EXIT HESI -PN Exam A PRACTICE QUESTION (2025) Exam Questions
EXIT HESI -PN Exam A PRACTICE QUESTION
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1. A nurse who has recently complet- D
ed orientation is beginning work in The new nurse should be assigned the least com-
the labor and delivery unit for the plicated client to gain experience and confidence,
first time. When making assignments, as well as protect client safety. Of the clients avail-
which client should the charge nurse able for assignment, (D) is progressing well and is
assign to this new nurse? the least complicated. (A, B and C) have actual or
potential complications and should be assigned
A.A primigravida who is 8 cm dilated to a more experienced nurse.
after 14 hours of labor
B.A client scheduled for a repeat ce-
sarean 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
2. A client with human immunodeficien- A
cy virus (HIV) infection has white le- HIV infection causes depression of cell-mediat-
sions in the oral cavity that resem- ed immunity that allows an overgrowth of Can-
ble milk curds. Nystatin (Mycostatin) dida albicans (oral moniliasis), which appears as
preparation is prescribed as a swish white, cheesy plaque or lesions that resemble
and swallow. Which information is milk curds. To ensure effective contact of the med-
most important for the nurse to pro- ication with the oral lesions, oral liquids should
vide the client? be consumed and oral hygiene performed before
swishing the liquid Mycostatin (A). (B and C) pro-
A.Oral hygiene should be performed vide the client with additional information about
before the medication. B.Antifungal the pathogenesis and treatment of opportunistic
medications are available in tablet, infections, but (A) allows the client to participate
suppository, and liquid forms. in self-care of the oral infection. Dietary restriction
C.Candida albicans is the organism of spicy foods reduces discomfort associated with
that causes the white lesions in the stomatitis, but restriction of dairy products is not
mouth. indicated (D).
, EXIT HESI -PN Exam A PRACTICE QUESTION
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D.The dietary intake of dairy and spicy
foods should be limited.
3. A client who is admitted with emphy- D
sema is having difficulty breathing. In Adequate lung expansion is dependent on deep
which position should the nurse place breaths that allow the respiratory muscles to in-
the client? crease the longitudinal and anterior-posterior
size of the thoracic cage. Sitting upright and lean-
A.High Fowler's position without a pil- ing forward with the arms supported on an over
low behind the head the bed table (D) allows the thoracic cage to ex-
B.Semi-Fowler's position with a single pand in all four directions and reduces dyspnea.
pillow behind the head A high Fowler's position does not allow maximum
C.Right side-lying position with the expansion of the posterior lobes of the lungs (A).
head of the bed elevated 45 degrees A semi-Fowler's position restricts expansion of the
D.Sitting upright and forward with anterior-posterior diameter of the thoracic cage
both arms supported on an over the (B). Positioning a client on the right side with the
bed table head of the bed elevated (C) does not facilitate
lung expansion.
4. A client with chronic renal insuffi- C
ciency (CRI) is taking 25 mg of hy- The client has a normalized potassium level de-
drochlorothiazide (HCTZ) PO and 40 spite diuretic use (C). The kidney automatical-
mg of furosemide (Lasix) PO daily. To-ly secretes 90% of potassium consumed, but in
day, at a routine clinic visit, the client's
chronic renal insufficiency (CRI), less potassium is
serum potassium level is 4 mEq/L. excreted than normal. Therefore, the two potas-
What is the most likely cause of this sium-wasting drugs, a thiazide diuretic and loop
client's potassium level? diuretic, are not likely to affect potassium levels.
The normal potassium level is 3.5 to 5 mEq/L, and
A.The client is noncompliant with his with a potassium level of 4 mEq/L, there is no
medications. reason to believe that the client is noncompliant
B.The client recently consumed large with his treatment (A). Pears and nuts do not
quantities of pears or nuts. affect the serum potassium level (B). There is no
, EXIT HESI -PN Exam A PRACTICE QUESTION
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C.The client's renal function has affect- need for a potassium supplement (D) because
ed his potassium level. the client's potassium level is within the normal
D.The client needs to be started on a range.
potassium supplement.
5. A registered nurse (RN) delivers tele- C
health services to clients via electron- Sending medical records over the Internet, even
ic communication. Which nursing ac- with the latest security protection, creates the
tion creates the greatest risk for pro- greatest risk for liability because of the high
fessional liability and has the potential potential of breaching client confidentiality and
for a malpractice lawsuit? the amount of information being transferred (C).
