EXIT HESI - Comprehensive PN Exam A Practice Questions
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1. 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?: A multiparous client who is
dilated 5 cm and 50% effaced
2. A client with human immunodeficiency virus (HIV) infection has white lesions
in the oral cavity that resemble milk curds. Nystatin (Mycostatin) preparation
is prescribed as a swish and swallow. Which information is most important for
the nurse to provide the client?: Oral hygiene should be performed before the medication.
3. A client who is admitted with emphysema is having difficulty breathing. In
which position should the nurse place the client?: Sitting upright and forward with both arms
supported on an over the bed table
4. A client with chronic renal insufficiency (CRI) is taking 25 mg of hydrochloroth-
iazide (HCTZ) PO and 40 mg of furosemide (Lasix) PO daily. 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 level?: The client's renal function has affected his potassium level.
5. A registered nurse (RN) delivers telehealth services to clients via electronic
communication. Which nursing action creates the greatest risk for professional
liability and has the potential for a malpractice lawsuit?: Sending medical records to health
care providers via the Internet
6. Which pathophysiologic response supports the contraindication for opioids,
such as morphine, in clients with increased intracranial pressure (ICP)?
A.Sedation produced by opioids is a result of a prolonged half-life when the ICP
is elevated.
B.Higher doses of opioids are required when cerebral blood flow is reduced by
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.: D
The greatest risk associated with opioids such as morphine (D) is respiratory depression that causes an increase in Pco2,
, EXIT HESI - Comprehensive PN Exam A Practice Questions
Study online at https://quizlet.com/_89tlc7
which increases ICP and masks the early signs of intracranial bleeding in head injury. (A, B, and C) do not support the
risks associated with opioid use in a client with increased ICP.
7. The charge nurse of a medical surgical unit is alerted to an impending dis-
aster requiring implementation of the hospital's disaster plan. Specific facts
about the nature of this disaster are not yet known. Which instruction should
the charge nurse give to the other staff 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 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.: D
When faced with an impending disaster, hospital personnel may be alerted but should continue with current client care
assignments until further instructions are received (D). Evacuation is typically a response of last resort that begins with
clients who are most able to ambulate (A). (B) is premature and is likely to increase the chaos if incoming casualties
are anticipated. (C) is poor utilization of personnel.
8. The nurse assesses a client while the UAP measures the client's vital signs. The
client's vital signs change suddenly, and the nurse determines that the client's
condition is worsening. The nurse is unsure of the client's resuscitative status
and needs to check 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 assessment.
B.Assign the UAP to complete the assessment while the nurse checks for the
advanced directive.
C.Check the medical record for the advanced directive and then complete the
client assessment.
D.Call for the charge nurse to check the advanced directive while continuing
to assess the client.: D
Because the client's condition is worsening, the nurse should remain with the client and continue the assessment while
, EXIT HESI - Comprehensive PN Exam A Practice Questions
Study online at https://quizlet.com/_89tlc7
calling for help from the charge nurse to determine the client'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.
9. 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
than the UAP?
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 support.: D
By using therapeutic techniques to offer support (D), the nurse can determine any client concerns that need to be
addressed. (A, B, and C) are all actions that can be performed by the UAP under the supervision of the nurse.
10. Until the census on the obstetrics (OB) unit increases, an unlicensed assistive
personnel (UAP) who usually works in labor and delivery and the newborn
nursery is assigned to work on the postoperative unit. Which client would be
best for the charge nurse to assign to this UAP?
A.An adolescent who was readmitted to the hospital because of a postopera-
tive infection
B.A woman with a new colostomy who requires discharge teaching
C.A woman who had a hip replacement and may be transferred to the home
care unit
D.A man who had a cholecystectomy and currently has a nasogastric tube set
to intermittent suction: C
The charge nurse will be responsible for providing a report to the home care unit if the transfer occurs (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 to the OB unit (B). This requires the skills of a registered nurse (RN) to do discharge teaching and provide
emotional support (D). This may require skills beyond the level of this UAP.
