______________________________________
HESI-PN EXIT
EXAM A PRACTICE QUESTION
EXIT HESI-PN EXAM A
QUESTIONS AND VERIFIED ANSWERS|
100% CORRECT| GRADED A+
EXAM COVER SHEET
COURSE NAME: Practical Nursing
EXAM NAME: HESI Exit Exam – Practical Nursing (HESI-PN Exit
Exam A)
HESI-PN EXIT
,A nurse who has recently completed orientation is beginning work
independently in the labor and delivery unit for the first time. The charge
nurse is responsible for assigning clients based on the complexity of care
and the nurse’s level of experience. Several clients are currently admitted to
the unit with varying degrees of acuity and nursing care needs. One client is
in active labor and receiving magnesium sulfate for severe preeclampsia,
another is experiencing variable fetal heart rate decelerations requiring
continuous monitoring, and another has just returned from an emergency
cesarean birth with unstable vital signs. A fourth client is a healthy
multiparous woman in early labor with stable vital signs and a reassuring
fetal heart rate pattern. The charge nurse understands the importance of
assigning stable clients with predictable outcomes to nurses who are newly
independent. Which client should the charge nurse assign to the newly
oriented nurse?
A.A primigravida who is 8 cm dilated after 14 hours of labor
B.A client scheduled for a repeat cesarean 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 - CORRECT-
ANSWERS--D
The new nurse should be assigned the least complicated client to gain
experience and confidence, as well as protect client safety. Of the clients
available for assignment, (D) is progressing well and is the least
complicated. (A, B and C) have actual or potential complications and should
be assigned to a more experienced nurse.
A client with human immunodeficiency virus (HIV) infection reports
soreness in the mouth and difficulty eating because of painful white patches
inside the oral cavity. During the assessment, the nurse observes thick white
,lesions on the tongue and buccal mucosa that resemble milk curds and are
consistent with oral candidiasis (thrush). The health care provider prescribes
nystatin (Mycostatin) oral suspension to be used as a “swish and swallow”
medication. The nurse is preparing to educate the client about the proper
administration of the medication to ensure maximum therapeutic
effectiveness. The client asks how the medication should be taken and
whether any special precautions are necessary after administration. The
nurse understands that proper technique is essential to allow the
medication adequate contact time with the oral lesions. Which information
is most important for the nurse to provide to the client regarding the use of
nystatin oral suspension?
A.Oral hygiene should be performed before the medication. B.Antifungal
medications are available in tablet, suppository, and liquid forms.
C.Candida albicans is the organism that causes the white lesions in the
mouth.
D.The dietary intake of dairy and spicy foods should be limited. - CORRECT-
ANSWERS--A
HIV infection causes depression of cell-mediated immunity that allows an
overgrowth of Candida albicans (oral moniliasis), which appears as white,
cheesy plaque or lesions that resemble milk curds. To ensure effective
contact of the medication with the oral lesions, oral liquids should be
consumed and oral hygiene performed before swishing the liquid
Mycostatin (A). (B and C) provide the client with additional information
about the pathogenesis and treatment of opportunistic infections, but (A)
allows the client to participate in self-care of the oral infection. Dietary
restriction of spicy foods reduces discomfort associated with stomatitis, but
restriction of dairy products is not indicated (D).
, A client who is admitted with emphysema is having difficulty breathing. In
which position should the nurse place the client?
A.High Fowler's position without a pillow behind the head
B.Semi-Fowler's position with a single pillow behind the head
C.Right side-lying position with the head of the bed elevated 45 degrees
D.Sitting upright and forward with both arms supported on an over the bed
table - CORRECT-ANSWERS--D
Adequate lung expansion is dependent on deep breaths that allow the
respiratory muscles to increase the longitudinal and anterior-posterior size
of the thoracic cage. Sitting upright and leaning forward with the arms
supported on an over the bed table (D) allows the thoracic cage to expand
in all four directions and reduces dyspnea. A high Fowler's position does not
allow maximum expansion of the posterior lobes of the lungs (A). A semi-
Fowler's position restricts expansion of the anterior-posterior diameter of
the thoracic cage (B). Positioning a client on the right side with the head of
the bed elevated (C) does not facilitate lung expansion.
