HESI PN MED SURG EXIT EXAM / MED SURG HESI PN LATEST
EXAM 2023-2024 ACTUAL EXAM TEST BANK QUESTIONS AND
CORRECT DETAILED ANSWERS WITH RATIONALES
A hospital is considering changing its documentation system to reduce the number
of medication errors. Which system should the hospital investigate?
1. Problem, intervention, evaluation (PIE)system
2. Electronic medical record
3. Problem-oriented medical record
4. Narrative system - ANSWER-2
The electronic medical record decreases errors and allows for the
reconciliation of the patient's medications on admission, daily, and on
discharge.
Which nursing activities are examples of independent functions of the nursing
role?
1. Teaching a soon-to-be-discharged patient about the medication regimen that the
health care provider has prescribed
2. Talking with the patient about his or her abilities to manage personal hygiene
activities while in the usual state of health at home
3. Incorporating adaptive techniques into nursing care as recommended by
occupational therapy
4. Administering analgesic medication ordered by the health care provider
5. Introducing oneself to, and interviewing, the patient to collect data about
physical health status - ANSWER-2,5 Rationale 1: Teaching the patient about
medications prescribed by the health care provider is an interdependent
activity. Rationale 2: This activity is part of the assessment process, which is
an independent activity that nurses may perform, based on their education
and skills. Rationale 3: Working in coordination with another health team
member is an interdependent activity. Rationale 4: Administering medication
prescribed by the health care provider is an example of a dependent activity.
, HESI PN MED SURG EXIT EXAM / MED SURG HESI PN LATEST
EXAM 2023-2024 ACTUAL EXAM TEST BANK QUESTIONS AND
CORRECT DETAILED ANSWERS WITH RATIONALES
Rationale 5: These activities are included in assessment, which is an
independent activity that nurses may perform, based on their education and
skills.
The nurse is caring for a 70-year-old patient who was just admitted to an inpatient
rehabilitation center. The patient had required total parenteral nutrition for several
days, but recently resumed and is tolerating a regular diet. She has another 4 days
left in a course of intravenous antibiotics to complete treatment of a positive
central line culture. Which nursing action, required in the care of this patient, is
considered a dependent role function?
1. Requesting that the health care provider order a consult because the patient
states that her dentures no longer fit properly and she has trouble chewing
2. Asking the nursing assistant to demonstrate to the patient how to operate the call
system
3. Interviewing the patient to assess whether she needs assistance with getting out
of bed
4. Administering the antibiotics prescribed by the health care provider -
ANSWER-4 Rationale 1: Assessing that the patient has a need that requires
further assessment by other team members and communicating that need to
the appropriate team member is an example of an interdependent activity.
Rationale 2: This is an independent activity that nurses may perform or
delegate, based on their and the delegate's education and skills. Rationale 3:
Assessment is an independent activity that nurses may perform, based on
their education and skills. Rationale 4: Dependent activities are those
prescribed by the health care provider and carried out by the nurse
When asking a patient if a pain medication provided a few hours ago has been
effective, the nurse is performing which step of the nursing process?
1. Planning
2. Implementation
, HESI PN MED SURG EXIT EXAM / MED SURG HESI PN LATEST
EXAM 2023-2024 ACTUAL EXAM TEST BANK QUESTIONS AND
CORRECT DETAILED ANSWERS WITH RATIONALES
3. Evaluation
4. Assessment - ANSWER-3 Rationale 1: Planning consists of prioritizing
among the chosen nursing diagnoses and determining interventions to move
the patient to optimal health. Rationale 2: Implementation isthe actual
"doing" step of the nursing process. In this case, implementation occurred
when the medication was administered. Rationale 3: Evaluation focuses on a
patient's behavioral changes and compares them with the criteria stated in the
objectives. It consists of both the patient's status and the effectiveness of the
nursing care. Both must be evaluated continuously, with the care plan
modified as needed. Rationale 4: Assessment comprises examining the patient
and identifying cues, collecting and analyzing data, and reaching conclusions.
In this situation, assessment occurred when the nurse identified that the
patient was in pain
The nursing instructor knows that further education is needed when a student
makes which statement?
1. "Assessment precedes nursing diagnosis and outcome identification."
2. "Planning follows nursing diagnosis and outcome identification and precedes
implementation."
3. "Evaluation follows implementation and precedes planning."
