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HESI EXIT RN V1 EXAM 2022 ACTUAL TEST - QUESTIONS AND ANSWERS 100% CORRECT
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HESI EXIT RN V1 EXAM 2022 ACTUAL TEST - QUESTIONS AND ANSWERS 100% CORRECT
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HESI EXIT RN V1 EXAM 2022 ACTUAL TEST - QUESTIONS AND ANSWERS 100% CORRECTReturn to Overview
Practice Test Assessment
Performance
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Correct
Correct
The practical nurse (PN) performs a random blood glucose test
for a client with a history of hypoglycemia and complains of
dizziness. After test completion, which action should the PN
perform first?
Remove gloves and wash hands.
Document results and actions in the medical record.
, Dispose of lancet and test strip in proper receptacle.
Discuss the test results with the client.
Rationale
Disposal of the lancet and test strip (C) prevents the transmission of bloodborne
pathogens and is the priority. (A, B, and D) should follow, implementing sharps
precautions.
Regarding client confidentiality, what information represents
the correct understanding by the practical nurse of the
guidelines set forth by HIPAA (Health Insurance Portability and
Accountability Act)?
Only clients can pick up their prescriptions at a pharmacy.
Past medical records for clients should be stored in a secured place.
Computers that access client information cannot be in the public part
of a nursing station.
Whiteboards with a list of client names are prohibited in areas that the
public can see.
Rationale
The Health Insurance Portability and Accountability act of 1996 (HIPPA) establishes that
records with protected health information (PHI) must be stored in a secured place. The
other options are not part of the HIPPA act.
Which action should the practical nurse (PN) implement to
provide a sense of control to a toddler who is hospitalized?
Put a cover over the child's crib.
, Ask parents to stay with the child.
Assign the same nurses to care for the child.
Follow the child's usual routines for feeding and bedtime.
Rationale
Routines are important to toddlers and give the child a sense of control, so following the
child's usual routines during hospitalization should be implemented as much as possible.
Which interventions should the practical nurse (PN) implement
in the postoperative period for a client who had surgery for
cancer of the oral cavity? (Select all that apply.)
Select all that apply
Provide meticulous oral hygiene.
Advise the client to avoid straining at stool.
Obtain daily weights to determine need for NGT feedings.
Observe for temporary or permanent loss of taste.
Monitor for gastric indigestion.
Rationale
Postoperative problems related to excision of a cancerous lesion in the oval cavity include
the risk for infection, delayed wound healing in the oral mucosa, and gustatory deficits, if
the client's tongue is resected or biopsied. Meticulous oral hygiene reduces oral flora and
minimizes the risk for infection. Monitoring daily weight provides information about the
client's need for supplemental NGT feedings to improve nutritional intake for healing and
recovery. Observing for temporary or permanent loss of taste may indicate trauma of the
tongue and glossopharyngeal nerve.
:
, Which intervention is most important for the practical nurse to
implement when suctioning the nasopharyngeal airways for a
child after cardiac surgery?
Perform oropharyngeal suctioning PRN.
Suction for no longer than 5 seconds at a time.
Assess for symptoms of respiratory distress during suctioning.
Administer supplemental oxygen before and after suctioning.
Rationale
Hypoxia increases the cardiac workload after cardiac surgery, so supplemental oxygen
should be administered with a manual resuscitation bag before and after suctioning (D) to
prevent hypoxia. Although (A, B, and C) should be implemented, providing oxygenation is
most important. To maintain a patent airway, oropharyngeal suctioning for a child after
cardiac surgery should be performed PRN without deep insertion of the suction catheter
which can cause vagal stimulation and laryngospasm. Suctioning should be intermittent
and maintained for no more than five seconds to prevent depleting the oxygen supply.
Signs of respiratory distress warrant cessation of suctioning if the client is experiencing
intolerance.
A female client with terminal cancer is tearful and is becoming
increasingly withdrawn from her family and the nursing staff.
She refuses medications, treatments, food, and frequently says,
"Why is God doing this to me?" Which intervention should the
practical nurse implement?
Monitor for an increased suicide risk.
Implement measures to reduce her pain level.
Contact her religious advisor to help her face death.
:
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