virus (HIV) infection has white
who is dilated 5 cm and 50%
lesions
oral cavity
in the
that resemble milk curds. Nystatin (Mycostatin) preparation is
effaced
as a swish and swallow. Which information is most important for the nurse
prescribed
to provide
the client? ( correct answers ) Oral hygiene should be performed
before the
medicatio
n.
A client who is admitted with emphysema is having difficulty
breathing.
position should
In which
the nurse place the client? ( correct answers )
Sitting upright
forward with bothandarms 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,
client's serumthe potassium level is 4 mEq/L. What is the most likely cause of
this client'slevel? ( correct answers ) The client's renal function has
potassium
affected his
potassium
level.
A registered nurse (RN) delivers telehealth services to clients via
communication. Which nursing action creates the greatest risk for
electronic
professional
and has the potential
liability for a malpractice lawsuit? ( correct
answers records
medical ) Sending to health care providers via the
Internet
Which pathophysiologic response supports the contraindication for
opioids, such
morphine, in clients
as with increased intracranial
pressure (ICP)?
A.Sedation produced by opioids is a result of a prolonged half-life when
the ICP is
elevate
d.
B.Higher doses of opioids are required when cerebral blood flow is
elevated
reduced by an
ICP.
C.Dysphoria from opioids contributes to altered levels of
elevated
consciousness with an
D.Opioids suppress respirations, which increases Pco2 and contributes to
ICP.
an elevated
ICP. ( correct answers )
D
GRADED
A+
,The greatest risk associated with opioids such as morphine (D) is
depression that causes an increase in Pco2, which increases ICP and
respiratory
masksofthe
signs intracranial
early bleeding in head injury. (A, B, and C) do not
support thewith
associated risksopioid use in a client with increased ICP.
The charge nurse of a medical surgical unit is alerted to an
impendingimplementation
requiring disaster of the hospital's disaster plan. Specific facts about
thethis
of nature
disaster are not yet known. Which instruction should the charge
nurse
the other
givestaff
to 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
C.The licensed staff should begin counting wheelchairs and IV poles
transports.
on the unit. with current assignments until more instructions are received.
D.Continue
answers )
W
D( hen
correct
faced with an impending disaster, hospital personnel may be
alerted but
continue withshould
current client care assignments until further instructions
are received
(D). Evacuation is typically a response of last resort that begins with
clientsable
most whotoareambulate (A). (B) is premature and is likely to increase
the chaoscasualties
incoming if are anticipated. (C) is poor utilization of
personnel.
The nurse
client's assesses
vital a client
signs change while theand
suddenly, UAP measures
the the client'sthat
nurse determines vital
signs.
the Theis worsening. The nurse is unsure of the client's resuscitative
client's
condition
status to
needs andcheck 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
assessmen
B.Assign the UAP to complete the assessment while the nurse
t.
checks for the
advanced
C.Check the medical record for the advanced directive and then
directive.
complete the client
assessmen
t.D.Call for the charge nurse to check the advanced directive while
the
continuing
client. ( to
correct
assessanswers )
Because
D the client's condition is worsening, the nurse should remain
with continue
and the clientthe assessment while calling for help from the
charge nurse
determine thetoclient'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 thanthe
A.Remove theclient's
UAP? nail polish and
dentures.
GRADED
A+
, B.Assist the client to the restroom to
C.Obtain the client's height and
void.
D.Offer the client emotional support.
weight. ( correct
By
answers
using therapeutic
) D techniques to offer support (D), the nurse can
determine
client any that need to be addressed. (A, B, and C) are all actions
concerns
that can beby the UAP under the supervision of the nurse.
performed
Until the census on the obstetrics (OB) unit increases, an
unlicensed(UAP)
personnel assistive
who usually works in labor and delivery and the newborn
nursery isto work on the postoperative unit. Which client would be best
assigned
for thetocharge
nurse assign to this UAP?
A.An adolescent who was readmitted to the hospital because of a
infectio
postoperative
nB.A woman with a new colostomy who requires discharge
C.A woman who had a hip replacement and may be transferred to the
teaching
home
D.A mancarewhounithad a cholecystectomy and currently has a nasogastric
tube set to suction
intermittent ( correct
answers
The charge) C nurse will be responsible for providing a report to the home
care unitoccurs
transfer if the (A). The client is infected and an employee who works on
an OB unit
should be assigned to clean cases in case the employee is required to
return
unit to This
(B). the requires
OB the skills of a registered nurse (RN) to do
discharge
and provide teaching
emotional support (D). This may require skills beyond the level
of this UAP.
A male
bat. Six client
hours isafter
admitted for observation
admission, after being
the client attempts to hit on out
crawl the of
head
bedwith a
baseball
and
nurse asks
whythethere are so many bugs in his bed. His vital signs are stable,
and the pulse
oximeter reading is 98% on room air. Which intervention should the
nurse perform
first
?
A.Administer oxygen per nasal cannula at 2
L/min.
B.Plan to check his vital signs again in 30
minutes.
C.Notify the health care provider of the change in
mentalthe
D.Ask status.
client why he thinks there are bugs in the bed. ( correct
answers
One of the
) earliest
C signs of increased intracranial pressure (ICP) is a
change(C).
status in mental
It is important to act early and quickly when symptoms of
increased
occur. Because
ICP his oxygen saturation is normal, the administration of
oxygen
the top (A)
priority.
is notVital signs should be monitored frequently (B), but
the client'sshould be reported immediately. (D) is not a useful intervention.
confusion
The nurse is monitoring a client who is receiving bedside conscious
sedation with midazolam hydrochloride (Versed). In assessing the client,
the nurse determines that the client has slurred speech with diplopia.
Based on this finding, what action should the nurse take?
GRADED
A+
