SHESIRNEXITEXAM(VERSION1 ACTUAL EXAM ALL 160 + QUESTIONS AND CORRECT ANSWERS LATEST

1S|SP a g e




HESIRNEXITEXAM(VERSION1)I| ACTUAL EXAM
S



ALL 160 + QUESTIONS AND CORRECT ANSWERS||
LATEST AND COMPLETE UPDATE 2025-2026 WITH
VERIFIED SOLUTIONS|| ASSURED PASS!!
1. TheSnurseSisSreviewingSmedicalSprescriptionsSforSnewlySadmittedSclients.S ItSwouldS
beSaSprioritySforStheSnurseStoSfollowSupSwithStheSphysicianSifSaSclientSwith
(a) aSpotassiumSlevelSofS4.5mEq/LShasSKayexalateS(sodiumSpolystyrene)Sprescribed
(b) aSDilantinS(phenytoin)SlevelSofS8Smcg/mlSisSplacedSonSseizureSprecautions(c)Ssensit
ivityStoSAspirinS(acetylsalicylicSacid)SisSprescribedSTylenolS(acetaminophen)
(d)SsensitivityStoSPenicillinSisSprescribedSZithromaxS(azithromycin)


2. TheSnurseSshouldSinterveneSifStheSnurseSnotesSaSstaffSmember
(a) obtainingSaSclientsSconsentSpriorStoStheirSoperativeSprocedureSafterSreceivingSAtivanS
(lorazepam)
(b) placingSaSclientSonStheSaffectedSsideSfollowingSsurgicalSrepairSofSaSretinalS
detachment
(c) handlingSaSwetScastSwithStheSpalmsSofStheShands
(d) usingSaSbroadSbaseSofSsupportSwhileStransferringSaSclient


3. TheScommunityShealthSnurseSisScaringSforStheSfollowingSclients.S ItSwouldSbeSa
prioritySforStheSnurseStoSinitiateSaSmultidisciplinarySconferenceSforStheSclientSwhoSis
(a) 12SyearsSoldSwithSAutismSwhoSisSstartingSaSnewSschoolSandSrecentlyShadSaS
URIS(upperSrespiratoryStractSinfection)
(b) 16SyearsSold,ShasStypeS1SDiabetesSMellitus,SisSunemployedSandShadSaSrecentS
HemoglobinSA1cSofS13%
(c) 52SyearsSold,SwithSMyastheniaSGravis,SrecentlySprescribedSMestinonS
(pyridostigmine)SandSemployedSasSaSmailScarrier
(d) 70SyearsSold,ShasSschizophrenia,SlivesSaloneSandSreportsShearingSnonSthreateningS
voices.
4. TheSnurseSfromStheSpostpartumSunitShasSbeenStemporarilySassignedStoStheSmedicalS
surgicalSunit.S ItSwouldSbeSmostSappropriateStoSassignSthisSnurseStoStheSclientSwho*
(a) hasSreturnedSfromSrightStotalShipSreplacementSsurgerySfourShoursSago
(b) isSbeingSobservedSforSincreasedSintracranialSpressure
(c) hadSsurgeryStwoShoursSagoStoSremoveStheSappendix

,2S|SP a g e




(d) isStwoSweeksSpostSpartumSbeingSmaintainedSonSaSmechanicalSventilatorSforS
respiratorySfailure


5. TheSnurseSinSaSwellSbabySclinicShasSassessedSseveralSchildrenStoday.SItSwouldSbeSaS
prioritySforStheSnurseStoSsuggestSfollowSupSforStheSchildSwhoSisS(a)S2SmonthsSoldSwithSaS
positiveSbabinskiSreflSex
(b) 5SmonthsSoldSandSdoesSnotSholdStheirSownSbottle
(c) 10SmonthsSoldSwhoScriesSaroundSstrangers
(d) 18SmonthsSoldSwhoSneedsSsupportSwhileSambulating


6. TheSnurseSisScaringSforSaSmechanicallySventilatedSclientSwhoSwasSdeclaredSbrainS
dead.SAnSAdvanceSDirectiveSisSnotSdocumentedSonStheSmedicalSrecord.SItSwouldSbeS
mostSappropriateStoSobtainSconsentSforSorganSdonationSfromSthe
(a) client‘sSprimaryScareSprovider
(b) client‘sSnurseSmanager
(c) closestSlivingSfamilySmember
(d) hospital‘sSethicsScommittee


