EXIT HESI - Comprehensive PN Exam
A Practice Questions with 100%
Solution
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? - CORRECT ANSWERS ✔✔A multiparous client who is dilated
5 cm and 50% effaced
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? -
CORRECT ANSWERS ✔✔Oral hygiene should be performed before
the medication.
A client who is admitted with emphysema is having difficulty breathing.
In which position should the nurse place the client? - CORRECT
ANSWERS ✔✔Sitting upright and forward with both arms supported
on an over the bed table
A client with chronic renal insufficiency (CRI) is taking 25 mg of
hydrochlorothiazide (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? - CORRECT ANSWERS ✔✔The client's renal function has
affected his potassium level.
,EXIT HESI - Comprehensive PN Exam
A Practice Questions with 100%
Solution
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? - CORRECT ANSWERS ✔✔Sending medical records to health
care providers 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 ANSWERS ✔✔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.
,EXIT HESI - Comprehensive PN Exam
A Practice Questions with 100%
Solution
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 ANSWERS ✔✔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
, EXIT HESI - Comprehensive PN Exam
A Practice Questions with 100%
Solution
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 ANSWERS ✔✔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.
A Practice Questions with 100%
Solution
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? - CORRECT ANSWERS ✔✔A multiparous client who is dilated
5 cm and 50% effaced
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? -
CORRECT ANSWERS ✔✔Oral hygiene should be performed before
the medication.
A client who is admitted with emphysema is having difficulty breathing.
In which position should the nurse place the client? - CORRECT
ANSWERS ✔✔Sitting upright and forward with both arms supported
on an over the bed table
A client with chronic renal insufficiency (CRI) is taking 25 mg of
hydrochlorothiazide (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? - CORRECT ANSWERS ✔✔The client's renal function has
affected his potassium level.
,EXIT HESI - Comprehensive PN Exam
A Practice Questions with 100%
Solution
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? - CORRECT ANSWERS ✔✔Sending medical records to health
care providers 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 ANSWERS ✔✔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.
,EXIT HESI - Comprehensive PN Exam
A Practice Questions with 100%
Solution
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 ANSWERS ✔✔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
, EXIT HESI - Comprehensive PN Exam
A Practice Questions with 100%
Solution
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 ANSWERS ✔✔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.
