(COMPLETE) PN HESI EXIT EXAM VERSIONS V1, V2, V3, V4, V5, V6, V7, V8, V9 V10, V11, V12, V13 & V14 QUESTIONS & ANSWERS GUARANTEE A+ SCORE| 2024 UPDATE |OVER 2000 QUESTIONS Contents V1>>HESI Comprehensive Exit Exam 1 (And Rationale) ................................ ................................ ............... 2 V2>>EXIT HESI - Comprehensive PN Exam A Practice Questions ................................ ............................... 31 V3>>HESI 700 Exit Practice Test ................................ ................................ ................................ .................. 55 V4>>EXIT HESI Comprehensive B Evolve Practice Questions With Rationale ................................ .......... 222 V5>>HESI TERM 2 EXIT ................................ ................................ ................................ .............................. 245 V6>>Exit HESI V1 ................................ ................................ ................................ ................................ ....... 253 V7>>LPN study exit test ................................ ................................ ................................ ............................ 284 V8>>HESI Exit Practice Questions and Rationale ................................ ................................ ...................... 303 V9>>Exit HESI PN ................................ ................................ ................................ ................................ ....... 334 V10>>HESI Exit Practice Questions and Rationale |160 COMPLETE QUESTIONS ................................ .... 366 V11>>Hesi Exit Exam 2023 ................................ ................................ ................................ ........................ 400 V12>>Exit Hesi Practice Questions ................................ ................................ ................................ ........... 422 V13>>PN Hesi Exit Exam ................................ ................................ ................................ ........................... 441 V14> >EXIT HESI -PN Exam A PRACTICE QUESTION with Rationale ................................ .......................... 464 V1>> HESI Comprehensive Exit Exam 1 (And Rationale) Terms in this set (125) The nurse is monitoring neurological vital signs for a male client who lost consciousness after falling and hitting his head. Which assessment finding is the earliest and most sensitive indication of altered cerebral function? a. Unequal pupils. b. Loss of central refl exes. c. Inability to open the eyes. d. Change in level of consciousness. D (Neurological vital signs include serial assessments of TPR, blood pressure, and components of the Glasgow coma scale (GCS), which includes verbal, musculoskeletal, and pupillary responses. A change in the client's level of consciousness, as indicated by responses to commands during the GCS, is the first and the most sensitive sign of change in cerebral function. The other assessment data choices are late signs of altered cerebral function.) A nurse is planning to teach self -care measures to a female client about prevention of yeast infections. Which instructions should the nurse provide? a. Use a douche preparation no more than once a month. b. Increase daily intake of f iber and leafy green vegetables. c. Select nylon underwear that is loose -fitting, white, and comfortable. d. Avoid tight -fitting clothing and do not use bubble -bath or bath salts. D (A common genital tract infection in females is candidiasis, which is an overgrowth of the normal vaginal flora of Candida albicans that thrives in an environment that is warm and moist and is perpetuated by tight -fitting clothing, underwea r, or pantyhose mad e of nonabsorbent materials. The client should wear clothing that is loose fitting and absorbent, such as cotton underwea r, and avoid using bubble -bath or bath salts which further irritate sensitive genital tissue. Douching is not recommended because it ca n irritate vaginal tissue, alter pH, and contribute to fungal growth. While increasing dietary fiber intake encourages health y, nutritional guidelines, it is not the focus of the teaching. Cotton, not nylon undergarments, provide absorbancy and reduce mois ture in the perineal area.) A client who has active tuberculosis (TB) is admitted to the medical unit. What action is most important for the nurse to implement? a. Place an isolation cart in the hallwa y. b. Fit the client with a respirator mask. c. Don a clean gown for client care. d. Assign the client to a negative air -flow room. D (Active tuberculosis requires implementation of airborne precautions, so the client should be assigned to a negative pressure air-flow room. Although isolation gowns and isolation carts should be implemented for clients in isolation with contact precautions, it is most important that air flow f rom the room is minimized when the client has TB. The respirator mask should be implemented when the client leaves the isolation en vironment.) The nurse is planning to conduct nutritional assessments and diet teaching to clients at a family health clinic. Which individual has the greatest nutritional and energy demands? a. A pregnant woman. b. A teenager beginning pubert y. c. A 3-month -old infant. d. A school -aged child. A A pregnant woman's metabolic demands are 20 to 24% more than the basic metabolic rate. The other clients require only 15 to 20% more than the basic metabolic rate. What nursing delivery of care provides the nurse to plan and direct care of a group of clients over a 24 -hour period? a. Team nursing. b. Primary nursing. c. Case management. d. Functional nursing. B (Primary nursing is a model of delivery of care where a nurse is accountable for planning care for clients around the clock. Functional nursing is a care delivery model that provides client care by assignment of functions or tasks. Team nursing is a care delivery model where assignments to a group of clients are provided by a mixed -staff team. Case management is the delivery of care that uses a collaborative process of assessment, planning, facilitation, and advocacy for options and services to meet an individual's health needs and promote quality cost -effective outcomes.) Which approa ch should the nurse use when preparing a toddler for a procedure? a. Demonstrate the procedure using a doll. b. Avoid asking the child to make choices. c. Plan a teaching session to last about 20 minutes. d. Show equipment but prevent child from handling it. A (Imitation is one of the most distinguishing characteristics of toddler pla y, so demonstration of a procedure on a doll enables a non -threatening, dramatic experience that can help prepare the toddler for the actual procedure. The primary developmental task in toddlerhood is acquiring a sense of autonom y, so giving choices whenever possible to a toddler is recommended, not avoiding asking the toddler to make a choice. Since th e toddler's attention span is short, teaching sessions should be brief and can be repeated for reinforcement. Showing the equipment before its use helps relieve anxiet y, but the child should be allowed to handle some of the equipment to prevent frustration and alleviate fea r.) The nurse is caring for a client who is t he daughter of a local politician. When the nurse approaches a man who is reading the names on the hall doors, he identifies himself as a reporter for the local newspaper and requests information about the client's status. Which standard of nursing practic e should the nurse use to respond? a. Caring. b. Veracit y. c. Advocac y. d. Confidentialit y. D (Confidentiality is the nurse's primary responsibility and is supported by HI PAA, which mandates that personal information is not disclosed and access to sensitive client information is limited. Caring involves the nurse's concern about how the client experiences the world. Veracity is the nurse's duty to tell the truth and not dece ive others. Advocacy is support of the client's best interests.) A male client diagnosed with antisocial personality disorder is morbidly obese and is placed on a low fat, low calorie diet. At dinner the nurse notes that he is trying to get other clients on the unit to give him part of their meals. What intervention should the nurse implement? a. Remove the client from the table and have him sit alone. b. Send the client back to his room and do not allow him to eat. c. Report the behavior to the on -call psychologist immediatel y. d. Confront the client about the consequences of the behavio r. D (The nurse should provide a reality check by helping the client realize that there are consequences to his behavio r. Removing the client from the room or table does not help the client realize that his behavior is manipulative and harmful to himself as well as others. This behavior needs to be documented, but does not need to be reported immediatel y.) The nurse is assessing a client who complains of weight loss , racing heart rate, and di fficulty sleeping. The nurse determines the client has moist skin with fine hai r, prominent eyes, lid retraction, and a staring expression. These findings are consistent with which disorder? a. Grave's disease. b. Cushing syndrome. c. Multiple sclerosis. d. Addison's disease. A (This client is exhibiting symptoms associated with hyperthyroidism or Grave's disease, which is an autoimmune condition a ffecting the thyroid. Cushing syndrome, multiple sclerosis, or Addison's d isease are not associated with these symptoms.)
