EXIT HESI - Comprehensive PN Exam A Practice Questions
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1. A nurse who has recently complet- A multiparous client who is dilated 5 cm and 50%
ed orientation is beginning work effaced
in the labor and delivery unit for
the first time. When making as-
signments, which client should the
charge nurse assign to this new
nurse?
2. A client with human immunode- Oral hygiene should be performed before the med-
ficiency virus (HIV) infection has ication.
white lesions in the oral cavity that
resemble milk curds. Nystatin (My-
costatin) preparation is prescribed
as a swish and swallow. Which in-
formation is most important for the
nurse to provide the client?
3. A client who is admitted with em- Sitting upright and forward with both arms supported
physema is having difficulty breath- on an over the bed table
ing. In which position should the
nurse place the client?
4. A client with chronic renal insuffi- The client's renal function has affected his potassium
ciency (CRI) is taking 25 mg of hy- level.
drochlorothiazide (HCTZ) PO and 40
mg of furosemide (Lasix) PO dai-
ly. 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 lev-
el?
, EXIT HESI - Comprehensive PN Exam A Practice Questions
Study online at https://quizlet.com/_89tlc7
5. A registered nurse (RN) delivers Sending medical records to health care providers via
telehealth services to clients via the Internet
electronic communication. Which
nursing action creates the greatest
risk for professional liability and has
the potential for a malpractice law-
suit?
6. Which pathophysiologic response D
supports the contraindication for The greatest risk associated with opioids such as mor-
opioids, such as morphine, in phine (D) is respiratory depression that causes an
clients with increased intracranial increase in Pco2, which increases ICP and masks the
pressure (ICP)? early signs of intracranial bleeding in head injury. (A,
B, and C) do not support the risks associated with
A.Sedation produced by opioids is a opioid use in a client with increased ICP.
result of a prolonged half-life when
the ICP is elevated.
B.Higher doses of opioids are re-
quired when cerebral blood flow is
reduced by an elevated ICP.
C.Dysphoria from opioids con-
tributes to altered levels of con-
sciousness with an elevated ICP.
D.Opioids suppress respirations,
which increases Pco2 and con-
tributes 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 per-
disaster requiring implementation sonnel may be alerted but should continue with cur-
of the hospital's disaster plan. Spe- rent client care assignments until further instructions
cific facts about the nature of this are received (D). Evacuation is typically a response of
, EXIT HESI - Comprehensive PN Exam A Practice Questions
Study online at https://quizlet.com/_89tlc7
disaster are not yet known. Which last resort that begins with clients who are most able to
instruction should the charge nurse ambulate (A). (B) is premature and is likely to increase
give to the other staff members at the chaos if incoming casualties are anticipated. (C) is
this time? poor utilization of personnel.
A.Prepare to evacuate the unit,
starting 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 assign-
ments until more instructions are
received.
8. The nurse assesses a client while D
the UAP measures the client's vi- Because the client's condition is worsening, the nurse
tal signs. The client's vital signs should remain with the client and continue the assess-
change suddenly, and the nurse de- ment while calling for help from the charge nurse to
termines that the client's condition determine the client's resuscitative status (D). (A and
is worsening. The nurse is unsure of B) are tasks that must be completed by a nurse and
the client's resuscitative status and cannot be delegated to the UAP. (C) is contraindicated.
needs to check the client's medical
record for any advanced directives.
Which action should the nurse im-
plement?
A.Ask the UAP to check for the ad-
vanced directive while the nurse
completes the assessment.
B.Assign the UAP to complete the
, EXIT HESI - Comprehensive PN Exam A Practice Questions
Study online at https://quizlet.com/_89tlc7
assessment while the nurse checks
for the advanced directive.
C.Check the medical record for the
advanced directive and then com-
plete the client assessment.
D.Call for the charge nurse to check
the advanced directive while contin-
uing to assess the client.
9. The nurse is preparing a client for D
surgery scheduled in 2 hours. A UAP By using therapeutic techniques to offer support (D),
is helping the nurse. Which task is the nurse can determine any client concerns that need
important for the nurse to perform, to be addressed. (A, B, and C) are all actions that can
rather than the UAP? be performed by the UAP under the supervision of the
nurse.
A.Remove the client's nail polish
and dentures.
B.Assist the client to the restroom
to void.
C.Obtain the client's height and
weight.
D.Offer the client emotional sup-
port.
10. Until the census on the obstetrics C
(OB) unit increases, an unlicensed The charge nurse will be responsible for providing a
assistive personnel (UAP) who usu- report to the home care unit if the transfer occurs (A).
ally works in labor and delivery and The client is infected and an employee who works on
the newborn nursery is assigned an OB unit should be assigned to clean cases in case
to work on the postoperative unit. the employee is required to return to the OB unit (B).
Which client would be best for the This requires the skills of a registered nurse (RN) to
charge nurse to assign to this UAP?
