PN HESI EXIT REAL EXAM A TEST BANK WITH
100 QUESTIONS AND CORRECT ANSWERS
(100% CORRECT ANSWERS) HESI PN EXIT EXAM
TEST BANK Q&A
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?
A.Participating in telephone consultations with clients
B.Identifying oneself by name and title to clients in telehealth communications
C.Sending medical records to health care providers via the Internet
D.Answering a client-initiated health question via electronic mail
C
Sending medical records over the Internet, even with the latest security protection,
creates the greatest risk for liability because of the high potential of breaching client
confidentiality and the amount of information being transferred (C). Client
confidentiality is protected by federal wiretapping laws making telephone
consultation (A) a private and protected form of communication. By stating one's name
and credentials in telehealth communication (B), one is taking responsibility for the
encounter. E-mail initiated by the client (D) poses less risk than sending records 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.
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?
A.Prepare to evacuate the unit, starting with the bedridden clients.
B.UAPs should report to the emergency center to handle transports.
C.The licensed staff should begin counting wheelchairs and IV poles on the unit.
D.Continue with current assignments until more instructions are received.
D
When faced with an impending disaster, hospital personnel may be alerted but
should continue with current client care assignments until further instructions are
received (D). Evacuation is typically a response of last resort that begins with clients who
are most able to ambulate (A). (B) is premature and is likely to increase the
chaos if incoming casualties are anticipated. (C) is poor utilization of personnel.
, The nurse assesses a client while the UAP measures the client's vital signs. The client's
vital signs change suddenly, and the nurse determines that the client's condition is
worsening. The nurse is unsure of the client's resuscitative status and needs to check the
client's medical record for any advanced directives. Which action should the
nurse implement?
A.Ask the UAP to check for the advanced directive while the nurse completes the assessment.
B.Assign the UAP to complete the assessment while the nurse checks for the advanced
directive.
C.Check the medical record for the advanced directive and then complete the client
assessment.
D.Call for the charge nurse to check the advanced directive while continuing to assess
the client.
D
Because the client's condition is worsening, the nurse should remain with the client and
continue the assessment while calling for help from the charge nurse to
determine the client's resuscitative status (D). (A and B) are tasks that must be
completed by a nurse and cannot be delegated to the UAP. (C) is contraindicated.
100 QUESTIONS AND CORRECT ANSWERS
(100% CORRECT ANSWERS) HESI PN EXIT EXAM
TEST BANK Q&A
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?
A.Participating in telephone consultations with clients
B.Identifying oneself by name and title to clients in telehealth communications
C.Sending medical records to health care providers via the Internet
D.Answering a client-initiated health question via electronic mail
C
Sending medical records over the Internet, even with the latest security protection,
creates the greatest risk for liability because of the high potential of breaching client
confidentiality and the amount of information being transferred (C). Client
confidentiality is protected by federal wiretapping laws making telephone
consultation (A) a private and protected form of communication. By stating one's name
and credentials in telehealth communication (B), one is taking responsibility for the
encounter. E-mail initiated by the client (D) poses less risk than sending records 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.
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?
A.Prepare to evacuate the unit, starting with the bedridden clients.
B.UAPs should report to the emergency center to handle transports.
C.The licensed staff should begin counting wheelchairs and IV poles on the unit.
D.Continue with current assignments until more instructions are received.
D
When faced with an impending disaster, hospital personnel may be alerted but
should continue with current client care assignments until further instructions are
received (D). Evacuation is typically a response of last resort that begins with clients who
are most able to ambulate (A). (B) is premature and is likely to increase the
chaos if incoming casualties are anticipated. (C) is poor utilization of personnel.
, The nurse assesses a client while the UAP measures the client's vital signs. The client's
vital signs change suddenly, and the nurse determines that the client's condition is
worsening. The nurse is unsure of the client's resuscitative status and needs to check the
client's medical record for any advanced directives. Which action should the
nurse implement?
A.Ask the UAP to check for the advanced directive while the nurse completes the assessment.
B.Assign the UAP to complete the assessment while the nurse checks for the advanced
directive.
C.Check the medical record for the advanced directive and then complete the client
assessment.
D.Call for the charge nurse to check the advanced directive while continuing to assess
the client.
D
Because the client's condition is worsening, the nurse should remain with the client and
continue the assessment while calling for help from the charge nurse to
determine the client's resuscitative status (D). (A and B) are tasks that must be
completed by a nurse and cannot be delegated to the UAP. (C) is contraindicated.