4. "Planning follows assessment and precedes evaluation." - ANSWER-3
Rationale 1: The correct order is assessment, diagnosis, planning,
implementation, and evaluation. Rationale 2: The correct order is assessment,
diagnosis, planning, implementation, and evaluation. Rationale 3: The correct
order is assessment, diagnosis, planning, implementation, and evaluation.
Rationale 4: The correct order is assessment, diagnosis, planning,
implementation, and evaluation.
A 16-year-old patient has been admitted for treatment of presumptive pelvic
inflammatory disease. The patient's hygiene is poor and she reports living "on the
, HESI PN MED SURG EXIT EXAM / MED SURG HESI PN LATEST
EXAM 2023-2024 ACTUAL EXAM TEST BANK QUESTIONS AND
CORRECT DETAILED ANSWERS WITH RATIONALES
street" for a year. She is febrile and tachycardic and reports pain as 10 on the 1-to-
10 scale. The nurse identifies Acute Pain as the priority nursing diagnosis. Which
outcome statement is appropriate?
1. The patient's comfort will be achieved and maintained.
2. The patient will be discharged to a safe living environment.
3. The patient will be reunited with her parents.
4. The patient's infection will be eradicated. - ANSWER-1 Rationale 1: Achieving
and maintaining comfort addresses the nursing diagnosis of acute pain related
to possible pelvic inflammatory disease identified by the nurse.
While assessing a female patient from the Middle East, the nurse observes that the
patient makes no eye contact and answers questions by nodding or with only a few
words. The nurse's entry in the patient's record states that the patient "appears to be
frightened." This is an example of which factor associated with assessment?
1. Personal interpretation
2. Subjective data
3. Nursing diagnosis
4. Objective data - ANSWER-1 Rationale 1: This is the nurse's personal
interpretation of the patient's behavior. It has not been validated with the
patient. These behaviors may indicate a number of possibilities such as
physical, mental, and emotional status or cultural and social norms.
The patient tells the nurse that everything "tastes funny" since starting a new
medication, making eating unpleasant. The nurse has given this medication to other
patients and has not heard this complaint from any of them. The nurse checks the
drug reference again to learn whether this is a known side effect of the medication
and reads that it is. This information may be helpful in making a nursing diagnosis
and determining how best to address this problem. Which data from this scenario is
considered subjective?
EXAM 2023-2024 ACTUAL EXAM TEST BANK QUESTIONS AND
CORRECT DETAILED ANSWERS WITH RATIONALES
A hospital is considering changing its documentation system to reduce the number
of medication errors. Which system should the hospital investigate?
1. Problem, intervention, evaluation (PIE)system
2. Electronic medical record
3. Problem-oriented medical record
4. Narrative system - ANSWER-2
The electronic medical record decreases errors and allows for the
reconciliation of the patient's medications on admission, daily, and on
discharge.
Which nursing activities are examples of independent functions of the nursing
role?
1. Teaching a soon-to-be-discharged patient about the medication regimen that the
health care provider has prescribed
2. Talking with the patient about his or her abilities to manage personal hygiene
activities while in the usual state of health at home
3. Incorporating adaptive techniques into nursing care as recommended by
occupational therapy
4. Administering analgesic medication ordered by the health care provider
5. Introducing oneself to, and interviewing, the patient to collect data about
physical health status - ANSWER-2,5 Rationale 1: Teaching the patient about
medications prescribed by the health care provider is an interdependent
activity. Rationale 2: This activity is part of the assessment process, which is
an independent activity that nurses may perform, based on their education
and skills. Rationale 3: Working in coordination with another health team
member is an interdependent activity. Rationale 4: Administering medication
prescribed by the health care provider is an example of a dependent activity.
, HESI PN MED SURG EXIT EXAM / MED SURG HESI PN LATEST
EXAM 2023-2024 ACTUAL EXAM TEST BANK QUESTIONS AND
CORRECT DETAILED ANSWERS WITH RATIONALES
Rationale 5: These activities are included in assessment, which is an
independent activity that nurses may perform, based on their education and
skills.
The nurse is caring for a 70-year-old patient who was just admitted to an inpatient
rehabilitation center. The patient had required total parenteral nutrition for several
days, but recently resumed and is tolerating a regular diet. She has another 4 days
left in a course of intravenous antibiotics to complete treatment of a positive
central line culture. Which nursing action, required in the care of this patient, is
considered a dependent role function?
