EXIT HESI - PN COMPLETE PRACTICE
QUESTIONS WITH QUESTIONS AND
CORRECT ANSWERS WITH DETAILED
RATIONALLES GRADED A+|GUARANTEED
PASS > >2026 BRAND NEW VERSION!!
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?
A.Participating in telephone consultations with clients
B.Identifying oneself by name and title to clients in telehealth
communications
C.Sending medical records to health care providers via the
Internet
D.Answering a client-initiated health question via electronic mail
Correct Answer C
Sending medical records over the Internet, even with the
latest security protection, creates the greatest risk for
liability because of the high potential of breaching client
confidentiality and the amount of information being
,transferred (C). Client confidentiality is protected by federal
wiretapping laws making telephone consultation (A) a private
and protected form of communication. By stating one's name
and credentials in telehealth communication (B), one is
taking responsibility for the encounter. E-mail initiated by the
client (D) poses less risk than sending records via the
Internet.
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. Correct Answer D
The greatest risk associated with opioids such as morphine
(D) is respiratory depression that causes an increase in
Pco2, 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.
,The charge nurse of a medical surgical unit is alerted to an
impending disaster 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. Correct Answer 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.
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. Correct Answer D
Because the client's condition is worsening, the nurse
should remain with the client and continue the assessment
while 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.
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. Correct Answer D
QUESTIONS WITH QUESTIONS AND
CORRECT ANSWERS WITH DETAILED
RATIONALLES GRADED A+|GUARANTEED
PASS > >2026 BRAND NEW VERSION!!
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?
A.Participating in telephone consultations with clients
B.Identifying oneself by name and title to clients in telehealth
communications
C.Sending medical records to health care providers via the
Internet
D.Answering a client-initiated health question via electronic mail
Correct Answer C
Sending medical records over the Internet, even with the
latest security protection, creates the greatest risk for
liability because of the high potential of breaching client
confidentiality and the amount of information being
,transferred (C). Client confidentiality is protected by federal
wiretapping laws making telephone consultation (A) a private
and protected form of communication. By stating one's name
and credentials in telehealth communication (B), one is
taking responsibility for the encounter. E-mail initiated by the
client (D) poses less risk than sending records via the
Internet.
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. Correct Answer D
The greatest risk associated with opioids such as morphine
(D) is respiratory depression that causes an increase in
Pco2, 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.
,The charge nurse of a medical surgical unit is alerted to an
impending disaster 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. Correct Answer 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.
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. Correct Answer D
Because the client's condition is worsening, the nurse
should remain with the client and continue the assessment
while 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.
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. Correct Answer D
