HESI PN EXIT EXAM V3 110 QUESTIONS
AND ANSWER(S)
An adult client experiences a gasoline tank fire when riding a motorcycle and
is admitted to the emergency department (ED) with full thickness burns to all
surfaces of both lower extremities. What percentage of body surface area
should the nurse document in the electronic medical record (EMR)?
• 9%
• 18 %
• 36 %
• 45 %
• Rational: according to the rule of nines, the anterior and posterior
surfaces of one lower extremity is designated as 18 %of total body
surface area (TBSA), so both extremities equals 36% TBSA, other
options are incorrect.
A client with hyperthyroidism is receiving propranolol (Inderal). Which finding
indicates that the medication is having the desired effect?
• Decrease in serum T4 levels
• Increase in blood pressure
• Decrease in pulse rate
• Goiter no longer palpable
A woman just learned that she was infected with Heliobacter pylori. Based
on this finding, which health promotion practice should the nurse suggest?
• Encourage screening for a peptic ulcer
, A client who recently underwear a tracheostomy is being prepared for
discharge to home. Which instructions is most important for the nurse to
include in the discharge plan?
• Teach tracheal suctioning techniques
A child with heart failure is receiving the diuretic furosemide (Lasix) and
has serum potassium level 3.0 mEq/L. Which assessment is most important
for the nurse to obtain?
• Cardiac rhythm and heart rate.
• Daily intake of foods rich in potassium.
• Hourly urinary output
• Thirst ad skin turgor.
An older male client with type 2 diabetes mellitus reports that has
experiences legs pain when walking short distances, and that the pain is
relieved by rest. Which client behavior indicates an understanding of
healthcare teaching to promote more effective arterial circulation?
• Consistently applies TED hose before getting dressed in the morning.
• Frequently elevated legs thorough the day.
• Inspect the leg frequently for any irritation or skin breakdown
• Completely stop cigarette/ cigar smoking.
• Rationale: Stopping cigarette smoking helps to decrease
vasoconstriction and improve arterial circulation to the extremity.
, HESI PN EXIT EXAM V3 110 QUESTIONS
AND ANSWER(S) 100% CORRECTLY
VERIFIED RATED A+
A community health nurse is concerned about the spread of communicable
diseases among migrant farm workers in a rural community. What action
should the nurse take to promote the success of a healthcare program designed
to address this problem?
• Establish trust with community leaders and respect cultural
and family values
The nurse performs a prescribed neurological check at the beginning of the
shift on a client who was admitted to the hospital with a subarachnoid brain
attack (stroke). The client’s Glasgow Coma Scale (GCS) score is 9. What
information is most important for the nurse to determine?
• The client’s previous GCS score
• When the client’s stroke symptoms started
• If the client is oriented to time
• The client’s blood pressure and respiration rate
• Rationale: The normal GCS is 15, and it is most important for the
nurse to determine if it abnormal score a sign of improvement or
a deterioration in the client’s condition
HESI PN EXIT EXAM V3 110 QUESTIONS
AND ANSWER(S) 100% CORRECTLY
VERIFIED RATED A+
, HESI PN EXIT EXAM V3 110 QUESTIONS
AND ANSWER(S) 100% CORRECTLY
VERIFIED RATED A+
The charge nurse in a critical care unit is reviewing clients’ conditions to
determine who is stable enough to be transferred. Which client status report
indicates readiness for transfer from the critical care unit to a medical unit?
• Chronic liver failure with a hemoglobin of 10.1 and slight bilirubin
elevation
Based on principles of asepsis, the nurse should consider which circumstance to
be sterile?
• One inch- border around the edge of the sterile field set up in the
operating room
• A wrapped unopened, sterile 4x4 gauze placed on a damp table top.
• An open sterile Foley catheter kit set up on a table at the nurse
waist level
• Sterile syringe is placed on sterile area as the nurse riches over the
sterile field.
