Exam (elaborations)
EXIT HESI - COMPREHENSIVE PN EXAM A PRACTICE QUESTIONS WITH VERIFIED ANSWERS.
Institution
HESI V3 CLINICAL
EXIT HESI - COMPREHENSIVE PN EXAM A PRACTICE QUESTIONS WITH VERIFIED ANSWERS.
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HESI V3 CLINICAL
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HESI V3 CLINICAL
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EXIT HESI - COMPREHENSIVE PN EXAM
A PRACTICE QUESTIONS WITH
VERIFIED ANSWERS
A zznurse zzwho zzhas zzrecently zzcompleted zzorientation zzis zzbeginning zzwork zzin zzthe
zzlabor zzand zzdelivery zzunit zzfor zzthe zzfirst zztime. zzWhen zzmaking zzassignments,
zzwhich zzclient zzshould zzthe zzcharge zznurse zzassign zzto zzthis zznew zznurse? zz-
zzAnswer zzA zzmultiparous zzclient zzwho zzis zzdilated zz5 zzcm zzand zz50% zzeffaced
A zzclient zzwith zzhuman zzimmunodeficiency zzvirus zz(HIV) zzinfection zzhas zzwhite
zzlesions zzin zzthe zzoral zzcavity zzthat zzresemble zzmilk zzcurds. zzNystatin zz(Mycostatin)
zzpreparation zzis zzprescribed zzas zza zzswish zzand zzswallow. zzWhich zzinformation zzis
zzmost zzimportant zzfor zzthe zznurse zzto zzprovide zzthe zzclient? zz- zzAnswer zzOral
zzhygiene zzshould zzbe zzperformed zzbefore zzthe zzmedication.
A zzclient zzwho zzis zzadmitted zzwith zzemphysema zzis zzhaving zzdifficulty zzbreathing. zzIn
zzwhich zzposition zzshould zzthe zznurse zzplace zzthe zzclient? zz- zzAnswer zzSitting
zzupright zzand zzforward zzwith zzboth zzarms zzsupported zzon zzan zzover zzthe zzbed zztable
A zzclient zzwith zzchronic zzrenal zzinsufficiency zz(CRI) zzis zztaking zz25 zzmg zzof
zzhydrochlorothiazide zz(HCTZ) zzPO zzand zz40 zzmg zzof zzfurosemide zz(Lasix) zzPO
zzdaily. zzToday, zzat zza zzroutine zzclinic zzvisit, zzthe zzclient's zzserum zzpotassium zzlevel
zzis zz4 zzmEq/L. zzWhat zzis zzthe zzmost zzlikely zzcause zzof zzthis zzclient's zzpotassium
zzlevel? zz- zzAnswer zzThe zzclient's zzrenal zzfunction zzhas zzaffected zzhis zzpotassium
zzlevel.
A zzregistered zznurse zz(RN) zzdelivers zztelehealth zzservices zzto zzclients zzvia zzelectronic
zzcommunication. zzWhich zznursing zzaction zzcreates zzthe zzgreatest zzrisk zzfor
zzprofessional zzliability zzand zzhas zzthe zzpotential zzfor zza zzmalpractice zzlawsuit? zz-
zzAnswer zzSending zzmedical zzrecords zzto zzhealth zzcare zzproviders zzvia zzthe zzInternet
Which zzpathophysiologic zzresponse zzsupports zzthe zzcontraindication zzfor zzopioids,
zzsuch zzas zzmorphine, zzin zzclients zzwith zzincreased zzintracranial zzpressure zz(ICP)?
A.Sedation zzproduced zzby zzopioids zzis zza zzresult zzof zza zzprolonged zzhalf-life zzwhen
zzthe zzICP zzis zzelevated.
zzB.Higher zzdoses zzof zzopioids zzare zzrequired zzwhen zzcerebral zzblood zzflow zzis
zzreduced zzby zzan zzelevated zzICP.
,zzC.Dysphoria zzfrom zzopioids zzcontributes zzto zzaltered zzlevels zzof zzconsciousness
zzwith zzan zzelevated zzICP.