1. Requesting that the health care provider order a consult because the patient
states that her dentures no longer fit properly and she has trouble chewing
2. Asking the nursing assistant to demonstrate to the patient how to operate the call
system
3. Interviewing the patient to assess whether she needs assistance with getting out
of bed
4. Administering the antibiotics prescribed by the health care provider -
ANSWER-4 Rationale 1: Assessing that the patient has a need that requires
further assessment by other team members and communicating that need to
the appropriate team member is an example of an interdependent activity.
Rationale 2: This is an independent activity that nurses may perform or
delegate, based on their and the delegate's education and skills. Rationale 3:
Assessment is an independent activity that nurses may perform, based on
their education and skills. Rationale 4: Dependent activities are those
prescribed by the health care provider and carried out by the nurse
When asking a patient if a pain medication provided a few hours ago has been
effective, the nurse is performing which step of the nursing process?
1. Planning
2. Implementation
, HESI PN MED SURG EXIT EXAM / MED SURG HESI PN LATEST
EXAM 2023-2024 ACTUAL EXAM TEST BANK QUESTIONS AND
CORRECT DETAILED ANSWERS WITH RATIONALES
3. Evaluation
4. Assessment - ANSWER-3 Rationale 1: Planning consists of prioritizing
among the chosen nursing diagnoses and determining interventions to move
the patient to optimal health. Rationale 2: Implementation isthe actual
"doing" step of the nursing process. In this case, implementation occurred
when the medication was administered. Rationale 3: Evaluation focuses on a
patient's behavioral changes and compares them with the criteria stated in the
objectives. It consists of both the patient's status and the effectiveness of the
nursing care. Both must be evaluated continuously, with the care plan
modified as needed. Rationale 4: Assessment comprises examining the patient
and identifying cues, collecting and analyzing data, and reaching conclusions.
In this situation, assessment occurred when the nurse identified that the
patient was in pain
The nursing instructor knows that further education is needed when a student
makes which statement?
1. "Assessment precedes nursing diagnosis and outcome identification."
2. "Planning follows nursing diagnosis and outcome identification and precedes
implementation."
3. "Evaluation follows implementation and precedes planning."
4. "Planning follows assessment and precedes evaluation." - ANSWER-3
Rationale 1: The correct order is assessment, diagnosis, planning,
implementation, and evaluation. Rationale 2: The correct order is assessment,
diagnosis, planning, implementation, and evaluation. Rationale 3: The correct
order is assessment, diagnosis, planning, implementation, and evaluation.
Rationale 4: The correct order is assessment, diagnosis, planning,
implementation, and evaluation.
A 16-year-old patient has been admitted for treatment of presumptive pelvic
inflammatory disease. The patient's hygiene is poor and she reports living "on the
, HESI PN MED SURG EXIT EXAM / MED SURG HESI PN LATEST
EXAM 2023-2024 ACTUAL EXAM TEST BANK QUESTIONS AND
CORRECT DETAILED ANSWERS WITH RATIONALES
street" for a year. She is febrile and tachycardic and reports pain as 10 on the 1-to-
10 scale. The nurse identifies Acute Pain as the priority nursing diagnosis. Which
outcome statement is appropriate?
1. The patient's comfort will be achieved and maintained.
2. The patient will be discharged to a safe living environment.
3. The patient will be reunited with her parents.
4. The patient's infection will be eradicated. - ANSWER-1 Rationale 1: Achieving
and maintaining comfort addresses the nursing diagnosis of acute pain related
to possible pelvic inflammatory disease identified by the nurse.
While assessing a female patient from the Middle East, the nurse observes that the
patient makes no eye contact and answers questions by nodding or with only a few
words. The nurse's entry in the patient's record states that the patient "appears to be
frightened." This is an example of which factor associated with assessment?
1. Personal interpretation
2. Subjective data
3. Nursing diagnosis
4. Objective data - ANSWER-1 Rationale 1: This is the nurse's personal
interpretation of the patient's behavior. It has not been validated with the
patient. These behaviors may indicate a number of possibilities such as
physical, mental, and emotional status or cultural and social norms.
The patient tells the nurse that everything "tastes funny" since starting a new
medication, making eating unpleasant. The nurse has given this medication to other
patients and has not heard this complaint from any of them. The nurse checks the
drug reference again to learn whether this is a known side effect of the medication
and reads that it is. This information may be helpful in making a nursing diagnosis
and determining how best to address this problem. Which data from this scenario is
considered subjective?