Client confidentiality is protected by federal wire-
A.Participating in telephone consulta- tapping laws making telephone consultation (A) a
tions with clients private and protected form of communication. By
B.Identifying oneself by name and ti- stating one's name and credentials in telehealth
tle to clients in telehealth communica- communication (B), one is taking responsibility
tions for the encounter. E-mail initiated by the client
C.Sending medical records to health (D) poses less risk than sending records via the
care providers via the Internet Internet.
D.Answering a client-initiated health
question via electronic mail
6. Which pathophysiologic response sup- D
ports the contraindication for opioids, The greatest risk associated with opioids such
such as morphine, in clients with in- as morphine (D) is respiratory depression that
creased intracranial pressure (ICP)? causes an increase in Pco2, which increases ICP
and masks the early signs of intracranial bleeding
A.Sedation produced by opioids is a re- in head injury. (A, B, and C) do not support the
sult of a prolonged half-life when the risks associated with opioid use in a client with
ICP is elevated. increased ICP.
B.Higher doses of opioids are required
when cerebral blood flow is reduced by
, EXIT HESI -PN Exam A PRACTICE QUESTION
Study online at https://quizlet.com/_9zyq5t
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.
7. The charge nurse of a medical sur- D
gical unit is alerted to an impending When faced with an impending disaster, hospital
disaster requiring implementation of personnel may be alerted but should continue
the hospital's disaster plan. Specific with current client care assignments until further
facts about the nature of this disasterinstructions are received (D). Evacuation is typ-
are not yet known. Which instruction ically a response of last resort that begins with
should the charge nurse give to the clients who are most able to ambulate (A). (B) is
other staff members at this time? premature and is likely to increase the chaos if
incoming casualties are anticipated. (C) is poor
A.Prepare to evacuate the unit, start- utilization of personnel.
ing with the bedridden clients.
B.UAPs should report to the emer-
gency 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.
8. The nurse assesses a client while the D
UAP measures the client's vital signs. Because the client's condition is worsening, the
The client's vital signs change sud- nurse should remain with the client and continue
denly, and the nurse determines that the assessment while calling for help from the
the client's condition is worsening. The charge nurse to determine the client's resuscita-
EXIT HESI -PN Exam A PRACTICE QUESTION
And Answers Solved 100% Correct!!
Study online at https://quizlet.com/_9zyq5t
1. A nurse who has recently complet- D
ed orientation is beginning work in The new nurse should be assigned the least com-
the labor and delivery unit for the plicated client to gain experience and confidence,
first time. When making assignments, as well as protect client safety. Of the clients avail-
which client should the charge nurse able for assignment, (D) is progressing well and is
assign to this new nurse? the least complicated. (A, B and C) have actual or
potential complications and should be assigned
A.A primigravida who is 8 cm dilated to a more experienced nurse.
after 14 hours of labor
B.A client scheduled for a repeat ce-
sarean 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
2. A client with human immunodeficien- A
cy virus (HIV) infection has white le- HIV infection causes depression of cell-mediat-
sions in the oral cavity that resem- ed immunity that allows an overgrowth of Can-
ble milk curds. Nystatin (Mycostatin) dida albicans (oral moniliasis), which appears as
preparation is prescribed as a swish white, cheesy plaque or lesions that resemble
and swallow. Which information is milk curds. To ensure effective contact of the med-
most important for the nurse to pro- ication with the oral lesions, oral liquids should
vide the client? be consumed and oral hygiene performed before
swishing the liquid Mycostatin (A). (B and C) pro-
A.Oral hygiene should be performed vide the client with additional information about
before the medication. B.Antifungal the pathogenesis and treatment of opportunistic
medications are available in tablet, infections, but (A) allows the client to participate
suppository, and liquid forms. in self-care of the oral infection. Dietary restriction
C.Candida albicans is the organism of spicy foods reduces discomfort associated with
that causes the white lesions in the stomatitis, but restriction of dairy products is not
mouth. indicated (D).
, EXIT HESI -PN Exam A PRACTICE QUESTION
Study online at https://quizlet.com/_9zyq5t
D.The dietary intake of dairy and spicy
foods should be limited.
