PN HESI EXIT REAL EXAM WITH COMPLETE QUESTIONS AND CORRECT ANSWERS 2023 - 2024

PN HESI EXIT REAL EXAM WITH COMPLETE
QUESTIONS AND CORRECT ANSWERS 2023 - 2024



A client in a nursing home becomes violent and verbally threatens an unlicensed assistive personnel (UAP). Which is the best way for the practical nurse (PN) in charge during the shift to handle the staff's reaction to the incident?

A. Encourage UAP to deal with it privately to prevent compromising client confidentiality.
B. Offer a group discussion session so staff can share their thoughts and feelings.
C. Invite staff out after hours to help distract them from the disturbing client event. D. Refer the UAP to human resources department for a counseling session with a therapist. - B.Offer a group discussion session so staff can share their thoughts and feelings

Rationale: A critical incident stress debriefing evolves expression of personal feelings, discussion, and working on unresolved emotional issues to minimize post traumatic stress for the staff member. A CISD is the best action for the PN in charge to take (B) in conjunction with the guidance and assistance of the nursing supervisor in the facility

A group of practical nurses (PNs) who work on a medical-surgical unit believe they are understaffed. Which data should the PNs consider when preparing the justification for additional staff?

A. Staffing ratios in other states.
B. Client acuity and census.
C. Overtime payment and unfilled positions.
D. Number and frequency of client complaints. - B. Client acuity and census.

Rationale: When presenting the need for increased staff, the PNs should present the request using staffing guidelines that consider client acuity, number of clients, and length of stay(B).

The practical nurse (PN) assigns care of a client who is HIV positive to a newly employed PN who states, I can't take care of that client. How should the PN respond?

A. "I don't understand your response. Please explain what you mean."
B. "Staff cannot pick and choose assignments based on a client's diagnosis."
C. "This client will provide a learning opportunity for you, and I'm here to help."
D. "I will give you a different client so you will be more comfortable." - A. "I don't understand your response. Please explain what you mean."

Rationale: The ethical principle of beneficence guides decisions based on the clients well being or dignity. The PN should first assess the rationale supporting the response (A) which may include an infection such as a "Cold" that places the immunosuppressed client at risk

A client with type 2 diabetes mellitus is admitted to the hospital for an exacerbation of asthma. The practical nurse (PN) administers hydrocortisone (Solu-Cortef) 60 mg PO every 6 hours. What information should the PN to review the next day?

A. Serum potassium.
B. Serum glucose.
C. Respiratory rate.
D. Blood pressure. - B. Serum glucose.

Rationale: High doses of glucocorticoidsteriods can cause an elevation in the serum glucose level, so the PN should review the clients serum glucose(B)

Which information should the practical nurse (PN) provide to an unlicensed assistive personnel (UAP) who is newly assigned to the unit?

A. Keep head-of-bed elevated 45 degrees for clients with an infusing enteral pump.
B. Determine if pain subsides 20 minutes after a client receives an injection.
C. Report signs of infection in urine that collects in a bedside drainage unit.
D. Observe how clients are using an incentive spirometer after surgery. - A. Keep headof-bed elevated 45 degrees for clients with an infusing enteral pump.

Rationale: Information about the basic care clients such as positioning (A) should be specific to a common intervention or treatment and should focus on task within the scope of the UAP's assignment

A woman who is 32-weeks gestation arrives at the prenatal clinic and reports painless contractions and mucoid vaginal discharge. The fetal heart rate is 150 beats/minutes. What action should the practical nurse (PN) implement first?

A. Place in the left lateral recumbent position.
B. Ask about recent sexual intercourse.
C. Encourage an increase in oral fluid intake.
D. Determine when the contractions began. - A. Place in the left lateral recumbent position.

Rationale: Preterm labors symptoms include contractions and mucoid vaginal discharge so the PN should place the client in the left lateral position

A 14-year-old female arrives in the school nurse's office seeking information about healthcare agencies in the community. The practical nurse (PN) understands the client can make an autonomous healthcare decision if she has which circumstance?

A. Pregnancy.
B. Funds to pay for her own care.
C. Homelessness.
D. A life-threatening condition. - A. Pregnancy.

Rationale: According to the supreme court a minor who is pregnant (A) can make an autonomous healthcare decision

The practical nurse (PN) stops to help an unconscious victim at the site of a motor vehicle collision. After Emergency Medical Services (EMS) arrive, the PN reports that first aid was rendered and then leaves. The victim dies on the scene from the injuries sustained. What is the PN's liability?

A. Criminal assault and battery.
B. Negligent acts of omission.
C. Good Samaritan immunity.
D. Client abandonment. - C. Good Samaritan immunity.

Rationale: Based on the good Samaritan act (C) the PN rendered emergency care in good faith at the scene of the accident and is immune from civil liability for actions while providing care. The PN did not violate the status of Nurse practice act

A child is admitted for severe abdominal pain and possible appendicitis. Laboratory and x-ray studies are prescribed. During the diagnostic period, the practical nurse should implement which nursing actions? (Check all that apply.)

A. Maintain child's comfort.
B. Relieve parent and child's anxiety.
C. Prepare for surgery.
D. Give oral home medications.
E. Encourage ambulation. - A. Maintain child's comfort.
B. Relieve parent and child's anxiety.
C. Prepare for surgery.