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PN HESI EXIT REAL EXAM TEST BANK WITH 1500
EXAM QUESTIONS AND CORRECT ANSWERS (100%
CORRECT ANSWERS) HESI PN EXIT EXAM TEST BANK
(BEST FOR EXAM PREPARATION)
1. A nurse is preparing a teaching session about contemporary influences on nursing. Which
examples should the nurse include? (Select all that apply.)
a. Human rights
b. Affordable Care Act
c. Demographic changes
d. Medically underserved
e. Decreasing health care costs
ANS: A, B, C, D
Multiple external forces affect nursing, including the need for nurses’ self-care,
AffordableCare Act (ACA) and rising (not decreasing) health care costs, demographic
changes of the population, human rights, and increasing numbers of medically
underserved.
2. After licensure, the nurse wants to stay current in knowledge and skills. Which programs
are the most common ways nurses can do this? (Select all that apply.)
a. Master’s degree
b. Inservice education
c. Doctoral preparation
d. Continuing education
e. National Council Licensure Examination retakes
ANS: B, D
Continuing education programs help nurses maintain current nursing skills, gain new
knowledge and theory, and obtain new skills reflecting the changes in the health care
deliverysystem. Inservice education programs are provided by a health care facility to
increase the knowledge, skills, and competencies of nurses employed by the institution.
Both can help thenurse stay current. Master’s degree programs are valuable for those in
the role of nurse educator, nurse administrator, or advanced practice nurse. Professional
doctoral programs in nursing (DSN or DNSc) prepare graduates to apply research findings
to clinical nursing.
National Council Licensure Examination retakes are not to keep current; this test is
taken toenter RN practice.
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DIF:Understand (comprehension)
OBJ:Compare and contrast the educational programs available for professional registered nurse (RN)
education. TOP: Teaching/Learning MSC: Management of Care
3. A nurse wants to become an advanced practice registered nurse. Which options should
thenurse consider? (Select all that apply.) a. Patient advocate
b. Nurse administrator
c. Certified nurse-midwife
d. Clinical nurse specialist
e. Certified nurse practitioner
ANS: C, D, E
Although all nurses should function as patient advocates, ―advanced practice nurse‖
is anumbrella term for an advanced clinical nurse such as a certified nurse
practitioner, clinicalnurse specialist, certified registered nurse anesthetist, or certified
nurse-midwife. A nurse administrator is not an example of advanced practice.
4. The nurse manager from the oncology unit has had two callouts; the orthopedic unit has
hadmultiple discharges and probably will have to cancel one or two of its nurses. The
orthopedic unit has agreed to ―float‖ two of its nurses to the oncology unit if oncology can
―float‖ a nursing assistant to the orthopedic unit to help with obtaining vital signs.
Whichconcepts does this situation entail? (Select all that apply.)
a. Autonomy
b. Informatics
c. Accountability
d. Political activism
e. Teamwork and collaboration
ANS: A, C, E
Staffing is an independent nursing intervention and is an example of autonomy. Along
with increased autonomy comes accountability or responsibility for outcomes of an
action. When nurses work together, this is teamwork and collaboration. Informatics is
the use of information and technology to communicate, manage knowledge, mitigate
error, and supportdecision making. Political activism usually involves more than day-to-
day activities such as unit staffing.
DIF:Analyze (analysis)
OBJ:Discuss the influence of social, historical, political, and economic changes on nursing practices.
TOP: Evaluation MSC: Management of Care
Chapter 02
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MULTIPLE CHOICE
1. The nurse is caring for a patient whose insurance coverage is Medicare. The nurse should
consider which information when planning care for this patient?
a. Capitation provides the hospital with a means of recovering variable charges.
b. The hospital will be paid for the full cost of the patient’s hospitalization.
c. Diagnosis-related groups (DRGs) provide a fixed reimbursement of cost.
d. Medicare will pay the national average for the patient’s condition.
ANS: C
In 1983, Congress established the prospective payment system (PPS), which grouped
inpatient hospital services for Medicare patients into diagnosis-related groups (DRGs),
eachof which provides a fixed reimbursement amount based on assigned DRG,
regardless of a patient’s length of stay or use of services. Capitation means that
providers receive a fixed amount per patient or enrollee of a health care plan. DRG
reimbursement is based on case severity, rural/urban/regional costs, and teaching
costs, not national averages.
DIF:Understand (comprehension)
OBJ:Explain the concept of ―pay for value,‖ used to reward hospitals financially.
TOP: Planning MSC: Management of Care
2. A nurse is teaching the staff about integrated health care systems. Which model of care
shouldthe nurse include in the teaching about seam-less care delivery? a. Affordable Care Act
b. Hospital Value–Based Purchasing
c. Bundled Payments for Care Improvements
d. The patient-centered medical home model
ANS: D
Basically, two types of integrated health care systems are found: an organizational
structurethat follows economic imperatives (such as combining financing with all
providers, from hospitals, clinics, and physicians to home care and long-term care
facilities) and a structurethat supports an organized care delivery approach
(coordinating care activities and servicesinto seamless functioning). The patient-
centered medical home model is an example of an integrated health care system that
strengthens the physician-patient relationship with coordinated, goal-oriented,
individualized care. All the other options are more related to thefinancial accessibility of
health care.
3. A nurse is teaching a family about health care plans. Which information from the nurse
indicates a correct understanding of the Affordable Care Act?
a. A family can choose whether to have health insurance with no consequences.
b. Primary care physician payments from Medicaid services can equal Medicare.
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c. Adult children up to age 26 are allowed coverage on the parent’s plan.
d. Quality hospital outcome scores are tied directly to patient satisfaction.
ANS: C
The Affordable Care Act ties payment to organizations offering Medicare Advantage plans
to the quality ratings of the coverage they offer. If hospitals perform poorly in quality
scores, they receive lower payments for services. Quality outcome measures include
patient satisfaction, more effective management of care by reducing complications and
readmissions and improving care coordination. All individuals are required to have some
form of health insurance by 2014 or pay a penalty through the tax code. Primary care
physician payments forMedicaid services increased to equal Medicare payments.
Implementation of insurance regulations prevents private insurance companies from
denying insurance coverage for any reason and from charging higher premiums based on
health status and gender.
DIF:Remember (knowledge)
OBJ:Explain the concept of ―pay for value,‖ used to reward hospitals financially.
TOP: Teaching/Learning MSC: Management of Care
4. A nurse is caring for a patient in the hospital. When should the nurse begin discharge
planning?
a. When the patient is ready.
b. Close to the time of discharge.
c. Upon admission to the hospital.
d. After an order is written/prescribed.
ANS: C
Discharge planning begins the moment a patient is admitted to a health care facility.
When thepatient is ready may be too late. Close to the time of discharge and after an
order is written/prescribed are too late to help the transition of patient care from the
hospital to home or other care facility.
DIF:Remember (knowledge)
OBJ:Discuss the role of nurses in various health care settings. TOP: Planning MSC:
Management of Care
5. The nurse is applying for a position with a home care organization that specializes in spinal
cord injury. In which type of health care facility does the nurse want to work? a. Secondary
acute
b. Continuing
c. Restorative
d. Tertiary
ANS: C
Patients recovering from an acute or chronic illness or disability often require additional
