HESI PN EXIT LATEST EXAM 2024-
vg vg vg vg vg
2025
HESI PN EXIT EXAM V2
Anvgoldervgadultvgclientvgwhovgresidesvginvgavglongvgtermvgcarevgfacilityvghasvgavgfriendvgofvgthevgoppositevgsexvgwhovgoftenvgv
isitsvginvgthevgevenings.vgThevgpracticalvgnursevg(PN)vgentersvgthevgclient'svgroomvgtovgadministervgmedicationsvgandvgfindsv
gthevgcouplevginvgbedvgtogether.vgWhichvgactionvgshouldvgthevgPNvgtake?
A.vgRequestvgthatvgthevgfriendvggetvgupvgandvgleave.
B.vgExitvgthevgroomvgandvgquietlyvgclosevgthevgdoor.vg
C.vgReportvgthevgincidentvgtovgthevgfamily.
D.vgAskvgwhenvgthevgnursevgshouldvgreturn.vg-vganswer--B.vgExitvgthevgroomvgandvgquietlyvgclosevgthevgdoor.
Avgfemalevgclientvgwhovgisvgscheduledvgtovgbevgdischargedvgwithinvgseveralvghoursvgshowsvgthevgpracticalvgnursevg(PN)vgavg
knifevgonvghervgtrayvgandvgstatesvgthatvgshevgcouldvgusevgitvgtovgcutvgherself.vgWhatvginterventionvgisvgmostvgimportantvgforvgt
hevgPNvgtovgimplement?
AvgInformvgthevghealthcarevgprovidervgwhovgdischargedvgthevgclient.
BvgIncludevgguidelinesvgforvgcopingvginvgthevgdischargevgplan.
CvgInformvgthevgfamilyvgofvgthevgclient'svgstatement.
DvgCallvgdietaryvgandvgaskvgthemvgtovgsendvgplasticvgutensils.vg-vganswer--
AvgInformvgthevghealthcarevgprovidervgwhovgdischargedvgthevgclient.
•vgAvgRemindvgthevgclientvgthatvgthevgactionvgofvgthevgeyevgdropsvgisvgtovgdecreasevginternalvgeyevgpressure.
•vgBvgAskvgthevgclientvgtovgdescribevgthevgintensityvgofvgthevgeyevgpainvgusingvgthevgnumericalvgpainvgscale.
•vgCvgDocumentvginvgthevgchartvgthatvgthevgclientvgunderstandsvgthevgactionvgandvgusevgofvgthevgeyevgdrops.
•vgDvgClarifyvgwithvgthevgclientvgthatvgeyevgpainvginvgglaucomavgisvguncommonvgsovgdropsvgarevgrarelyvgneeded.vg-vganswer--
HistoryvgandvgPhysical
Thevgclientvgisvgavg2-year-
oldvgwhovgfellvginvgavgpool.vgHevgwasvgretrievedvgfromvgthevgpoolvgbyvgavgfamilyvgmembervgbutvgwasvgnotvgbreathing.vgThevgfa
milyvgmembervgstartedvgcardiopulmonaryvgresuscitationvg(CPR)vgandvgthevgambulancevgbroughtvghimvgtovgthevghospital.vg
ReviewvgHvgandvgP.
Whatvgfactorsvgarevgimportantvginvgdeterminingvglevelvgofvghypoxemiavgthatvgthevgchildvgmayvghavevgexperiencedvgduringvgt
hevgsubmersion?
Selectvgallvgthatvgapply.
