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EXIT HESI - COMPREHENSIVE PN EXAM PRACTICE QUESTIONS AND ANSWERS (GRADED A+!!
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EXIT HESI - COMPREHENSIVE PN EXAM PRACTICE QUESTIONS AND ANSWERS (GRADED A+!! Aknursekwhokhaskrecentlykcompletedkorientationkiskbeginningkworkkinktheklaborkandkdelive rykunitkforkthekfirstktime.kWhenkmakingkassignments,kwhichkclientkshouldkthekchargeknurse kassignktokthisknewknurse?k-kCORREC...

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  • October 7, 2024
  • 21
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

Subjects

  • exit hesi
  • hesi
  • exit hesi comprehensive pn exam
  • exit hesi comprehensive pn exam practice questi
  • exit hesi comprehensive pn exam

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EXIT HESI - COMPREHENSIVE PN EXAM
PRACTICE QUESTIONS AND ANSWERS
(GRADED A+!!

Aknursekwhokhaskrecentlykcompletedkorientationkiskbeginningkworkkinktheklaborkandkdelive
rykunitkforkthekfirstktime.kWhenkmakingkassignments,kwhichkclientkshouldkthekchargeknurse
kassignktokthisknewknurse?k-kCORRECTkANSWER-

Akmultiparouskclientkwhokiskdilatedk5kcmkandk50%keffaced

Akclientkwithkhumankimmunodeficiencykvirusk(HIV)kinfectionkhaskwhiteklesionskinkthekoralkc
avitykthatkresemblekmilkkcurds.kNystatink(Mycostatin)kpreparationkiskprescribedkaskakswish
kandkswallow.kWhichkinformationkiskmostkimportantkforktheknursektokprovidekthekclient?k-

kCORRECTkANSWER-Oralkhygienekshouldkbekperformedkbeforekthekmedication.



Akclientkwhokiskadmittedkwithkemphysemakiskhavingkdifficultykbreathing.kInkwhichkpositionk
shouldktheknursekplacekthekclient?k-kCORRECTkANSWER-
Sittingkuprightkandkforwardkwithkbothkarmsksupportedkonkankoverkthekbedktable

Akclientkwithkchronickrenalkinsufficiencyk(CRI)kisktakingk25kmgkofkhydrochlorothiazidek(HC
TZ)kPOkandk40kmgkofkfurosemidek(Lasix)kPOkdaily.kToday,katkakroutinekclinickvisit,kthekclie
nt'skserumkpotassiumklevelkisk4kmEq/L.kWhatkiskthekmostklikelykcausekofkthiskclient'skpotas
siumklevel?k-kCORRECTkANSWER-
Thekclient'skrenalkfunctionkhaskaffectedkhiskpotassiumklevel.

Akregisteredknursek(RN)kdeliversktelehealthkservicesktokclientskviakelectronickcommunicati
on.kWhichknursingkactionkcreateskthekgreatestkriskkforkprofessionalkliabilitykandkhaskthekpo
tentialkforkakmalpracticeklawsuit?k-kCORRECTkANSWER-
SendingkmedicalkrecordsktokhealthkcarekproviderskviakthekInternet

Whichkpathophysiologickresponseksupportskthekcontraindicationkforkopioids,ksuchkaskmor
phine,kinkclientskwithkincreasedkintracranialkpressurek(ICP)?

A.Sedationkproducedkbykopioidskiskakresultkofkakprolongedkhalf-
lifekwhenkthekICPkiskelevated.
kB.Higherkdoseskofkopioidskarekrequiredkwhenkcerebralkbloodkflowkiskreducedkbykankelevat

edkICP.
kC.Dysphoriakfromkopioidskcontributesktokalteredklevelskofkconsciousnesskwithkankelevate

dkICP.
D.Opioidsksuppresskrespirations,kwhichkincreaseskPco2kandkcontributesktokankelevatedkI
CP.k-kCORRECTkANSWER-D

,Thekgreatestkriskkassociatedkwithkopioidsksuchkaskmorphinek(D)kiskrespiratorykdepressionk
thatkcauseskankincreasekinkPco2,kwhichkincreaseskICPkandkmaskskthekearlyksignskofkintra
cranialkbleedingkinkheadkinjury.k(A,kB,kandkC)kdoknotksupportkthekriskskassociatedkwithkopi
oidkusekinkakclientkwithkincreasedkICP.

