HESI PN EXIT V2 EXAM 2025 QUESTIONS AND CORRECT DETAILED ANSWERS |ALREADY GRADED A
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Course
HESI PN EXIT V2
Institution
HESI PN EXIT V2
HESI PN EXIT V2 EXAM 2025 QUESTIONS AND
CORRECT DETAILED ANSWERS |ALREADY
GRADED A The nurse knows that which statement by the mother indicates that the mother
understands safety precautions with herfour month-old infant and her 4 year-old
child?
a. "I strap the infant car seat on the front ...
HESI PN EXIT V2 EXAM 2025 QUESTIONS AND
CORRECT DETAILED ANSWERS |ALREADY
GRADED A
The nurse knows that which statement by the mother indicates that the mother
understands safety precautions with her four month-old infant and her 4 year-old
child?
a. "I strap the infant car seat on the front seat to face backwards."
b. "I place my infant in the middle of the living room floor on a blanket to play with my4
year old while I make supper in the kitchen."
c. "My sleeping baby lies so cute in the crib with the little buttocks stuck up in the air while
the four year old naps on the sofa."
d. "I have the 4 year-old hold and help feed the four month-old a bottle in the kitchen
while I make supper."
Answer: D
Upon completing the admission documents, the nurse learns that the 87 year-old
patient does not have an advance directive. What action should the nurse take?
a. Record the information on the chart
b. Give information about advance directives
c. Assume that this patient wishes a full code
d. Refer this issue to the unit secretary
Answer: B
,A nurse administers the influenza vaccine to a patient in a clinic. Within 15
minutes after the immunization was given, the patient complains of itchy and
watery eyes, increased anxiety, and difficulty breathing. The nurse expects that
the first action in the sequence of care for this patient will be to
a. Maintain the airway
b. Administer epinephrine 1:1000 as ordered
c. Monitor for hypotension with shock
d. Administer diphenhydramine as ordered
Answer: B
Which of these children at the site of a disaster at a child day care center would the
triage nurse put in the "treat last" category?
a. An infant with intermittent bulging anterior fontanel between crying episodes
b. A toddler with severe deep abrasions over 98% of the body
c. A preschooler with 1 lower leg fracture and the other leg with an upper leg fracture
d. A school-age child with singed eyebrows and hair on the arms
Answer: B
When admitting a patient to an acute care facility, an identification bracelet is sent
up withthe admission form. In the event these do not match, the nurse's best
action is to
a. Change whichever item is incorrect to the correct information
b. Use the bracelet and admission form until a replacement is supplied
c. Notify the admissions office and wait to apply the bracelet
d. Make a corrected identification bracelet for the patient
,Answer: C
The nurse is having difficulty reading the health care provider's written order that
was written right before the shift change. What action should be taken?
a. Leave the order for the oncoming staff to follow-up
b. Contact the charge nurse for an interpretation
c. Ask the pharmacy for assistance in the interpretation
d. Call the provider for clarification
Answer: D
An adult patient is found to be unresponsive on morning rounds. After checking
for responsiveness and calling for help, the next action that should be taken by the
nurse is to:
a. check the carotid pulse
b. deliver 5 abdominal thrusts
c. give 2 rescue breaths
d. open the patient's airway
Answer: D
A patient has an order for 1000 ml of D5W over an 8 hour period. The nurse
discovers that 800 ml has been infused after 4 hours. What is the priority nursing
action?
a. Ask the patient if there are any breathing problems
b. Have the patient void as much as possible
c. Check the vital signs
, d. Auscultate the lungs
Answer: D
Following change-of-shift report on an orthopedic unit, which patient should the
nurse see first?
a. 16 year-old who had an open reduction of a fractured wrist 10 hours ago
b. 20 year-old in skeletal traction for 2 weeks since a motor cycle accident
c. 72 year-old recovering from surgery after a hip replacement 2 hours ago
d. 75 year-old who is in skin traction prior to planned hip pinning surgery.
Answer: C
A nurse observes a family member administer a rectal suppository by having the
patient lieon the left side for the administration. The family member pushed the
suppository until the finger went up to the second knuckle. After 10 minutes the
patient was told by the family member to turn to the right side and the patient did
this. What is the appropriate comment forthe nurse to make?
a. Why don't we now have the patient turn back to the left side.
b. That was done correctly. Did you have any problems with the insertion?
c. Let's check to see if the suppository is in far enough.
d. Did you feel any stool in the intestinal tract?
Answer: B
A patient with a diagnosis of Methicillin resistant Staphylococcus aureus (MRSA)
has died. Which type of precautions is the appropriate type to use when
performing postmortem care?
a. airborne precautions
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