EXIT HESI - Comprehensive PN Exam A Practice Questions And Answers
A nurse who has recently completed orientation is beginning work in the labor and
... [Show More] delivery unit for the
first time. When making assignments, which client should the charge nurse assign to this new nurse? -
ANS-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? - ANS-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? - ANS-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 serum potassium level is 4
mEq/L. What is the most likely cause of this client's potassium level? - ANS-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? - ANS-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.
D.Opioids suppress respirations, which increases Pco2 and contributes to an elevated ICP. - ANS-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?...
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