Thekchargeknursekofkakmedicalksurgicalkunitkiskalertedktokankimpendingkdisasterkrequiringki
mplementationkofkthekhospital'skdisasterkplan.kSpecifickfactskaboutktheknaturekofkthiskdisas
terkareknotkyetkknown.kWhichkinstructionkshouldkthekchargeknursekgivektokthekotherkstaffkm
emberskatkthisktime?

A.Preparektokevacuatekthekunit,kstartingkwithkthekbedriddenkclients.
kB.UAPskshouldkreportktokthekemergencykcenterktokhandlektransports.

kC.TheklicensedkstaffkshouldkbeginkcountingkwheelchairskandkIVkpoleskonkthekunit.

kD.Continuekwithkcurrentkassignmentskuntilkmorekinstructionskarekreceived.k-

kCORRECTkANSWER-D

Whenkfacedkwithkankimpendingkdisaster,khospitalkpersonnelkmaykbekalertedkbutkshouldkco
ntinuekwithkcurrentkclientkcarekassignmentskuntilkfurtherkinstructionskarekreceivedk(D).kEva
cuationkisktypicallykakresponsekofklastkresortkthatkbeginskwithkclientskwhokarekmostkablektok
ambulatek(A).k(B)kiskprematurekandkisklikelyktokincreasekthekchaoskifkincomingkcasualtieska
rekanticipated.k(C)kiskpoorkutilizationkofkpersonnel.

TheknursekassesseskakclientkwhilekthekUAPkmeasureskthekclient'skvitalksigns.kThekclient'sk
vitalksignskchangeksuddenly,kandktheknursekdetermineskthatkthekclient'skconditionkiskworse
ning.kTheknursekiskunsurekofkthekclient'skresuscitativekstatuskandkneedsktokcheckkthekclient
'skmedicalkrecordkforkanykadvancedkdirectives.kWhichkactionkshouldktheknursekimplement
?

A.AskkthekUAPktokcheckkforkthekadvancedkdirectivekwhilektheknursekcompleteskthekassess
ment.
B.AssignkthekUAPktokcompletekthekassessmentkwhilektheknursekcheckskforkthekadvancedk
directive.
C.Checkkthekmedicalkrecordkforkthekadvancedkdirectivekandkthenkcompletekthekclientkasse
ssment.
kD.Callkforkthekchargeknursektokcheckkthekadvancedkdirectivekwhilekcontinuingktokassesskt

hekclient.k-kCORRECTkANSWER-D
Becausekthekclient'skconditionkiskworsening,ktheknursekshouldkremainkwithkthekclientkandkc
ontinuekthekassessmentkwhilekcallingkforkhelpkfromkthekchargeknursektokdeterminekthekclie
nt'skresuscitativekstatusk(D).k(AkandkB)karektaskskthatkmustkbekcompletedkbykaknursekandkc
annotkbekdelegatedktokthekUAP.k(C)kiskcontraindicated.

Theknursekiskpreparingkakclientkforksurgerykscheduledkink2khours.kAkUAPkiskhelpingktheknur
se.kWhichktaskkiskimportantkforktheknursektokperform,kratherkthankthekUAP?

A.Removekthekclient'sknailkpolishkandkdentures.
kB.Assistkthekclientktokthekrestroomktokvoid.

kC.Obtainkthekclient'skheightkandkweight.