7. TheSnurseShasSreceivedSreportSonSfourSclients.S TheSnurseSshouldSfiSrstSassessStheS
clientSwhoShas*
(a) ChronicSObstructiveSPulmonarySDiseaseS(COPD)SwithSaSpulseSoximetrySreadingSofS
90%
(b) Parkinson‘sSDiseaseSandSisSdemandingStoSleaveStheShospitalSagainstSmedicalSadviceS
(AMA)
(c) beenSadmittedSwithSsuspectedSGuillian-
Barre´SSyndromeSandShasSbegunSplasmapheresisStherapy
(d) CongestiveSHeartSFailureS(CHF)SwhoseSpittingSedemaShasSincreasedStoS2(+)
8. ItSwouldSbeSappropriateStoSassignSwhichSofStheseStasksStoStheSCNA?
(a) FeedingSaSclientSwhoSisSexperiencingSdysphagia
(b) One-on-oneSclientSobservationSforSsafety
(c) RemovalSofSanSindwellingScatheter
(d) PerformingSaSsimpleSdressingSchange


9. TheSnurseSshouldSinterveneSifSaSstaffSmemberSisSobserved
(a) discussingSaSclient‘sSdiagnosisSwithSvisitingSfamilySmembers
(b) collaboratingSwithSanotherSnurseStoSreviewSaSprescriptionSforSbloodStransfusion

,3S|SP a g e




(c) interruptingSotherSstaffSmembersSdiscussingSaSclientSinStheScafeteria
(d) reviewingSaSclientsSlabSvaluesSwithStheSnutritionist

, 10. TheSnurseSisSpreparingSaSstaffSpresentationSonSlegalSandSethicalSissuesSinSnursing.S
TheSnurseSwouldSbeScorrectStoSincludeSwhichSofStheSfollowingSexamples?
(a) PuttingSaSclientSinSaSgeriatricSchairSwithStheSlapStraySinSfrontSofStheSclientSinStheSdaySr
oomStoSwatchStelevisionSisSfalseSimprisonment
(b) TellingSaSclientSthatSyouSwillSputSinSaSfeedingStubeSifStheSclientSdoesSnotSeatSisSanS
exampleSofSbattery
(c) TellingSaSclientSwithSbipolarSdisorderSwhoSisSsuicidalSthatStheyShaveSaSrightStoSrefuseSt
oStakeStheirSmedicationsSisSanSexampleSofSmalpractice
(d) PlacingShandsSonSaSclientSwhoSsaysS―doSnotStouchSme‖SisSanSexampleSofSassault

11. TheSnurseSfromStheSpediatricSunitShasSbeenStemporarilySassignedStoStheSEmergencyS
Department.SItSwouldSbeSmostSappropriateStoSassignSthatSnurseStoStheSclientSwho*
(a) reportsSepigastricSpainSthatS―feelsSlikeSindigestion‖
(b) hasSbackSpainSandSaSpulsatingSabdominalSmass
(c) isSHIV+SreportingSvomitingSandSdiarrhea
(d) presentsSwithSlowerSabdominalSpainSandSisSsixSweeksSpregnant
12. FourSclientsSrecentlySreturnedStoStheSunitSfollowingSinvasiveSdiagnosticStesting.S TheS
nurseSshouldSimmediatelySinterveneSifSoneSofStheSclients
(a) reportsSbloodStingedSsputumSfollowingSaSbronchoscopy
(b) hasSdecreasedSabdominalSgirthSfollowingSparacentesis
(c) reportsSaSheadacheSfollowingSaSlumbarSpuncture
(d) isSobservedSflexingSandSextendingStheSlegsStwoShoursSafterScardiacScatheterization

13. TheSnurseSisSmadeSawareSofStheSfollowingSsituations.S TheSnurseSshouldSfiSrstScheckSt
heSclientSwho
(a) hadSaStransurethralSprostatectomyS(TURP)SandSisSreportingSurinarySdribblingStwoS
hoursSafterStheSindwellingScatheterSisSremoved
(b) hasScervicalStractionSandSisSmovingStheSlegsSbySflSexingSandSextendingStheSfeet
(c) hasSAlzheimer‘sSdiseaseS(stageS1)SandSwasSreturnedStoStheSroomSafterSbeingSfoundS
wanderingSinStheShallway
(d) hasSaShistorySofSpartialSseizuresSandSisSsittingSinStheSbedSpickingSatStheSclothingSandS
smackingStheSlips

14. TheSnurseSinSaScommunityShealthSclinicSisStalkingSwithStheSparentSofSaSchildSwithS
CeliacSDisease.S WhichSofStheSfollowingSstatementsSwouldSrequireSfollow-upSbySthe


3