Study online at https://quizlet.com/_89tlc7
1. A nurse who has recently complet- A multiparous client who is dilated 5 cm and 50%
ed orientation is beginning work effaced
in the labor and delivery unit for
the first time. When making as-
signments, which client should the
charge nurse assign to this new
nurse?
2. A client with human immunode- Oral hygiene should be performed before the med-
ficiency virus (HIV) infection has ication.
white lesions in the oral cavity that
resemble milk curds. Nystatin (My-
costatin) preparation is prescribed
as a swish and swallow. Which in-
formation is most important for the
nurse to provide the client?
3. A client who is admitted with em- Sitting upright and forward with both arms supported
physema is having difficulty breath- on an over the bed table
ing. In which position should the
nurse place the client?
4. A client with chronic renal insuffi- The client's renal function has affected his potassium
ciency (CRI) is taking 25 mg of hy- level.
drochlorothiazide (HCTZ) PO and 40
mg of furosemide (Lasix) PO dai-
ly. 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 lev-
el?
, EXIT HESI - Comprehensive PN Exam A Practice Questions
Study online at https://quizlet.com/_89tlc7
5. A registered nurse (RN) delivers Sending medical records to health care providers via
telehealth services to clients via the Internet
electronic communication. Which
nursing action creates the greatest
risk for professional liability and has
the potential for a malpractice law-
suit?
6. Which pathophysiologic response D
supports the contraindication for The greatest risk associated with opioids such as mor-
opioids, such as morphine, in phine (D) is respiratory depression that causes an
clients with increased intracranial increase in Pco2, which increases ICP and masks the
pressure (ICP)? early signs of intracranial bleeding in head injury. (A,
B, and C) do not support the risks associated with
A.Sedation produced by opioids is a opioid use in a client with increased ICP.
result of a prolonged half-life when
the ICP is elevated.
B.Higher doses of opioids are re-
quired when cerebral blood flow is
reduced by an elevated ICP.
C.Dysphoria from opioids con-
tributes to altered levels of con-
sciousness with an elevated ICP.
D.Opioids suppress respirations,
which increases Pco2 and con-
tributes 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 per-
disaster requiring implementation sonnel may be alerted but should continue with cur-
of the hospital's disaster plan. Spe- rent client care assignments until further instructions
cific facts about the nature of this are received (D). Evacuation is typically a response of
, EXIT HESI - Comprehensive PN Exam A Practice Questions
Study online at https://quizlet.com/_89tlc7
disaster are not yet known. Which last resort that begins with clients who are most able to
instruction should the charge nurse ambulate (A). (B) is premature and is likely to increase
give to the other staff members at the chaos if incoming casualties are anticipated. (C) is
this time? poor utilization of personnel.
A.Prepare to evacuate the unit,
starting 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 assign-
ments until more instructions are
received.
8. The nurse assesses a client while D
the UAP measures the client's vi- Because the client's condition is worsening, the nurse
tal signs. The client's vital signs should remain with the client and continue the assess-
change suddenly, and the nurse de- ment while calling for help from the charge nurse to
termines that the client's condition determine the client's resuscitative status (D). (A and
is worsening. The nurse is unsure of B) are tasks that must be completed by a nurse and
the client's resuscitative status and cannot be delegated to the UAP. (C) is contraindicated.
needs to check the client's medical
record for any advanced directives.
Which action should the nurse im-
plement?
A.Ask the UAP to check for the ad-
vanced directive while the nurse
completes the assessment.
B.Assign the UAP to complete the
, EXIT HESI - Comprehensive PN Exam A Practice Questions
Study online at https://quizlet.com/_89tlc7
assessment while the nurse checks
for the advanced directive.
C.Check the medical record for the
advanced directive and then com-
plete the client assessment.
D.Call for the charge nurse to check
the advanced directive while contin-
uing to assess the client.
9. The nurse is preparing a client for D
surgery scheduled in 2 hours. A UAP By using therapeutic techniques to offer support (D),
is helping the nurse. Which task is the nurse can determine any client concerns that need
important for the nurse to perform, to be addressed. (A, B, and C) are all actions that can
rather than the UAP? be performed by the UAP under the supervision of the
nurse.
A.Remove the client's nail polish
and dentures.
B.Assist the client to the restroom
to void.
C.Obtain the client's height and
weight.
D.Offer the client emotional sup-
port.
10. Until the census on the obstetrics C
(OB) unit increases, an unlicensed The charge nurse will be responsible for providing a
assistive personnel (UAP) who usu- report to the home care unit if the transfer occurs (A).
ally works in labor and delivery and The client is infected and an employee who works on
the newborn nursery is assigned an OB unit should be assigned to clean cases in case
to work on the postoperative unit. the employee is required to return to the OB unit (B).
Which client would be best for the This requires the skills of a registered nurse (RN) to
charge nurse to assign to this UAP?
