Exam (elaborations)
EXIT HESI - COMPREHENSIVE PN EXAM A PRACTICE QUESTIONS AND ANSWERS WITH SOLUTIONS 2024
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EXIT HESI - COMPREHENSIVE PN EXAM A PRACTICE QUESTIONS AND ANSWERS WITH SOLUTIONS 2024
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EXIT HESI - COMPREHENSIVE PN EXAMA PRACTICE QUESTIONS AND
ANSWERS WITH SOLUTIONS 2024
AJnurseJwhoJhasJrecentlyJcompletedJorientationJisJbeginningJworkJinJtheJlaborJandJdeliveryJunitJforJtheJfirstJ
time.JWhenJmakingJassignments,JwhichJclientJshouldJtheJchargeJnurseJassignJtoJthisJnewJnurse?J-
JANSWERJAJmultiparousJclientJwhoJisJdilatedJ5JcmJandJ50%Jeffaced
AJclientJwithJhumanJimmunodeficiencyJvirusJ(HIV)JinfectionJhasJwhiteJlesionsJinJtheJoralJcavityJthatJresembl
eJmilkJcurds.JNystatinJ(Mycostatin)JpreparationJisJprescribedJasJaJswishJandJswallow.JWhichJinformationJisJm
ostJimportantJforJtheJnurseJtoJprovideJtheJclient?J-
JANSWERJOralJhygieneJshouldJbeJperformedJbeforeJtheJmedication.
AJclientJwhoJisJadmittedJwithJemphysemaJisJhavingJdifficultyJbreathing.JInJwhichJpositionJshouldJtheJnurseJp
laceJtheJclient?J-JANSWERJSittingJuprightJandJforwardJwithJbothJarmsJsupportedJonJanJoverJtheJbedJtable
AJclientJwithJchronicJrenalJinsufficiencyJ(CRI)JisJtakingJ25JmgJofJhydrochlorothiazideJ(HCTZ)JPOJandJ40JmgJofJ
furosemideJ(Lasix)JPOJdaily.JToday,JatJaJroutineJclinicJvisit,JtheJclient'sJserumJpotassiumJlevelJisJ4JmEq/L.JWha
tJisJtheJmostJlikelyJcauseJofJthisJclient'sJpotassiumJlevel?J-
JANSWERJTheJclient'sJrenalJfunctionJhasJaffectedJhisJpotassiumJlevel.
AJregisteredJnurseJ(RN)JdeliversJtelehealthJservicesJtoJclientsJviaJelectronicJcommunication.JWhichJnursingJ
actionJcreatesJtheJgreatestJriskJforJprofessionalJliabilityJandJhasJtheJpotentialJforJaJmalpracticeJlawsuit?J-
JANSWERJSendingJmedicalJrecordsJtoJhealthJcareJprovidersJviaJtheJInternet
WhichJpathophysiologicJresponseJsupportsJtheJcontraindicationJforJopioids,JsuchJasJmorphine,JinJclientsJwi
thJincreasedJintracranialJpressureJ(ICP)?
A.SedationJproducedJbyJopioidsJisJaJresultJofJaJprolongedJhalf-lifeJwhenJtheJICPJisJelevated.
B.HigherJdosesJofJopioidsJareJrequiredJwhenJcerebralJbloodJflowJisJreducedJbyJanJelevatedJICP.
J
C.DysphoriaJfromJopioidsJcontributesJtoJalteredJlevelsJofJconsciousnessJwithJanJelevatedJICP.
J
D.OpioidsJsuppressJrespirations,JwhichJincreasesJPco2JandJcontributesJtoJanJelevatedJICP.J-JANSWERJD
,TheJgreatestJriskJassociatedJwithJopioidsJsuchJasJmorphineJ(D)JisJrespiratoryJdepressionJthatJcausesJanJincre
aseJinJPco2,JwhichJincreasesJICPJandJmasksJtheJearlyJsignsJofJintracranialJbleedingJinJheadJinjury.J(A,JB,JandJC
)JdoJnotJsupportJtheJrisksJassociatedJwithJopioidJuseJinJaJclientJwithJincreasedJICP.
TheJchargeJnurseJofJaJmedicalJsurgicalJunitJisJalertedJtoJanJimpendingJdisasterJrequiringJimplementationJofJt
heJhospital'sJdisasterJplan.JSpecificJfactsJaboutJtheJnatureJofJthisJdisasterJareJnotJyetJknown.JWhichJinstructi
onJshouldJtheJchargeJnurseJgiveJtoJtheJotherJstaffJmembersJatJthisJtime?
A.PrepareJtoJevacuateJtheJunit,JstartingJwithJtheJbedriddenJclients.
B.UAPsJshouldJreportJtoJtheJemergencyJcenterJtoJhandleJtransports.
J
C.TheJlicensedJstaffJshouldJbeginJcountingJwheelchairsJandJIVJpolesJonJtheJunit.
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D.ContinueJwithJcurrentJassignmentsJuntilJmoreJinstructionsJareJreceived.J-JANSWERJD
J
WhenJfacedJwithJanJimpendingJdisaster,JhospitalJpersonnelJmayJbeJalertedJbutJshouldJcontinueJwithJcurren
tJclientJcareJassignmentsJuntilJfurtherJinstructionsJareJreceivedJ(D).JEvacuationJisJtypicallyJaJresponseJofJlastJ
resortJthatJbeginsJwithJclientsJwhoJareJmostJableJtoJambulateJ(A).J(B)JisJprematureJandJisJlikelyJtoJincreaseJth
eJchaosJifJincomingJcasualtiesJareJanticipated.J(C)JisJpoorJutilizationJofJpersonnel.