AvgThevgamountvgofvgtimevgthevgchildvgwasvgsubmerged
BvgWhethervgorvgnotvganyonevgwitnessedvgthevgfallvgintovgthevgpool|
CvgThevgweightvgofvgthevgchild
DvgOxygenvgconcentrationvgofvgthevgambientvgair
EvgTemperaturevgofvgwatervg-vganswer--AvgThevgamountvgofvgtimevgthevgchildvgwasvgsubmerged
EvgTemperaturevgofvgwater
HistoryvgandvgPhysical
1vg/vg9
, HESI PN EXIT LATEST EXAM 2024-
vg vg vg vg vg
2025
Nurses'vgNote
1430
Thevgparentsvgarevgatvgthevgbedsidevgandvgstatevgthatvgeachvgparentvgthoughtvgthevgothervgparentvgwasvgwatchingvgthevgchil
d.vgTheyvgarevgnotvgsurevghowvglongvghevgwasvginvgthevgpoolvgorvghowvghevgmightvghavevgfallenvgin.vgThevgtemperaturevgofvgth
evgpoolvgwasvgasvgcoolvgasvgthevgtemperaturevgoutside,vgaboutvg64°vgFvg(17.8°C).vg
ReviewvgHvgandvgPvgandvgnurse'svgnote.
Whatvgarevgthevgfirstvgfourvgactionsvgthatvgthevgpracticalvgnursevg(PN)vgshouldvgdo?
AvgLookvgforvganyvgopenvgwounds
BvgDeterminevgifvgthevgchild'svgairwayvgisvgclear
CvgCallvgchildvgprotectivevgservices
DvgPlacevgavgcervicalvgcollarvgonvgthevgclient
EvgStartvgavgperipheralvgintravenousvgline
FvgTakevgthevgchild'svgpulsevg-vganswer--BvgDeterminevgifvgthevgchild'svgairwayvgisvgclear
FvgTakevgthevgchild'svgpulse
DvgPlacevgavgcervicalvgcollarvgonvgthevgclient
EvgStartvgavgperipheralvgintravenousvgline
HistoryvgandvgPhysica
Nurses'vgNotesvgOrders
Thevgclientvgisvgavg2-year-
oldvgwhovgfellvginvgavgpool.vgHevgwasvgretrievedvgfromvgthevgpoolvgbyvgavgfamilyvgmembervgbutvgwasvgnotvgbreathing.vgThevgfa
milyvgmembervgstartedvgcardiopulmonaryvgresuscitationvg(CPR)vgandvgthevgambulancevgbroughtvghimvgtovgthevghospital.vg
ReviewvgHvgandvgP,vgnurse'svgnotes,vgandvgorders.
Choosevgthevgmostvglikelyvgoptionsvgforvgthevginformationvgmissingvgfromvgthevgstatementvgbyvgselectingvgfromvgthevglistsvgo
fvgoptionsvgprovided.
Whenvgreviewingvgthevglabvgresults,vgthevgpracticalvgnursevg(PN)vgwouldvgexpectvgthevgchildvgtovghave
SelectvgResponsevgv
relatedvgto
SelectvgResponsevgy
duringvgthevgsubmersion.vg-vganswer--
PatientvgData
HistoryvgandvgPhysical
Nurses'vgNotes
Orders
1430
Thevgparentsvgarevgatvgthevgbedsidevgandvgstatevgthatvgeachvgparentvgthoughtvgthevgothervgparentvgwasvgwatchingvgthevgchil
d.vgTheyvgarevgnotvgsurevghowvglongvghevgwasvginvgthevgpoolvgorvghowvghevgmightvghavevgfallenvgin.vgThevgtemperaturevgofvgth
evgpoolvgwasvgasvgcoolvgasvgthevgtemperaturevgoutside,vgaboutvg64°vgFvg(17.8°vgC).
Placedvgavgcervicalvgcollarvgwithvgthevgassistancevgofvgthevgphysician.vgThevgchild'svgheartvgratevgisvg121vgbeats/
minute,vgairwayvgisvgpatent,vgandvgtherevgarevgnovgsignsvgofvganyvgbleeding.vg
Choosevgthevgmostvglikelyvgoptionsvgforvgthevginformationvgmissingvgfromvgthevgstatementvgbyvgselectingvgfromvgthevglistsvgo
fvgoptionsvgprovidedvg
Whenvgreviewingvgthevglabvgresults,vgthevgpracticalvgnursevg(PN)vgwouldvgexpectvgthevgchildvgtovghavevgSelectvgResponsevg
relatedvgtovgSelectvgResponsevgv
duringvgthevgsubmersion.vg-vganswer--Metabolicvgacidosisvgrelatedvgtovghypoxia
2vg/vg9
vg vg vg vg vg
2025
HESI PN EXIT EXAM V2
Anvgoldervgadultvgclientvgwhovgresidesvginvgavglongvgtermvgcarevgfacilityvghasvgavgfriendvgofvgthevgoppositevgsexvgwhovgoftenvgv
isitsvginvgthevgevenings.vgThevgpracticalvgnursevg(PN)vgentersvgthevgclient'svgroomvgtovgadministervgmedicationsvgandvgfindsv
gthevgcouplevginvgbedvgtogether.vgWhichvgactionvgshouldvgthevgPNvgtake?