• Rationale: A sterile package at or above the waist level is considered
sterile. The edge of sterile field is contaminated which include a 1-
inch border (A). A sterile objects become contaminated by capillary
HESI PN EXIT EXAM V3 110 QUESTIONS
AND ANSWER(S) 100% CORRECTLY
VERIFIED RATED A+
AND ANSWER(S)
An adult client experiences a gasoline tank fire when riding a motorcycle and
is admitted to the emergency department (ED) with full thickness burns to all
surfaces of both lower extremities. What percentage of body surface area
should the nurse document in the electronic medical record (EMR)?
• 9%
• 18 %
• 36 %
• 45 %
• Rational: according to the rule of nines, the anterior and posterior
surfaces of one lower extremity is designated as 18 %of total body
surface area (TBSA), so both extremities equals 36% TBSA, other
options are incorrect.
A client with hyperthyroidism is receiving propranolol (Inderal). Which finding
indicates that the medication is having the desired effect?
• Decrease in serum T4 levels
• Increase in blood pressure
• Decrease in pulse rate
• Goiter no longer palpable
A woman just learned that she was infected with Heliobacter pylori. Based
on this finding, which health promotion practice should the nurse suggest?
• Encourage screening for a peptic ulcer
, A client who recently underwear a tracheostomy is being prepared for
discharge to home. Which instructions is most important for the nurse to
include in the discharge plan?
• Teach tracheal suctioning techniques
A child with heart failure is receiving the diuretic furosemide (Lasix) and
has serum potassium level 3.0 mEq/L. Which assessment is most important
for the nurse to obtain?
• Cardiac rhythm and heart rate.
• Daily intake of foods rich in potassium.
• Hourly urinary output
• Thirst ad skin turgor.
An older male client with type 2 diabetes mellitus reports that has
experiences legs pain when walking short distances, and that the pain is
relieved by rest. Which client behavior indicates an understanding of
healthcare teaching to promote more effective arterial circulation?
• Consistently applies TED hose before getting dressed in the morning.
• Frequently elevated legs thorough the day.
• Inspect the leg frequently for any irritation or skin breakdown
• Completely stop cigarette/ cigar smoking.
• Rationale: Stopping cigarette smoking helps to decrease
vasoconstriction and improve arterial circulation to the extremity.
, HESI PN EXIT EXAM V3 110 QUESTIONS
AND ANSWER(S) 100% CORRECTLY
VERIFIED RATED A+
A community health nurse is concerned about the spread of communicable
diseases among migrant farm workers in a rural community. What action
should the nurse take to promote the success of a healthcare program designed
to address this problem?
• Establish trust with community leaders and respect cultural
and family values
The nurse performs a prescribed neurological check at the beginning of the
shift on a client who was admitted to the hospital with a subarachnoid brain
attack (stroke). The client’s Glasgow Coma Scale (GCS) score is 9. What
information is most important for the nurse to determine?
• The client’s previous GCS score
• When the client’s stroke symptoms started
• If the client is oriented to time
• The client’s blood pressure and respiration rate
• Rationale: The normal GCS is 15, and it is most important for the
nurse to determine if it abnormal score a sign of improvement or
a deterioration in the client’s condition
HESI PN EXIT EXAM V3 110 QUESTIONS
AND ANSWER(S) 100% CORRECTLY
VERIFIED RATED A+
, HESI PN EXIT EXAM V3 110 QUESTIONS
AND ANSWER(S) 100% CORRECTLY
VERIFIED RATED A+
The charge nurse in a critical care unit is reviewing clients’ conditions to
determine who is stable enough to be transferred. Which client status report
indicates readiness for transfer from the critical care unit to a medical unit?
• Chronic liver failure with a hemoglobin of 10.1 and slight bilirubin
elevation
Based on principles of asepsis, the nurse should consider which circumstance to
be sterile?
• One inch- border around the edge of the sterile field set up in the
operating room
• A wrapped unopened, sterile 4x4 gauze placed on a damp table top.
• An open sterile Foley catheter kit set up on a table at the nurse
waist level
• Sterile syringe is placed on sterile area as the nurse riches over the
sterile field.
• Rationale: A sterile package at or above the waist level is considered
sterile. The edge of sterile field is contaminated which include a 1-
inch border (A). A sterile objects become contaminated by capillary
HESI PN EXIT EXAM V3 110 QUESTIONS
AND ANSWER(S) 100% CORRECTLY
VERIFIED RATED A+