TheJnurseJassessesJaJclientJwhileJtheJUAPJmeasuresJtheJclient'sJvitalJsigns.JTheJclient'sJvitalJsignsJchangeJsud
denly,JandJtheJnurseJdeterminesJthatJtheJclient'sJconditionJisJworsening.JTheJnurseJisJunsureJofJtheJclient'sJr
esuscitativeJstatusJandJneedsJtoJcheckJtheJclient'sJmedicalJrecordJforJanyJadvancedJdirectives.JWhichJactionJ
shouldJtheJnurseJimplement?
A.AskJtheJUAPJtoJcheckJforJtheJadvancedJdirectiveJwhileJtheJnurseJcompletesJtheJassessment.
B.AssignJtheJUAPJtoJcompleteJtheJassessmentJwhileJtheJnurseJchecksJforJtheJadvancedJdirective.
C.CheckJtheJmedicalJrecordJforJtheJadvancedJdirectiveJandJthenJcompleteJtheJclientJassessment.
D.CallJforJtheJchargeJnurseJtoJcheckJtheJadvancedJdirectiveJwhileJcontinuingJtoJassessJtheJclient.J-
J
ANSWERJD
J
BecauseJtheJclient'sJconditionJisJworsening,JtheJnurseJshouldJremainJwithJtheJclientJandJcontinueJtheJassess
mentJwhileJcallingJforJhelpJfromJtheJchargeJnurseJtoJdetermineJtheJclient'sJresuscitativeJstatusJ(D).J(AJandJB)J
areJtasksJthatJmustJbeJcompletedJbyJaJnurseJandJcannotJbeJdelegatedJtoJtheJUAP.J(C)JisJcontraindicated.
TheJnurseJisJpreparingJaJclientJforJsurgeryJscheduledJinJ2Jhours.JAJUAPJisJhelpingJtheJnurse.JWhichJtaskJisJimp
ortantJforJtheJnurseJtoJperform,JratherJthanJtheJUAP?
, A.RemoveJtheJclient'sJnailJpolishJandJdentures.
B.AssistJtheJclientJtoJtheJrestroomJtoJvoid.
J
C.ObtainJtheJclient'sJheightJandJweight.
J
D.OfferJtheJclientJemotionalJsupport.J-JANSWERJD
J
ByJusingJtherapeuticJtechniquesJtoJofferJsupportJ(D),JtheJnurseJcanJdetermineJanyJclientJconcernsJthatJneedJ
toJbeJaddressed.J(A,JB,JandJC)JareJallJactionsJthatJcanJbeJperformedJbyJtheJUAPJunderJtheJsupervisionJofJtheJ
nurse.
UntilJtheJcensusJonJtheJobstetricsJ(OB)JunitJincreases,JanJunlicensedJassistiveJpersonnelJ(UAP)JwhoJusuallyJ
worksJinJlaborJandJdeliveryJandJtheJnewbornJnurseryJisJassignedJtoJworkJonJtheJpostoperativeJunit.JWhichJcl
ientJwouldJbeJbestJforJtheJchargeJnurseJtoJassignJtoJthisJUAP?
A.AnJadolescentJwhoJwasJreadmittedJtoJtheJhospitalJbecauseJofJaJpostoperativeJinfection
J
B.AJwomanJwithJaJnewJcolostomyJwhoJrequiresJdischargeJteaching
J
C.AJwomanJwhoJhadJaJhipJreplacementJandJmayJbeJtransferredJtoJtheJhomeJcareJunit
J
JD.AJmanJwhoJhadJaJcholecystectomyJandJcurrentlyJhasJaJnasogastricJtubeJsetJtoJintermittentJsuctionJ-
JANSWERJC
TheJchargeJnurseJwillJbeJresponsibleJforJprovidingJaJreportJtoJtheJhomeJcareJunitJifJtheJtransferJoccursJ(A).JT
heJclientJisJinfectedJandJanJemployeeJwhoJworksJonJanJOBJunitJshouldJbeJassignedJtoJcleanJcasesJinJcaseJtheJ
employeeJisJrequiredJtoJreturnJtoJtheJOBJunitJ(B).JThisJrequiresJtheJskillsJofJaJregisteredJnurseJ(RN)JtoJdoJdisc
hargeJteachingJandJprovideJemotionalJsupportJ(D).JThisJmayJrequireJskillsJbeyondJtheJlevelJofJthisJUAP.
AJmaleJclientJisJadmittedJforJobservationJafterJbeingJhitJonJtheJheadJwithJaJbaseballJbat.JSixJhoursJafterJadmi
ssion,JtheJclientJattemptsJtoJcrawlJoutJofJbedJandJasksJtheJnurseJwhyJthereJareJsoJmanyJbugsJinJhisJbed.JHisJvi
talJsignsJareJstable,JandJtheJpulseJoximeterJreadingJisJ98%JonJroomJair.JWhichJinterventionJshouldJtheJnurseJ
performJfirst?
A.AdministerJoxygenJperJnasalJcannulaJatJ2JL/min.
B.PlanJtoJcheckJhisJvitalJsignsJagainJinJ30Jminutes.
C.NotifyJtheJhealthJcareJproviderJofJtheJchangeJinJmentalJstatus.
D.AskJtheJclientJwhyJheJthinksJthereJareJbugsJinJtheJbed.J-JANSWERJC
OneJofJtheJearliestJsignsJofJincreasedJintracranialJpressureJ(ICP)JisJaJchangeJinJmentalJstatusJ(C).JItJisJimporta
ntJtoJactJearlyJandJquicklyJwhenJsymptomsJofJincreasedJICPJoccur.JBecauseJhisJoxygenJsaturationJisJnormal,Jt
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