A.vgRequestvgthatvgthevgfriendvggetvgupvgandvgleave.
B.vgExitvgthevgroomvgandvgquietlyvgclosevgthevgdoor.vg
C.vgReportvgthevgincidentvgtovgthevgfamily.
D.vgAskvgwhenvgthevgnursevgshouldvgreturn.vg-vganswer--B.vgExitvgthevgroomvgandvgquietlyvgclosevgthevgdoor.
Avgfemalevgclientvgwhovgisvgscheduledvgtovgbevgdischargedvgwithinvgseveralvghoursvgshowsvgthevgpracticalvgnursevg(PN)vgavg
knifevgonvghervgtrayvgandvgstatesvgthatvgshevgcouldvgusevgitvgtovgcutvgherself.vgWhatvginterventionvgisvgmostvgimportantvgforvgt
hevgPNvgtovgimplement?
AvgInformvgthevghealthcarevgprovidervgwhovgdischargedvgthevgclient.
BvgIncludevgguidelinesvgforvgcopingvginvgthevgdischargevgplan.
CvgInformvgthevgfamilyvgofvgthevgclient'svgstatement.
DvgCallvgdietaryvgandvgaskvgthemvgtovgsendvgplasticvgutensils.vg-vganswer--
AvgInformvgthevghealthcarevgprovidervgwhovgdischargedvgthevgclient.
•vgAvgRemindvgthevgclientvgthatvgthevgactionvgofvgthevgeyevgdropsvgisvgtovgdecreasevginternalvgeyevgpressure.
•vgBvgAskvgthevgclientvgtovgdescribevgthevgintensityvgofvgthevgeyevgpainvgusingvgthevgnumericalvgpainvgscale.
•vgCvgDocumentvginvgthevgchartvgthatvgthevgclientvgunderstandsvgthevgactionvgandvgusevgofvgthevgeyevgdrops.
•vgDvgClarifyvgwithvgthevgclientvgthatvgeyevgpainvginvgglaucomavgisvguncommonvgsovgdropsvgarevgrarelyvgneeded.vg-vganswer--
HistoryvgandvgPhysical
Thevgclientvgisvgavg2-year-
oldvgwhovgfellvginvgavgpool.vgHevgwasvgretrievedvgfromvgthevgpoolvgbyvgavgfamilyvgmembervgbutvgwasvgnotvgbreathing.vgThevgfa
milyvgmembervgstartedvgcardiopulmonaryvgresuscitationvg(CPR)vgandvgthevgambulancevgbroughtvghimvgtovgthevghospital.vg
ReviewvgHvgandvgP.
Whatvgfactorsvgarevgimportantvginvgdeterminingvglevelvgofvghypoxemiavgthatvgthevgchildvgmayvghavevgexperiencedvgduringvgt
hevgsubmersion?
Selectvgallvgthatvgapply.