D.Opioids zzsuppress zzrespirations, zzwhich zzincreases zzPco2 zzand zzcontributes zzto
zzan zzelevated zzICP. zz- zzAnswer zzD
The zzgreatest zzrisk zzassociated zzwith zzopioids zzsuch zzas zzmorphine zz(D) zzis
zzrespiratory zzdepression zzthat zzcauses zzan zzincrease zzin zzPco2, zzwhich zzincreases
zzICP zzand zzmasks zzthe zzearly zzsigns zzof zzintracranial zzbleeding zzin zzhead zzinjury.
zz(A, zzB, zzand zzC) zzdo zznot zzsupport zzthe zzrisks zzassociated zzwith zzopioid zzuse zzin
zza zzclient zzwith zzincreased zzICP.
The zzcharge zznurse zzof zza zzmedical zzsurgical zzunit zzis zzalerted zzto zzan zzimpending
zzdisaster zzrequiring zzimplementation zzof zzthe zzhospital's zzdisaster zzplan. zzSpecific
zzfacts zzabout zzthe zznature zzof zzthis zzdisaster zzare zznot zzyet zzknown. zzWhich
zzinstruction zzshould zzthe zzcharge zznurse zzgive zzto zzthe zzother zzstaff zzmembers zzat
zzthis zztime?
A.Prepare zzto zzevacuate zzthe zzunit, zzstarting zzwith zzthe zzbedridden zzclients.
zzB.UAPs zzshould zzreport zzto zzthe zzemergency zzcenter zzto zzhandle zztransports.
zzC.The zzlicensed zzstaff zzshould zzbegin zzcounting zzwheelchairs zzand zzIV zzpoles zzon
zzthe zzunit.
zzD.Continue zzwith zzcurrent zzassignments zzuntil zzmore zzinstructions zzare zzreceived.
zz- zzAnswer zzD
When zzfaced zzwith zzan zzimpending zzdisaster, zzhospital zzpersonnel zzmay zzbe zzalerted
zzbut zzshould zzcontinue zzwith zzcurrent zzclient zzcare zzassignments zzuntil zzfurther
zzinstructions zzare zzreceived zz(D). zzEvacuation zzis zztypically zza zzresponse zzof zzlast
zzresort zzthat zzbegins zzwith zzclients zzwho zzare zzmost zzable zzto zzambulate zz(A). zz(B)
zzis zzpremature zzand zzis zzlikely zzto zzincrease zzthe zzchaos zzif zzincoming zzcasualties
zzare zzanticipated. zz(C) zzis zzpoor zzutilization zzof zzpersonnel.
The zznurse zzassesses zza zzclient zzwhile zzthe zzUAP zzmeasures zzthe zzclient's zzvital
zzsigns. zzThe zzclient's zzvital zzsigns zzchange zzsuddenly, zzand zzthe zznurse zzdetermines
zzthat zzthe zzclient's zzcondition zzis zzworsening. zzThe zznurse zzis zzunsure zzof zzthe
zzclient's zzresuscitative zzstatus zzand zzneeds zzto zzcheck zzthe zzclient's zzmedical zzrecord
zzfor zzany zzadvanced zzdirectives. zzWhich zzaction zzshould zzthe zznurse zzimplement?
A.Ask zzthe zzUAP zzto zzcheck zzfor zzthe zzadvanced zzdirective zzwhile zzthe zznurse
zzcompletes zzthe zzassessment.
B.Assign zzthe zzUAP zzto zzcomplete zzthe zzassessment zzwhile zzthe zznurse zzchecks zzfor
zzthe zzadvanced zzdirective.
C.Check zzthe zzmedical zzrecord zzfor zzthe zzadvanced zzdirective zzand zzthen zzcomplete
zzthe zzclient zzassessment.
zzD.Call zzfor zzthe zzcharge zznurse zzto zzcheck zzthe zzadvanced zzdirective zzwhile
zzcontinuing zzto zzassess zzthe zzclient. zz- zzAnswer zzD
Because zzthe zzclient's zzcondition zzis zzworsening, zzthe zznurse zzshould zzremain zzwith
zzthe zzclient zzand zzcontinue zzthe zzassessment zzwhile zzcalling zzfor zzhelp zzfrom zzthe
zzcharge zznurse zzto zzdetermine zzthe zzclient's zzresuscitative zzstatus zz(D). zz(A zzand zzB)
, zzare zztasks zzthat zzmust zzbe zzcompleted zzby zza zznurse zzand zzcannot zzbe zzdelegated
zzto zzthe zzUAP. zz(C) zzis zzcontraindicated.