3. A client who is admitted with emphy- D
sema is having difficulty breathing. In Adequate lung expansion is dependent on deep
which position should the nurse place breaths that allow the respiratory muscles to in-
the client? crease the longitudinal and anterior-posterior
size of the thoracic cage. Sitting upright and lean-
A.High Fowler's position without a pil- ing forward with the arms supported on an over
low behind the head the bed table (D) allows the thoracic cage to ex-
B.Semi-Fowler's position with a single pand in all four directions and reduces dyspnea.
pillow behind the head A high Fowler's position does not allow maximum
C.Right side-lying position with the expansion of the posterior lobes of the lungs (A).
head of the bed elevated 45 degrees A semi-Fowler's position restricts expansion of the
D.Sitting upright and forward with anterior-posterior diameter of the thoracic cage
both arms supported on an over the (B). Positioning a client on the right side with the
bed table head of the bed elevated (C) does not facilitate
lung expansion.
4. A client with chronic renal insuffi- C
ciency (CRI) is taking 25 mg of hy- The client has a normalized potassium level de-
drochlorothiazide (HCTZ) PO and 40 spite diuretic use (C). The kidney automatical-
mg of furosemide (Lasix) PO daily. To-ly secretes 90% of potassium consumed, but in
day, at a routine clinic visit, the client's
chronic renal insufficiency (CRI), less potassium is
serum potassium level is 4 mEq/L. excreted than normal. Therefore, the two potas-
What is the most likely cause of this sium-wasting drugs, a thiazide diuretic and loop
client's potassium level? diuretic, are not likely to affect potassium levels.
The normal potassium level is 3.5 to 5 mEq/L, and
A.The client is noncompliant with his with a potassium level of 4 mEq/L, there is no
medications. reason to believe that the client is noncompliant
B.The client recently consumed large with his treatment (A). Pears and nuts do not
quantities of pears or nuts. affect the serum potassium level (B). There is no
, EXIT HESI -PN Exam A PRACTICE QUESTION
Study online at https://quizlet.com/_9zyq5t
C.The client's renal function has affect- need for a potassium supplement (D) because
ed his potassium level. the client's potassium level is within the normal
D.The client needs to be started on a range.
potassium supplement.
5. A registered nurse (RN) delivers tele- C
health services to clients via electron- Sending medical records over the Internet, even
ic communication. Which nursing ac- with the latest security protection, creates the
tion creates the greatest risk for pro- greatest risk for liability because of the high
fessional liability and has the potential potential of breaching client confidentiality and
for a malpractice lawsuit? the amount of information being transferred (C).
Client confidentiality is protected by federal wire-
A.Participating in telephone consulta- tapping laws making telephone consultation (A) a
tions with clients private and protected form of communication. By
B.Identifying oneself by name and ti- stating one's name and credentials in telehealth
tle to clients in telehealth communica- communication (B), one is taking responsibility
tions for the encounter. E-mail initiated by the client
C.Sending medical records to health (D) poses less risk than sending records via the
care providers via the Internet Internet.
D.Answering a client-initiated health
question via electronic mail
6. Which pathophysiologic response sup- D
ports the contraindication for opioids, The greatest risk associated with opioids such
such as morphine, in clients with in- as morphine (D) is respiratory depression that
creased intracranial pressure (ICP)? causes an increase in Pco2, which increases ICP
and masks the early signs of intracranial bleeding
A.Sedation produced by opioids is a re- in head injury. (A, B, and C) do not support the
sult of a prolonged half-life when the risks associated with opioid use in a client with
ICP is elevated. increased ICP.
B.Higher doses of opioids are required
when cerebral blood flow is reduced by
, EXIT HESI -PN Exam A PRACTICE QUESTION
Study online at https://quizlet.com/_9zyq5t
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.
7. The charge nurse of a medical sur- D
gical unit is alerted to an impending When faced with an impending disaster, hospital
disaster requiring implementation of personnel may be alerted but should continue
the hospital's disaster plan. Specific with current client care assignments until further
facts about the nature of this disasterinstructions are received (D). Evacuation is typ-
are not yet known. Which instruction ically a response of last resort that begins with
should the charge nurse give to the clients who are most able to ambulate (A). (B) is
other staff members at this time? premature and is likely to increase the chaos if
incoming casualties are anticipated. (C) is poor
A.Prepare to evacuate the unit, start- utilization of personnel.
ing with the bedridden clients.
B.UAPs should report to the emer-
gency 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.
8. The nurse assesses a client while the D
UAP measures the client's vital signs. Because the client's condition is worsening, the
The client's vital signs change sud- nurse should remain with the client and continue
denly, and the nurse determines that the assessment while calling for help from the
the client's condition is worsening. The charge nurse to determine the client's resuscita-