AvgThevgamountvgofvgtimevgthevgchildvgwasvgsubmerged
BvgWhethervgorvgnotvganyonevgwitnessedvgthevgfallvgintovgthevgpool|
CvgThevgweightvgofvgthevgchild
DvgOxygenvgconcentrationvgofvgthevgambientvgair
EvgTemperaturevgofvgwatervg-vganswer--AvgThevgamountvgofvgtimevgthevgchildvgwasvgsubmerged
EvgTemperaturevgofvgwater
HistoryvgandvgPhysical
1vg/vg9
, HESI PN EXIT LATEST EXAM 2024-
vg vg vg vg vg
2025
Nurses'vgNote
1430
Thevgparentsvgarevgatvgthevgbedsidevgandvgstatevgthatvgeachvgparentvgthoughtvgthevgothervgparentvgwasvgwatchingvgthevgchil
d.vgTheyvgarevgnotvgsurevghowvglongvghevgwasvginvgthevgpoolvgorvghowvghevgmightvghavevgfallenvgin.vgThevgtemperaturevgofvgth
evgpoolvgwasvgasvgcoolvgasvgthevgtemperaturevgoutside,vgaboutvg64°vgFvg(17.8°C).vg
ReviewvgHvgandvgPvgandvgnurse'svgnote.
Whatvgarevgthevgfirstvgfourvgactionsvgthatvgthevgpracticalvgnursevg(PN)vgshouldvgdo?
AvgLookvgforvganyvgopenvgwounds
BvgDeterminevgifvgthevgchild'svgairwayvgisvgclear
CvgCallvgchildvgprotectivevgservices
DvgPlacevgavgcervicalvgcollarvgonvgthevgclient
EvgStartvgavgperipheralvgintravenousvgline
FvgTakevgthevgchild'svgpulsevg-vganswer--BvgDeterminevgifvgthevgchild'svgairwayvgisvgclear
FvgTakevgthevgchild'svgpulse
DvgPlacevgavgcervicalvgcollarvgonvgthevgclient
EvgStartvgavgperipheralvgintravenousvgline
HistoryvgandvgPhysica
Nurses'vgNotesvgOrders
Thevgclientvgisvgavg2-year-
oldvgwhovgfellvginvgavgpool.vgHevgwasvgretrievedvgfromvgthevgpoolvgbyvgavgfamilyvgmembervgbutvgwasvgnotvgbreathing.vgThevgfa
milyvgmembervgstartedvgcardiopulmonaryvgresuscitationvg(CPR)vgandvgthevgambulancevgbroughtvghimvgtovgthevghospital.vg
ReviewvgHvgandvgP,vgnurse'svgnotes,vgandvgorders.
Choosevgthevgmostvglikelyvgoptionsvgforvgthevginformationvgmissingvgfromvgthevgstatementvgbyvgselectingvgfromvgthevglistsvgo
fvgoptionsvgprovided.
Whenvgreviewingvgthevglabvgresults,vgthevgpracticalvgnursevg(PN)vgwouldvgexpectvgthevgchildvgtovghave
SelectvgResponsevgv
relatedvgto
SelectvgResponsevgy
duringvgthevgsubmersion.vg-vganswer--
PatientvgData
HistoryvgandvgPhysical
Nurses'vgNotes
Orders
1430
Thevgparentsvgarevgatvgthevgbedsidevgandvgstatevgthatvgeachvgparentvgthoughtvgthevgothervgparentvgwasvgwatchingvgthevgchil
d.vgTheyvgarevgnotvgsurevghowvglongvghevgwasvginvgthevgpoolvgorvghowvghevgmightvghavevgfallenvgin.vgThevgtemperaturevgofvgth
evgpoolvgwasvgasvgcoolvgasvgthevgtemperaturevgoutside,vgaboutvg64°vgFvg(17.8°vgC).
Placedvgavgcervicalvgcollarvgwithvgthevgassistancevgofvgthevgphysician.vgThevgchild'svgheartvgratevgisvg121vgbeats/
minute,vgairwayvgisvgpatent,vgandvgtherevgarevgnovgsignsvgofvganyvgbleeding.vg
Choosevgthevgmostvglikelyvgoptionsvgforvgthevginformationvgmissingvgfromvgthevgstatementvgbyvgselectingvgfromvgthevglistsvgo
fvgoptionsvgprovidedvg
Whenvgreviewingvgthevglabvgresults,vgthevgpracticalvgnursevg(PN)vgwouldvgexpectvgthevgchildvgtovghavevgSelectvgResponsevg
relatedvgtovgSelectvgResponsevgv
duringvgthevgsubmersion.vg-vganswer--Metabolicvgacidosisvgrelatedvgtovghypoxia
2vg/vg9