A client with chronic renal insufficiency (CRI) arrives at the outpatient clinic
for a routine follow-up appointment. The client reports taking prescribed
medications consistently, including hydrochlorothiazide (HCTZ) 25 mg orally
each day and furosemide (Lasix) 40 mg orally daily for fluid and blood
pressure management. Laboratory studies obtained during the visit reveal a
serum potassium level of 4 mEq/L, which falls within the normal reference
range. The nurse recognizes that both hydrochlorothiazide and furosemide
are potassium-wasting diuretics that commonly lower serum potassium
levels. However, the client’s chronic renal insufficiency can alter the kidneys’
ability to excrete potassium effectively. The nurse considers how impaired
HESI-PN EXIT
EXAM A PRACTICE QUESTION
EXIT HESI-PN EXAM A
QUESTIONS AND VERIFIED ANSWERS|
100% CORRECT| GRADED A+
EXAM COVER SHEET
COURSE NAME: Practical Nursing
EXAM NAME: HESI Exit Exam – Practical Nursing (HESI-PN Exit
Exam A)
HESI-PN EXIT
,A nurse who has recently completed orientation is beginning work
independently in the labor and delivery unit for the first time. The charge
nurse is responsible for assigning clients based on the complexity of care
and the nurse’s level of experience. Several clients are currently admitted to
the unit with varying degrees of acuity and nursing care needs. One client is
in active labor and receiving magnesium sulfate for severe preeclampsia,
another is experiencing variable fetal heart rate decelerations requiring
continuous monitoring, and another has just returned from an emergency
cesarean birth with unstable vital signs. A fourth client is a healthy
multiparous woman in early labor with stable vital signs and a reassuring
fetal heart rate pattern. The charge nurse understands the importance of
assigning stable clients with predictable outcomes to nurses who are newly
independent. Which client should the charge nurse assign to the newly
oriented nurse?
A.A primigravida who is 8 cm dilated after 14 hours of labor
B.A client scheduled for a repeat cesarean 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 - CORRECT-
ANSWERS--D
The new nurse should be assigned the least complicated client to gain
experience and confidence, as well as protect client safety. Of the clients
available for assignment, (D) is progressing well and is the least
complicated. (A, B and C) have actual or potential complications and should
be assigned to a more experienced nurse.
A client with human immunodeficiency virus (HIV) infection reports
soreness in the mouth and difficulty eating because of painful white patches
inside the oral cavity. During the assessment, the nurse observes thick white
,lesions on the tongue and buccal mucosa that resemble milk curds and are
consistent with oral candidiasis (thrush). The health care provider prescribes
nystatin (Mycostatin) oral suspension to be used as a “swish and swallow”
medication. The nurse is preparing to educate the client about the proper
administration of the medication to ensure maximum therapeutic
effectiveness. The client asks how the medication should be taken and
whether any special precautions are necessary after administration. The
nurse understands that proper technique is essential to allow the
medication adequate contact time with the oral lesions. Which information
is most important for the nurse to provide to the client regarding the use of
nystatin oral suspension?
A.Oral hygiene should be performed before the medication. B.Antifungal
medications are available in tablet, suppository, and liquid forms.
C.Candida albicans is the organism that causes the white lesions in the
mouth.
D.The dietary intake of dairy and spicy foods should be limited. - CORRECT-
ANSWERS--A
HIV infection causes depression of cell-mediated immunity that allows an
overgrowth of Candida albicans (oral moniliasis), which appears as white,
cheesy plaque or lesions that resemble milk curds. To ensure effective
contact of the medication with the oral lesions, oral liquids should be
consumed and oral hygiene performed before swishing the liquid
Mycostatin (A). (B and C) provide the client with additional information
about the pathogenesis and treatment of opportunistic infections, but (A)
allows the client to participate in self-care of the oral infection. Dietary
restriction of spicy foods reduces discomfort associated with stomatitis, but
restriction of dairy products is not indicated (D).
, A client who is admitted with emphysema is having difficulty breathing. In
which position should the nurse place the client?
A.High Fowler's position without a pillow behind the head
B.Semi-Fowler's position with a single pillow behind the head
C.Right side-lying position with the head of the bed elevated 45 degrees
D.Sitting upright and forward with both arms supported on an over the bed
table - CORRECT-ANSWERS--D
Adequate lung expansion is dependent on deep breaths that allow the
respiratory muscles to increase the longitudinal and anterior-posterior size
of the thoracic cage. Sitting upright and leaning forward with the arms
supported on an over the bed table (D) allows the thoracic cage to expand
in all four directions and reduces dyspnea. A high Fowler's position does not
allow maximum expansion of the posterior lobes of the lungs (A). A semi-
Fowler's position restricts expansion of the anterior-posterior diameter of
the thoracic cage (B). Positioning a client on the right side with the head of
the bed elevated (C) does not facilitate lung expansion.
A client with chronic renal insufficiency (CRI) arrives at the outpatient clinic
for a routine follow-up appointment. The client reports taking prescribed
medications consistently, including hydrochlorothiazide (HCTZ) 25 mg orally
each day and furosemide (Lasix) 40 mg orally daily for fluid and blood
pressure management. Laboratory studies obtained during the visit reveal a
serum potassium level of 4 mEq/L, which falls within the normal reference
range. The nurse recognizes that both hydrochlorothiazide and furosemide
are potassium-wasting diuretics that commonly lower serum potassium
levels. However, the client’s chronic renal insufficiency can alter the kidneys’
ability to excrete potassium effectively. The nurse considers how impaired