, kD.Offerkthekclientkemotionalksupport.k-kCORRECTkANSWER-D
Bykusingktherapeuticktechniquesktokofferksupportk(D),ktheknursekcankdeterminekanykclientk
concernskthatkneedktokbekaddressed.k(A,kB,kandkC)karekallkactionskthatkcankbekperformedk
bykthekUAPkunderktheksupervisionkofktheknurse.

Untilkthekcensuskonkthekobstetricsk(OB)kunitkincreases,kankunlicensedkassistivekpersonnelk
(UAP)kwhokusuallykworkskinklaborkandkdeliverykandktheknewbornknurserykiskassignedktokw
orkkonkthekpostoperativekunit.kWhichkclientkwouldkbekbestkforkthekchargeknursektokassignkt
okthiskUAP?

kA.Ankadolescentkwhokwaskreadmittedktokthekhospitalkbecausekofkakpostoperativekinfectio
n
kB.Akwomankwithkaknewkcolostomykwhokrequireskdischargekteaching

kC.Akwomankwhokhadkakhipkreplacementkandkmaykbektransferredktokthekhomekcarekunit

kD.Akmankwhokhadkakcholecystectomykandkcurrentlykhaskaknasogastricktubeksetktokintermit

tentksuctionk-kCORRECTkANSWER-C
Thekchargeknursekwillkbekresponsiblekforkprovidingkakreportktokthekhomekcarekunitkifkthektra
nsferkoccursk(A).kThekclientkiskinfectedkandkankemployeekwhokworkskonkankOBkunitkshould
kbekassignedktokcleankcaseskinkcasekthekemployeekiskrequiredktokreturnktokthekOBkunitk(B).

kThiskrequireskthekskillskofkakregisteredknursek(RN)ktokdokdischargekteachingkandkprovidek

emotionalksupportk(D).kThiskmaykrequirekskillskbeyondktheklevelkofkthiskUAP.

Akmalekclientkiskadmittedkforkobservationkafterkbeingkhitkonkthekheadkwithkakbaseballkbat.kS
ixkhourskafterkadmission,kthekclientkattemptsktokcrawlkoutkofkbedkandkasksktheknursekwhykt
herekareksokmanykbugskinkhiskbed.kHiskvitalksignskarekstable,kandkthekpulsekoximeterkreadi
ngkisk98%konkroomkair.kWhichkinterventionkshouldktheknursekperformkfirst?

A.Administerkoxygenkperknasalkcannulakatk2kL/min.
B.Planktokcheckkhiskvitalksignskagainkink30kminutes.
C.Notifykthekhealthkcarekproviderkofkthekchangekinkmentalkstatus.
D.Askkthekclientkwhykhekthinksktherekarekbugskinkthekbed.k-kCORRECTkANSWER-C
Onekofkthekearliestksignskofkincreasedkintracranialkpressurek(ICP)kiskakchangekinkmentalkst
atusk(C).kItkiskimportantktokactkearlykandkquicklykwhenksymptomskofkincreasedkICPkoccur.k
Becausekhiskoxygenksaturationkisknormal,kthekadministrationkofkoxygenk(A)kisknotkthektopk
priority.kVitalksignskshouldkbekmonitoredkfrequentlyk(B),kbutkthekclient'skconfusionkshouldkb
ekreportedkimmediately.k(D)kisknotkakusefulkintervention.

Theknursekiskmonitoringkakclientkwhokiskreceivingkbedsidekconsciousksedationkwithkmidaz
olamkhydrochloridek(Versed).kInkassessingkthekclient,ktheknursekdetermineskthatkthekclient
khaskslurredkspeechkwithkdiplopia.kBasedkonkthiskfinding,kwhatkactionkshouldktheknursektak

e?

kA.Openkthekairwaykwithkakchinklift-headktiltkmaneuver.
kB.Obtainkakfingerstickkglucosekreading.

kC.Administerkflumazenilk(Romazicon).

kD.Continuektokmonitorkthekclient.k-kCORRECTkANSWER-D

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