11. A male client is admitted for observation after being hit on the head with a
baseball bat. Six hours after admission, the client attempts to crawl out of bed
and asks the nurse why there are so many bugs in his bed. His vital signs are
stable, and the pulse oximeter reading is 98% on room air. Which intervention
Study online at https://quizlet.com/_89tlc7
1. 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?: A multiparous client who is
dilated 5 cm and 50% effaced
2. A client with human immunodeficiency virus (HIV) infection has white lesions
in the oral cavity that resemble milk curds. Nystatin (Mycostatin) preparation
is prescribed as a swish and swallow. Which information is most important for
the nurse to provide the client?: Oral hygiene should be performed before the medication.
3. A client who is admitted with emphysema is having difficulty breathing. In
which position should the nurse place the client?: Sitting upright and forward with both arms
supported on an over the bed table
4. A client with chronic renal insufficiency (CRI) is taking 25 mg of hydrochloroth-
iazide (HCTZ) PO and 40 mg of furosemide (Lasix) PO daily. 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 level?: The client's renal function has affected his potassium level.
5. A registered nurse (RN) delivers telehealth services to clients via electronic
communication. Which nursing action creates the greatest risk for professional
liability and has the potential for a malpractice lawsuit?: Sending medical records to health
care providers via the Internet
6. Which pathophysiologic response supports the contraindication for opioids,
such as morphine, in clients with increased intracranial pressure (ICP)?
A.Sedation produced by opioids is a result of a prolonged half-life when the ICP
is elevated.
B.Higher doses of opioids are required when cerebral blood flow is reduced by
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.: D
The greatest risk associated with opioids such as morphine (D) is respiratory depression that causes an increase in Pco2,
, EXIT HESI - Comprehensive PN Exam A Practice Questions
Study online at https://quizlet.com/_89tlc7
which increases ICP and masks the early signs of intracranial bleeding in head injury. (A, B, and C) do not support the
risks associated with opioid use in a client with increased ICP.
7. The charge nurse of a medical surgical unit is alerted to an impending dis-
aster requiring implementation of the hospital's disaster plan. Specific facts
about the nature of this disaster are not yet known. Which instruction should
the charge nurse give to the other staff 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 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.: D
When faced with an impending disaster, hospital personnel may be alerted but should continue with current client care
assignments until further instructions are received (D). Evacuation is typically a response of last resort that begins with
clients who are most able to ambulate (A). (B) is premature and is likely to increase the chaos if incoming casualties
are anticipated. (C) is poor utilization of personnel.
8. The nurse assesses a client while the UAP measures the client's vital signs. The
client's vital signs change suddenly, and the nurse determines that the client's
condition is worsening. The nurse is unsure of the client's resuscitative status
and needs to check 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 assessment.
B.Assign the UAP to complete the assessment while the nurse checks for the
advanced directive.
C.Check the medical record for the advanced directive and then complete the
client assessment.
D.Call for the charge nurse to check the advanced directive while continuing
to assess the client.: D
Because the client's condition is worsening, the nurse should remain with the client and continue the assessment while
, EXIT HESI - Comprehensive PN Exam A Practice Questions
Study online at https://quizlet.com/_89tlc7
calling for help from the charge nurse to determine the client'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.
9. 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
than the UAP?
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 support.: D
By using therapeutic techniques to offer support (D), the nurse can determine any client concerns that need to be
addressed. (A, B, and C) are all actions that can be performed by the UAP under the supervision of the nurse.
10. Until the census on the obstetrics (OB) unit increases, an unlicensed assistive
personnel (UAP) who usually works in labor and delivery and the newborn
nursery is assigned to work on the postoperative unit. Which client would be
best for the charge nurse to assign to this UAP?
A.An adolescent who was readmitted to the hospital because of a postopera-
tive infection
B.A woman with a new colostomy who requires discharge teaching
C.A woman who had a hip replacement and may be transferred to the home
care unit
D.A man who had a cholecystectomy and currently has a nasogastric tube set
to intermittent suction: C
The charge nurse will be responsible for providing a report to the home care unit if the transfer occurs (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 to the OB unit (B). This requires the skills of a registered nurse (RN) to do discharge teaching and provide
emotional support (D). This may require skills beyond the level of this UAP.
11. A male client is admitted for observation after being hit on the head with a
baseball bat. Six hours after admission, the client attempts to crawl out of bed
and asks the nurse why there are so many bugs in his bed. His vital signs are
stable, and the pulse oximeter reading is 98% on room air. Which intervention