The zznurse zzis zzpreparing zza zzclient zzfor zzsurgery zzscheduled zzin zz2 zzhours. zzA
zzUAP zzis zzhelping zzthe zznurse. zzWhich zztask zzis zzimportant zzfor zzthe zznurse zzto
zzperform, zzrather zzthan zzthe zzUAP?
A.Remove zzthe zzclient's zznail zzpolish zzand zzdentures.
zzB.Assist zzthe zzclient zzto zzthe zzrestroom zzto zzvoid.
zzC.Obtain zzthe zzclient's zzheight zzand zzweight.
zzD.Offer zzthe zzclient zzemotional zzsupport. zz- zzAnswer zzD
By zzusing zztherapeutic zztechniques zzto zzoffer zzsupport zz(D), zzthe zznurse zzcan
zzdetermine zzany zzclient zzconcerns zzthat zzneed zzto zzbe zzaddressed. zz(A, zzB, zzand
zzC) zzare zzall zzactions zzthat zzcan zzbe zzperformed zzby zzthe zzUAP zzunder zzthe
zzsupervision zzof zzthe zznurse.
Until zzthe zzcensus zzon zzthe zzobstetrics zz(OB) zzunit zzincreases, zzan zzunlicensed
zzassistive zzpersonnel zz(UAP) zzwho zzusually zzworks zzin zzlabor zzand zzdelivery zzand
zzthe zznewborn zznursery zzis zzassigned zzto zzwork zzon zzthe zzpostoperative zzunit.
zzWhich zzclient zzwould zzbe zzbest zzfor zzthe zzcharge zznurse zzto zzassign zzto zzthis
zzUAP?
zzA.An zzadolescent zzwho zzwas zzreadmitted zzto zzthe zzhospital zzbecause zzof zza
zzpostoperative zzinfection
zzB.A zzwoman zzwith zza zznew zzcolostomy zzwho zzrequires zzdischarge zzteaching
zzC.A zzwoman zzwho zzhad zza zzhip zzreplacement zzand zzmay zzbe zztransferred zzto zzthe
zzhome zzcare zzunit
zzD.A zzman zzwho zzhad zza zzcholecystectomy zzand zzcurrently zzhas zza zznasogastric
zztube zzset zzto zzintermittent zzsuction zz- zzAnswer zzC
The zzcharge zznurse zzwill zzbe zzresponsible zzfor zzproviding zza zzreport zzto zzthe zzhome
zzcare zzunit zzif zzthe zztransfer zzoccurs zz(A). zzThe zzclient zzis zzinfected zzand zzan
zzemployee zzwho zzworks zzon zzan zzOB zzunit zzshould zzbe zzassigned zzto zzclean zzcases
zzin zzcase zzthe zzemployee zzis zzrequired zzto zzreturn zzto zzthe zzOB zzunit zz(B). zzThis
zzrequires zzthe zzskills zzof zza zzregistered zznurse zz(RN) zzto zzdo zzdischarge zzteaching
zzand zzprovide zzemotional zzsupport zz(D). zzThis zzmay zzrequire zzskills zzbeyond zzthe
zzlevel zzof zzthis zzUAP.
A zzmale zzclient zzis zzadmitted zzfor zzobservation zzafter zzbeing zzhit zzon zzthe zzhead
zzwith zza zzbaseball zzbat. zzSix zzhours zzafter zzadmission, zzthe zzclient zzattempts zzto
zzcrawl zzout zzof zzbed zzand zzasks zzthe zznurse zzwhy zzthere zzare zzso zzmany zzbugs zzin
zzhis zzbed. zzHis zzvital zzsigns zzare zzstable, zzand zzthe zzpulse zzoximeter zzreading zzis
zz98% zzon zzroom zzair. zzWhich zzintervention zzshould zzthe zznurse zzperform zzfirst?
A.Administer zzoxygen zzper zznasal zzcannula zzat zz2 zzL/min.
B.Plan zzto zzcheck zzhis zzvital zzsigns zzagain zzin zz30 zzminutes.
C.Notify zzthe zzhealth zzcare zzprovider zzof zzthe zzchange zzin zzmental zzstatus.