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EXIT HESI - Comprehensive PN Exam A Practice Questions and Answers (Latest Update 2024)
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EXIT HESI - Comprehensive PN Exam A Practice Questions and Answers (Latest Update 2024)
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EXIT HESI - Comprehensive PN Exam APractice Questions and Answers (Latest
Update 2024)
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 Answer ✅ 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 Answer ✅ 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 Answer ✅ 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
,EXIT HESI - Comprehensive PN Exam A
Practice Questions and Answers (Latest
Update 2024)
serum potassium level is 4 mEq/L. What is the most likely
cause of this client's potassium level? - Correct Answer ✅
The client's renal function has affected his potassium level.
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 Answer ✅
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.
,EXIT HESI - Comprehensive PN Exam A
Practice Questions and Answers (Latest
Update 2024)
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.
, EXIT HESI - Comprehensive PN Exam A
Practice Questions and Answers (Latest
Update 2024)
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.
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